Understanding Sick Time Draft2

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Tecnologia Saúde e medicina

Chicago Public Library Staff and Organization Development Fall 2007 City of Chicago Policy Series: Understanding Sick Time

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Gerontologic nursing Chapter 3: Legal and Ethical Issues Professional Standards Health care providers have a general obligation to live up to accepted or customary standards of care Federal and state statutes require nursing facilities to have written health care and safety policies Sources of Law Statutes are laws created by legislation and are enacted at the federal and state level Health Insurance Portability and Accountability Act of 1996 (HIPAA) In some states failure by clinicians to report suspected incidents of mistreatment is a misdemeanor punishable by fine or penalty Sources of Law HIPAA Health Insurance Portability and Accountability Act 1996 Increase a person’s ability to get health care coverage when the person begins a new job Help maintain continuous health coverage when a change of job occurs Limits the use of preexisting conditions Sources of Law Every state in America has mechanisms for reporting elder mistreatment Adult Protective Services (APS) programs exist in each state Standards of care for nursing homes are based on policy stipulated in the Nursing Home Reform Act of 1987 (Omnibus Budget Reconciliation Act, 1987) Many states currently have mandatory reporting laws for elder mistreatment in which nurses & health care practitioners are required by law to report suspected cases Elder Abuse Categories of Elder Mistreatment 3 basic categories of elder mistreatment Domestic treatment - older persons home – by child, spouse, In-law) Institutional mistreatment – contractual arrangement & suffer abuse - LTC facilities, assisted living, rehabilitation or hospital Self neglect or self abuse – are mentally competent enough to understand the consequences of their own decisions – that threaten their own safety Institutional Mistreatment The types of mistreatment that occur in nursing homes likely mirror those in domestic settings Physical abuse Sexual abuse Neglect Financial abuse Psychological abuse Researchers have also speculated that shortages of staff, inadequate training of staff & staff burnout may be precipitating factors in mistreatment of nursing home residents Institutional Mistreatment Delay in reporting incidents Residents afraid of retribution Family members may fear having to find a new nursing home Staff may fear losing their jobs Facing recrimination by other staff members Want to avoid adverse publicity Assessment Ideally the older adult and any suspected abuser should be interviewed separately Maintaining a nonjudgmental approach will enable the nurse to obtain more accurate data The physical symptoms of elder mistreatment are often difficult for clinicians to discern because older adults may suffer from chronic and acute illness that mask or mimic the presence of mistreatment Assessment Their self reporting may be questioned for accuracy or they may be unable to express the mistreatment situation due to Amnesia Aphasia – total or partial loss of ability to speak ...

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Understanding Sick Time Draft2

1. Chicago Public Library Staff and Organization Development Fall 2007 City of Chicago Policy Series: Understanding Sick Time

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Welcome to the Chicago Public Library’s training course on Understanding Sick Time. This course is was developed for supervisory staff by representatives of the City of Chicago’s Department of Law and the Chicago Public Library. This slide cast provides information to help you better understand the City of Chicago’s policy on the use of sick time.