{"id":101,"date":"2013-10-21T00:32:59","date_gmt":"2013-10-21T00:32:59","guid":{"rendered":"http:\/\/www.modestosurgery.com\/surgeryblog\/?p=101"},"modified":"2013-10-21T00:32:59","modified_gmt":"2013-10-21T00:32:59","slug":"legal-and-ethics-for-surgeons-highlights-notes","status":"publish","type":"post","link":"http:\/\/www.modestosurgery.com\/surgeryblog\/legal-and-ethics-for-surgeons-highlights-notes\/","title":{"rendered":"Legal and Ethics for Surgeons &#8211; Highlights &#8211; Notes"},"content":{"rendered":"<h2>Legal Issues and Ethics<\/h2>\n<ul>\n<li>When a patient has a DNR order and needs a surgery with anesthesia, consider discussing the revoking the DNR order temporarily or focusing on what the patient wants for quality of life.<\/li>\n<li>Unrelated urgent surgery to terminal illness + DNR order = some hospitals rescind the DNR order x 24 hours with careful documentation of the time.<\/li>\n<li>High quality X-ray and multiple views of the X-ray may be required when looking for a possible retained sponge from surgery.<\/li>\n<li>Some surgeons believe that the patient should be informed when the sponge \/ instrument counts are inaccurate at the end of a case even if there is no retained objects found on X-ray.<\/li>\n<li>Laws vary regarding protection from apologizing.<\/li>\n<li>Negligence = failure to exercise standard of care (reasonably prudent person \/ same situation).<\/li>\n<li>First element of informed consent, decide whether the person is competent of making decisions on behave of themselves, their child or their family member.<\/li>\n<li>To honor a patient&#8217;s request to make a medical\/surgical decision for them, you must have already established a relationship with the patient, no other good options, believe that the course of the option is best for the patient.<\/li>\n<li>Parents disagreeing, first determine if only one parent or both parents have the legal right to give permission.<\/li>\n<li>A durable power of attorney is a type of advanced directive which may include other legal issues such as financial issues.<\/li>\n<li>The advanced directive of a patient trumps the wishes or demands of a family member or surrogate.<\/li>\n<li>A surgeon&#8217;s fine motor skills doesn&#8217;t appear to decline with age.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Legal Issues and Ethics When a patient has a DNR order and needs a surgery with anesthesia, consider discussing the revoking the DNR order temporarily or focusing on what the patient wants for quality of life. Unrelated urgent surgery to terminal illness + DNR order = some hospitals rescind the DNR order x 24 hours &hellip; <a href=\"http:\/\/www.modestosurgery.com\/surgeryblog\/legal-and-ethics-for-surgeons-highlights-notes\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Legal and Ethics for Surgeons &#8211; Highlights &#8211; Notes<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[218,61],"tags":[233,227,221,232,230,225,229,224,228,231,220,222,223,226,234,219],"class_list":["post-101","post","type-post","status-publish","format-standard","hentry","category-legal-and-ethics","category-pearls","tag-advanced-directive","tag-apologizing-laws","tag-dnr-order","tag-durable-power-of-attorney","tag-established-relationship-with-patient","tag-fine-motor-skills","tag-informed-consent","tag-miscount-of-sponges","tag-negligence","tag-parents","tag-quality-of-life","tag-rescind","tag-retained-sponge","tag-surgeons-age","tag-surrogate","tag-temporary-repeal"],"_links":{"self":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/101","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/comments?post=101"}],"version-history":[{"count":1,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/101\/revisions"}],"predecessor-version":[{"id":102,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/posts\/101\/revisions\/102"}],"wp:attachment":[{"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/media?parent=101"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/categories?post=101"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modestosurgery.com\/surgeryblog\/wp-json\/wp\/v2\/tags?post=101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}