Transcript Professional Ethics

Professional Ethics
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Professional Ethics
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SYSTEM OF ETHICS
PROBLEM SOLVING AND ETHICAL ANALYSIS
SOURCES OF MORAL JUDGMENTS
MORAL DILEMMAS
ETHICS AND RADIOLOGIC TECHNOLOGY
TERMINOLOGY
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ARRT
Ethics
Morals
Law
Beneficence
maleficence
Code of ethics
Professional ethics
Legal rights
Moral rights
Values(value system)
 Ethics of care
 Social contract
SYSTEM OF ETHICS
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Morals
Law
Ethics
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ETHICS-study of moral behavior in
humans, systemizing concepts of
right and wrong
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MORALS- differentiation of
intentions, decisions and actions
between right and wrong
MORALS
PROBLEM SOLVING AND ETHICAL ANALYSIS
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Problem Solving
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Identifying the problem
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Developing alternative solutions
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Selecting the best solution
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Defending the selection
Ethical Analysis
SOURCE OF MORAL JUDGEMENT
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 Personal Morals and
Ethics
 Professional Morals
and Ethics
ETHICS AND RADIOLOGIC TECHNOLOGY
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Moral Rules
…for the Rad Tech
 The Golden Rule
 Do no harm
 The Ten
 Protection , safety and
Commandments
 Social contracts
 Quran
 5 precepts of Buddhism
comfort of patients
BOX 22-1 “Do You Think My Doctor Is
Doing the Right Thing?”
Do You Think My Doctor is Doing the Right
Thing?
Mrs. Brown , a 27-year -old patient of Dr .
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Smith , looks apprehensive
as you begin
your radiologic procedure . Mrs. Brown
has found a lump in
her breast and is worried about the
possibility of having to undergo a
mastectomy
. Your mammographic
examination reveals that Mrs
.
Brown
probably has a small fibroid cyst . Mrs.
Brown confides to you that Dr
. Smith
has mentioned the possibility of surgery
. You are also aware that ,
given a choice , Dr. Smith nearly always
operates . As you conclude your procedure
, Mrs. Brown asks you whether
surgery is indicated
, adding,
“Do you think my doctor is doing the right
thing
?”
Does
Gray
Have
BOXMr.
22-2 “Does
Mr. Gray
Have Cancer?
Cancer ?”
The images you took11of Mr
. Gray
do not look good . As a matter of fact , you
overheard Dr. Jones mutter about the
“advanced stage” of Mr
.
Gray's condition . The transporting aide
wheels Mr
. Gray back to his room
and returns with your next patient . The
patient slips behind a screen
to change into an examination gown and
is out of earshot . “Mr . Gray seemed real
depressed
,” the aide volunteers .
“How did his film look
?
Does Mr. Gray have cancer
?” The
aide is a good friend of yours and always
has seemed committed to good patient care
. How do you respond ?
BOX 22-3 “I Think Dr . Jones Misread the
Image .”
I Think Dr. Jones Misread the Image.
You have just finished
12 a routine radiologic
procedure on Mrs . Green . As you process
the image
, it becomes clear that
Mrs . Green probably has
a rare form of bone disease . Dr. Jones, a
young resident , glances at the image and
smiles . “I didn 't think Mrs . Green had
anything to worry
about,” he says . “That joint pain she was
complaining about must be all in her head
.” Later , you see Dr
. Jones
talking to Mrs . Green 's family .
He is smiling and joking with them as he
signs Mrs
. Green 's discharge
papers . Shaken , you mutter to yourself ,
“I think Dr . Jones misread the
image .” What action
, if any, should
you take ?
In My Opinion, You’ll Be Just Fine
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You are assisting Dr. Roe with a particularly complicated
radiation treatment. Mr. Black has been on the table for
nearly an hour and is clearly exhausted. As Dr. Roe leaves
the area to respond to a page
, Mr. Black groans as you
help him off the table into his wheelchair and begins asking
questions about his condition. “Is Dr. Roe doing the right
thing ? I feel terrible . What do you thin ?” Mr. . Black has
acquired a reputation of being somewhat of a
hypochondriac. You are aware that Mr. Black is being
treated for cancer and has a 50/50 chance of remission.
Your initial impulse is to reassure him with a smile and say
something such as, “In my opinion, you'll be just fine .”
During your lunch break on the night shift
, you decide to visit with Miss
White , a patient with whom you have
developed a friendship
. Miss
White 's room is directly
across from the
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nursing station , and she tells you that she
has noticed Nurse Smith slipping
medications from the drug
cart into her pocket. You recall seeing
Nurse Smith occasionally swallowing some
pills while on duty
, but you had
thought little about it up to
this point . Because Nurse Smith is the
only nurse providing patient care during
this shift , you are concerned about the
quality of patient care
, as
well as Nurse Smith
's health. Miss
White asks
, “Do you think Nurse
Smith is abusing drugs
?” You answer ,
“I hope not .” However , you believe
that you must confront Nurse Smith
directly . Despite your best efforts to be
tactful , Nurse Smith explodes
,
“What I do on this ward is none of
your business !” What do you do next
Do You Think Nurse Smith Is Abusing Drugs?
Your assigned duties in the radiology
department of the
1000-bed
medical center in which you are employed
are far from routine
. The operation
of the department is15complex and at times
hectic . Recently the department head
authorized a
tech check tech system
of work management in
response to a shortage of staff and a
dwindling budget . This situation resulted
in the shifting of greater responsibilities
onto your shoulders
,
including random review of image quality
. During a monthly review of
patients’ examinations
, you discover
an error was made
: A chest
procedure was ordered for a patient
, but the examination performed
was an abdominal procedure that was
ordered for a different patient
. You
immediately pull both patients’ records
and request a meeting with the department
head
, who, after closely examining
both records
, cautions ,
“Look, there is no harm done
. Keep
Keep This Matter Between the Two of Us
The American Registry of Radiologic Technology
1. The radiologic technologist conducts herself or himself in a professional manner, responds to patient needs, and
supports colleagues and associates in providing high-quality patient care.
2. The radiologic technologist acts to advance the principal objective of the profession to provide services to
humanity with full respect for the dignity of mankind.
3. The radiologic technologist delivers patient care and service unrestricted by the concerns of personal attributes
or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion, or
socioeconomic status.
4. The radiologic technologist practices technology founded on theoretic knowledge and concepts, uses equipment
and accessories consistent with the purposes for which they were designed, and employs procedures and techniques
appropriately.
5. The radiologic technologist assesses situations; exercises care, discretion, and judgment; assumes responsibility
for professional decisions; and acts in the best interest of the patient.
6. The radiologic technologist acts as an agent through observation and communication to obtain pertinent
information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation
and diagnosis are outside the scope of practice for the profession.
7. The radiologic technologist uses equipment and accessories, employs techniques and procedures, performs
services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation
exposure to the patient, self, and other members of the health care team.
8. The radiologic technologist practices ethical conduct appropriate to the profession and protects the patient's right
to high-quality radiologic technology care.
9. The radiologic technologist respects confidences entrusted in the course of professional practice, respects the
patient's right to privacy, and reveals confidential information only as required by law or to protect the welfare of
the individual or the community.
10. The radiologic technologist continually strives to improve knowledge and skills by participating in continuing
education and professional activities, sharing knowledge with colleagues, and investigating new aspects of
professional practice.
MORAL DILEMMAS
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