What is the RT–patient relationship based on?, Trust, What does fiduciary mean in the RT–patient relationship?, Duty of loyalty, good faith, and diligence., What must RTs always place above personal interests?, The patient/client’s best interests., What types of conflict of interest must RTs avoid?, Actual, potential, and perceived conflicts of interest., What is an actual conflict of interest?, When something has already influenced an RT’s professional judgment., What is a potential conflict of interest?, When a reasonable person believes an RT might fail to act in the patient’s best interest., What is a perceived conflict of interest?, When it appears judgment was influenced, even if it wasn’t., What types of benefits can create a conflict of interest?, , Can an RT avoid conflict by giving the benefit to someone else?, No — benefits cannot be transferred to a related person or company., Factors that increase likelihood of a conflict?, , How can RTs prevent conflicts of interest?, , What happens if someone believes an RT is in a conflict of interest?, A complaint can be submitted to College of Respiratory Therapists of Ontario., What legislation governs consent in Ontario?, , Can treatment be given without consent?, No — even if ordered, consent is required., What are the 4 elements of valid consent?, , What is express consent?, Verbal or written consent., What is implied consent?, Consent inferred from patient actions., Can consent be withdrawn?, Yes — at any time., When is consent not required for an incapable patient?, , When is consent not required for a capable patient?, ONLY if all of the following apply:, Can diagnostic exams be done without consent?, Yes — if needed to determine whether an emergency exists., Is a patient presumed capable?, Yes — unless there are reasonable grounds otherwise., What happens if a patient is incapable?, Seek consent from a Substitute Decision Maker (SDM)., What must you do if you determine incapacity?, , Who is first in the SDM hierarchy?, Guardian of the person., Who is last in the SDM hierarchy?, Public Guardian and Trustee., SDM requirements?, , What are penalties for failing to follow consent legislation?, , Who owns the medical record?, The patient., Purpose of documentation?, , Key principles of documentation?, , What should documentation clearly show?, , What interactions must be documented?, ALL patient interactions (in person, phone, email, fax)., What is a common issue in legal cases?, Missing or falsified documentation., Required elements of a patient record?, , How long must records be retained?, , What is privacy?, Who is allowed to access patient information., What is confidentiality?, How patient information is protected and not disclosed., Can patient records be accessed out of curiosity?, No — this violates privacy legislation., What federal law governs personal information in commercial activities?, Personal Information Protection and Electronic Documents Act (PIPEDA)., What provincial law governs personal health information in Ontario?, Personal Health Information Protection Act (PHIPA)., What is the “circle of care”?, Health professionals directly involved in the patient’s care., Is consent implied within the circle of care?, Yes — in most cases., What happens if information is shared outside the circle of care?, A privacy breach., Can unnamed patients still be identified online?, Yes — through contextual details., Are workplace photos safe to post?, No — they may reveal PHI., Can discussing cases online violate privacy?, Yes — even without names., Summarize this lesson into a few words., RTs must avoid conflicts of interest, obtain valid consent, document all care accurately, and protect patient privacy under PHIPA and PIPEDA. Failure to comply can result in complaints, fines, loss of registration, or termination..

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