Birth Certificate

Death Certificate

1. Births, stillbirths, deaths
2. Communicable illnesses or diseases
3. Drug abuse
4. Certain injuries, such as rape, gunshot, and knife woulds
5. Animal bites
6. Abuse of children, spouse and older adults

Physician (at hospital) or

Midwife or person in attendance at home birth can file a case with county public health dept

The treating physician (usually)

Must include:

1. Date and time of death
2. Cause of death: disease, injuries, or complications
3. How long deceased was treated before dying
4. Presence or absence of pregnancy
5. Whether autopsy took place

1. Name, address, occupation of patient
2. Name of disease or suspected disease
3. Date of onset of the disease
4. Name of person issuing the report

• Tuberculosis
• Rubeola
• Rubella
• Tetanus
• Diptheria
• Cholera
• Poliomyelitis
• AIDS
• Meningococcal
• Meningitis
• Rheumatic Fever

Syphilis

Gonorrhea

Genital Warts

• DPT - Diptheria, tetanus toxoid, pertussis vaccine
• MMR - Measles, mumps, rubella
• Poliovirus vaccine, live
• Poliovirus vaccine, inactivated
• Hepatitis B vaccine
• Tuberculosis test

Teachers

Health professionals

Law enforcement

Day Care personnel

Social Service workers

True or False

A physician can be held liable for not reporting cases of child abuse.

True

Note:  person reporting is protected by law from being sued by parents or others.

& not reporting may result in a misdemeanor charge

• Physical abuse
• Neglect
• Exploitation
• Abandonment
• Financial abuse of adults 60 & over

How is spousal abuse handled?

(3 statements)

• Laws governing the reporting vary by state
• Local police may have to become involved when spousal abuse is suspected
• Court may order restraining or protective order prohibiting abuser from contact with victim

1. Signs of inadequate nutrition
2. Venereal disease and genital abrasions
3. Makeup to hid bruises
4. Sunglasses worn inside to hide blackened eyes
5. Repeated injuries
6. Bruises and unexplained swelling
7. Unexplained fractures
8. Bite marks
9. Unusual marks
10. Bruising or swelling in genital area

1. Signs of inadequate nutrition
2. Venereal disease and genital abrasions
3. Makeup to hid bruises
4. Sunglasses worn inside to hide blackened eyes
5. Repeated injuries
6. Bruises and unexplained swelling
7. Unexplained fractures
8. Bite marks
9. Unusual marks
10. Bruising or swelling in genital area

Substance Abuse 

(2 statements)

• Abuse of prescription drugs is reportable immediately according to law
• Violation of controlled substances laws is a criminal offence

• Photos
• Urine specimen
• Clothing
• Body fluids
• Various samples
• Foreign objects

Note:  precise documentation of all injuries, bruises and suspicious genital fluid deposits are critical.  Court may subpoena records at a later date.

1. Cancer
2. Epilepsy
3. Congenital disorders

Food & Drug Administration

Enforces drug sales and distribution

Drug Enforcement Administration

Enforces the Comprehensive drug Abuse Prevention and Control Act of 1970

Bureau of Narcotics and Dangerous Drugs

Enforces drug control

(...based on the current opioid addiction level in the US, I think they have failed!.....)

How are prescriptions of controlled drugs managed?

(3 statements)

• Only physicians with a DEA number may issue prescription for narcotics: renewed every 3 years
• Number must appear on all prescriptions for controlled substances
• Narcotics dispensing records must be kept for two years

Employee Assistance Program

• Confidential counseling and referral service
• Helps employees and their families assess a problem (i.e. alcoholism, drug abuse, stress, marital)
• Develops plan to resolve problem
• Determines appropriate resource to assist in process

• Government regulations regarding employment
• Includes laws that affect several things

Equal Employment Opportunity and Employment Discrimination includes laws that affect:

(6 things)

Recruitment

Placement

Pay plans

Benefits

Penalties

Termination

What is the basis of the following law:

Equal Employment Opportunity and Employment Discrimination

• Employment takes place at will of either employer or employee
• Employment may be terminated at will at any time for no reason.
• Employee may quit at any time.
• Exception for a specific employment contract in which employment cannot be terminated during contract period.

Title VII of the Civil Rights Act of 1964

(4 looooooong statements)

• What does it prohibit?
• Name some exceptions
• What does it forbid?
• What does it state regarding sexual harassment?

• Prohibits discrimination, or unfair treatment based on race, color, religion gender, or national origin
• Several exceptions: certain religious-affiliated colleges, public officials and their staff.
• Forbids discrimination in all aspects of patient care in institutions that receive federal financial assistance
• Makes sexual harassment a form of unlawful sex discrimination

Pregnancy Discrimination Act of 1978

• How are employers required to treat pregnant women?
• What can't employers force pregnant women to do?
• In which areas are they insured equal treatment?

• Employers must treat pregnant women as they would any other employee, providing pregnancy does not hinder job performance.
• Employer cannot force women to quit her job because she is pregnant.
• Insured equal treatment in areas of disability, sick leave, and health insurance

Age Discrimination Act of 1967

• Protects who?
• Applies to?
• What is prohibited?

• Protects persons 40 and older against discrimination.
• Applies to employers with 20 or more employees.
• Mandatory retirement prohibited except for certain exempt executives.

Americans with Disabilities Act (ADA) of 1990

• Prohibits what?
• What must employer do?
• What is the exception?
• Who is also included under this statute?

• Prohibits employers who have more than 15 employees from discriminating against individual with disability
• Employer must make reasonable accomodations
• Exception if undue hardship for employer to make accommodations
• AIDS patients protected under this statute

National Labor Relations Act (NLRA) of 1935

• AKA
• What right does it give employees?
• Purpose of the law?
• Establishes rights for ......... and defines.......

• AKA "The Wagner Act"
• Gives employees right to form and join unions, to bargain collectively, and to strike for better benefits and working conditions.
• Purpose of law is to protect employees.
• Establishes rights for both employees and employers, and defines some prohibitive acts by employers, called unfair labor practices

Employee Health and Safety

• Regulated by both federal state laws
• State law may be stricter than federal but cannot be more lenient

Occupational Safety and Health Act (OSHA) of 1970

• Employer is required by law to?
• Which standards are in place to provide protection to healthcare workers?
• Standards refer to which bodily fluids?

• Employer required by law to provide safe and healthy work environment
• Must protect worker against hazards
• Protection for healthcare workers: Occupational Exposure to Bloodborne Pathogens Standards
• Standards refer to urine, stool, sputum, nasal secretions, vomit, and sweat if there is visible evidence of blood

Health Maintenance Organization (HMO) Act of 1973

• Requires company with how many employees to provide what?
• Under HMO, patients has limited what?
• Patient may have to do what for major procedures?

• Requires company with 25 or more employees to provide HMO alternative to regular group insurance if HMO is available in area.
• Under HMO, patient has limited choice of doctors
• Patient may have to get second opinion and permission from HMO for major procedures.

Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985

• Company's with how many must provide what?
• Whose expense?

• Company with 25 or more employees must provide extended health care insurance to terminated employees for as long as 18 months.
• Usually at employee's expense

Drug-Free Workplace Act of 1988

• Must certify what?
• Employer must inform employee of 2 things?

• Employers contracting to provide goods or service to the federal government must certify that they maintain a drug-free workplace.
• Employer must inform employee of intent to maintain drug-free workplace and of any penalties employee would incur for violation of policy.

Social Security Act of 1935

(4 things)

• Laid groundwork for unemployment compensation.
• Paid into by employer and employee
• Composed of several programs
• Amount at retirement based on average wages during working lifetime

Fair Labor Standards Act (FLSA) of 1938

• Main statute regulation what?
• Establishes 3 things:
• Covers who?
• Affects only?

• Main statute regulating employee benefits
• Establishes minimum wage, requires pay for overtime, sets maximum hours employees can work
• Covers non-management employees in for-profit and not-for-profit institutions.
• Affects only full-time hourly employees.

Equal Pay Act of 1963

• Amendment to what?
• This makes it illegal for employer to?

• Amendment of Fair Labor Standards Act (FLSA)
• Illegal for employer to discriminate on basis of gender if performing same job.

Unemployment Compensation

• Created under which Act?
• Employers pay taxes into what?
• What does it cover?
• Provides temporary......
• What happens if employee is fired for good cause?

• Created under the Social Security Act of 1935
• Employers pay taxes into state compensation plan
• Covers employees unable to work through no fault of their own (laid off or terminated)
• Provides temporary weekly payment for unemployed workers.
• If fired for good cause, employee is not entitled to benefits

Family and Medical Leave Act (FMLA) of 1994

(4 things)

• Allows mother and father to take leave of absence of up to 12 weeks in a 12-month period when a baby is born.
• Job or equivalent position must be available when employee returns to work.
• Leave is almost always without pay
• Also allows unpaid leave for up to 12 weeks for own or 

Emergency Medical Treatment and Active Labor Act (EMTALA)

• A section of what?
• Forbids?
• Protects?

• A section of COBRA
• Forbids patient "dumping" from one hospital to another
• Protects patients who are unable to pay.

Fair Credit Reporting Act of 1971

(2 things)

• Establishes guidelines for use of individual's credit information.
• If denied credit, consumer must be notified and agency must disclose credit information to consumer, who may correct and update information.

Equal Credit Opportunity Act of 1975

(2 things)

• Prohibits businesses from granting credit based on race or gender.
• Women and minorities must be issued credit if they qualify for it.

• Requires full written disclosure about interest rates of finance charges concerning payment of any fee that will be collected in more than four installments

Fair Dept Collection Practices Act of 1978

(3 things)

• Prohibits unfair collection practices by creditors (institutions or persons who are owed money)
• Credit collection phone calls can be made only between 8AM and 9PM, M-F
• Prohibits telephone harassment and threats

Federal Wage Garnishment Law of 1970

(2 things)

• Garnishment: court order requires employer to pay a portion of employee's paycheck directly to one of employee's creditors until debt is resolved.
• Restricts amount of paycheck that can be used to pay off a debt.