EAMP Standards of Care, Professional Ethics and

BoundariesWeek 6

Dr. Alex Alexander

Washington Access Code (WAC)

Chapter 246-803 WAC

East asian medicine practitioner

Emergency PlanWAC 246-803-330

Plan for consultation, emergency transfer and referral.

  Every East Asian medicine practitioner shall develop a written plan for consultation, emergency transfer, and referral. The written consultation plan must be submitted to the department after initial licensure but prior to treating any patients, and annually with the license renewal fee. The written plan for consultation, emergency transfer and referral must include:

     (1) The name, license number and telephone numbers of two consulting primary health care providers.

     (2) A statement attesting that in an emergency, the East Asian medicine practitioner will:

     (a) Initiate the emergency medical system (EMS) by dialing 911;

     (b) Request an ambulance; and

     (c) Provide patient support until emergency response arrives.

     (3) Confirmation from the primary health care providers listed as to their agreement to consult with and accept referred patients from the applicant.

Mandatory Reporting

WAC 246-803-340

Mandatory reporting.

  All individuals credentialed under this chapter must comply with the mandatory reporting rules in chapter 246-16 WAC.

Standards of Professional Conduct

Chapter 246-16 WAC

http://apps.leg.wa.gov/wac/default.aspx?cite=246-16

Sexual Misconduct

http://apps.leg.wa.gov/wac/default.aspx?cite=246-16-100

More Mandatory Reporting

Child Abuse / Elder Abuse

Who is a mandated reporter?

The ListThose people legally required to report child abuse or neglect are:

• Medical practitioners

• Nurses

• Dentists

• Social service counselors/therapists

• Psychologists

• Medical examiners

• Pharmacists

School personnel

• Child care providers

• Law enforcement officers

• Juvenile probation officers

• Corrections employees

• DSHS employees

• Placement and liaison specialists

• Responsible living skills program staff

HOPE center staff

• State family and children's ombudsman

• Any volunteer in the ombudsman's office

• Adults residing with child suspected to have been severely abused

A video

http://www.dshs.wa.gov/ca/safety/abuseAdopt.asp?2

Abuse of Vulnerable Adult

Who is a Vulnerable Adult?

A vulnerable adult is defined by law as:

• a person 60 years of age or older who lacks the functional, physical, or mental ability to care for him or herself;

• an adult with a developmental disability per 71A.10.020;

• an adult with a legal guardian per 11.88 RCW;

• an adult living in a long-term care facility (an adult family home, boarding home or nursing home);

an adult living in their own or family’s home receiving services from an agency or contracted individual provider; or

• an adult self-directing their care per law (74.39.050 RCW)

Confidentiality and Limits

http://depts.washington.edu/bioethx/topics/confiden.html

Some unpleasant outcomes

https://fortress.wa.gov/doh/providercredentialsearch/ProviderDetail_1.aspx?CredentialIdnt=593701#

https://fortress.wa.gov/doh/providercredentialsearch/ProviderDetail_1.aspx?CredentialIdnt=469766#

https://fortress.wa.gov/doh/providercredentialsearch/ProviderDetail_1.aspx?CredentialIdnt=556835#

https://fortress.wa.gov/doh/providercredentialsearch/ProviderDetail_1.aspx?CredentialIdnt=629500#