Module 3- Professionalism and Canadian Health Care System PDF

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Summary

References:

Katerberg, C. (n.d.). Psw 1375 Professionalism & Health Systems Fall2021 M (1). Lecture.

Mary J. Wilk. (2021). Sorrentino's Canadian Textbook for the Support Worker (5th Edition) [Texidium version]. Retrieved from http://texidium.com...

Description

I.

Define Professionalism

 Professionalism = an approach to work that demonstrates: o Respect for others o Commitment o Competence o Appropriate behavior Qualities that a Professional Possesses 1) A positive attitude o Believe your work is valuable and important o Show enthusiasm, consideration for others, courtesy, and cooperativeness o Think before you speak, don’t gossip o Your words reveal your attitude o Avoid negatives such as “I took her down to rehab yesterday, someone else can do it today.” Reference Pg.14 2) A sense of responsibility o o o o o o o o

Take responsibility for your actions Keeping your knowledge up to date Admit mistakes, accept constructive criticism. Learn from others Report to work as scheduled Finish all tasks or report if unable to complete your work. Report off to next shift.(TOA); transfer of responsibility Call your supervisor if ill or will be late

3) A professional appearance o Shows respect o Includes clothes, grooming and hygiene o Dress code for clinical, lab and agency that you work Reference: Pg.15 Box/ student handbook

4) Discretion about client information o Using good judgment o Be careful what you say, who you say it to, where you say it and when you say it. 5) Keeping your knowledge up to date 6) Discretion about personal matters o No matter how well you know the client show discretion o Family matters, personal problems, and problems with others should not be discussed o Professional relationship not a friendship. 7) Using acceptable speech and language o o o o

Speak gently and clearly, don’t shout. Use appropriate language. Do not use slang, vulgar or abusive language Don’t argue or fight with client, family, co-workers

Behaviors that Contribute to Professional Success Definition: 1) Accountability Accepting responsibility and explaining actions; individual 2) Confidentialit y

Respecting and guarding personal and private information Planning and finishing tasks, admitting mistakes

3) Responsibility Acceptance and regard for another person 4) Respect

Performing one’s job safely and within scope and legal

5) Competence

limits Breeches of Confidentiality

 PHIPA: Personal Health Information Protection Act - governs health care information privacy in Ontario. o Permits sharing of personal health information among health team members  Confidentiality means that: o Information is only shared among team members involved in CARE

o Information about employer, coworkers, other clients is also PRIVATE o Avoid talking about clients, coworkers, employer where you can be HEARD  You are LEGALLY and ETHICALLY bound to keep information confidential  Includes electronic methods https://www.ipc.on.ca/wp-content/uploads/Resources/hguide-e.pdf Unregulated and Regulated Health Professionals Unregulated Accountable to

 Supervisor  Employer  Clients

No College/ No Professional regulatory body Organization Ex. College of Nurses

Examples

Support workers (PSW, HCA, PCA), Activities director

Regulated  Supervisor  Employer  Clients  Professional Organization (College) College that determines:  Scope of practice  Code of ethics  Standards of conduct  Roles and responsibilities  Discipline for members guilty of misconduct Registered Team Members including: NP, RN, RPN, RD, RT, OT, PT, SLP, Physician

Delegated Tasks, Controlled Acts, Taught Procedures  Controlled Acts = legal right for only nurses to perform certain tasks (examples: inserting catheter, giving insulin, putting instrument anywhere to patient body) Box 10.3  Delegation = nurse authorizes another health care provider to perform tasks o The nurse is required to do the following 3 steps: 1) Teach you the task (taught procedure) 2) Assess your performance 3) Monitor you over time to ensure you remain able to perform task *May refuse delegation if not within scope *report/ document task delegated at the end (names, date, the conditions to

delegation if there are any)  When the PSW agrees to perform a task, he/she is accountable for own actions to perform the task correctly; for safe practice in care  “The Five Rights of Delegation” 1. Right task 2. Right circumstance 3. Right Person 4. Right direction and communication 5. Right supervision *A task that is taught for one client must be retaught and re-delegated for another client. (specific to each client) *Employer must have policies and guidelines in the job description, and the task must be in your Vocational Standards Reference p.159 Professional Boundaries (helping relationships vs friendships)  Definition- “Appropriate limitations on behaviour, meant to protect the vulnerable client from the caregiver who has access to private knowledge about him or her.”( Mosby 2018)  Follow your job description  Follow employer policies and procedures  Ask your supervisor for direction if unsure. If you haven’t performed a skill or need refresher  Relationship with client is based on a professional helping relationship not a friendship  Based on qualities of a professional  Scope of Practice o Refers to what you can and cannot do and the legal limits of your role o Never perform a task that you haven’t been trained to do or is outside your professional boundaries o Serious harm can occur to the client and serious legal problems for you and your employer

II. Health Care Delivery System in Canada  Quality health care should be available to all citizens  Medicare = Canada’s national health insurance system (1972) o Uses federal and provincial/territorial taxes to pay for medically necessary_ health services for all permanent residents Five Principles of Canadian Health Act (1984) Covers all medically necessary services Comprehensiveness Ex. Diagnostic tests Universality Portability Accessibility Public Administration

Every permanent resident receives insured health care Coverage includes unemployed, change jobs, relocating, traveling ALL have reasonable access to services Publicly funded (each province or territory)

“The Principles of Medicare, as Listed in the Canada Health Act” Reference p.22 box2.1 Jurisdiction Responsibilities Federal Government Provincial/Territorial Government  Must meet 5 criteria of federal  Administer Canada Health Act government to receive funding (part  Supply funding for of Canada health act) provinces/territories  Organize hospitals and LTC homes,  Direct delivery of care to: and Local Integrated Networks (LHIN) o First Nations o Location o Inuit o Number of HC professionals o RCMP o Money spent o Veterans  Develop and administer own health o Inmates of federal care insurance plan penitentiaries

 Transfer tax money to provinces and territories  Ensure P/T provide quality care

 Ontario’s plan is called (OHIP) Ontario Health Insurance Plan *some are not covered like cosmetic surgeries

Reference: https://www.ontario.ca/page/apply-ohipand-get-health-card  In Ontario we also have Municipal and LHIN jurisdictions Range of Health Care Services in Ontario 1) Primary health care delivery = Family health teams, Telehealth First contact; Health promotion, 2) Secondary health care delivery = Specialist Assessment; preventative; more complex issues; can be in home or institutions/ community (clients pay for accommodation but other services are subsidies by the government) 3) Tertiary health care delivery = specialized, highly technical level (ICU) Large and teaching hospitals Importance of Home Care and PSW Role  Home care trend – Aging in place-> clients sent home sooner -> less hospital stays  Goal is to enable people to remain in home as healthy as possible and independent  

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Types of Community Services and Support and Funding Funding for specific type of care each client receives depends on provincial funding Home care services include: 1) Personal care services (ADLs, palliative) 2) Home support services (home management, ADLs) 3) Nursing and professional services (PT/OT, Nursing) 4) Ancillary support (Shopping, banking) Private agency can be paid for by client P28. Box2.5 LTC fit in HC System Long-term care can be in a separate facility, within a hospital, or in home

Consumer Concerns  Why are the consumer concerns related to healthcare? Worker shortage; aging population increases; aging of HC workers/retiring; list in

waiting for procedures; long waiting time to LTC homes; more need in community setting  What is the role of the health care consumer in controlling costs? Alternative health practices like home therapy, natural medicines; teaching for prevention; early diagnoses

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Current Trends in HC in Canada Alternate care in clinics, health care centres, and through home care Outpatient procedures, more day surgeries Health promotion and disease prevention Home care Interdisciplinary Health Teams National Pharmacare Strategy Reinvestments in LTC and Public Health Telehealth Aging in place Care Provision in non-traditional environments COVID-19

Reference: P31 Health, Wellness, Health Promotion, Illness, Disability Definitions: 1) Health

State of well-being in all dimensions of one’s life

2) Wellness

Achievement of best possible health in all dimensions of one’s life

3) Illness

Loss of physical or mental health

4) Disability

Loss of physical or mental function...