Exam (elaborations)
Optometry And The Law/Optometry Final Exam – Q&A
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Optometry And The Law/Optometry Final Exam – Q&A
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Optometry And The Law/Optometry Final Exam – Q&AOptometry And The Law
CoO Guidance for professional practice; "must" & "should" Right Ans - •
guidance is based on the GOC standards
(helps clarify things/put it words easier to understand)
• updated every 3 years
- must be kept up with!
• sets out optometrist expectations in all work environments
(multiple/independent/hospital)
• "must" = where there is a legal/regulatory obligation to follow the guidance
• "should" = where CoO normally expects the action to be followed
- if the clinician applies their professional judgement & decides to take a
different action, it must be justifiable
Specific Points from Guidance for Knowledge, Skills & Performance Right
Ans - • you must keep you professional knowledge and skills up to date
- this includes the law, College & other guidance, developments in practice
• you should regularly review your work
• you must work within the limits of your competence
• you must meet the GOC's requirements for CPD
(currently 36 points needed over 3 years, minimum 6 per year; must cover a
range of topics. The College encourages you to take responsibility for &
participate in professional development beyond CPD requirements)
Specific Points from Guidance for Patient Records Right Ans - • full records
are essential
• full, accurate, clear px records must be kept
- made @ time of examination
- includes history of px care, including referrals
• only use common abbreviations
• if electronic records are kept there must be an IT disaster recovery
plan/regular backups, etc
• you must comply with the Data Protection Act 2018
• patients have a right to access their records
• a very detailed description is given of what should be included in records
- if you don't record everything, may have to explain why
,Specific Points from Guidance for the Routine Eye Examination Right Ans -
• you must carry out such examination as appear to be necessary
- to detect signs of injury/disease/abnormality in the eye or elsewhere
• in addition to the minimum legal requirements, you should use your
professional judgement to decide the format & content of the eye examination
• you should record all clinical findings
• you should tell the patient your findings & recommendations
• the frequency of the eye examination depends on the patient's clinical needs
- but there are recommended minimum intervals
Specific Points from Guidance for Partnership w Patients Right Ans - • to
maintain a good relationship w your px you must:
- make the care of your px your first & continuing concern
- give px information in a way they can understand, make them aware of the
options available
- respect a px's dignity & privacy
- listen to px & take account of their views
- assist px in exercising their rights & making informed decisions about their
care
- respect choices that px make
Specific Points from Guidance for Honesty & Integrity Right Ans - • you
must be honest & trustworthy
• you must make the care of your px your first & continuing concern
• you must not discriminate against patients or colleagues
• you must act quickly to protect patients from risks posed by colleagues
• you must inform the GOC of any matter that may impair your FTP
• your financial & commercial practices must not compromise px safety
• you must not accept inducements or gifts that may be seen as affecting your
patient care
• you must be covered by adequate & appropriate insurance to practice in the
UK throughout your period of registration
Key Points on Rules for Referrals Right Ans - • refer any (significant)
injury/disease of the eye
- unless the hospital already knows about it (refer anything that likely isn't
known by the hospital)
,• if a patient is unwilling to be referred, their refusal & reason for it must be
recorded
• if your professional judgement there is no justification to refer a px, record:
- a description of the disease
- the reason for not referring
- details of advice given to px
- an account of any action taken
* if appropriate, send a letter of information to GP of above
• a referral may also be to a triage/referral centre, or another appropriate
qualified professional
(i.e. doesn't always have to be directly to GP/HES)
Rules for Making a Referral Right Ans - • record the referral
- date of referral
- sufficient information of injury/disease suffered
- details of any advice/medical or clinical treatment tendered to the px
• provide the px with a written report which includes:
- the grounds for thinking that they are suffering from injury/disease of the
eye
- the urgency of the case
- instructions for where/who the referral is to
(i.e. if not GP/HES, what qualifications does the person have)
Reasons for Shared Care Right Ans - • volume
• future demand
• accessibility for care/patient experience
(e.g. in rural areas, nearest HES may be v far away)
• patient experience & care
(e.g. local clinics may feel less rushed, etc)
• cost
(avoids GP and A&E appointment costs; reduces burden on secondary care)
Advantages & Potential Risks of Shared Care Right Ans - :) raises profile of
(optometry) profession
:) treatments/investigations completed locally
:) treatments individualised
:( postcode lottery of services
:( confusion for practitioners
(bc. local pathways an be quite different, must be aware)
, Contents of a referral letter Right Ans - • date
• full name of referring optometrist & practice address
• full details of patient
- name, address, phone no, DOB
• reason for referral
• provisional diagnosis
• indication of urgency
(routine/urgent/emergency)
• where should the referral be to
• supporting/relevant signs & symptoms
• reports of relevant tests
- include copies of data
• indicate consent obtained from patient
- for the referral & follow-up treatment
(! use bullet points; helps to keep it short, clear, relevant)
Civil Claims Right Ans - • within the Law of Tort
- Tort = law of civil wrongs
- provides people with the rights to compensation when another person
harms their legally protected interests
(from an optometrist's POV; negligence claims most relevant)
• doesn't involve the GOC
• if successful, will result in some from of damages being awarded to the
claimant (e.g. financial)
GOC's role with civil claims/negligence Right Ans - • GOC is involved where
there have been breach of the Standards of Practice
- determines if the registrant is "Fit to Practice"
- i.e. in concerned with protecting future public safety
• determines if there should be any restrictions on a Registrant's registration
• unlikely to involve financial penalty/compensation with individual
optometrists, if a clinical issue
Negligence Right Ans - • any act/omission which falls short of a standard to
be expected of "the reasonable man"
• professional negligence
= failure of a professional to behave with the level of care that another
professional would have exercised in the same circumstances
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