Classé J G
School of Optometry/Medical Center, University of Alabama at Birmingham.
Optom Clin. 1993;3(2):103-13.
Patients suffering from blunt ocular trauma pose several legal challenges for primary eye care practitioners. Although optometrists in private practice are under no legal duty to examine patients with ocular trauma, failure to do so breaches ethical considerations. When an optometrist undertakes examination of an injured patient, a medical standard of care will be applied, and "Good Samaritan" statutes afford no shield from liability for negligence committed during the course of examination and treatment. If specialized care is necessary, a timely referral must be arranged. Practitioners are liable for the acts or omissions of employees, and receptionists who schedule appointments should be able to triage patient complaints so that same-day appointments are scheduled for patients requiring urgent assessment and care. Documentation of the disposition of these patients is essential; forms are an ideal way to record and preserve essential information.
钝器所致眼外伤患者给初级眼保健从业者带来了诸多法律挑战。尽管私人执业的验光师并无法律义务检查眼外伤患者,但不这样做有悖伦理考量。当验光师对受伤患者进行检查时,将适用医疗护理标准,且“好撒玛利亚人”法规并不能免除在检查和治疗过程中因疏忽而产生的责任。如有必要进行专科护理,必须安排及时转诊。从业者要对员工的行为或疏忽负责,安排预约的接待员应能够对患者投诉进行分诊,以便为需要紧急评估和护理的患者安排当日预约。记录这些患者的处置情况至关重要;表格是记录和保存重要信息的理想方式。