045877G : Business Administration

1.1 Maintaining privacy and confidentiality in relation to client information. This should include direction for staff in maintaining client records, in line with the Privacy Principles.

 

1.2 Ensuring informed consent before treatment commences

 

1.3 Identifying and managing any conflict of interest which may arise between the practitioner and client

 

1.4 The Clinic’s commitment to environmentally sustainable practice

Task.1 

1.1 Policies and Procedure for Maintaining Privacy and Confidentiality

The Natural Therapies Clinic takes measures to protect client personal information in its possession against, loss, unauthorised access, use, alteration or disclosure and against other forms of mishandling. These comprises of reasonable physical, technical and administrative security measures (Velasquez, Andre, Shanks, and Meyer, 2012).

The physical protections include:

• Keeping filing cabinets and unattended files under lock and key
• Physical security of areas with personal information
• Keeping computers in private places inaccessible by unauthorised members
• Avoiding the storage of client personal information in public areas

Technical safeguards

• The use of passwords to limit computer access, and the demand for routine changes to passwords
• Establishing varying levels of access so that not all staff can view all information
• Making sure that information is securely transferred wherever applicable or inapplicable to ensure that correct measures of protection have been taken
• Installing virus protection and firewalls (Appari & Johnson, 2010).  

1.2 Informed Consent

Informed consent must be acquired for all invasive procedures and for treatment that are considered risky (Jefford & Moore, 2008). An invasive procedure is any treatment in which skin or mucous membranes and connective tissue undergoes incision or injection, or the procedure is undertaken with the use of a device that is initiated using a natural body orifice (Beck, 2016). However, there shall be exclusions to this procedure such as peripheral IV and catheter insertions. Additionally, unless the case under consideration is a life or death case, the medical practitioner or assistant shall obtain detailed consent before any major treatment, procedure, or surgery for which it is most appropriate.

Consent evidence shall include a dully signed form by the patient or representative and by the doctor carrying out the procedure. A number of other forms shall also be available for other different treatment procedures such as consent for blood products form.

Care shall be ascertained in determining the competency of the patient in giving a consent for treatment.

1.3 Identifying and managing any conflict of interest

Any conflict of interest arising between the practitioners and client must promptly be identified, using the test below, and managed.

The Test: if a client could be affected, or seem to be affected, by an individual’s interest or conflict of interest when undertaking routine duties and responsibilities.

Management of a Conflict of Interest

Conflicts of interest can take place in varying scenarios within The Natural Therapies Clinic.

All forms of conflict of interest between a practitioner and a client shall be managed through six strategies as shown below (Ramsay, 2001):

1. Record/Register – all identified or suspected cases of conflict of interest shall be recorded or registered in the registry
2. Restrict – it may be advisable to restrict involvement in the issue, such as avoiding debate
3. Recruit – if restriction isn’t appropriate, another appropriate office can take up the matter
4. Remove – removal of a matter shall be implemented if other previous measures fail
5. Relinquish – giving up individual interest if they are the cause of the matter
6. Resign – last option, but best applicable if no other resolution can apply

1.4 Clinic’s commitment to environmentally sustainable practice

The Natural Therapies Clinic acknowledges a responsibility to the environment and we showcase our devotion towards implementing practices which will foster environmental sustainability. The clinic will at all times endeavour to create awareness in the community, encourage involvement and train employees in matters relating to environmental sustainability.

Principles of environmental sustainability

• Adhere to all laws and regulations governing the environment, and aggressively look for techniques to improve on these regulations
• Endeavour for energy, water and resources conservation in all our work
• Work towards a better understanding of both direct and indirect effect that our practices have on the ecosystem
• Thoughtful disposal of waste, and foster a culture of “ reducing, recycling and reusing”
• Routine review of our practices and ascertain whether they are environmentally sustainable
• Reduce our impact on the environment by securing products and services that are friendly to the environment

1.5 Clinic’s support and respect for cultural difference

The Natural Therapies Clinic recognises, respects, promotes and celebrates the value of diversity in cultures and will design and implement policies, procedures, treatments that are inclusive.

The Natural Therapies Clinic aims at becoming a community characterised by service excellence, prompt quality treatment, and ethical practice. The clinic is openly involved in social, ethical and religious aspects of the issues it faces in the delivery of quality service. In all its activities, the clinic is steered by a vital concern for justice and equity, and for the respect of all people (Bentzen, Harvey, & Brinchmann, 2013).

The clinic demonstrates its unique identity by promoting a welcoming and all inclusive staff that:

• Cherish and respects cultural diversity
• Reflects ethos
• Shows a commitment to access and justice
• Is culturally competent and appreciates cross-cultural knowledge
• Expresses acceptance of cultural diversity
• Shows fundamental values of human respect, dignity and freedom

Task 2

2.1

1. Offer training to all employees on policies and procedures. Employees and contractors can sign off after reading, comprehending and consenting to adhere to the workplace policies and procedures
2. Make the policies and procedures easily accessible. E.g. by publicizing the policies and procedures in the intranet
3. Consistent in policy implementation. Such as counselling, disciplinary action, and dismissal in extreme cases
4. Regular review of policies and procedures

2.2 Monitor staff performance

1. Develop staff performance management systems, for example, examining strategic and operation plans to ascertain the appropriate staff policies
2. Carryout staff performance appraisals e.g. by reviewing previous deliberations on the staff under appraisals

• Adopt rewards and incentives e.g. payment for course fees, travel, a one-off cash payment, verbal praise, issuing certificates and letters, free products or services etc.

1. Counsel staff
2. Adopt disciplinary and termination procedures

2.3 sample complaint handling policy and procedure

The AHPRA sample complaint handling policy and procedure is easy to read because it has used simple English and any abbreviations are clearly indicated. It has also provided various definitions as they are applied within the context of the organization.

The organization is also committed to customer service since they have provided more than one method of launching a complaint. However, the policy offers 14 days of acknowledgement which might be too long since complaints require prompt reactions for effectiveness and satisfaction.

Task 3

Me: Hallo,

Client: Hallo to you

Me: please, how can we assist you?

Client: I want to be treated, I received a referral for a therapeutic treatment to your hospital but there is none to serve me!

Me: Am sorry for that. Our clinic has an ethical practice and all staff are required to adhere to it.

Client: that is none of my business, what I need is treatment and if you do not offer what you have indicated that you are offering, you better close down!

Me: Am sorry for that, but please understand that our commitment to ethical practice demands that all practitioners are to work within the confines of their practice. This is to ensure that we deliver quality healthcare and the client’s health and well-being is highly protected.

Client: ok, mmmmh!

Me: yes, we really value you and would like to offer you professional quality service.

Client: I appreciate

Me: but we can still reschedule a date with the qualified physician on priority basis.

Client: ok, I will appreciate.

Me: thanks a lot for your understanding

Task 4

4.1 The experience of appointment booking by the reception management was great. First of all, the staff at the reception were very welcoming and readily gave me guidelines on the procedure of booking. One of the reception team member at the entrance was very jovial and offered personalised customer service. The receptionists were very much helpful in case of inquiries. For instance, I wanted to inquire on the different choices left for healthcare consultation, and I was directed to the right receptionist. However, one of the receptionist was so much glued on her phone until she couldn’t effectively respond to my questions.

4.2 The receptionist at the clinic really greeted me well and their warm welcome was a true encouragement to me even before I met the practitioner. They first appreciated my visit and then went ahead to welcome me and made me aware that they were happy for me choosing their services. The introduction by the practitioner was even much more joyous. I just knocked at the door and was welcomed immediately. Then to my surprise, the physician called me by my name (I later figured out that their hospital management system is interconnected). Then the doctor went ahead to ask me of any issues after which he promised me that all will be well.

4.3 Yes, after the rather short but warm welcoming, the practitioner inquired whether it was my decision to undergo the treatment. After my affirmative response, the practitioner informed me that it had to be in writing and therefore sent me to the assistant practitioner which was next to his office. The assistant first confirmed that I was competent to sign the consent form and then I was given a consent form to fill after carefully reading and understanding it.

4.4 The practitioner practiced a lot of non-verbal communication skills such as gestures, smiling, and head nodding. Active listening was also evident as the practitioner could maintain eye contact and in addition to nodding and not interrupting me unless in rare occasions.

The use of non-verbal communication skills in addition to active listening (Yardley-Nohr, 2007) by the practitioner really worn my trust because I saw that he was interested in whatever I was narrating and that he was equally interested in my welfare. His rare interruptions in speech while I spoke was a confirmation that indeed he was listening and taking my concerns serious, thus winning my confidence.  However, his rather direct eye contact made me to doubt his motive. This is because he was of the opposite sex (Kälvemark, Höglund, Hansson, Westerholm, & Arnetz  (2004) and I felt that his eyes were really all over me.

4.5 Yes. The practitioner’s communication style really made me free and gave opportunities to ask questions and even provide additional information to the explanations I was giving. The warm welcome by the practitioner was also an encouragement for me to ask more questions and seek for more clarifications.

4.6 The fire exit door was closed and opened only a quarter way with the exit corridor being small in size. This is a potential hazard because it is likely that in case of a fire outbreak, there will be a stampede and more injuries will develop as a result. The floor was very slipper and was not ideal for a clinic especially when visiting patients have difficulty in walking and may make them slid and cause more injuries and pain.

4.7 I would have ensured that the fire exit door is wide opened as along as the clinic is in operation. I will also ensure that the fire exit corridor is wide enough according the standards and guidelines provided the department of health. I would also ensure that there is a warning indicating slippery floor. I will also go ahead and replace the slippery tiles with the recommended ones

4.8 It is my wish that they could engage more practitioners to ensure that clients do not have to book 20 days advance in order to receive medical check-up and consultation.

References:

Appari, A., & Johnson, M. E. (2010). Information security and privacy in healthcare: current state of

research. International journal of Internet and enterprise management, 6(4), 279-314.

Beck, M. F. (2016). Theory & Practice of Therapeutic Massage. Nelson Education.

Bentzen, G., Harsvik, A., & Brinchmann, B. S. (2013). “Values That Vanish into Thin Air”: Nurses'

Experience of Ethical Values in Their Daily Work. Nursing research and practice, 2013. Retrieved from https://downloads.hindawi.com/journals/nrp/2013/939153.pdf 

Jefford, M., & Moore, R. (2008). Improvement of informed consent and the quality of consent

documents. The lancet oncology, 9(5), 485-493.

Kälvemark, S., Höglund, A. T., Hansson, M. G., Westerholm, P., & Arnetz, B. (2004). Living with

conflicts-ethical dilemmas and moral distress in the health care system. Social science & medicine, 58(6), 1075-1084. Retrieved from https://www.jipts.com/_Uploads/dbsAttachedFiles/Livingwith.pdf 

Ramsay, M. A. (2001). Conflict in the health care workplace. Proceedings (Baylor University.

Medical Center), 14(2), 138. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1291328/ 

Velasquez, M., Andre, C., Shanks, T., and Meyer, M.J. (2012). The Markkula Center for Applied

Ethics: Consistency and Ethics. Retrieved from https://www.scu.edu/ethics/ethics-resources/ethical-decision-making/consistency-and-ethics/

Yardley-Nohr, T. (2007). Ethics for Massage Therapists. Lippincott Williams & Wilkins.