ORDENFA National Exam flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Scope of Authorization

The defined set of acts a practitioner is permitted to perform. Acts outside this scope are unauthorized even when performed competently and without harm.

Practice Cycle Stages

The documented sequence of assess, plan, authorize, execute, record, and review. Each stage produces a required output that supports the next stage.

Task-Specific Competence

Competence is judged against the particular task rather than the practitioner's general license. A licensed practitioner may still lack competence for a specific act.

Informed Consent Elements

Capacity, disclosure of material risks and alternatives, consequences of refusal, and voluntary agreement. All elements must be present for consent to be valid.

Delegation Accountability

Delegation transfers execution of a task but not accountability. The authorizing practitioner remains responsible for the delegated act and its outcome.

Shall Should May

'Shall' denotes a mandatory requirement, 'should' a recommendation, and 'may' a permitted option. The distinction determines compliance weight in standards.

Statute Versus Regulation

A statute is enacted by a legislature; a regulation is issued under statutory authority and is legally binding. A regulation cannot exceed its statutory authority.

Incorporation by Reference

The mechanism making a standard legally binding by citing it within a regulation or contract. Unincorporated standards remain voluntary guidance only.

Hierarchy of Authority

Statute, then regulation, then incorporated standard, then guidance. A lower level cannot contradict a higher level in the hierarchy.

Standard Effective Date

A revised standard applies from its stated effective date. Acts completed before that date are judged under the version then in force.

Retention Period Trigger

The retention clock generally starts at the date of the last record entry, not first client contact, unless the governing standard specifies otherwise.

Mandatory Reporting Override

Mandatory reporting obligations override client confidentiality and are triggered by defined thresholds in regulation, not by mere suspicion or concern.

Jurisdictional Licensure

Licensure authority is granted by a specific jurisdiction and does not automatically extend to another. Cross-jurisdiction practice requires separate authorization.

Procedure Components

A complete procedure states its trigger, responsible role, ordered steps, acceptance criteria, and escalation path. Missing components make the procedure unenforceable.

Two-Person Verification

A control requiring independent confirmation by a second person before an irreversible or high-consequence step. It applies where the written procedure specifies.

Record Correction Method

Corrections are made by strikethrough with initials and date so the original entry remains legible. Erasure and overwriting are prohibited.

Handover Content

Handover communication must include current status, pending actions, known risks, and the identity of the receiving party. Omission of any element creates risk.

Escalation Triggers

Escalate when acceptance criteria are unmet, authority is exceeded, or the situation falls outside the written procedure. Escalation follows the defined channel.

Deviation Documentation

Foreseeable deviations from procedure require prior approval; unforeseeable ones require retrospective documentation. Both are recorded with rationale.

Risk Formula

Risk equals likelihood multiplied by consequence. The product ranks risks so that control effort is directed to the highest-scoring items first.

Control Hierarchy

Ranked from most to least effective: eliminate, substitute, engineer, administrate, then personal protective equipment. Higher controls are preferred.

Residual Risk

The risk remaining after controls are applied. It must be documented and formally accepted by a person with authority to commit required resources.

Hazard Versus Risk

A hazard is a source of potential harm; risk is the combination of likelihood and severity of harm arising from that hazard.

Near Miss Investigation

Near misses are recorded and investigated with the same rigor as adverse events because they reveal failed or missing controls before harm occurs.

Root Cause Analysis

A causal analysis method that identifies system-level causes rather than individual blame. Its findings feed back into procedure and control revision.

Emergency Plan Elements

An emergency plan specifies alarm, evacuation or containment action, accounting for all persons, and the designated response lead.

Control Verification

An untested control is presumed unverified rather than effective. Effectiveness is confirmed by test or audit and the result is documented.

Conflict of Interest Disclosure

A conflict must be disclosed promptly, but disclosure alone does not resolve it. Recusal or informed consent may also be required.

Confidentiality Exceptions

Confidentiality may be breached only for legal compulsion, imminent serious harm, or authorized consent. Each exception is narrowly construed.

Competence Boundary Rule

Practitioners must not practice beyond their competence. The ethical response is referral or supervised acquisition of the missing competence.

Gift Disclosure Threshold

Gifts or benefits capable of influencing professional judgment must be refused or disclosed according to policy thresholds. Undisclosed influence is a breach.

Ethical Priority Order

When duties conflict, priority runs public safety, then legal duty, then client interest, then self-interest. Higher duties prevail in any conflict.