Workplace Ethics
Domain 9: Workplace Ethics. This domain tests professional conduct: confidentiality, consent, privacy, honesty, boundaries and the legal duties a health care assistant carries.
Ethical principles
Autonomy (respect the patient's choice), beneficence (act for their good), non-maleficence (do no harm), justice (treat everyone fairly regardless of caste, religion, gender, income or HIV status). These four principles decide most exam scenarios.
Confidentiality and consent
Patient information is shared only with those involved in care, on a need-to-know basis. Take informed consent before any procedure, in a language the patient understands; for a minor or an unconscious patient, follow the lawful guardian or the doctor's documented decision. Never photograph, film or post patient details on social media.
Professional boundaries and behaviour
- Work within your training; refer upwards when unsure.
- Be punctual, wear the uniform and identity card, address patients respectfully.
- Do not accept expensive gifts, loans or money from patients.
- Do not form personal or financial relationships with patients.
- Report your own errors and near-misses honestly and at once; hiding them is the serious offence.
Patient rights
Right to information, privacy, dignity, a second opinion, an explanation of costs and the right to complain. Report suspected abuse or neglect of a child or woman through the prescribed channels (POCSO, POSH) without delay.
Worked example
A relative asks you for a patient's HIV report. Reasoning: the information is sensitive and not needed for the relative's role in care, so politely refuse, explain that only the treating doctor can share it, and inform the nurse in charge. Showing the report would breach confidentiality and the law.
Traps
- Discussing patients in lifts, canteens or WhatsApp groups.
- Looking up a record out of curiosity.
- Covering up a colleague's error or your own.