Any suggestions about how to approach someone under the influence of alcohol about to operate?
The requirement to make a mandatory notification is triggered by a practitioner practising their profession while intoxicated by alcohol or drugs. In this case it is suggested that the practitioner be reminded of this and given the opportunity to withdraw from the operation or you should escalate the issue within the hospital hierarchy immediately. The event triggers a mandatory notification, however if escalated, the obligation then falls to the hospital management.
Are DHAS required to mandatory reporting people they see?
Only very specific categories constitute notifiable conduct under the National Law for mandatory reporting. There is a high threshold to report, and in general terms that is where the public is at risk of harm. Individuals may be encouraged to self-report in certain circumstances. Members should take necessary steps to seek appropriate assistance and help. As an indemnity provider, MIPS is exempt from AHPRA’s requirement to make mandatory notifications. This enables you to undertake a confidential discussion with experienced clinicians. MIPS provides 24/7 clinico-legal advice and support to members.
Would like some advice about how to encourage colleagues to seek professional help in light of fears about mandatory reporting?
At the end of the day AHPRA is the regulator and permits and controls registration to practice or not or the conditions thereof. That is, the livelihood and income as a health practitioner in Australia. It is abundantly obvious that a far better approach is for individuals to seek professional help and take mitigating steps rather than face the consequences of immediate or subsequent action by the regulator (in the interest of public safety) which may affect the ability to practice. That would be sage advice to encourage such action. Most States now have an “impaired registrants” pathway and a “doctors health programme” , both of which work conjunctively to ensure that practitioners are able to continue to work but only within the parameters of their ability.
What to do if you found out patient's GP is also patient's father?
Refer them to Medical Board Code of conduct at 9 Ensuring doctors health. 9.2 Your health Good Medical Practice involves: 9.2.2 Seeking independent , objective advice when you need medical care……….
Can MIPS assist me with how to approach the situation of a colleague in difficulty?
Yes. MIPS has a 24/7 clinico legal hotline where you will get to talk to a medical or dental practitioner as required. The backstory can be considered and advice provided. This is often the best course as it provides both an independent assessment and advice to assist or protect you as the MIPS member.