Healthcare Personnel's Role in Detainee Operations, Exams of Medical ethics

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Medical Ethics and Detainee Operations questions with correct answers How often, at a minimum, should a detainee's weight be checked while in the detention facility? - Answer ✓ Daily Twice a week Weekly Monthly** Which of the following procedures is NOT part of the detainee in-processing medical examination? - Answer ✓ Rectal cavity search* Height and weight check Dental screening Chest x-ray Article 3 of the Geneva Conventions protects prisoners of war and wounded combatants from all of the following EXCEPT: - Answer ✓ Mutilation during interrogation Murder Execution after receiving a fair trial** Cruel treatment and torture In Middle Eastern culture, the _____ is considered the most unclean part of the body. - Answer ✓ Thumb Sole of the foot ** Right hand The Qur'an is the holy book of Islam and it guides Muslims in the following areas: - Answer ✓ Modesty Dietary restrictions Prayer All of the answers are correct** Screening Requirements include all of the following EXCEPT? - Answer ✓ Physical exam Body cavity exam** Medical history review Which transfers require the following minimum documentation: Operative Note (SF 516), Transfer Narrative Summary of Care (SF 502), and radiographs? - Answer ✓ None of these documentations are required Detainees' transfers from Role 1 to Role 2 treatment units Detainees' transfers from Role 2 b to Role 3 treatment units** Detainee medical records do not need to be at the same standard as those for U.S. and coalition service members. - Answer ✓ False When specialty care is available to coalition forces, specialty care should also be available to detainees in theater. - Answer ✓ True When the Laws of War are broken (breached), there are simple and grave breaches, depending on the severity of the violation. Which of the following is a grave breach? - Answer ✓ Poisoning wells and streams Torture ** Maltreatment of corpse Pillaging The detaining forces have an obligation to provide certain groups with either medical care or to ensure that they have access to medical care. Which group should be ensured access to care? - Answer ✓ Civilian Population** Civilian Internees Enemy Prisoners of War (EPWs) Other Detainees Retained Personnel (RP) Which of the following is NOT a responsibility of Military Intelligence personnel? - Answer ✓ Serve as translators or interpreters Clear compassionate release requests Review detainee medical information ** Provide direct assistance to prisoner interrogations According to the Hague and Geneva Conventions, American Soldiers are required to: - Answer ✓ Treat Enemy Prisoners of War humanely ** Inflict unnecessary destruction to accomplish your mission Obey unlawful orders All of the answers are correct What should you do during medical examinations to ensure the respect for dignity of the detainee? - Answer ✓ Use graduated levels of privacy that are appropriate for the type of examinations Make every effort to provide same gender medical examiners and security support Position patients to minimize exposure of their private regions consistent with security requirements All of the answers are correct ** During a detainee ground transfer, healthcare personnel are in charge of a detainee's restraints. - Answer ✓ False Which of the following statements is/are TRUE about the roles between healthcare personnel and military intelligence? Select all that apply. - Answer ✓ Military intelligence (MI) personnel are always authorized access to detainee medical information BSS Teams personnel assigned to military intelligence are not a part of the healthcare team and will not provide care to detainees** BSS Teams personnel assigned to military intelligence are allowed to review detainee medical records Healthcare personnel are prohibited from assisting detainee interrogation teams ** Who makes the determination whether an autopsy will be conducted after the death of a detainee? - Answer ✓ Regional Combatant Command Two members of the medical staff must agree to the determination** Only a behavioral science specialist may make the determination The senior medical officer must approve the verification Which of the following is the correct order for the standard steps for challenging an unlawful order? - Answer ✓ Request rescission of the order. State your disagreement with the act. Present all moral arguments. Seek to get the order changed. Ask the senior leader to stop the act. Repeat the order. Request clarification of the order State you disagreement with the act. Ask the senior leader to stop the act. Repeat the order. Request clarification of the order. Present all moral arguments. Seek to get the order changed. Request rescission of the order Repeat the order. Request clarification of the order. State your disagreement with the act. Present all moral arguments. Seek to get the order changed. Request rescission of the order, and finally, ask the senior leader to stop the act ** Which of the following statements regarding the Health Insurance Portability and Accountability Act (HIPAA) is TRUE? - Answer ✓ Detainees are not covered under HIPAA, so there is no need to maintain detainee records in accordance with its guidance Detainees are not covered under HIPAA, but they are guaranteed the same standards of care, so this should apply to medical records as well ** The rules and regulations contained in the HIPAA also apply to detainees Which medications are detainees allowed to have in their possession? Select all that apply. - Answer ✓ Heart medication Albuterol inhalers** Insulin Moisturizing creams** Detainees who have been physically or sexually abused must receive a through medical examination before being released to CID or MPs. - Answer ✓ True Although your shift has just ended, before you may leave you are tasked to screen the detainees so that they can be transferred to another location. They have just knelt for mid-day prayer. The MPs tell you that this procession usually requires about half an hour. What do you do? Select all that apply. - Answer ✓ Wait for the prayer to be over to do the screening** Determine if it is an emergency screening before interrupting the prayer Leave a note for the next shift to do the screening after the prayer Interrupt the prayer to do the screening Which records should be traceably mailed to the Washington National Record Center in Suitland, MD? - Answer ✓ Both inpatient and outpatient records Outpatient records upon release or final disposition of the detainee from detention** Inpatient records Which of the following makes up the general legal obligations for military operations worldwide? - Answer ✓ The Law of War** The Hague Conventions The Geneva Conventions The Martens Clause Per AR 190-8 Paragraph 1-5a (4), inhumane treatment of EPW, CI or RP is a serious and punishable violation under the international law and the Uniform Code of Military Justice (UCMJ). - Answer ✓ True When visiting detainee compounds, the International Committee of the Red Cross looks for all of the following EXCEPT: - Answer ✓ Completeness of medical records** Treatment of detainees Material conditions of detention Overall legal framework of detention Nothing. You've fulfilled your obligation Instruct her to be more careful Non-Muslim male physicians are not allowed to treat women in many Islamic societies. Please note that for many Muslims treating the illness takes precedence, and seeking permission from the patient and male guardian, will likely result in allowing treatment for illness. - Answer ✓ True In order to be classified as an EPW, a guerilla fighter must do which of the following? Select all that apply. - Answer ✓ Commit war crimes Wear fixed, distinctive insignia** Operate under a responsible command** Carry arms openly** In Middle Eastern cultures, largely Muslim, there are no rules regarding eye contact between the sexes. - Answer ✓ false Prolong handshakes, kissing of the face, grasping elbows, and even prolonged hand holding by two men in public is a sign of friendship and respect. - Answer ✓ True Which of the following is TRUE regarding detainee identification numbers? - Answer ✓ Identification numbers are required to order medical tests and provide prescriptions No detainee will be refused care because of an identification number cannot be provided up front The Military Police unit in charge of in-processing governs identification numbers All of the answers are correct** Being thorough with detainee records helps provide the best care and it helps us to comply with our legal and ethical obligations. - Answer ✓ True You are the triage officer for a detention camp which has just taken a mortar attack. There are a large number of wounded (Coalition Forces and EPWs) and the supply of painkilling drugs is getting low. What should you do? - Answer ✓ Ensure the most seriously wounded Coalition Forces and EPWs are given drugs first, and give any remaining drugs to Coalition Forces who need it Dispense the drugs on a first come, first serve basis Ensure all the Coalition Forces who need it are given the drugs first, and then take care of the EPWs Ensure the most seriously wounded, regardless of whether they are Coalition Forces or EPWs, are given the drug** Which of the following statements is/are TRUE about the Behavioral Science Support (BSS) personnel? Select all that apply. - Answer ✓ They are exclusively assigned as operational support to detainee operations and intelligence interrogations in the DoD** They can be identified to detainees as healthcare providers They will not provide training in first aid, sanitation, or other health matters** They will not be used as a medical monitor or safety officer, or to supervise, conduct, or direct detainee operations or intelligence interrogations** When you are in a deployed environment, which of the following issues can hinder patient identification? - Answer ✓ The detainee's name may vary from the initial to the return visit The detainee was treated prior to formal processing and then returned to Level III medical unit for follow-up care The detainee's initial pseudo SSN may not reconcile with the actual ISN All of the answers are correct** Which of the following is NOT true about the International Committee of the Red Cross? - Answer ✓ They direct and coordinate international relief activities They are delegated by the Geneva Conventions to accomplish their mission They carry out their mission under the direction of the host country They provide assistance to victims of war and internal violence Procedures - A system should be in place to reduce the potential for abuse Policies - Telling people to do the right thing is more important than putting the policy in writing Which of the following is NOT prohibited under the Geneva Conventions? - Answer ✓ Participating in the prisoner interrogations Conducting medical and scientific experimentation on detained personnel Transplant procedures for blood and skin grafts with informed consent** Photographing detainees without informed consent A supervisor enters with an interrogator. You are ordered to delete potentially damaging information from the medical record. What do you do? - Answer ✓ Challenge Order*** Accept Order MPs provide valuable input regarding the medical care and concerns of detainees. Which statement below is TRUE? - Answer ✓ Military police usually do not assist during medication distribution or sick call Military police know which detainees repeatedly do not come up for head count and can point them out for medical evaluation** Medical personnel have specific protections and rights under the Geneva Conventions including: - Answer ✓ Protection from intentional attack and the right not to be held longer than 24 hours by the enemy if captured Protection from intentional attack and the right not to be retained by the enemy Protection from intentional attack and the right to continue to perform medical duties if retained by the enemy** All of the answers are correct Which of the following guidelines are applicable to body cavity searches and exams? - Answer ✓ Body cavity exams may be performed for valid medical reasons with the verbal consent of the patient Body cavity searches are to be conducted only when there is reasonable belief that the detainee is concealing an item that presents a security risk Both of these answers are correct** A group of detainees has just been escorted in for screening. A few were coughing and one is on a stretcher and had to be wheeled in. You've been asked to screen them all and that the two obviously uninjured detainees need to be interrogated. Do you complete and process the two uninjured detainees first? - Answer ✓ no When detainees are transferred between roles of care, all these individuals are required to accompany the detainee except? - Answer ✓ One security person A driver A medical attendant A chaperone** While screening a detainee during in-processing, he mentions through the interpreter that he was beaten up by the Iraq National Guard last year. You may ignore his statement since he is a detainee. - Answer ✓ False A large scale operation has just been conducted in your area. The detention facility needs to prepare to screen a large number of detainees. The following resources are available: a dentist, a nurse to administer immunizations, a medic for vital signs and lab specimen station, a medic to perform past medical history interviews, an NCOIC, and a provider. What resources do we need to add? Select all that apply. - Answer ✓ OR tech 2 more providers** Dental tech** Behavioral health provider** During the initial screening exam, it's important that you take pictures of a detainee's existing and pre-existing injuries and wounds. - Answer ✓ True Military Police may make the initial decision to classify a detainee as being on suicide watch. Is this statement correct? - Answer ✓ Yes, Military Police may make the initial decision before a detainee is given a mental health assessment**