BTC Professional Ethics & Communication 3 — Questions and Answers
Question 1: A biomedical technician is asked by a physician to bypass a safety interlock on an infusion pump to speed up drug delivery. The technician should:
- Comply since the physician has authority over the technician
- Refuse and explain the safety risk, documenting the physician's request (Correct answer)
- Bypass the interlock and document the action
- Ask a supervisor to make the decision without sharing the request context
Correct answer: Refuse and explain the safety risk, documenting the physician's request
Safety interlocks are critical protective features; bypassing them is unsafe regardless of who requests it, and the refusal must be documented.
Question 2: What is the primary purpose of an equipment management program in a healthcare facility?
- To minimize the cost of medical equipment purchases
- To ensure safe and effective operation of medical equipment throughout its lifecycle (Correct answer)
- To track inventory for billing purposes only
- To schedule replacement of equipment on a fixed annual basis
Correct answer: To ensure safe and effective operation of medical equipment throughout its lifecycle
An equipment management program's core purpose is ensuring medical devices operate safely and effectively to protect patients and staff.
Question 3: When a biomedical technician is uncertain about a repair procedure, the most professional response is to:
- Proceed based on best judgment to avoid delays
- Consult the manufacturer's service manual or contact technical support before proceeding (Correct answer)
- Ask an unqualified colleague for advice
- Skip the uncertain step and complete the rest of the repair
Correct answer: Consult the manufacturer's service manual or contact technical support before proceeding
Consulting authoritative resources like service manuals or manufacturer support ensures technically sound and safe repairs.
Question 4: Which organization provides a widely recognized code of ethics specifically applicable to biomedical equipment technicians?
- FDA
- AAMI (Association for the Advancement of Medical Instrumentation)
- AABB
- ACCE (American College of Clinical Engineering) (Correct answer)
Correct answer: ACCE (American College of Clinical Engineering)
ACCE provides a professional code of ethics for clinical engineers and biomedical technicians, guiding professional conduct and responsibilities.
Question 5: A biomedical technician suspects that a medical device malfunction contributed to a patient adverse event. The first step should be to:
- Repair the device immediately to restore service
- Sequester the device and notify the supervisor and risk management per facility policy (Correct answer)
- Dispose of the device to prevent further incidents
- Contact the manufacturer without informing facility management
Correct answer: Sequester the device and notify the supervisor and risk management per facility policy
Suspected involvement of a device in an adverse event requires preserving it as evidence and immediately notifying supervisors and risk management.
Question 6: Which federal reporting mechanism requires hospitals to report device-related deaths and serious injuries?
- OSHA 300 Log
- FDA MedWatch / Medical Device Reporting (MDR) (Correct answer)
- CMS Conditions of Participation
- CDC National Healthcare Safety Network
Correct answer: FDA MedWatch / Medical Device Reporting (MDR)
The FDA's Medical Device Reporting (MDR) regulation requires mandatory reporting of device-related deaths and serious injuries to the FDA.
Question 7: How should a biomedical technician handle a situation where their personal values conflict with a hospital policy regarding equipment use?
- Follow personal values over hospital policy in all cases
- Raise the concern through appropriate professional channels while complying with policy unless it poses an imminent safety risk (Correct answer)
- Refuse to follow the policy without any notification
- Share the conflict only with coworkers
Correct answer: Raise the concern through appropriate professional channels while complying with policy unless it poses an imminent safety risk
Professional ethics require using proper channels to address policy concerns while maintaining compliance, except when there is an imminent patient safety threat.
A biomedical technician is asked by a physician to bypass a safety interlock on an infusion pump to speed up drug delivery.
The technician should: