Week 2/3 Nursing Practice (5 Questions) Legal Issues & Risk Management (5 Questions) Ethics & Advocacy (5 Questions) Flashcards Preview

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Flashcards in Week 2/3 Nursing Practice (5 Questions) Legal Issues & Risk Management (5 Questions) Ethics & Advocacy (5 Questions) Deck (35)
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1

What is the purpose of Nursing licensure?

To protect the PUBLIC and the NURSE

note: public can go check if you have an active license

2

Nursing Licensure

- guarantees ______ lvl of ______
- Individual ___ boards for licensure -> specific ____ gives us license but _____ is same for all states

- minimum, competency
- state, state, NCLEX

3

State Licensing - Individual states regulatory boards

- Membership of board of nursing usually appointed by the _____ office

- Governor's

4

Roles of the Regulatory Board

- to ensure ____ practice
- Administer the state's Nurse ____ ___
- To g____ and re___ licenses
- Take ______ action when provisions of act are violated

- safe
- practice act
- grant, renew
- disciplinary

5

Components of Nurse Practice Act

- Statements that refer to protecting h____/s___ of p____
- statements that protect title of ______
- Definitions of (2)
- Description of r_____ for _____, procedures necessary for initial entry into practice, and r_____ of license
- Designation of a r____ board to administer Nurse Practice Act

- health/safety of Public
- RN
- Professional Nursing and Advanced practice nursing
- requirements for licensure, renewal
- regulatory

6

NY State Nurse Practice Act Definition of Professional Nursing

Establishes the legal definition of =
Defines s____ of practice and L___ that govern our licensing (varies state to state)

- However, nursing organizations (ANA) develop g_____ for del____

- Delegation
- scope, laws

- guidelines, delegation

7

Legal Issues and Risk Management

*

8

Negligence =

= the OMISSION of doing something that a reasonable nurse would do - failure to act according to a standard of practice

9

Malpractice =

= the ACTIVE FAILURE of a person with professional training to act in a reasonable and prudent manner

10

5 Components of Malpractice

1) Standard of practice in place, whereby you have accepted duty for the pt
2) Failed to meet standard of care (breach of duty)
3) Possibility of harm exists dt care
4) Must be a link between the care and harm
5) Actual pt injury must occur

11

Most common malpractice allegations

- Failure to ensure pt s______
- Improper t____ or n____ performance of tx
- Failure to m____ pt
- Failure to r_____ significant findings in timely fashion
- _____ errors
- Failure to follow p___ and p____ (e.g informed consent)

- safety
- tx, negligent
- monitor
- report
- medication
- policies, procedures

12

Assault =

= THREAT or attempt to INFLICT BODILY HARM combined with ability to commit the act

ex) if you move one inch, i'll tie you to the bed

13

Battery =

= intentional harmful or offensive CONTACT that occurs WITHOUT CONSENT

ex) use of restraints without an order

14

Libel =

= PUBLICATION of defamatory statements ( Nurses notes will be scrutinized for libel)

15

Slander =

= ORAL defamatory statements (words or gestures)

16

Incident Reports

- DO NOT do what?
- filled out outside of pt ____ and given to r___ management

- DO NOT chart in pt record (makes it discoverable)
- record, risk

17

Disclosure

= depends on _____ obligations
1) state statues on _____ disclosure
2) hospital disclosure policies
3) ____ commission regulations

= ethical

1) mandatory
3) joint

18

The Joint Commission mandates disclosure when what happens?

- go with a t____ and disclose, only say sorry if it is your h____ policy

Medication error is made

(AFTER incident report and documentation)

- team, hospital's

19

Preventing Liability =

= keep self educated (know the law); understand scope of practice (boundaries), speak up if you see something in system not working, communicate, complete appropriate paperwork, maintain own health

20

Safeguard Strategies -> Legal safeguards for nurses

- A_____
- N_____
- P_____
- R_____
- S_____
- A______

- Awareness
- Negotiation
- Protection
- Responsibility
- Standards
- Advocacy

21

Ethics and Advocacy

*

22

Ethics =

= a system of moral conduct and principles (what is right and wrong to oneself and to society)

23

Nursing ethics =

= system of principles that govern actions of nurses IN RELATION TO PTS, FAMILIES, HCPS, POLICY MAKERS, and SOCIETY

24

Ethical Decision-Making

*

25

Nurses must determine their ____ values and seek to understand the values of _____

- own, others

26

Guidelines for Ethical Decision Making

1) Autonomy =
2) Beneficence =
3) Non-maleficence =
4) Paternalism =
5) Justice =
6) Veracity =
7) Fidelity =

1) Let pt make own decisions
2) Do good
3) Do no harm
4) deciding for a subordinate in their best interest
5) fair tx
6) truth
7) loyalty

27

ADPIE =

(during ethical situation)

1) Assess - situation, gather relevant data, identity
2) Diagnose - specifics of ethical problem
3) Plan - concrete approach by researching actual steps you can take
4) Implement - plan and modify as necessary
5) Evaluate - if plan worked

28

Moral Decision-Making Model

M
O
R
A
L

Massage the dilemma
Outline options
Review criteria and resolve
Affirm a position and act
Look back

29

Healthcare Dilemmas examples




Who do you reach out to for tough ethical situations?

- life/death
- QOL
- right to decide
- informed consent (vs. implied consent)
- alternative tx issues
- therapeutic and reproductive cloning
- IVF
- Donor insemination
- Surrogate motherhood
- organ transplants

ETHICS COMMITTEE

30

Advocacy =

Involves -

= protecting and defending what one believes in self and others

- Involves helping others and self-actualize - inform others of their rights and have enough info to make INFORMED DECISIONS