Ethical, Legal and Regulatory

Question 1

Certification

Answer 1

voluntary process that serves as a measure of knowledge and competence in the specialty area in which a nurse practices

Question 2

Credentialing

Answer 2

individual, group or organization has been evaluated by a qualified and objective third party credentialing body and has met standards

Question 3

Scope of nursing practice

Answer 3

the description of who, what, where, when, why and how nursing practice that addresses the range of nursing practice activities common to all registered nurses

Question 4

Standards

Answer 4

Authoritative statements of the duties that all registered nurses are expected to perform competently

Question 5

ANA Scope and standards of Practice

Answer 5

define the expectations of professional nurse in the US

Question 6

Scope of practice

Answer 6

all healthcare practice is regulated at the state level, nurse practice acts are state specific

Question 7

Scope of practice implications for NPD practitioners

Answer 7

1. align educational activities with the state nurse practice act
2. monitor organizational policies for alignment with state nurse practice act
3. maintain awareness of scope of practice issues with state legislatures and how it affects individual nurse practice
4. recognize the scope of practice for advanced practice nurses within the state

Question 8

NPD Generalist

Answer 8

BSN with or without certification; MSN without certification

Question 9

Roles of NPD practioner

Answer 9

learning facilitator, change agent, mentor, leader, champion for scientific inquiry, advocate for NPD specialty, partner for practice transitions

Question 9

NPD Specialist

Answer 9

MSN with certification

Question 10

Accredidation

Answer 10

voluntary, granted by non- governmental agencies (Magnet, Pathway to Excellence)

Question 11

Adverse Event

Answer 11

harm from medical care, not underlying disease (infiltrated IV, pressure injury)

Question 12

Near miss

Answer 12

an unsafe situation that is indistinguishable from a preventable adverse event. Patient is exposed to a situation but does not experience harm

Question 13

Never event

Answer 13

events that should never happen

Question 14

Sentinel Event

Answer 14

serious occurrence that reaches a patient and results in serious harm or death; requires immediate analysis and reporting

Question 15

Risk Management Process

Answer 15

ideally proactive, identification of hazards, assessment of identified risks, mitigation of risks

Question 16

Risk management tools

Answer 16

RCA, FMEA

Question 17

Root cause analysis

Answer 17

retrospective structured analysis of an adverse event that focuses on processes instead of the individual and seeks to uncover problems that increase potential for error

Question 18

RCA is required by the Joint Commission for sentinel events

Answer 18

True

Question 19

Steps in RCA

Answer 19

1. identify the event to be investigated and gather preliminary information
2. charter a team, identify a leader
3. describe what happened
4. identify contributing factors
5. identify root causes- ask why five times for each factor
6. design and implement changes to eliminate root causes
7. measure the success of changes

Question 20

Failure Mode Effects Analysis

Answer 20

Prospective, structured analysis of potential problems/adverse events and their effects

Goal is error prevention

Question 21

Steps in FMEA

Answer 21

1. select a process to analyze
2. charter a team, identify a leader
3. describe the process
4. identify what could go wrong during each step
5. pick which problems to eliminate
6. design and implement changes to reduce or prevent problems
7. measure success of changes

Question 22

FMEA vs. RCA

Answer 22

FMEA- prospective, goal is error prevention

RCA- retrospective, goal is identifying processes and determining how best to move forward

Question 23

Just culture

Answer 23

a culture in which staff are comfortable reporting errors, maintaining accountability for their own actions

individuals are not held accountable for system failings over which they have not control

Question 24

Simple human error

Answer 24

an "honest" mistake

Question 25

At-risk behavior

Answer 25

individual chooses a behavior in which the individual does not recognize the risk or in with the individual perceives the risk to be justified

Question 26

Reckless behavior

Answer 26

conscious disregard to take a known risk without justification

Question 27

What is the role of the NPD practioner with event reporting and escalation of incidents?

Answer 27

The NPD practioner is responsible for educating staff on how to report events and communicate incidents and occurrences in the incident command structure according to organizational policy

Question 28

What is the role of the NPD practioner in educating staff on risk management processes?

Answer 28

1. scope of practice for employees 2. occurrence and near miss reporting 3. just culture 4. incident command structures 5. staff responsibility to identify risks

Question 29

What is the role of the NPD practioner in a risk management gap analysis?

Answer 29

Differentiate between learning needs (knowledge, skill or practice), system issues (lack of resources, poorly designed processes) or individual issues (human error, at-risk behaviors, reckless behavior)

Question 30

Employee sensitive information

Answer 30

employee records, competency, education transcripts, performance records including coaching and disciplinary actions

Question 31

When should employee's performance assessments be shared?

Answer 31

Need to know basis only-

Question 32

What do copyright laws apply to?

Answer 32

print materials, videos, course material, music, media: anything in tangible format

Question 33

Intellectual Property

Answer 33

any product of the human intellect that the law protects from unauthorized use by others

Question 34

Who owns materials created by the NPD practioner?

Answer 34

the organization and cannot be shared outside of the organization

Question 35

What are the alternatives to using copyright materials?

Answer 35

use own photographs and videos, use public domain sites, link to articles, use quotations, purchase graphics, request permission

Question 36

Commercial Interest

Answer 36

Any entity that makes items that are used or consumed by patients; healthcare goods or services

Question 37

Commercial Support

Answer 37

A commercial interest organization that pays for education activity

Question 38

Conflict of Interest

Answer 38

A commercial interest organization that might bias or influence learning activity

Question 39

Sponsorship

Answer 39

non commercial interest organization supports or funds an educational activity

Question 40

How to handle conflict of interest

Answer 40

remove individual, revise individual's role so not relevant, do not offer contact hours, evaluate content for bias and actively monitor activity, evaluate content and obtain participant feedback about commercial bias

Question 41

How long are CNE records required to be maintained?

Answer 41

Six years

Question 42

How long are risk management and quality records maintained?

Answer 42

Seven years

Question 43

How long are accreditation records maintained?

Answer 43

Three years