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NPD-BC > Ethical, Legal and Regulatory > Flashcards

Ethical, Legal and Regulatory Flashcards

1
Q

Certification

A

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

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2
Q

Credentialing

A

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

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3
Q

Scope of nursing practice

A

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

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4
Q

Standards

A

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

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5
Q

ANA Scope and standards of Practice

A

define the expectations of professional nurse in the US

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6
Q

Scope of practice

A

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

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7
Q

Scope of practice implications for NPD practitioners

A
  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
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8
Q

NPD Generalist

A

BSN with or without certification; MSN without certification

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9
Q

Roles of NPD practioner

A

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

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9
Q

NPD Specialist

A

MSN with certification

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10
Q

Accredidation

A

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

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11
Q

Adverse Event

A

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

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12
Q

Near miss

A

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

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13
Q

Never event

A

events that should never happen

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14
Q

Sentinel Event

A

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

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15
Q

Risk Management Process

A

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

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16
Q

Risk management tools

A

RCA, FMEA

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17
Q

Root cause analysis

A

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

18
Q

RCA is required by the Joint Commission for sentinel events

A

True

19
Q

Steps in RCA

A
  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
20
Q

Failure Mode Effects Analysis

A

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

Goal is error prevention

21
Q

Steps in FMEA

A
  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
22
Q

FMEA vs. RCA

A

FMEA- prospective, goal is error prevention

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

23
Q

Just culture

A

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

24
Q

Simple human error

A

an “honest” mistake

25
Q

At-risk behavior

A

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

26
Q

Reckless behavior

A

conscious disregard to take a known risk without justification

27
Q

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

A

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

28
Q

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

A
  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
29
Q

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

A

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)

30
Q

Employee sensitive information

A

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

31
Q

When should employee’s performance assessments be shared?

A

Need to know basis only-

32
Q

What do copyright laws apply to?

A

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

33
Q

Intellectual Property

A

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

34
Q

Who owns materials created by the NPD practioner?

A

the organization and cannot be shared outside of the organization

35
Q

What are the alternatives to using copyright materials?

A

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

36
Q

Commercial Interest

A

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

37
Q

Commercial Support

A

A commercial interest organization that pays for education activity

38
Q

Conflict of Interest

A

A commercial interest organization that might bias or influence learning activity

39
Q

Sponsorship

A

non commercial interest organization supports or funds an educational activity

40
Q

How to handle conflict of interest

A

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

41
Q

How long are CNE records required to be maintained?

A

Six years

42
Q

How long are risk management and quality records maintained?

A

Seven years

43
Q

How long are accreditation records maintained?

A

Three years

NPD-BC (5 decks)

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