Ethico-Moral Legal Obligations Flashcards
(67 cards)
1
Q
4 reasons for high instances of medical errors in the ICU
A
- Patients are very sick and need constant monitoring
- Complex cases
- Several consultants
- Life-and-death situations need to be made quickly
2
Q
4 general domains for improvement of a patient safety program
A
- Ensuring compliance with patient safety regulations
- Responding to adverse events by performing root cause analyses
- Applying evidence-based risk reduction strategies
- Implementing strategies to meet and exceed patient safety metrics
3
Q
Uses of 2 patient identifiers
A
- medications and blood products
- specimen collection
- imaging tests
- any type of treatment
4
Q
NPSG
A
National Patient Safety Goals
5
Q
Important patient safety issues (3)
A
- Proper patient safety goals
- Timely response
- Use of clinical alarms
6
Q
A0 2020-0007
A
National Policy on Safety in All Health Facilities and No Blame Culture
7
Q
AO 2008-023
A
Patient Safety Program
8
Q
Major focus of an adverse event is system failure
A
Just Culture Concept
9
Q
A well-established approach to preventing errors in critical errors
A
Team training
10
Q
Components of good team training (3)
A
- Strong leadership
- Clear communication
- Ad hoc huddles
11
Q
Ideal tool for ICU for teaching procedures or fostering teamwork
A
Simulation
12
Q
Most important part of simulation
A
Debriefing
13
Q
Use of financial incentives to reward hospitals that perform well on pre-established safety and quality measures
A
Pay-for-performance
14
Q
A publicly displayed _________________ shows the hospital’s strengths and weaknesses
A
Report card
15
Q
8 key elements of the Patient Safety Program
A
- Leadership and Governance
- Organizational Development
- Risk Management
- Teamwork and Communication
- Human Resource Development
- Documentation and Reporting
- Health Worker Safety
- Patient-Centered Care and Empowerment
16
Q
4 proactive risk strategies
A
- Patient risk assessment
- Patient feedback survey
- Health technology assessment
- Use of safety checklist
17
Q
Developed by the DOH and Health Facility Development Bureau
A
Safety checklists
18
Q
Annual World Patient Safety Day
A
September 17
19
Q
2 recent alerts provided by the American Association of Critical-Care Nurses
A
- Implement ABCDE bundle
2. Alarm practice management
20
Q
3 unintended consequences being prevented by the ABCDE bundle
A
- Delirium
- Prolonged Mechanical Ventilation
- Excessive muscular deterioration
21
Q
The interdependent components of the ABCDE bundle are designed to: (3)
A
- Improve collaboration among HCPs
- Standardize care processes
- Break the cycle of suboptimal sedation practices
22
Q
ABCDE:
ABC component meaning
A
Awakening and Breathing Trial Coordination
23
Q
ABCDE:
D component meaning
A
Delirium
24
Q
ABCDE:
often goes undetected and untreated leading to negative long-term consequences
A
Delirium
25
ABCDE:
E component meaning
Early Exercise and Progressive Mobility
26
ABCDE:
Another term for daily Spontaneous Awakening Trials
Sedation vacation
27
The desensitization to alarms caused by sensory overload
Alarm fatigue
28
Describes what is expected in terms of right and correct and wrong
Ethics
29
ETHICS:
2 schools of though
Deontology
| Utilitarianism
30
Ethics:
Both the means and the end goal are ethical
Deontology
31
Ethics:
End goal justifies the means
Utilitarianism
32
7 ethical principles
```
Justice
Beneficence
Nonmaleficence
Accountability
Fidelity
Autonomy
Veracity
```
33
Fairness
Justice
34
Doing good and the right thing
Beneficence
35
Doing no harm
Nonmaleficence
36
Accepting responsibility for one's own actions
Accountability
37
Keeping one's promises and responsibilities
Fidelity
38
When the nurse accepts the client as a unique person
Autonomy
39
Telling the whole truth
Veracity
40
2 most commonly occuring ethical issues and concerns in health care
Allocation of scarce resources
| End of life issues
41
Addresses ethical concerns of advancing sciences and technology
Bioethics
42
Critical care nurse functions in accordance with common law, ordinance, and regulation
Legal Responsibilities
43
RA 9173
Philippine Nursing Law of 2002
44
Critical care nurse complies with the code of professional conduct, ethical principles, and accept accountability.
Ethico-Moral Responsibilities
45
Duty of the nurse accdg to RA 9173 (5)
1. Provide nursing care
2. Establish linkages with community resources
3. Provide health education
4. Teach, guide, and supervise nursing students
5. Undertake nursing and health human resource development, training, and research
46
Written instruction made by a person before they become incapable of making decisions
Advanced directive
47
> Unepisodic and unanticipated
> Life-threatening
> Possible disability
> Needs immediate medical intervention
Emergency
48
Measures taken by an HCP to determine, restore, or maintain patient status
Health Care
49
Devoted primarily to the maintenance and operation of facilities for the care of individuals in need of medical/nursing care
Health Care Institution
50
Any licensed individual trained in health care which includes supporting staff
Health Care Practitioner/Personnel
51
Any licensed entity that arranges health care coverages for a fixed prepaid premium
Health Care Organization
52
Departure from standard medical practice to obtain new knowledge
Human Experimentation
53
A patient with no visible means of income or income that is not sufficient for subsistence for his family
Indigent patient
54
Voluntary agreement of a person to undergo or be subjected to a procedure or other bodily interventions
Informed consent
55
Means of communication that reaches and influences large numbers of people
Media Practitioner
56
Service of procedure that could not be omitted without adversely affecting the patient's condition
Medically Necessary
57
One who avails medical or health care service/s
Patient
58
State of well-being of the general population
Public health and safety
59
Active total care directed at maintaining or improving the comfort of a patient suffering from a terminal illness that does not hasten nor prevent death
Terminal Care
60
Illness or condition resulting in death within the foreseeable future
Terminal illness
61
Stage of illness where there is no prospect of recovery or remission of symptoms
Terminal Phase
62
Knowledge, skills, and practices outside of biomedicine
Traditional and Alternative health care
63
Person who practices non-allopathic healing methods
Traditional and Alternative Health Care Practitioner
64
Patient is being subjected to exposure without their consent
Unwarranted Public Exposure
65
13 patient rights
1. Appropriate Medical Care and Human Treatment
2. Informed Consent
3. Privacy and Confidentiality
4. Information
5. Choose Healthcare Provider and Facility
6. Self-Determination
7. Religious Beliefs
8. Medical Records
9. Leave
10. Refuse Participation in Medical Research
11. Correspondence and Receive Visitors
12. Express Grievances
13. Informed of His Rights and Obligations as a Patient
66
5 societal Rights
1. Right to Health
2. Right to Access Quality Public Health Care
3. Right to Healthy and Safe Workplace
4. Right to Prevention and Education Programs
5. Right to Participate in Policy Decisions
67
8 Patient Obligations
1. Know rights
2. Provide accurate and complete information
3. Report unexpected health care changes
4. Understand the purpose and cost of treatment
5. Accept consequences of own informed consent
6. Settle financial obligations
7. Relation to others
8. Exhaust grievance mechanism
