Legal Accountability Chp 44 (EXAM 1)

Question 1

HIPPA

Answer 1

1996 was enacted to protect patients’ privacy rights. HIPAA language should be included in your Health Care Power of Attorney, Durable Power of Attorney and other documents.

Question 2

Restraints

Answer 2

Physical restraints- restrict or control movement or behaviour. They may be attached to a person’s body or create physical barriers.
Chemical restraints- medications used to modify or restrict behaviour.

Check every 30 minutes. Reassess every 2 hours

Question 3

Legal guidelines that come from statutory, regulatory, and common law

Answer 3

Sources of law

Question 4

Legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care

Answer 4

Standards of care

Question 5

State statutory issues in nursing practice

Answer 5

Licensure- need to be liscensed
Good Samaritan Law- ur good if u help someone randomly
Public Health laws
The Uniform Determination of Death Act-
Autopsy- if pt dies within first 24 hours of admit
Physician- assisted sluiced

Question 6

When someone does something purposefully to hurt someone

Answer 6

Torts

Question 7

Assault, battery (physical) , false imprisonments

Answer 7

Intentional

Putting 4 bed rails up

Question 8

Invasion of privacy, malice, slander, libel of a pt

Answer 8

Quasi-Intentional

- talking about a pt in the cafeteria etc-

Question 9

Negligence, malpractice

Answer 9

Unintentional

Looking in a pt’s chart to see what’s happening

Question 10

Defined as the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome

Answer 10

Delegation

Question 11

A signed form required for all routine treatment, hazardous procedures, and some other treatments

Answer 11

Consent

* u witness this.. never sign that the dr’s job**

Question 12

Nursing’s Role in patient care

Answer 12

• ethical conditions
• Joint Commission- do periodic checks that you keep up to standards to meet religious, moral, and ethical beliefs
• nurses must discuss specific conflicts with their manager/supervisor; cannot refuse to care for a patient.

Question 13

Nursing Students:

Answer 13

You are liable for your actions**

• you’re expected to perform as a professional when rendering care.
• you must separate your student nurse role from your work as a CNA.

Question 14

A contract between the nurse and insurance company. Provides a defense when a nurse is in a lawsuit involving negligence or malpractice insurance.

Answer 14

Malpractice insurance

• nurses covered by institutions insurance while working *

Question 15

Abandonment and Assignment Issues that plague hospitals:

Answer 15

1. Short staffing
2. Floating- based on census load
3. Physician’s orders- discuss orders that you think are harmful or in error

Question 16

A system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs

Answer 16

Risk management

Question 17

Steps involved in risk management:

Answer 17

1. Identify possible risks
2. Analyze risks
3. Act to reduce risks
4. Evaluate steps taken

Question 18

Never document int he MAR that ____

Answer 18

An unusual occurrence (incident report) was completed.