PLMR Flashcards by Kris Angela Pascual

An occupation or calling

person who has completed a basic nursing education

PROFESSION

PROFESSIONAL NURSE

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permits a person to offer to the public his or her skill

primary purpose of registration

LICENSE

protect the health of the people by establishing minimum standards

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Recording of names of persons who have qualified

state that license to practice nursing
shall be issued

REGISTRATION

Under the Philippine Nursing Act of 2002, R.A. 9173, Sections 12 and 20

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professional license may be issued without examination Provided, that the requirements for registration or licensing of nurses in said country are substantially the same as those prescribed under this Act.

• SEC. 20. Registration by Reciprocity.

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shall be required to pass a written examination with and fully compliant with RA No. 8981.

SEC. 12. Licensure Examination

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Practice through Special/ Temporary Permit. Licensed nurses:

internationally well-known specialists or outstanding experts

on medical mission

exchange professors

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planned learning experiences beyond the basic education program, Inculcation of advanced knowledge

RA?

Continuing Professional Development (CPD)

RA 10912 (Continuing Professional Development Act of 2016)

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Required CPD credit units per year

Professional Identification Card (PIC) Renewal: every __ years; __ CPD units

15 units

3, 45

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Planned program provided by an employing agency to its employees

In-Service Education

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NURSING ETHICS

goal or end

sense of duty and reason (Immanuel Kant)

traits and virtues of a good person

Teleological Approach

Deontological Approach or Duty-oriented Theory

Virtue Ethics Approach

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authority making the law will not wish to bind a person

nurse is faced with a situation which may have both good and bad effects

Principle of Epikia
“Exception to the general rule

Two-fold Effect

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Promulgated by the Professional Regulation Commission on July 23, 2003 states that the hallmark of all professionals is their willingness to accept a set of professional and ethical principles

CODE OF GOOD GOVERNANCE

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candidate can take the board examination until he passes. This is embodied in section __ of RA __

section 15 of RA 9173

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v This repeals or changes all of RA 7164
v Under this law, there is no more refresher course

Republic Act 9173 Nursing Law or Nursing Act of October 21, 2002

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Where do you file an appeal when the Board of Nursing revokes or suspends your nursing license?

PRC) within a period of 30 days after suspension
or revocation. This is called the reglementary period.

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highest
agency for appealing of suspended or revoked nursing license is the___.
License revocation or suspension is an__ case.

Office of the President of the Philippines

administrative

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Professional Regulatory Commission is under the

Office of the President

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Permanent Invalidation of the license

limited to__ years

certain conditions:

Revocation

o Reason for revocation must have been cured.
o Reason for revocation does no longer exist.

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Filing of cases of illegal dismissal is with Department__

If you win the case, there is back payment of salary and reinstatement. Reinstatement may be in the form of__

lawyer is needed?

Department of Labor and Employment

paper reinstatement or payroll reinstatement.

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Serves as benchmark against which to plan, to implement and assess quality of services

ELEMENTS of Negligence

Standard

Existence of duty
Failure to meet the standard of due care/ Breach of duty
Foreseeability of harm
Injury to the plaintiff

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The thing speaks for itself

professional negligence/ stepping beyond one’s authority

Res Ipsa Loquitor

Malpractice

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irresistible force, one that is unforeseen or inevitable.

Liability is shared between the employee and employer; not a shift of liability

Force Majeure

Respondeat Superior

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In case of emergency: consent is

Emergency Situation type of consent used

Consent for Sterilization

waived; consent does not apply

Implied consent

ü Husband and wife, if the operation is primarily to accomplish sterilization
ü Patient alone, if only because of medical necessity and the sterilization is an incidental result

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Directive given by the patient as to type of treatment he wants ex DNR

patient legally assigns a person, who will decide in his behalf for his treatment

Living will

Durable Power of Attorney or Health Care Proxy

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an act committed or omitted in violation of the law Committed with deceit and fault sentenced to death or to be imprisoned

Crime Felony

CIRCUMSTANCES AFFECTING CRIMINAL LIABILITY justified as reasonable. EXAMPLE Self-defense exempted EXAMPLE Insane or Imbecile Decreases criminal liability Increases relationships, cases of theft, malicious mischief, estafa and swindling, Education, Intoxication

Justifying Circumstance Exempting Circumstance Mitigating Circumstance Aggravating Circumstance Alternative Circumstance

Great leaders are born and not made. • Leadership behavior should be flexible • According to Fred Fiedler (1960), leader's ability to lead depends upon the situation.

Great Man Theory/Trait Theory Contingency Theory

Leadership Traits • Includes planning, scheduling coordinating activities. • Includes acting friendly and considerate, showing trust and confidence • Uses group meetings to enlist associate participation in decision making.

• Task-oriented • Relationship-oriented • Participative Leadership

Involves amount of confidence and loyalty the followers have with regard to their leader. I t is high if easy to define and measure a task ü It is low if it is difficult Authority inherent in the position, Power to use rewards and punishment

Leader - member relations Task structure Position power

minimizes obstructions to facilitate accomplishment of tasks and Focuses on motivation and productivity

Path- Goal Theory

tasks and trade - offs to meet goals. People are motivated by reward and punishment. based on human handling skills of leaders.

Transactional Theory Strategy theory

Father of Scientific Management benefits of job simplification , incentive wage Time-and-motion studies Concerned with problems of efficiency argued for a more humanitarian approach by management, placing emphasis on service rather than profit

Frederick Taylor Frank Gilbreth & Lillian Gilbreth Frank Gilbreth & Lillian Gilbreth Henry Gantt Henry Gantt

relationship of the work planned or completed on the axis to the amount of time needed or used on the other.

Gantt Chart

Father of the Management Process School (specialization, scalar chain or levels of authority, management is universal)

Henry Fayol

Father of Organization Theory rules instead of individuals and on competence over favoritism

Max Weber

classic management theory. managerial process as planning, coordinating, and controlling Popularized concepts such as balance of authority with responsibility, span of control unity of command, use of general and special staff, the proper use of personnel, delegation. and departmentalization

Lyndall Urwick

• He said that authority depends on acceptance by the followers • He stressed the role of informal organizations

Chester Barnard

psychological and sociological

Mary Follett

satisfaction dissatisfaction

Frederick Herzberg

THEORY X compare to THEORY Y

THEORY Y Goal of individual at puro positive defn

two critical dimensions of leadership • Concern for the people • Concern for production

Robert Blake and Jane Mouton

economic results by ü Managing a business ü Managing managers ü Managing workers

Peter Drucker

Leader is admired Power because of position from formal or informal coalitions comes from knowledge

REFERENT Legitimate Connection Information

Also known as the 80-20 rule, the law of the vital few, and the principle of factor sparsity • Roughly 80% of the effects comes from 20% of the causes Also known as the deterministic description of human behavior. use the most convenient search method, in the least exacting mode, tools that are most familiar

Pareto Principle Principle of Least Effort

Interpersonal Roles signing of papers hires, trains, encourages, fires, remunerates, and judges) link

Symbol Facilitator Liaison

Spokesperson or representative The manager is: • An entrepreneur or innovator • A trouble shooter • A negotiator

Informational Role Decisional role

Ability to see individual matters as they relate to the total picture

Conceptual

Professionally desirable norms Broad guidelines for the managerial decisions allow only one choice of action. Fairly inflexible

Standards Policies Rules

Intermediate planning • 6 months to 2 years decided by? Operational planning

Nursing supervisors Head nurses

financial road map summarizes the income Forecasts the amount of money received by receipts and disbursements salaries, supplies, utilities, maintenance

Budget Revenue Cash Budget Expense Budget

Major expenditures for fixed assets E.g. MRI volume and labor costs. forces managers to set priorities and justify but Time consuming

Capital Expenditure Budget Flexible Budget Zero-Based Budgeting

Principles of Organizing one superior higher to lower authority similar assignments number of people that reports directly to a manage all reports to one person that is higher to them Transferring specified decision making to lower levels

Unity of Command Scalar Principle / Hierarchy/ Chain of Command Departmentalization Span of Control Centralization Decentralization / Delegation

Each position has general authority over the lower positions in the hierarchy. E.g. Clinical and Administration

Line Organization

purely advisory to the line structure with no authority •E.g. Training and Research

Staff Organization

Also known as Tall Chart Also known as Circular Chart with a wide span of control Also known as Circular Chart •Shows outward flows of Communication from center

Vertical Chart Horizontal Chart Concentric Chart

Types of Scheduling Centralized • Done by the __ Decentralized __

Chief nurse Nurse Super-visors or Senior nurse

LEVELS OF CARE Level 1: Minimal Level 2: Moderate Level 3: Total / Intensive Level 4: Critical

discharge Some help with ADL Completely dependent Continuous observation

informal communication From individuals or departments that area not in the same level or the hierarchy From caregivers to patient

Grapevine Diagonal Outward

modalities of nursing care: task- oriented One nurse is assigned to one patient One nurse leads a group of nursing personnel in providing nursing needs to a group of patients small group of patients (4-6) from admission to discharge 24/7 1:1, E.g. ICU nurse, private duty nurse District Nursing used when there are not enough RNs to practice nursing, NA

Functional Nursing Total Care Nursing Team Nursing Primary Nursing Case Method Modular Method

planned and guided activities of an employee in the organization, the work environment and in his job

Orientation

job instructions that are given to enhance employee's recent job performance

In-Service Education

Offered by hospitals with trained specialist Graduate Degree: Master's Degree

Specialty Courses Formal Education

CONFLICT RESOLUTION Both work out days to solve the problem , Win-win

Collaboration

One gives way to other Win-lose

Accommodation

Both will sacrifice Lose-lose

Compromise

v Also called “evaluating” v An on-going function

Controlling

Performance Appraisal Tools Compilation of all nursing performances expected of a worker

Checklists

Includes a series of items Describes the nurse's experience appraiser writes a paragraph

Rating Scales Anecdotal recording Essay

• A tool to assist in quality of care decision making • A continuous process of measuring what exist against the best

Benchmarking

Consists of incidental observation of performance Collecting objective facts that can demonstrate the difference between what is expected and what was done.

Informal Appraisal Formal appraisal

Evaluation of the health care system ensure customer satisfaction by involving employees in the improvement of the quality of every product or service

Quality Assurance Continuous Quality Improvement (CQI) or Total Quality Management (TQM)

measures the actual performance composed of a representative from all levels

Nursing Audit

Patient Care Audit Concurrent vs Retrospective

still confined, discharged

Stages of Disciplinary Action

1. Counseling and Oral Warning 2. Written Warning 3. Suspension 4. Dismissal (Permanent removal)

Strategies for effecting change: people are rational willing to adopt a change ct according to their commitment to sociocultural norms compliance of less powerful to powerful ppl

Empirical- Rational Normative- Reeducative Power- Coercive

Kurt Lewin's Theory of Change: awareness of a need for change Working stabilization

Unfreezing Moving Refreezing

Types of Change: Non-mutual imbalanced one-sided

Coercive Change

identification with and imitation of power figures

Emulative

Positive iba defn but imbalanced power ratio Positive iba defn no deliberativeness All positive acts of God, Involves no goal setting

Indoctrination Interactional Change Planned Change Natural Change

• Hygiene factors (relate to the working conditions such as salary, quality of supervision, job security) • Motivating factors (relate to job itself; "satisfiers")

The Two — Factor Theory

achievement, power, and affiliation

McClelland's Three Basic Needs Theory

felt needs ⬆️ if a person perceives positive relationship between effort and performance

Victor Vroom's Expectancy Theory

controlled by conditions in the external environment instead of internal

B.F Skinner's Operant Theory

Perceptions about equity and fairness

Equity Theory