Standards of Nursing Practice/Healthcare Delivery System Flashcards
What are the Standards of Practice?
- What a reasonable and prudent nurse would do in a similar situation
- They allow the nurse to carry out the nursing role
- They protect the nurse, patients, and institutions
- Rules, expectations, guidelines, standards
- A.K.A.: standards of care, standards of professional performance, and clinical guidelines
Each nurse is accountable and responsible for the use of the standards!
Where are the standards of practice derived from?
- Nurse Practice Acts (mandatory standards)
- Professional Organizations (voluntary standards)
Which two codes determine the Nursing Codes of Ethics?
- ICN: International Council of Nurses
- ANA: American Nurses Association
What is the Patient Care Partnership?
- It replaced the patient bill of rights.
- It defines what patients can expect and their rights and responsibilities
Define EMTALA
Emergency Medical Treatment & Active Labor Act
- gives public access to emergency services, regardless of ability to pay. - no patient dumping
Define ADA
Americans with Disabilities Act
- provide equal opportunities for employment ( you do not have to disclose that you have HIV to an employer ) - you cannot refuse patient treatment or discriminate against patients with HIV
What is the Patient Self-Determination Act?
The requirement that agencies provide written information to patients about healthcare decisions like advanced directives.
Define HIPAA and what it means.
Health Insurance Portability & Accountability Act
-patient confidentiality
What are Mandatory Reporting Laws?
The duty to report of unsafe practice, abuse, neglect, injury, shooting, stabbing, diseases, etc..
What is a Good Samaritan Law?
It protects the nurse who provides off duty emergency care.
- the help needs to be voluntary and in good faith.
It also protects the off-duty nurse if he/she fails to act (you are not obligated to help).
Define Negligence
- Failure to perform as a reasonable, prudent nurse would OR
- Performing an act that a reasonable prudent nurse under similar situations would not do
- Failure to use ordinary or reasonable care
- Failure to follow standards of practice
- No intent to harm is present
Define Malpractice
- Professional form of Negligence
- 4 elements necessary to collect damages:
- Existence of a Duty
- Breach of a Duty
- Causation
- Damages
What is the Nurse Practice Acts?
- Laws that are established by each state to regulate nursing practice.
- They are designed to protect patients or society.
- Defines scope of practice
- Defines minimum education, required certification, and practice guidelines.
What is the focus of Primary and Preventative Care? Provide some examples.
-Health promotion
-Disease prevention
-Patient education
-Screening/early detection
Ex: healthcare providers office, mobile clinic
What is the focus of Secondary Care? Provide some examples.
- Diagnosis and treatment of illness
- Health restoration
Acute Care: immediate and short term care
Ex: hospitals, surgery centers, urgent care
