Flashcards in Values of Care part 4 Deck (16)
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1
How are standards of care utilized in a court of law?
-measures nursing conduct and determines whether the nurse acted as any reasonable, prudent nurse would act under the same or similar circumstance.
2
How are hospital policies utilized in a court of law?
did the nurse follow policies and procedures; job description, norms for speciality areas
3
How are school or program policies utilized in a court of law?
did the nurse violate the school's policies and procedures
4
What is the role of the BRN in nursing practice?
-enforce the NPA
-make rules and regulations which act as laws
-disciplinary functions
5
What is the purpose of the NPA?
-its a statute (laws enacted by a legislative body)
-make rules and regulations about licensure, and accreditation of programs
-require minimum standards
6
What is the scope of practice for an RN?
-Most Important: competent practice (each nurse needs to make sure they have adequate experience and education to fulfill nursing responsibilities in job description)
-competent practice means you need to develop sensitivity to common sources to pt injury (falls, restraints, crappy equipment, and preventing pt injury)
-follow code of ethics
-use entire nursing process
-teach client/family about health needs
7
What are some examples of how a nurse can get their license revoked?
-drug/alcohol abuse
-fraud
-deceptive practices
-criminal acts
-gross or ordinary negligence
-previous disciplinary action by other state boards
-physical or mental impairments to include aging
8
How can the nurse protect themself from lawsuits?
professional liability insurance
9
Who can legally be called a nurse?
Only an RN
10
What is the purpose of the good samaritan law?
protects helath care workers when they give aid to people in emergency situations
-unless care is given in a grossly neglient manner.
11
What is the nurses legal responsibility related to advanced directives?
the nurse needs to make sure the pt record has a signed advanced directive
12
What is the nurses legal responsibility related to legal consent?
pt must voluntarily agree to a medical procedure after receiving full disclosure of risk, benefit, alternatives, and consequences
13
What is the nurses legal responsibility related to informed consent?
Key elements:
-explanation of procedure
-names and qualifications of people performing
-description of harm and pain
-alternative therapies
-right to refuse (even after procedure started)
-must witness signature
14
What is the nurses legal responsibility related to reporting obligations?
child abuse
rape
communicable disease
-ethically and legally required to report abuse
15
What is the nurses legal responsibility related to short staffing/floating?
-getting nurses to work overtie and doubles is unsafe for pt's
-nurses may refuse assignments if they do not have the knowledge/skill needed, health is threatened, care expected exceeds scope, orientation to unit is not completed, nurse clearly (documents) objection, the nurses clinical judgment is impaired (exhaustion)
-float nurses need orientation and experience treating the certain type of patient
16
