Values of Care part 4 Flashcards Preview

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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

What is the nurses legal responsibility related to reporting obligations?

-when problems, mistakes, or unusual incidents happen follow agency policy to complete a report
-incident reports are the agency's and nurses protection