Week 3 Flashcards
What are the 3 types of consent and what are the requirements?
Verbal/spoken
Written
Implied
Consent must be.... Valid Freely and voluntarily given Person has legal capacity Person is informed
An ethical relationship between nurse and patient demonstrates?
Autonomy Veracity Confidentiality Privacy Fidelity Justice Non-maleficence (duty not to inflict harm as well as prevent or remove harm) Beneficence (duty to do good)
What does the term ‘negligence’ mean in nursing?
Failure to provide care or perform a duty that a reasonably prudent nurse would do
What is highlighted in the ANMC Code of Conduct and how does this relate to your practice?
Failure to act in a professional manner.
Providing care to a standard that may be negligent.
Considered a breach of conduct
May threaten ones professional registration
What does Duty of Care mean?
Legal obligation imposed requiring adherence to a standard of reasonable care while performing acts that could foreseeable cause harm.
Nurses have a duty of care to patients.
Hospitals have a duty of care to staff.
When do we need to gain consent from our patients?
Prior to undertaking any procedure
Why is gaining consent important?
Failure to gain consent can result in any care or interventions being considered assault.
Gaining consent improves patient compliance and patient satisfaction.
The urinary system consists of:
Bladder
Urethra
Ureters
Kidneys
What are the risks associated with catheterisation?
UTI cystitis Mucosal trauma Hydronephrosis (swelling of kidney due to urine buildup) Bladder spasms Narrowing of urethra
What are the indications for urinary catheterisation?
Monitor urine output/fluid balance Empty contents of bladder Collect uncontaminated sample Determine residual urine Irrigate bladder Bypass an obstruction Decompress bladder to relieve retention Introduce cytotoxic drugs Reduce moisture and promote wound healing Anaesthesia Diagnostic testing
What is the three step process of urine production and what is the adult urine capacity of the bladder?
Filtration
Reabsorption
Excretion
300-600mL
What are the functions of the kidneys?
Urine formation Maintenance of homeostasis Filtration Excretion of waste products Regulation of RBC formation Synthesis of vitamin D to active form Secretion of prostaglandins
What are the 10 principles of aseptic technique?
- Minimise risk of tra mission of pathogens to susceptible site and persons
- Clean surfaces that sterile packs are to be put on
- Ensure fluids and materials are sterile; check packs for damage and moisture
- Decontaminate hands before any procedure
- Use sterile gloves if devices need to be kept sterile or susceptible body sites are to be touched
- Use maximal sterile precaution barriers for insertion of central venous access devices
- Do not contaminate sterile field
- Do not reuse single use items, even on same patient
- Do not use sterile items if they become contaminated
- Reduce activity in immediate area to reduce risk of airborne contamination
