Week 6 lecture Flashcards

Question

ID legal issues affecting staff and clients: documentation

Answer 1

all forms of documentation considered legal documents

Answer 2

can only accept assignments that are appropriate in terms of nurse practice act and our scope of practice. if you do not feel competent to perform, go up chain of command

Answer 3

nurse managers assess staff members educational deficits and need then implement ways to correct it and then re-evaluate

Answer 4

nurses are expect to adhere to other national, state and local laws and regulations

Answer 5

American with Disabilities Act of 1990 and Rehabilitation Act of 1973 Civil rights act 1964 Title VI Prohibition Against Discrimination Any organization or agencies receiving federal funding must provide interpreter services to those that need it

Answer 6

``` abuse/neglect GSW Dog bites Communicable diseases Illegal practices done by other HCP (unsafe or inappropriate) ```

Answer 7

State Board Nurse can face discipline if she endangers client's health, safety or welfare Board may formal reprimand, probation, suspend or refuse to renew license, or revoke license More action may include Probationary person, imposing a fine, restricting scope of practice Convicted of crime Punished for habitual use of or addiction to drugs or alcohol

Answer 8

Falsifying or improperly altering client's records Negligently administering medications/treatments Performing tasks beyond state practice act Failing to take appropriate action to safe guard client Abandoning client Abusing a client verbally or physically

Answer 9

Goal is to enhance and improve outcomes of care, insure client safety, increase efficiency of patient care, reduce costs, reduce risks and liability.

Answer 10

RN's have responsibility to educate all clients they provide care to RNs must work together to decide on best methods If discharge teaching is a concern for a discharged teachers then the nurse manager should be contacted to pursure the concern, not the staff No complaint should be ignored. Evaluating client education must happen in numerous settings

Answer 11

nurse-manager provies unit budget for next chapter

Answer 12

1. Capital = review annual, outlines equipment needs >$500 2. Operating = day to day of specified area, utilities, small equipment, continuing education and staff education 3. Personnel = cost of staffing the unit, must include salaries, potential raises, benefits

Answer 13

complies budget using historical data, client population, staffing needs, equipment needs, accrediting agency requirements

Answer 14

Variance is projected based off of personnel costs, to minimize the variance they are advised to reduce outside agency personnel Overhead cost can be 60% or more for outside agency staff

Answer 15

tax-exempt, usually reinvested into organization to improve services

Answer 16

divide among stockholders or reinvest into organization

Answer 17

Growth of staff = self-reflective approach, evaluation and goal setting Primary managerial role Doesn’t have to be fully agreed upon by staff Effective evaluation provides recognition of strengths, identifies area of improvement, clarifies expectations Done in private All components documented in writing Input from staff in preparing evals may be useful but the task cannot be delegated Peer evaluation may be done if in a systematic way with clear criteria, not an informal “vouching” Staff development is typically responsibility of employing institution

Answer 18

This refers to the process of comparing client care practices in one organization to those in the best health care organization If a nurse-manager has contacts at what’s considered “best facilities” then they are most appropriate to obtain necessary information Nurse-manager should evaluate policies to determine if some shall be implemented at their facility and make recommendations for change with the staff May have staff form a task force Benchmarking saves time, effort, and allows information to be obtained from excellent resources.

Answer 19

Continuous quality improvement, continually assess and evaluate effectiveness of client care

Answer 20

- Involves performance improvement, performance evaluations with recommending ways to improve and promote professional growth

Answer 21

benchmarking

Answer 22

Incidents should be investigated, a plan shall be developed to minimize/eliminate risk of the incident reoccurring

Answer 23

identify problems and recommends changes within the facilities policy. Procedure, or documentation in an effort to improve client care

Answer 24

a private agency with established guidelines for hospitals and other health care facilities

Answer 25

a group of individuals who represent nursing unit. | They voice concerns of other staff members

Answer 26

Is responsible for performance of staff Job description should define manager’s authority over specified group of employees & describe responsibilities Needs to continuously search for methods to improve quality of client care Has to think strategically, plan for changes before they occur as change is constant in health care Performance evaluations Must not ignore staff’s actions that deviate from accepted policy Never correct staff member in front of others- embarrasses nurse and isn’t professional

Answer 27

Systematically enhances quality and effectiveness of nursing practice Demonstrate quality by documenting the application of nursing in an accountable and ethical manner Use results of quality-of-care activities to make changes in practice Use creativity and innovation to improve care delivery Participate in quality improvement activities Help identify areas for quality monitoring Collect and analyze quality data Assists in developing polices, procedures and guidelines Participate on teams or committees Maintain personal record of competency and continued learning activities Engage in self-evaluation Take action to achieve goals identified in performance evaluation

Answer 28

Contacts initiated by nurse or other team member to meet the needs of the client.

Answer 29

Nurses assess clients to determine need for referrals for actual or potential problems. Other healthcare team members can also do this. When a need is discovered then internal or external resources sought. When a referral is made the medical data & information needed in order to provide the requested/needed care is shared with the person/department/community resource that is accepting the referral

Answer 30

``` Crisis intervention Anger management programs Social services --> Uninsured, Meals on Wheels Respite Self-help groups Housing Transportation Elder day care/in home care for elderly Parenting resources ```

Answer 31

Support services for abusers and victims Temporary housing – shelter --> Victim may be able to stay with friend or family member Social workers may be able to offer suggestions on housing Police department called to collect evidence if the client wants to press chargers against abuser If child then law requires nurse to file a report with government family-service agency Nurse needs to evaluate abuser’s ability to handle stress Nurse may be able to refer abuser to local or state agency that can offer help Abuser poses a continued threat to others and needs help to understand behavior and how to change it If abuser of a child a local Parents Anonymous group may be helpful --> Self-help group made up of former abusers, attempts to help abusing parents by teaching them how to handle their anger

Answer 32

Crisis intervention services give abusers someone to talk to when stressed and in crisis. May help prevent abuse Typically staffed by volunteers. Offers a way to connect those wanting help with trained counselors Self-Help Groups Provides help in a crisis, members may be able to prevent an abusive incident Being familiar with local and state resources allows the nurse to respond quickly and authoritatively when an abuser or victim needs your help.

Week 6 lecture Flashcards

(56 cards)