Ethics
Duty to tell the truth
Veracity
Rounding on patients by the entire healthcare team is an example of this type of collaboration
Interprofessional Collaboration
Introducing yourself to the client is an example of this phase of the nursing-client relationship
Orientation
This idea seeks to find a balance between the need to learn from mistakes and the need for disciplinary action
Just Culture
Role of the nurse with respect to the signing of informed consent paperwork
Nurses can only WITNESS signatures. The provider must "get" the informed consent (ask for it, educate on risks/benefits/alternatives/consequences of refusal)
Theory thats aims to do the greatest good for the greatest number
Utilitarianism
Member of the healthcare team who is ultimately responsible for patient care
Registered Nurse
These individuals are NOT allowed to read patient records
Anyone who is not directly involved in the care of the patient
The pharmacy technician places Oxycodone-Acetaminophen (Percocet) in the Acetaminophen (Tylenol) slot in the Pyxis.
What type of error is this?
Latent or Blunt
This defines the authority of the state board of nursing, its composition, and powers
Nurse Practice Act
Placing an IV is an example of this type of ethical issue
Ethical Dilemma
Refers to the process in which responsibility and authority are transferred to another individual
Delegation
Patient: "Abortions are sinful."
Nurse: "I agree."
This is an example of what non-therapeutic communication technique?
Agreement
The nurse plans to administer a PO medication on a client that they do not know is at risk for choking.
This type of error would occur if this medication was administered.
Error of Commission
A Nurse Practice Act is an example of this type of law
Statutory Law
Difference between personal and professional ethics
Personal ethics refers to ethics a person identifies with respect to people and situations that they deal with in everyday life.
Professional ethics refers to ethics that have been put in place by an organization that a person must adhere to in order to adequately participate justly within that organization.
4 things that the RN CANNOT delegate
Assessments
Planning and evaluation of nursing care
Development of a plan of care
Health Teaching/Counseling (unless reinforcement or previously-taught material)
Method of charting that focuses on documenting abnormal findings
Charting by exception
This model shows how errors can occur when situational factors align, despite multiple layers of safeguards for the prevention of errors
Reason's Swiss Cheese Model of Accident Causation
4 elements that must be satisfied to meet criteria for an unintentional tort (negligence or malpractice)
Duty
Breach of Duty
Causation
Harm
5 Ethical Issues in Nursing
Protecting Clients' Rights and Dignity
Not respecting informed consent treatment
Providing care with risk to the nurse
Using or not using restraints
Understaffing
Prolonging living and dying process
Policies that threaten quality of life
Working with unethical or impaired colleagues
Right task
Right circumstance
Right person
Right direction
Right supervision
5 Nonverbal Skills to Facilitate Active Listening (Hint: SOLER)
Sit facing client
Open position
Lean toward the client
Eye contact
Relax
Quality Improvement
Safety
Evidence-Based Practice
Informatics
Patient-centered Care
Teamwork and Collaboration
3 Responsibilities of a state board of nursing
Establishing requirements for obtaining a nursing license
Issuing nursing licenses
Determining scope of practice
Setting minimum education requirements
Managing disciplinary procedures