Alphabet Soup
Scope
Patient Rights
Documentation
Trouble
100
BRN
What is the Board of Registered Nursing?
100
The only unlimited scope of practice in the health care field
What is the practice of medicine (physicians)?
100
The person responsible for the informed consent process
Who is the physician?
100
Accepted only by professionals with appropriate license, signed by prescribing practitioner as soon as possible, and used infrequently.
What are the requirements for verbal/telephone orders?
100
The most common reason for BRN discipline.
What is controlled substances?
200
CMS
What is the Centers for Medicare & Medicaid Services?
200
Those functions, including basic health care, that help people cope with difficulties in daily living that are associated with their actual or potential health or illness problems or the treatment thereof, and that require a substantial amount of scientific knowledge or technical skill.
What is the scope of nursing practice?
200
The nurse's role in the informed consent process.
What is: serve as witness (attesting only to the fact that the individual named in the consent is the person who has signed in that capacity), ensure language understandable by patient, and ensure the appropriate person is signing? It is not your responsibility to explain the procedure or verify the patient’s understanding. But, as a patient advocate, assure that the consent contains “clear language and plain words, understandable by the patient” (Karno, 2007, p. 18). Assure that you inspect any signed consents to verify that the consent is completed and signed properly before checking off on another document, such as a pre-operative checklist, that the consent is completed. An unsigned consent or consent form that is completed incorrectly implies no consent.
200
The most important evidence of failure to meet the standard of care.
What is medical records?
200
An extreme departure of care, which under similar circumstances would ordinarily have been exercised by a competent registered nurse.
What is gross negligence? Either a repeated failure to provide nursing care as required, or failure to provide care or to exercise ordinary precaution in a single situation which the nurse knew, or should have known, could have jeopardized the client's health or life.
300
CDPH
What is the California Department of Public Health?
300
Tasks that cannot be delegated to unlicensed assistive personnel (UAP).
What is nursing tasks which require a substantial amount of scientific knowledge and technical skill?
300
Nursing actions to take if mentally competent adult patient exercises right to refusal of treatment.
What is: notify physician and document?
300
A document completed for unusual occurrences (such as injury to a patient, patient complaints, medication errors, and any other unusual occurrences) for the purpose of alerting hospital administration and the hospital's insurance carrier.
What is an incident report (i.e., MIDAS)?
300
The unintentional failure to do something that a reasonable nurse would do, or the the doing of something that a reasonable and prudent nurse would not do.
What is malpractice or negligence?
400
PHI
What is Protected Health Information? “Individually identifiable health information,” including demographic data, that relates to: the individual’s past, present or future physical or mental health or condition; the provision of health care to the individual; or the past, present, or future payment for the provision of health care to the individual; and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual.
400
Your responsibility when floating to another care unit.
What is: determine whether you are clinically competent to perform the nursing care required?
400
A document through which an individual having capacity may give instructions about their health care and/or name someone else to make health care decisions for them.
What is an advance health care directive?
400
Action to take when patient is noncompliant with safety instructions.
What is document?
400
The 5 patient incidents or situations that most frequently lead to malpractice claims against nurses.
What are: 1. falls 2. Pressure ulcers 3. Medication administration 4. IV therapy and 5. Monitoring of physiologic status?
500
ANCC
What is American Nurses Credentialing Center?
500
A document within an organized health care system which allows RNs to perform functions and procedures constituting the practice of medicine
What is a standardized procedure?
500
An impermissible use or disclosure that compromises the security or privacy of protected health information
What is a HIPAA breach?
500
F.A.C.T.
What is: Factual, Accurate, Complete, Timely?
500
The top 5 nursing malpractice allegations.
What are: 1. Failure to follow standards of care 2. Failure to use equipment responsibly 3. Failure to document 4. Failure to assess and monitor patient 5. Failure to communicate ?
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