Desert or forsake a patient in your charge
What is abandonment?
What is Board of Nursing?
Assessment, diagnosis, planning, implementation, evaluation.
What is the nursing process?
BES
What is breast self examination
Method that can be used with source-oriented or problem-oriented records
What is SOAP/SOAPIER charting?
Injury, loss, or damage to a patient because of failure to provide a reasonable standard of care or demonstrate a reasonable level of skill
What is malpractice?
Report to authorities child/ elder abuse, including physical, sexual, emotional/ verbal, and neglect.
What is mandatory reporting law?
Identifies human human needs in an ascending order of importance.
What is Maslow’s hierarchy?
CAM
What is complementary alternative medicine?
Contains written data and is used for quick reference about each residents care
What is a Kardex?
Violation of civil law; involves a wrong against an individual or their property (affects nurses the most)
What is tort ( Tort Law)
Threaten with harm or to show intent to touch without permission.
What is assault?
Problem, etiology, signs and symptoms
What is a PES statement? (Nursing diagnosis)
RLQ, RUQ,LUQ, LLQ
What is right lower quadrant, right upper quadrant,left upper quadrant, Left lower quadrant?
Notes written by heath- care providers that focus only on abnormal findings, works best with EHRs
What is charting by exception?
Protects a citizen, nurse, or other health- care provider from legal liability if they choose to stop and render aid during an emergency situation outside of employment.
What is good samaritan law?
Guidelines for making medical decisions in the event a person becomes incapacitated
What is an advance directive?
Recognize cues and analyze them, formulate a hypothesis, take action by priority, evaluate the effectiveness of your actions
What is Clinical judgment?
AKA
What is above knee amputation?
Written in chronological order, relates the patients health status from admission through discharge
What is narrative charting?
Confidential maintenance of protected health information
What is HIPPA?
Statements of actions that are consistent with minimum safe professional conduct under specific conditions.
What are standards of care?
Used to diagram and connect data about any subject, also can be sued to organize and plan nursing care
What is a concept map?
PRN
What is “as needed”?
An extensive assessment form for resident assessment and care that must be completed within 4 days of admin to a LTC facility.
What is the Minimum Data Set (MDS) ?