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Ethics and law
Ethical theories and principles
Ethical dilemmas in various settings
Decision Making Models
Legal Implications
100
Set of rules that have been established by authoritative bodies and sanctioned by society with consequences if not followed.
What are laws?
100
the Golden Rule
What is Deontology?
100
Adequate numbers Competency of staff for assignment Float staff Use of agency nurses
What are staffing issues?
100
Charting by exception and use of flow sheets Computerized charting
What is Avoiding Documentation Errors?
200
Moral principles or values of individuals or professional groups with or without consequences.
What is Ethics?
200
the greater good for the greater number
What is Teleological – Utilitarianism ?
200
Failure to maintain minimal standards Incompetent practice Unsafe practice Failure to follow orders Failure to assess Failure to intervene
What is unprofessional conduct?
200
Society ensures that benefits and burdens are distributed among society’s members in ways that are fair and just
What is Distributive justice (social justice)?
200
Sexual misconduct or boundary violation Substance abuse Inability to practice safely Fraud, Deceit
What is Misconduct?
300
Rights protection model Autonomy model Value-based decision model Respect for persons model
What are models of advocacy?
300
Personal freedom & self determinism
What is Autonomy?
300
False documentation Physical abuse Verbal abuse Theft – client Discrimination – client Theft – employer Breach of confidentiality Leave duty station Mental abuse
What is Misconduct?
300
Living wills, health care surrogate,etc.
What is Advanced directives?
300
Omissions Personal opinions Vague entries Late entries Improper corrections Erroneous or vague abbreviations Illegibility and lack of clarity
What are coomn errors?
400
Ethnicity Religion Culture Environment Education Age Socioeconomic status
What are Personal values and mores?
400
action one takes should promote good
What is Beneficence?
400
Patient assessment, reassessments, and each observation Nursing action taken in response to patient’s diagnoses or problems Administration of medications and treatments – after given or done Patient’s response to medications and treatments Date (M,D,Y) and sign each entry
What is Effective documentation?
400
Rights/Responsibilities lens, Relationship lens, Results lens, & Reputation lens.
What is Baird Decision making model?
400
Right task Right circumstance Right person Right direction/communication Right supervision
What are Five Rights of Delegation?
500
Occur when an individual’s values or beliefs are challenged.
What are ethical delemmas?
500
highest principle, acknowledges the right of individuals to make decisions and to live or die based on those decisions
What is Respect for others?
500
Failure to clearly and completely describe assessment or observations findings. Failure to reflect nursing actions taken related to assessment or observations including notification of physician about changes in patient’s condition. Failure to document actions taken in accordance with physician orders. Failure to reflect patient’s response to medications or treatments.
What are Common Documentation Errors?
500
Massage the dilemma. Outline the options. Resolve the dilemma. Act by applying the chosen option. Look back; evaluate.
What is MORAL Model?
500
Federal statutes and regulations State statutes and regulations Joint Commission standards ANA and specialty organization standards of practice Institutional policies and procedures
What are sources that influence nursing documentation?