Legal Aspects
Means to be answerable for oneself and others for ones own choices, decisions, and actions as measured against a standard.
What is accountability?
pg 116
Develops the NCLEX-RN and is responsible for promoting uniformity of nursing regulations.
What is the National Council of State Boards of Nursing
NCSBN
pg 120
A deviation from the standard behavior or actions that an average, prudent person would use in a similar situation
What is negligence?
Pg 127
The consistent demonstration of core values by nurses
What is professionalism?
All nurses must have an understanding of ethical principles and be able to apply them in a meaningful manner in a variety of settings and situations. There are ______________ ethical principles that guide nursing practice.
What is 8?
Presents the Standards of professional Nursing Practice and accompanying competencies.
What is the Nursing Scope and Standards of Practice?
pg 117
Enforces the states' nurse licensure,
* accrediting nursing education programs,
*developing practice standards, policies, and administrative rules and regulations
* Addressing violations of the Nurse Practice Act.
What is the State Board of Nursing?
Pg 120-121
AKA as professional negligence, is a deviation from the standard of care that a reasonably prudent health-care provider would us in a similar situation.
What is malpractice?
pg 127
Acting in accordance with appropriate code of ethics and accepted standards of practice
What is INTEGRITY
Adhering to the duty to do no harm.
What is Nonmaleficence ?
Describes the nursing's commitment to society and provides a definition of nursing.
What is the nursing Social Policy Statement?
pg 117
The authority in All states that have been enacted to develop rules and regulations to clarify the Law.
What is the NURSE PRACTICE ACT ?
pg 120
1. Duty owed to the patient
2. Breach of Duty owed to the patient'
3. Forseeability of harm
4. Causation
5. Injury or harm
What is the 5 essential elements of Malpractice
pg 127
A concern for the welfare and well-being of others. Is seen in a nurse's concern and advocacy for the welfare of patients and other health care providers.
What is Altruism?
Treating others with fairness
What is Justice?
The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.
What is Nursing?
pg 117
Examples of unsafe nursing practice and conduct
Being impaired
Stealing from a patient
Practicing out of the scope of pracitce
Falsifying records
Physically or sexually abusing a patient
Not following accepted standards of care while caring for patients
Participating in criminal conduct
pg 121
Failure to assess and monitor
Failure to follow standards of care
Failure to communicate
Failure to Document
Failure to act as a patient advocate
what are the 6 common categories for negligence and possible malpractice.
pg 128
The right to self-determination.
What is Autonomy?
A nursing student shares with the clinical instructor that a patient refused to take his blood presure medication, saying that he normally takes his medication at bedtime. The students asks the instructor if she can make the patient take the medication. The instructor explains to the student that forcing the patient to take his medication in the morning rather than bedtime would violate which ethical principle.
1. Fidelity
2. Justice
3. Autonomy
4. Beneficence
The process by which boards of nursing grant permission to an individual to engage in nursing practice after determining that the applicant has the necessary competencies.
What is Licensure?
pg 119
A Law enacted to improve portability and continuity of health insurance coverage, etc. and protect patients from wrongful disclosure of identifiable health information.
What is HIPPA?
Pg 121
Lisa is a RN assisting Bethany, also an RN to insert and IV. Lisa observes Bethany stick herself with the sterile IV catheter, thus contaminating the IV catheter. Lisa mentions her observation to Bethany and offers to get another IV catheter. Bethany say "Its no big deal", and inserts the IV catheter anyway.
Are the elements of malpractice present in this situation? Which elements are present with each RN.?
Yes?
Failure to follow standards of care (Bethany)
Failure to advocate as a patient advocate (Lisa)
Failure to use equipment in a responsible manner (Bethany)
Respect for the inherent worth and uniqueness of individual populations.
What is Human Dignity?
A patient with terminal pancreatic cancer says to the nurse, "I have decided to stop treatment." Which is the best response by the nurse?
1. Are you sure that is the best response?
2. I will support whatever decision you make.
3. You need to discuss this with your doctor first.
4. Why don't I call you a chaplain so you can discuss this with him?