Ethical Principles
A patient's right to choose for themselves
What is autonomy?
Sets standard to evaluate nurse's ethical behavior, not legally binding
What is nursing code of ethics?
This act established standards of privacy of personal health information
What is the Health Information Portability and Accountability Act?
Protects a nurse from liability when providing emergency care at the scene of an accident
What is the Good Samaritan Law?
A minor charge that involves less than a year in jail such as petty theft
What is a misdemeanor?
A prevention strategy for this tort is obtaining informed consent prior to any invasive procedure
What is battery?
Type of torts that injure a person's reputation
What is quasi-intentional torts?
The decision making framework for nurses
What is the nursing process?
F-do not document your opinions in the client record.
What is factual?
Reports used in the hospital setting for quality improvement, not disciplinary purposes
What are incident or occurrence reports?
Obligation to be fair, equal treatment of all patients
Published by AHA to define patient expectations and responsibilities
What is the Patient-Care Partnership?
The first 10 amendments to the U.S. Constitution
What is the Bill of Rights?
Protects the health, safety, and welfare of the general public
What is the Nurse Practice Act?
Law that deals with wrongs or offenses against society
What is criminal law?
A threat and action that causes a person fear of violence or offensive contact
What is assault?
The failure to use ordinary or reasonable care or to act in a careful manner
What is negligence?
Five rights of delegation
What are right task, right person, right circumstance, right directions and right supervision?
A-Documentation must be correct
Most common incident reported in the hospital and long-term care setting
What are falls?
Duty to tell the truth
What is veracity?
Ethical standards that are used as guide for ethical analysis and decision making
What is ANA Code of Ethics?
Data breaches must be reported to clients in a timely manner
What is Health Information Technology for Economic and Clinical Health Act? (HITECH)
What laws take priority over the patients right to privacy?
A crime punishable by more that 1 year in jail such as sexual assault
What is a felony?
Sedating a client to prevent them from falling out of bed
What is false imprisonment?
Written or published form of defamation of character
What is libel?
One action for the student to protect themselves and the client from legal implications
What are prepare for clinical, do not attempt procedure or judgement if unsure, notify instructor and staff nurse of changes in client condition, and unless arranged, take instruction only from your clinical instructor?
C-Do not omit important information in your documentation
What is complete?
Three requirements of licensure for registered nurses
What are graduate from an accredited nursing program, meet established character criteria, undergo criminal background check, pass NCLEX-RN exam, pay an application fee, and meet any other state requirements.
Duty to keep promises
What is fidelity?
Adopted code of ethics for nurses that serves as standards for nurses worldwide
Who is the International Council of Nurses?
Gives clients rights to make own healthcare decisions
What is Patient Self-Determination Act?
Describes specific care that is reasonable, expected, and appropriate in a facility
What are institutional policies and procedures?
A dispute between individuals or entity usually results in guilty party paying monetary damages
What is civil case or civil law?
When a competent clients leave a hospital prior to being ready for discharge, they leave _____________
What is against medical advice?
Spoken or verbal form of defamation of character
What is slander?
Two items that can only be delegated to another registered nurse
What are initial and ongoing nursing assessment, developing or evaluating the plan of care, education, or intervention requiring judgement or skill
T-Document as you go, do not wait until the end of the day
What is timely?
Document prepared by a competent person that provides directions to others about the person's wishes regarding life prolonging treatments if the person is unable to make decision
What is a living will?
Duty to do or promote good
What is beneficence?
Includes Nursing: Scope and Standards of Practice standard 7 which focuses on ethical practice
What is the ANA Standards of Care?
Requires employers to provide reasonable accommodations within work setting to allow employees to perform job
What is the Americans with Disabilities Act?
Addresses professional issues that impact nurses, such as workplace violence, mandatory overtime, and unsafe staffing.
What is the American Nurse's Association Nurses' Bill of Rights?
The two types of civil law
A nurse that documents a blood pressure of 130/70 without actually checking it, is guilty of this type of tort
What is fraud?
Failure of a professional to act in a reasonable and prudent manner
What is malpractice?
Three potential boundary violations between nurse and client that lead to malpractice
What are excessive self-disclosure, flirtation, secretive behavior, "super nurse" attitude, excessive attention to client, and unclear communication?
U-must document unexpected situations that occur
What is unusual occurrences?
A client's surrogate decision maker to make healthcare decisions if the client is unable to do so
Who is the durable power of attorney for healthcare?
Duty to do no harm and prevent harm
What is nonmaleficence?
What is The Joint Commission Accreditation Standards?
Requires a hospital to screen client and stabilize before transferring to another facility
What is the Emergency Medical Treatment and Active Labor Act? (EMTALA)
Form of voluntary, self-regulation that includes accreditation and/or certification
What is credentialing?
Three of the rights lost by a person convicted of a felony
What is right to vote, hold public office, serve on a jury, possess firearms, possibly any professional license?
What type of tort is the nurse guilty of if they search a client's belongings without permission?
What is invasion of privacy?
Three of the four essential elements for defamation of character to be present
What is communication must be false, made to another person, caused defamed person to experience shame or ridicule, and made as statement of fact rather than opinion?
Four elements that must be proven by a preponderance of evidence for someone to be guilty of malpractice
What is duty, breach of duty, causation, and damages?
A-must be documented, along with plan of care
What is assessment data?
Requirements for informed consent to be valid
What are completeness, clarity and comprehension, voluntariness, and competence?