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Professional Nursing Practice
Malpractice
Fraud
100
What are the Nurse Practice Acts?
Laws and regulations that define the scope of nursing practice and affects all parts of nursing
100
What is the difference between negligence and malpractice?
Negligence is carelessness by nonprofessionals. Malpractice is carelessness by professionals; causes some kind of harm to the patient.
100
What is fraud?
“Use of one’s occupation for personal enrichment through the deliberate misuse or misapplication of the employment organizations resources or assets."
200
What is the difference between privacy and confidentiality?
Privacy: "patient’s right to protection against unreasonable and unwarranted interference with the patient’s solitude" Confidentiality: right for a patient’s medical records to be kept private
200
What are possible solutions to the problem of understaffing? Name at least 2.
-Approving overtime -Reassigning personnel -Floating staff members to/from other units -Using temporary or "agency" workers
200
3 Types of Fraud Matching: -Asset misappropriations -Corruption -Financial fraud statements a.lying or leaving out information on a financial report b.stealing/misusing an organizations resources c.an employee using his influences for personal gain
-Asset misappropriations: stealing/misusing an organizations resources -Corruption: an employee using his influences for personal gain -Financial fraud statements: lying or leaving out information on a financial report
300
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300
What is failure to warn?
Managers must warn “potential employers [of a former staff member] of staff incompetencies or impairment."
300
A c__________ of i____________ is when a person's loyalties or desires clash with ethical job responsibilities.
Conflict of Interest
400
Define informed consent and name at least 4 pieces of information that can be given to the patient before the informed consent form is signed.
“The authorization by the patient or the patient’s legal representative to do something to the patient." Elements necessary for informed consent in research studies: i. An explanation of the study ii. A description of risks and benefits iii. A disclosure of alternative procedures iv. A statement about confidentiality of the information v. An explanation about compensation and/or the possibility of medical treatments if injury occurs vi. An explanation about whom to contact for questions or concerns vii. A statement that participation is voluntary
400
Name 3 principles that must be proven in a malpractice lawsuit.
-Duty owed the patient -Breach of duty of care owed the patient -Forseeability -Causation -Injury -Damages
400
What are 3 types of healthcare fraud. *hint: they all involve how the provider bills the patient
a. Billing for services not rendered b. Upcoding of services c. Upcoding of items d. Duplicate items e. Unbundling f. Excessive services g. Medically unnecessary services h. Kickbacks