Nursing History and Delivery
Developed the American Red Cross in 1881.
Clara Barton
The task must be appropriate for delegation — routine, low-risk, and within the delegatee’s job description and competence.
Right Task
Focus on how and why the system failed, not who made the mistake
Root cause analysis
Signed and witnessed documents that provide specific instructions for health care treatment if a person is unable to make these decisions personally at the time they are needed.
Advance directives
Freedom of personal choice, a right to be independent and make decisions freely.
Autonomy
Way to cost contain healthcare where the hospital is paid a fixed amount based on the patient’s diagnosis
DRG
transferring the responsibility for performing a task to another person while maintaining accountability for the outcome
Definition of Delegation
From unrelieved pressure on bony areas in immobile patients and can lead to infection, pain, or tissue death
Pressure injuries
The laws that formally define and limit the scope of nursing practice.
Nurse Practice Acts
Nurses function on the first, most fundamental principle which is...
Functional Nursing Care
Consider the patient’s condition and care setting. Only delegate when it is safe and stable to do so.
Right circumstance
3 common factors in falls
1. Impaired physical mobility 2. Altered mental status 3.Sensory and/or motor deficits
Access to health care without prejudice, treatment with respect and dignity at all times, privacy and confidentiality, personal safety, and complete information about one's own condition and treatment
Patient's rights
Do no harm
Nonmaleficence
Developed public health nursing in the United States through the founding of the Henry Street Settlement in New York City.
Lillian Wald
Delegate to someone who is competent, trained, and legally allowed to perform the task.
Right person
Fire extinguisher to use for used for gasoline, oil, paint, and flammable liquids
Type B
The unlawful touching of a person - an intent to harm is not necessary.
Battery
Absence of due care; failure to act in a manner demonstrating the care and knowledge any prudent individual would.
Negligence
She became the superintendent of a charity hospital for ill governesses in 1853 at age 33 and was asked to head a Barrack Hospital where her dedication and empathic treatment of the soldiers was respected. She had the nickname of "Lady of the Lamp".
Florence Nightingale
Provide clear, concise instructions about what to do, how to do it, and when to report back.
Right direction/communication
The Joint Commission established these in order to help accredited organizations address specific areas of concern in regard to health care safety, and to focus on how to solve them
Full disclosure of the facts a patient needs to make an intelligent (informed) decision before any invasive treatment or procedure is performed.
Informed consent
Professional negligence that includes: a duty, a breach of that duty, harm to the patient, and the breach was the main cause of the harm. If found guilty of this, the nurse is subject to legal punishment or restitution as the court determines.
Malpractice