問題一覧
1
Mental Health Parity Act
prevents barriers for mental health and substance use to receive treatment
2
defines nursing scope of practice in each state, protecting the health, safety, and welfare of the general public
Nurse Practice Act
3
Organ and Tissue Donation
Regulated by state law, Can be in a will or designated on a card, Facilities must provide trained individual to make requests to clients and provide information and answer questions
4
Criminal - Felony and Misdemeanors
Falsifying records, Posession of a controlled substance not prescribed, Practicing nursing without a license
5
Civil
Protect the rights of individual
6
Unintential Torts
Negligence, Malpractice
7
Negligence
Practice does not mee the expectations of care placing a client as risk; can be an act of omission
8
Negligence example
Nurse fails to answer a call light in a timely matter and results in injury to the client
9
Malpractice (professional negligence)
failure to act reasonably and prudent
10
Malpractice example
Nurse administers a large dose of medication due to calculation error
11
Quasi-Intentional Tort examples
Invasion or Privacy, Defamation, Libel, Slander
12
Invasion of Privacy
releasing information of private matter or breach of confidentiality
13
Invasion of Privacy example
Telling a family member that a client has HIV
14
Defamation
Communication without regard to the truth with intent to injury reputation
15
Libel
written
16
Libel example
Documenting that nurse was incompetent when the client fell
17
Slander
Verbal
18
Slander example
Telling someone that a nurse lost their license when it is not true
19
Intentional Tort Examples:
Assault, Battery, False imprionment
20
conduct that makes another person fearful
Assault
21
Assault example:
Forcibly administering a medication without a client’s consent
22
Intentional wrongful physical contact
Battery
23
Battery example
A healthcare worker surprises a client and pushes from behind
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competent person held/restrained against their will
False imprionment
25
False imprionment example
Use of restraints
26
protects nurses to use standard and prudent care in emergency situations
Good Samaritan Law
27
Only nurses with BLS can perform CPR
True
28
national exam to obtain nursing license
NCLEX
29
Incivility
Action that is rude, insulting, intimidating which can include joking and teasing
30
Lateral Violence
Verbal abuse, gossip, or hostility that occurs between employees that are on the same level of the organization, Rolling eyes at another nurse
31
Aimed at people who can’t defend themselves, usually between two employees that are not in the same level in an organization
Bullying
32
Cyberbullying
electronic
33
expected behavior of right and wrong
Ethics
34
values and beliefs that guide an individual in behaviors and decisons
Morals
35
ability client to make own decisions
Autonomy
36
Autonomy example
Client has the right to refuse and/or choose if they want Tylenol or Percocet
37
care in the best interest
Beneficence
38
Beneficence example
Transport a sick or injured client to the hospital
39
keeping a promise
Fidelity
40
Example of fidelity
Saying you will come back and check on a client’s pain in 30 minutes
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Fair treatment
Justice
42
Justice example
Prioritizing client care regardless of age, gender, and race
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Obligation to protect safety and avoid causing harm
Nonmalficence
44
Nonmalficence example
Stopping a medication that is known to be harmful
45
duty to tell the truth
Veracity
46
Veracity example
Reporting a medication error that you made
47
problem with more than one choice and a choice can be influenced by others
Ethical Dilemma
48
Unsatisfactory Service
Service Occurrences
49
Event almost occurs
Near misses
50
Minor injuries, significant disruption
Serious Incidents
51
Unexpected death or major injury
Sentinel Events
52
Most severe — complications lead to death
Failure to rescue
53
Recognize the patient or designee as the source of control and full partner in proving compassionate and coordinated care based on respect for patient’s preferences, values, and needs
Patient Centered Care
54
Function effectively with nursing fostering open communication, mutual respect, and shared decision-making to achieve quality patient care
Teamwork and Collaboration
55
Integrate best current evidence with clinical expertist and patient/family preferences and values of delivery of optimal health care
Evidenced Based Practice
56
Use data to monitor the outcomes of care processes and use improvement methods design to test changes to continously improve the quality and safety of health care systems
Quality Improvement
57
Minimizes risk of harm of patients and providers through both system effectiveness and individual performance
Safety
58
Use information and technology to communicate, manage knowledge, mitigate error, and support decision making—utilizing technology such as infusion pump to provide client care
Informatics
59
Prevents cross contamination of organisms
Infection Control
60
Employees have right to refuse to work in unsafe environment if danger to health
Hazardous Materials
61
Who’s at risk for injuries?
Elderly, Pediatrics, Clients with mobility and cognitive deficists, Unstable emotional state
62
Examples of Incidient Reporting/Event Reporting
Medication Error, Fall, Needlesticks, Visitor/Volunteer injury, Loss of property
63
What do you do after you assess the patient for a medication error?
Notify the provider
64
Who identifies the incident report?
The nurse that was affected
65
Do you provide confidentiality to the client of the event?
No
66
Do you place the client chart or state a report that it was filed?
No
67
What’s included in the incident report?
Objective Data, Subjective Data, Factual information
68
Who do you send the incident report to?
Risk management
69
What’s the purpose of incident reports documented?
Data used to provide performance improvement studies
70
causes serious damage, destruction, injuries, or death
Disaster
71
Internal disaster (within the facility)
Loss of power, explosion, terrorism, damage related to weather or fire
72
External (affect the facility indirectly)
tornado, hurricane, building collapse
73
catatropic event that overwhelms local resources
Mass casualty incident
74
Treatment of mass casuality is based on doing the greatesst good for the greatest number of people
True
75
Who is discharged first at relocation discharge of a mass casualty event??
Ambulatory or minimal care
76
Emergent or immediate; life threatening but high survival probability once stable: AIRWAY COMPROMISE
Red
77
Urgent or Delayed; Major injuries but not life threatening, require treatment within 30 min to 2 hours
Yellow tag
78
Non-Urgent, Minimal; can wait hours to days for treatment
Green tag
79
Expectant: not expected to live and allow to die naturally, comfort care can be provided but not restored
Black tag