Management Final

Steps to resolve conflict
(6)

What needs to be charted?
(5)

Means each individual is responsible and accountable for his/her own actions

It allows the courts to hold the employer responsible for the actions of an employee when the employee is performing services for the organization within his/her scope of practice

This refers to the responsibility of the organization for its own wrongful conduct. This includes the duty to: hire, supervise, & maintain qualified competent, adequate staff; provide, inspect, repair, & maintain reasonable equipment; and maintain safety in the physical environment.

Four elements of malpractice

Patient injury + Willing lawsuit = ???

Basic assumptions or personal convictions of what is truthful or factual

The standards or guidelines for acceptable behavior

Judgments or beliefs about the worth of objects, attitudes, and attributes

Determines what is right or wrong based on unchanging, absolute moral principles and values, and one’s duty or obligation to act in a given situation.

Determines the rightness or wrongness of an action based on its consequences for the general welfare of all people if all people acted in a similar manner in the same situation.

After mixing alcohol and sedatives at a party in 1975, an 18 year-old suffered cardiopulmonary arrest and subsequently entered a chronic persistent vegetative (PVS) state. The father, opposed by doctors, the hospital, a court-appointed guardian, the county prosecutor, and state of New Jersey, sought to be made the guardian and sought authorization to discontinue life-sustaining processes

This was the first court case to specifically deal with withdrawing ventilatory support from a permanently unconscious patient who was not “brain dead”.

The right of competent patients to refuse treatment was affirmed. Foregoing artificial nutrition and hydration is not different than foregoing other forms of treatment. The state of Missouri could require continued treatment of a patient in a persistent vegetative state unless there was “clear and convincing” evidence that the patient had explicitly authorized the removalof the treatment before the incident.

What was the first case concerning foregoing of life-sustaining treatment to reach U.S. Supreme Court.

This patient suffered severe brain damage during a cardiac arrest in 1990 as a result of a chemical imbalance reportedlydue to an eating disorder. The husband, who wanted the feeding tube removed, and the parents, who did not.  As a result, they were locked in controversy and legal battles over the course of a seven-year struggle to make that decision.

A patient in a California hospital, requested that she be allowed to refuse her tube feedings and be kept comfortable. She suffered with severe cerebral palsy, sought legal recourse when the hospital announced its intention to force-fed her or transfer her to another hospital.

This case is the foundation for all current practices regarding informed consent. The patient did not receive an explanation of the risks of a surgery. The California Supreme Court outlined how informed consent should be handled and upheld the patient’s right to exercise control over his/her body and to make reasonable decisions forhimself/herself

the right to make decisions about one’s own healthcare

the requirement to do no harm to others either intentionally or unintentionally

the obligation to do good

the obligation to be fair to all people

one’s faithfulness or loyalty to agreements and
responsibilities that one has accepted

securing and protecting the privacy of others

requirement to communicate truthfully and
accurately

linked to fidelity and means accepting responsibility for one’s action

Key concepts of the ANA Code of Ethics include:

brief excursions across professional boundaries that may be inadvertent or purposeful. Thereis a return to established limits of the professional relationship after the crossing has occurred.

phenomena that occur when there is confusion about client versus professional needs. Theseboundary issues are typically characterized by a reversal of roles, secrecy, the creation of a double bind for the client,and indulgence of personal privilege by the professional.

the use of power, influence, and/or knowledgeinherent in the nurse’s position to obtain sexual gratification, romantic partners, and/or sexually deviant outlets

Anybehavior by the nurse that is seductive, sexually demeaning, harassing, or reasonably interpreted as sexual by theclient is considered professional sexual misconduct.

This boundary violation occurs when the nurse initiates sexual interaction with a client or responds to a client in a sexual manner, including sexually suggestive or explicit comments,off-color jokes, obscene phone calls/letters, non-therapeutic hugs, indecent exposure, and overt sexual acts.

Contracts with provider network for discount rates in return for patient referrals.  No outside of network paid unless pre-authorized.  PCP must referr to a specialist.  Very restrictive with least choice of providers, but large range of health benefits with very little co-pay.

Contracts with providers like HMO, but no PCP required.  Services outside of network cost more but a portion will be covered.  Usually no referral for a specialist.  More choice but higher out of pocket expences.

HMO/PPO hybrid.  Choose which type each time health care sought.  Ecourage PCP but not required.  Lower copay if use PCP.

A type of civil law that particularly affects nurses

A licensing law created to protect the public

The type of law violated with illegal possession of drugs

The type of law based on the outcomes of previous cases that may be used in a malpractice case involving nurse liability

The failure of a professional to meet standards of care resulting in harm to another person

What legal principle may contribute to a hospital staff nurse's decision to not carry professional liability insurane?

A. Vicarious liability
B. Cooperate liability
C. Institutional liability
D. Personal liability

A physician wrote an order for lovenox, 40mg sq q 12 hrs, on a patient scheduled for a liver biopsy the next day.  The nurse called the physician to verify the order and avoided which type of error in the area of litigation risk?

A patient on fall precautions was left in bed with the side rails down while the nurse stepped out to get fresh linens.  The patient tried to get up, fell and fractured his hip.  In the area of litigation risk, which type of error did the nruse make?

How do you calculate the renewal date of new license?

How long do you have to pass the NCLEX after graduation? How many times can you take it?

How many hours of continuing education must be completed and how long do you have to do it?

Can a Texas RN practice in Colorado, Arizona, and New Mexico? Why?

What are some ways the BON can discipline a nurse?

How many minor incidences can you have in _____ months of time?