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Achieved national cert I can practice T/F
F due to getting state level license
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State of Board is to ensure public safety t/f
True
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State level auth dictates NP ability to obtain federal DEA #. t/f
True
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majority of NPs can get Federal DEA # . t/f
true
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What does a DEA number do
- rx controlled substances
- Schedule 1 (highest level abuse to lowest 5)
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DEA regulates which 2 meds
Buprenorphine and methadone
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Schedule I meds
- NO ONE has rx ability
- heroin, PCP, MDMA
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Schedule II meds
- legal but sig abuse
- -morphine, fentanyl, steroids, oxy, hydrocodone
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Schedule III meds
- less abuse but still some
- testosterone, butalbital (Fiorcet)
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Schedule IV meds
- low abuse but still have some
- benzos, sleeps aids, wt loss drugs (phentermine)
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Schedule V meds
- antidiarrhea (Lomotil)
- atropine
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Code of ethics
guide to carrying nursing resp with consistent quality of care
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Beneficence
Obligation to help those in need
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Nonmaleficence
- do no harm with or without intention
- ex: procedure with little amt of pain
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Autonomy
right to chose personal plan
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When is autonomy not granted
TB due to rights not overruling other's safety
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Competency
all adults are unless determined otherwise
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Justice
assertion that all should be treated same EQUITABLE
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Utiliarianism
allocation of healthcare resources should be done for greatest number of people
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Veracity
stating provider should be honest and give FULL disclosure and known lapses of standards of care
-
Who can declare competency
- only a court
- appoint a guardian
- not needed if family/health proxy
-
Advanced directives
decision making who cannot communicate wished
-
healthcare proxy
- in advanced person appointed
- anyone who is 18+
-
Spouse called what
- de-facto proxy if not other is appointed
- not married often not rec as proxy
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Culture defined as
socially transmission of behavior patterns, arts, beliefs by certain ethnic, racial, religious, social group
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Malpractice
failure to exercise such care as a prudent provider would with similar circumstances
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Duty
relationship exists with patient or provider
-
breach of duty
violates accepted standard when rendering care
-
Proximate cause
- relationship between breach and injuries
- ex: clarithromycin and abx=rhabdo
- correlation? Yes
-
Who gets Medicare
- 65+ and anyone with certain disabilities at any age
- end stage renal (even kid who needs HD) or transplant
-
What is Part A Medicare
hospital, hospice, christian hospitals
-
What is Part B Medicare
- Supplemental
- outpt, home health
-
Part C Medicare
private PPO/HMO services approved by Medicare
-
Part D
- must have part A&B
- premium is charged
-
Medicaid
- low income
- US citizen
- poverty alone is not a qualifier
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