Foundations Module B

legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care. reflect values and priorities of the profession:

derived from the Nurse Practive Act found in all states, which describes and defines the legal boundaries of nursing practice in eatch state.

defines your duty to report incompetent or unethical nursing conduct to the Board of Nursing

results from judicial decisions concerning individual cases. most revolve around negligence and malpractice.

meant to prevent harm to society and provide punishment for crimes. felony or misdemeanor.

protect the rights of the individual

protects the rights of disabled people including those with HIV and AIDS

states that hospitals are mandated to treat and stablize clients before transferring or discharging them

forbids health care plans from placing lifetime or annual limits on mental health coverage that are less generous than those place on medical or surgical benefits

requires health care institutions to provide written info to clients concerning their rights to make decisions

written document that direct treatment in accordance with a clients wishes in the event of a terminal illness or condition

legal document that designates a person or persons of one's choosing to make health care decisions when clients can no longer make decisions on their own behalf.

18 yo right to donate organ

these laws limit liability and offer legal immunity for nurses who help at the scene of an accident.

states that state legislatures enact statutes that describe the reporting laws for communicable diseases, school immunizations, neglect/abuse for child or elder

states that health care providers can use either cardiopulmonary or whole brain definition to determine death.

facilitation of cadiopulmonary and whole brain standars

states that pt with terminal disease could make oral/written request for meds to end life

A civil wrong made against a person or property

willful acts that violate another's rights
ex-

acts where intent is lacking but violational action and direct causations occur.
ex-

Defamation of character:
person publishing info knows it is false and publishes it anyways or with reckless disregard for the truth

defamation of character:
occurs when one makes a false statement verbally

defamation of character:
written defamation of character

consists of negligence and malpractice; conduct that falls below the standard of care

a person's agreement to allow something to happen, such as surgery or an invasive diagnostic procedure, based on full disclosure of risks, benefits, alternatives, and consequences of refusal.

US supreme court ruling including a woman's right to have an abortion

some states require viability tests if the fetus is more than 28 weeks gestational age

a contract between the nurse and the insurance company, which provides defense when a nurse is in a lawsuit involving negligence or malpractice

used when a nurse believes he/she is being asked to accept an unsafe assignment, engage in conduct beyond scope of practice

protection from employers for reporting improper quality of patient care.

Physician's responsible for writting all orders. nurses are responsible for transcribing orders correctly. if verbal is written, it must be signed by the physician within 24hrs

system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occures

the committment to include clients in decisions about all aspects of care

taking positive actions to help others, including clients in decisions

avoidance of harm or hurt, do good but equal do no harm.

fairness

commitement to keep promises and follow through with care with pt

says that the value of something is determined by its usefulness

defines actions as right or wrong. doesn't look at consequences

looks to the nature of relationships for guidance in the processing of ethical dilemmas

emphasizes the importance of understanding relationships

7 steps to process an ethical dilemma

central to discussions about futile care, cancer therapy, physician-assisted suicide, and DNR

interventions unlikely to produce benefit for the client

Ensure adult patients are informed of their rights

report of any deviation or unusual event that has occurred and has affected the patient, visitor or others, within 24 hrs

an unexpected occurance

moniter at least every two hours:

HIPPA

any info, verbal or recorded, relating to the health, healthcare or payment for healthcare. includes any info that can identify the patient as well.

HIPPA Patient rights

a lifelong process used in nursing practice

the foundation of communication is the internal enviroment for conversation and interpretation of messages. a communication from within, it is a personal translation of experiences

a caring relationship between a nurse and a patient, the ability to relate to others is developed

interaction that occurs within an individuals spiritual domain

0-18 inches away; touching pt

18 inches-4 feet, interviewing pt

4-12 feet; no permission needed; making rounds with physician

12 feet and greater; lecturing to public

what are the non verbal skills you can use to facilitate attentive listening (SOLER)