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- living will
- power of attorney
Some ethical principles? ( autonomy, nonmalficence, beneficence, justice, veracity, fidelity)
- - Autonomy : respect for an ind. right for self-determination
- Nonmalficence : do or cause no harm to another Beneficence: do good to others and maintain balance between benefits and harm
- Veracity: obligation to tell the truth
- Fidelity: duty to do what one has promised
- conducts that falls below std of care
- can include acts of omission and commission
- in tort law - negligence applies to harm caused by carelessness, not intentional harm.
type of negligence (negligence on the part of the nurse) - determined if nurse owed a duty to a client and did not carry out the duty and the client was injured bc the nurse failed to perform the duty
concerned with enforcement of agreement among private individuals --> nurse-pt relationship
concerned with relationships amongst persons and the protection of a person’s right - violation may cause harm to a person or a property but no threat to society exist
relationships between ind and gvts, acts that threaten society and its order ( crime = offense against soceity that violates a law) --> felony/ misdemeanor
- civil wrong other than a breach of contract in which the law allows the injured person to seek damages from the person who caused the injury - intentional ( fraud, assault, defamation, false imprisonement, invasion of privacy)
- - unintentional ( negligence malpractice)
Minors and consent form? - when is parent approval needed?
- Parental or guardian consent should be obtained before treatment is initiated for a minor except in the following cases:
- - emergency
- - situations in which the consent of the minor is sufficient ( treatment r/t substance abuse, STI, HIV, test for AIDS, BC services, pregnancy or physhiatric services)
- - emancipated minor
- - court order or other legal authorization has been obtained.
- Emancipated minor - can sign informed consent.
- - marriage
- - pregnancy
- - service in the armed force
- - by court order
What should the nurse report to the authorities?
- gunshot wounds, stab wounds, assault homicides, suicides
- abuse of any form - child abuse, domestic violence- dog bites, certain communicable disease
Incident report and nurse note, and pt's record
- Incident reports should not be placed in client’s record
- make no reference to the incident report form in the client’s record.
- The incident report is not documented in the nurse’s note
the action or crime of making a false spoken statement damaging to a person's reputation
a published false statement that is damaging to a person's reputation; a written defamation
Ethical reasoning - process of thinking about ethical issues
- - gathers information relevant to case
- identify own values regarding the issue
- verbalizes the pb ( in simple sentence)
- considers possible courses of action
- negotiate outcome
- evaluates the action