Foundations Module B

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Foundations Module B
2011-02-27 18:48:55
module foundations

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  1. legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care. reflect values and priorities of the profession:
    standards of care
  2. derived from the Nurse Practive Act found in all states, which describes and defines the legal boundaries of nursing practice in eatch state.
    Statutory laws
  3. defines your duty to report incompetent or unethical nursing conduct to the Board of Nursing
    Regulatory law
  4. results from judicial decisions concerning individual cases. most revolve around negligence and malpractice.
    common law
  5. meant to prevent harm to society and provide punishment for crimes. felony or misdemeanor.
    criminal law
  6. protect the rights of the individual
    civil laws
  7. protects the rights of disabled people including those with HIV and AIDS
    American with Disabilities Act (ADA act)
  8. states that hospitals are mandated to treat and stablize clients before transferring or discharging them
    Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)
  9. 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
    Mental Health Parity Act of 1996
  10. requires health care institutions to provide written info to clients concerning their rights to make decisions
    Patient Self Determination Act of 1991 (PSDA)
  11. written document that direct treatment in accordance with a clients wishes in the event of a terminal illness or condition
    living will
  12. 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.
    Durable Power of Attorney for Health Care (DPAHC)
  13. 18 yo right to donate organ
    Uniform anatomical gift act
  14. these laws limit liability and offer legal immunity for nurses who help at the scene of an accident.
    Good Samaritan Act
  15. states that state legislatures enact statutes that describe the reporting laws for communicable diseases, school immunizations, neglect/abuse for child or elder
    Public Health Laws
  16. states that health care providers can use either cardiopulmonary or whole brain definition to determine death.
    Uniform Determination Death Act of 1980
  17. facilitation of cadiopulmonary and whole brain standars
    both facilitate recovery of organs for transplantation
  18. states that pt with terminal disease could make oral/written request for meds to end life
    Oregon Death with Dignity Act
  19. A civil wrong made against a person or property
  20. willful acts that violate another's rights
    • intentional torts
    • -assault, battery, and false imprisonment
  21. acts where intent is lacking but violational action and direct causations occur.
    Quasi-intentional torts

    -invasion of privacy
  22. Defamation of character:
    person publishing info knows it is false and publishes it anyways or with reckless disregard for the truth
  23. defamation of character:
    occurs when one makes a false statement verbally
  24. defamation of character:
    written defamation of character
  25. consists of negligence and malpractice; conduct that falls below the standard of care
    unintentional torts
  26. 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.
    informed consent
  27. US supreme court ruling including a woman's right to have an abortion
    Roe v. Wade
  28. some states require viability tests if the fetus is more than 28 weeks gestational age
    webster v. repoductive health services
  29. a contract between the nurse and the insurance company, which provides defense when a nurse is in a lawsuit involving negligence or malpractice
    malpractive insurance
  30. used when a nurse believes he/she is being asked to accept an unsafe assignment, engage in conduct beyond scope of practice
    Safe Harbor
  31. protection from employers for reporting improper quality of patient care.
  32. 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
  33. system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occures
    risk mgmt
  34. the committment to include clients in decisions about all aspects of care
  35. taking positive actions to help others, including clients in decisions
  36. avoidance of harm or hurt, do good but equal do no harm.
  37. fairness
  38. commitement to keep promises and follow through with care with pt
  39. says that the value of something is determined by its usefulness
  40. defines actions as right or wrong. doesn't look at consequences
  41. looks to the nature of relationships for guidance in the processing of ethical dilemmas
    feminine ethics
  42. emphasizes the importance of understanding relationships
    ethics of care
  43. 7 steps to process an ethical dilemma
    • 1. Ask if it is an ethical dilemma
    • 2. Gather info (client, family, instutional)
    • 3. Clarify values (between fact, opinion, and values)
    • 4. Verbalize the problem
    • 5. Identify possibilities
    • 6. Negotiate a plan
    • 7. Evaluate the plan
  44. central to discussions about futile care, cancer therapy, physician-assisted suicide, and DNR
    Quality of Life
  45. interventions unlikely to produce benefit for the client
    futile care
  46. Ensure adult patients are informed of their rights
    advance directives
  47. report of any deviation or unusual event that has occurred and has affected the patient, visitor or others, within 24 hrs
    variance reports
  48. an unexpected occurance
    sentinel event
  49. moniter at least every two hours:
    • skin for circulation
    • respiration
    • fluids
    • nourishment
    • toileting
    • ROM
    • mental status
    • behavior
  50. HIPPA
    Health insurance portablity and accountability act.
  51. any info, verbal or recorded, relating to the health, healthcare or payment for healthcare. includes any info that can identify the patient as well.
    PHI. Protected health information
  52. HIPPA Patient rights
    • rights to:
    • acces PHI
    • request restrictions
    • an accounting of PHI disclosures
    • confidential communications
    • file a complaint
  53. a lifelong process used in nursing practice
  54. 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
    intrapersonal communication
  55. a caring relationship between a nurse and a patient, the ability to relate to others is developed
    interpersonal communication
  56. interaction that occurs within an individuals spiritual domain
    transpersonal communication
  57. 0-18 inches away; touching pt
    intimate zone
  58. 18 inches-4 feet, interviewing pt
    personal zone
  59. 4-12 feet; no permission needed; making rounds with physician
    social zone
  60. 12 feet and greater; lecturing to public
    public zone
  61. what are the non verbal skills you can use to facilitate attentive listening (SOLER)
    • S-sit facing pt
    • O-observe an open posture
    • L-lean towards pt
    • E-establish and maintain eye contact
    • R-relax