•Spend more time than is clinically necessary with a patient
•Made plans to see a patient when not on duty
•Dressed for work with a particular patient in mind
•Felt that others misunderstood or were too critical of a patient
•Made or kept secrets with a patient
•considered a certain patient to be “yours”
•Been guarded or defensive when questioned about your interaction or relationship with a patient
•Accepted gifts, letters or phone calls from a patient after he or she was discharged
•Chosen sides with a patient against family members
•Flirted with a patient
Preventing sexual misconduct
Be aware of any sexual attraction you have toward a patient.
Discuss your feelings with a trusted supervisor or colleague.
Transfer the care of the patient to another nurse
Learn to recognize signs that a patient may be interested in forming a sexual relationship.
Establishing professional boundaries is your responsibility.
Respect patient dignity and privacy at all times.
Provide a professional explanation for all aspects of care.
Maintain clear, appropriate, and professional communication with patients.
Don’t discuss your personal problems or any aspect of your intimate life with patients.
Document and report observations of inappropriate behavior to supervisor and to state regulatory agency if necessary.
Legal implications of medical records
–Medical records are evidence in legal actions!
–Medical records are considered highly credible and are given great weight in legal proceedings. –“Assessments should be documented objectively, indicating facts, observations, patient’s statements, and other measurable criteria.
–Subjective documentation should be avoided, because it states the writer’s conclusions without supporting facts and it allows a third party (such as attorney) to suggest any number of scenarios to clarify the subjective documentation.”
Good Samaritan Statutes
Provide immunity for acts that might otherwise result in a claim of negligence when acts occur outside your place of employment.
Good Samaritan statutes were written with the hope that you will act.
Individuals who perform rescue as part of their job are legally responsible to help.
Others are protected by both common law and statutory law.
Civil Law: Good Samaritan Statutes: Common law
many cases over the years have supported the “good Samaritan”.
Civil Law: Good Samaritan Statutes: Statutory Law
Statutory law: would have to prove
you owed the victim a duty to assist
you breached that duty
the victim was harmed
better than 50% probability that your actions caused the harm.
Gross negligence and intentional harm are not protected. i.e. intentional, reckless actions.
Willful infliction of physical injury or mental anguish and the deprivation by the caregiver of essential service
Forms of abuse
Sexual abuse ~ incest
Spousal abuse ~ Domestic violence
Deliberate violent action that inflicts pain and/or nonaccidental injury
Any type of sexual contact between an adult and anyone younger than 18, or between a significantly older child and a younger child.
If a family member sexually abuses another family member, this is called incest
Deliberate and willful destruction or significant impairment of a person's sense of competence by battering the victim's self-esteem and inhibiting normal psychosocial development.