Acts (CARNA, CNA, etc.)

Question 1

CARNA stands for..

Answer 1

College and Association of Registered Nurses of Alberta

Question 2

_____ ______ = Protect the public by ensuring that Albertans receive effective, safe and ethical care by registered nurses.

Answer 2

CARNA’s mandate

Question 3

RNs are required to apply _______ _______ ________ in practice

Answer 3

Nursing Practice Standards

Question 4

Nursing Practice Standards represent… (1)

Answer 4

Criteria against which all RNs will be measured by the public and themselves

Question 5

List 5 Standards

Answer 5

1. Responsibility and Accountability
2. Knowledge-Based Practice
3. Ethical Practice
4. Provision of Service to the Public
5. Self-Regulation

Question 6

What do the NPS do? (6)

Answer 6

o Guide and direct nursing practice
o Promote professional nursing practice
o Facilitate evaluation of nursing practice
o Enable the client to judge the adequacy of nursing care
o Provide guidelines for nurse educators in setting objectives of educational programs
o Provide a framework for developing specialty nursing standards

Question 7

What does HPA stand for and year

Answer 7

Health Professions Act, May 1999

Question 8

o ____________: Law that establishes a regulatory college and sets out its duties and authorities
o ____________: A member of a health profession that is regulated by a College

Answer 8

Professional Act

Regulated Health Professional

Question 9

Why are colleges supposed to follow all common rules? (2)

Answer 9

Investigate complaints

Set educational practice standards for all members

Question 10

Importance of HPA (4)

Answer 10

o Accountability – ensure we are trained and educated
o Flexibility – some flexibility when given permission
o Enforcement – has to have structure and not break rules
o Address Issues

Question 11

♣ Govern and regulate the practice of their members
♣ Regulate initial registration and continuing competence of health professionals
♣ Investigate complaints
♣ Protect professional titles

Answer 11

Responsibilities of a professional college

Question 12

o Standards of Practice - Direct how services should be provided
o Regulations - Requirements for registration and practice permit, continuing competence
o Bylaws - Day to day operations of the colleges (can be set without government approval)
o Code of Ethics - Guidelines and principles that govern conduct

Answer 12

College Functions under HPA

Question 13

CNA stands for…

Answer 13

Canadian Nursing Association - Code of Ethics

Question 14

o Outlines a set of values basic to nursing practice
o Serves as a means of self-evaluation and self-reflection
o Informs nurses of the values they are expected to uphold
o Informs the public of the values nurses are expected to uphold.

Answer 14

CNA Purpose

Question 15

What does CNA NOT do?

Answer 15

o Provide rules for every circumstance
o Offer guidance about which values take priority
o Replace law

Question 16

7 Primary Values

Answer 16

1. ) Promoting health and well-being
2. ) Providing safe, compassionate, competent, ethical care
3. ) Maintaining privacy and confidentiality
4. ) Promoting and respecting informed decision-making
5. ) Preserving dignity
6. ) Promoting Justice
7. ) Being Accountable

Question 17

o Uphold principles of justice by safeguarding human rights, equity and fairness and by promoting the public good.
o Not discriminate, refrain from judging, labelling, demeaning, stigmatizing and humiliating behaviours
o Not engage in any form of lying

Answer 17

Promoting Justice

Question 18

o Recognize the importance of privacy and confidentiality
o Not abuse their access to info including your own
o Intervene if others inappropriately access or disclose person or health info

Answer 18

Maintaining privacy and confidentiality

Question 19

o Engage in compassionate care
o Build trustworthy relationships
o Admit mistakes
o Question and intervene to address unsafe, non-compassionate, unethical or incompetent practice

Answer 19

Providing safe, compassionate, competent, ethical care

Question 20

o Nurses work with people to enable them to attain their highest possible level of health and well-being
o Collaborate with other healthcare providers and interested parties in providing the best care possible

Answer 20

Promoting health and well-being

Question 21

o Recognize and respect the worth of each person
o Support the person, family, group, population or community receiving care
o Intervene, and report when necessary
o Maintain appropriate professional boundaries

Answer 21

Preserving Dignity

Question 22

o Be _______ for their actions and answerable for their practice
o Be honest and practice with integrity
o Maintain their fitness to practice
o Clearly and accurately represent themselves
o Identify and address conflicts of interest

Answer 22

Being Accountable

Question 23

o Provide persons in their care with the info they need to make informed decisions
o Respect the wishes of capable persons
o Ensure that nursing care if provided with the person’s informed consent
o Advocate for persons in their care

Answer 23

Promoting and respecting informed decision-making

Question 24

o Provincial/territorial laws regulating health care agencies
o Professional and specialty nursing organizations
o Written policies and procedures

Answer 24

Standard of Care

Question 25

Legal Liability Issues in Nursing Practice (3)

Answer 25

o Tort: a ‘civil’ wrong committed against a person or property
o Unintentional tort (negligence)
o Intentional tort (willful acts that violate a person’s right)

Question 26

Examples of Intentional tort (4)

Answer 26

♣ Assault – physical or verbal threat
♣ Battery – intentional physical contact with the client without their consent that causes injury or is offensive to client’s dignity
♣ False imprisonment – inappropriate or unjustified use of restraints
♣ Invasion of privacy – ensures confidential healthcare

Question 27

♣ Patient privacy during bathing, examinations, or procedures
♣ That unauthorized persons do not view the client’s health information
♣ That pictures are not taken without permission, even if done for educational purposes

Answer 27

Right to Privacy

Question 28

♣ Applies to public bodies

♣ A public body must limit the disclosure of your personal information to that which is necessary and reasonable

Answer 28

FOIP - Freedom of Information and Protection of Privacy Act

Question 29

♣ Applies to “custodians” – Alberta Health and Wellness, health service providers paid under the Alberta Health Care Insurance Plan
♣ Provides individuals with the right to request access to health records under the control of custodians
♣ Provides custodians with a framework within which they must conduct the collection, use and disclosure of health information

Answer 29

HIA – Health Information Act

Question 30

♣ Sets rules for the collection, use, and disclosure of personal information by private sector organizations operating in Alberta
♣ An organization cannot require you to consent to the collection, use or disclosure of personal information beyond what is necessary to provide a product or service

Answer 30

PIPA - Personal Information Protection Act

Question 31

♣ You may ask the ________ to investigate a complaint that personal/health information has been collected, used or disclosed in contravention of FOIPP/HIA/PIPA

Answer 31

OIPC - Office of the Information and Privacy Commissioner

Question 32

Healthcare providers have a duty to disclose knowledge of (3)

Answer 32

♣ Communicable or sexually transmitted diseases
♣ Suspected child abuse
♣ Intent to harm or kill another person – if a patient poses a threat to others

Question 33

How to maintain confidentiality (3)

Answer 33

♣ Avoid being overheard by others when discussing care with a colleague
♣ Ensure privacy when discussing problems with a client
♣ Not disclose confidential information to colleagues, client’s friends, or relatives without checking whether they are authorized to receive such information

Question 34

Nurses are obligated to advocate for patients… (3)

Answer 34

o Who are not fully informed
o Who require more time to reflect on alternatives
o When their wishes have not been respected

Question 35

o Clients have the right to refuse consent to be treated, even if treatment is in their best interest
o Must be given voluntarily without coercion
o Must have the legal and mental capacity to make a treatment decision
o Provisions are made for deaf, illiterate, or foreign language patients.
o Must understand:
o 1. Risks and benefits of the procedure or treatment
o 2. Risks of not undergoing the procedure or treatment, and any available alternatives.

Answer 35

Informed Consent

Question 36

o The process of appraising one’s own personal values – personal reflection
o To plan effective care, nurses need to identify client’s values relevant to the health problem
o Unclear or conflicting values can be detrimental to the client’s health, thus a need for ______ ______ (questions like: what matters to you in this situation)
o Ex.) A client with heart disease who values hard work ignores advice to exercise regularly

Answer 36

Values Clarification