Acts (CARNA, CNA, etc.) Flashcards
CARNA stands for..
College and Association of Registered Nurses of Alberta
_____ ______ = Protect the public by ensuring that Albertans receive effective, safe and ethical care by registered nurses.
CARNA’s mandate
RNs are required to apply _______ _______ ________ in practice
Nursing Practice Standards
Nursing Practice Standards represent… (1)
Criteria against which all RNs will be measured by the public and themselves
List 5 Standards
- Responsibility and Accountability
- Knowledge-Based Practice
- Ethical Practice
- Provision of Service to the Public
- Self-Regulation
What do the NPS do? (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
What does HPA stand for and year
Health Professions Act, May 1999
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
Professional Act
Regulated Health Professional
Why are colleges supposed to follow all common rules? (2)
Investigate complaints
Set educational practice standards for all members
Importance of HPA (4)
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
♣ Govern and regulate the practice of their members
♣ Regulate initial registration and continuing competence of health professionals
♣ Investigate complaints
♣ Protect professional titles
Responsibilities of a professional college
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
College Functions under HPA
CNA stands for…
Canadian Nursing Association - Code of Ethics
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.
CNA Purpose
What does CNA NOT do?
o Provide rules for every circumstance
o Offer guidance about which values take priority
o Replace law
7 Primary Values
- ) Promoting health and well-being
- ) Providing safe, compassionate, competent, ethical care
- ) Maintaining privacy and confidentiality
- ) Promoting and respecting informed decision-making
- ) Preserving dignity
- ) Promoting Justice
- ) Being Accountable
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
Promoting Justice
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
Maintaining privacy and confidentiality
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
Providing safe, compassionate, competent, ethical care
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
Promoting health and well-being
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
Preserving Dignity
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
Being Accountable
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
Promoting and respecting informed decision-making
o Provincial/territorial laws regulating health care agencies
o Professional and specialty nursing organizations
o Written policies and procedures
Standard of Care
Legal Liability Issues in Nursing Practice (3)
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)
Examples of Intentional tort (4)
♣ 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
♣ 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
Right to Privacy
♣ Applies to public bodies
♣ A public body must limit the disclosure of your personal information to that which is necessary and reasonable
FOIP - Freedom of Information and Protection of Privacy Act
♣ 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
HIA – Health Information Act
♣ 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
PIPA - Personal Information Protection Act
♣ You may ask the ________ to investigate a complaint that personal/health information has been collected, used or disclosed in contravention of FOIPP/HIA/PIPA
OIPC - Office of the Information and Privacy Commissioner
Healthcare providers have a duty to disclose knowledge of (3)
♣ Communicable or sexually transmitted diseases
♣ Suspected child abuse
♣ Intent to harm or kill another person – if a patient poses a threat to others
How to maintain confidentiality (3)
♣ 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
Nurses are obligated to advocate for patients… (3)
o Who are not fully informed
o Who require more time to reflect on alternatives
o When their wishes have not been respected
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.
Informed Consent
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
Values Clarification
