BN 7-9 Flashcards
written documents to state personal wishes regarding future health care
advance directives
Parents cannot give informed consent for medical care of a child but can give ___ instead
authorized consent
Patient’s clinical condition is predictable. Medical and nursing orders are not changing continuously. No complex modifications of nursing care are needed
basic patient situation
Causing acute physical harm to someone
battery
Involves the relationships between individuals and the violation of those rights
Civil Action
Judge-made law, which has its origins in the courts
Common law
Patient’s clinical condition is not predictable. Medical and nursing orders are likely to involve continuous changes or complex modifications
Complex nursing situation
Involves persons and society as a whole, for example, murder
criminal action
One of the four elements needed to prove negligence. Patient must be able to show the nurse’s negligent act injured the patient in some way
damages
Physicians orders given to an RN or LPN by a physician, dentist, or podiatrist
Delegated medical act
Gathering information under oath. One of the steps in bringing legal action
depositions
Supervisor is continuously present to coordinate, direct, or inspect nursing care. Supervisor is in the building.
Direct supervision
One of the four elements needed to prove negligence. Refers to nurse’s responsibility to provide care in an acceptable way. As used in the test, responsibilities directly related to nursing licensure and scope of practice. Usually not delegated to someone with less education and nursing skill.
Duty
Support core principles for end of life care
end of life principles
Physician or other person administering lethal dose of medication to end life; illegal in the united states and Canada
Euthanasia
Serious offense, with a penalty that ranges from 1 year in prison to death
felony
By entering a health facility voluntarily, a patient gives permission for treatment with noninvasive procedures. However, a patient may revoke this consent verbally and refuse to be treated
General consent
Supervisor regularly coordinates, directs, or inspects nursing care and is within reach either in the building or by phone
general supervision
Stipulates that a person who provides emergency care at the scene of an accident is immune from civil liability for actions done in good faith. There is some variation of the law within states
Good Samaritan act
Federal law commonly called the privacy act
Health insurance portability and accountability act (HIPAA)
Intent to do a wrongful act
intentional tort
Agreement among states that licensed nurses do not have to repeat the NCLEX examination if they meet criteria for working in that state
Interstate endorsement
legislation in some states that renders a nursing license obtained in that state valid for practice in other states multistate legislation. Each state’s individual regulations must still be followed
Multistate licensure
Guideline for good nursing care. Standards are based on what an ordinary, prudent nurse with similar education and nursing experience would do in a similar situation
Nursing standard of care
Allows terminally ill Oregonian’s to end their lives through voluntary self-administration of lethal medication
Oregon death with dignity act
Relates to ability to understand and make decisions. Has both legal and clinicals meaning.
Patient competency
Basis for advanced directives. Federal law mandates that medicare and medicaid patients must be told of their right to formulate advance directives
Patient self determination act (PSDA)
Holds person (nurse) responsible for own actions
personal liability
Name tagged onto “oregon death with dignity law”. Physician writes prescription for medication to end life but does not administer it. Patient self administers lethal medication
Physician assisted suicide
Evidence that is beyond a reasonable doubt
preponderance
One of four elements needed to prove negligence. Refers to reasonable cause and effect relationship between omission and commission of nursing act and harm to patient
Proximate cause
by verbalizing untrue or private information (gossip) to a third party
slander
law developed by the legislative branch of state and federal governments
statutory law
Nurse did not intend to injure patient. Negligence and malpractice are examples
unintentional tort
Responsible for actions of another because of a special relationship with the other person
vicarious liability
Basic self-care tasks that an individual performs on a daily basis
Activities of daily living (ADL)
Nursing care that can be performed safely by the LPN based on knowledge and skills gained during the educational program
basic nursing care
The patient’s clinical condition is predictable. Medical and nursing orders are not changing continuously
Basic patient situation
The patient’s clinical condition is not predictable. Medical orders or nursing interventions are likely to involve continuous changes or complex modifications
complex nursing situation
Physicians’s order is given to a registered nurse, LPN, etc
delegated medical act
the nurse directs another person to perform nursing tasks and activities while the licensed person retains accountability and responsibility for the service provided.
delegation (nursing)
The supervisor is continuously present to coordinate, direct, or inspect nursing care
direct supervision
Supervisor regularly coordinates, directs, or inspects nursing care and is within reach either in the building or by telephone
general supervision
Is defamation through written communication or pictures
Libel
means damage to someone’s reputation through false communication or communication without their permission
defamation
If you give the wrong medication this situation is referred to as
commission
If you forget to give a medication this situation is referred to as
omission
What are the 4 elements needed to prove negligence?
#1 Duty #2 Breach of Duty #3 Damages #4 Proximate cause
What is the best defense for prevention of legal liability?
Developing a rapport with the patient
What does SBAR stand for?
Situation, Background, Assessment, Recommendation
