Chapter 2: Coordinating client care Flashcards
What are client rights?
Legal guarantees that clients have with regard to their health care.
Residents in nursing facilities retain resident’s right
Who is rescissible for protecting client rights?
When should they intervene?
Nurses are accountable for protecting the rights of clients.
Informed consent
Refusal of treatment
Advance directives
Confidentiality
Information security
What is the Patient Self-Determination Act (PSDA)?
states that on admission to a healthcare facility, all clients must be informed of their right to accept or refuse care
What is advocacy?
Nurses role in supporting client by ensuring that they are properly informed, that their rights are respected, and that they are receiving the proper level of care
A legal process by which a client has given written permission for a procedure or treatment to be performed is known as?
Informed Consent
When is a consent considered to be informed?
When a client is provided an understands
1.Reason for treatment
2. How the treatment or procedure will benefit the client
3. Risk involved if the client choose to receive the treatment or procedure
4. Other options to treat the problem, include the option of not treating the problem
5. Risk involved if the client choose not treatment
Informed consent is the responsibility of?
the provider
In order to give an informed consent the client must?
-give it voluntarily
-be competent and legal age (18+) or emancipated minor. (if the client is unable to provide consent an authorized person may)
-Receive sufficient information to make decision based on an informed understanding of what is expected
Who witnesses a informed consent?
the nurse
What are advance directives?
communicate a client’s wishes regarding EOL care should the client be unable to do so.
What act requires that all client’s admitted to a health care facility be asked if they have advance directives
PSDA
A client states that they are DNR but do not have a written prescription present. Later that night they code but the nurse remembers that the client stated their DNR. What should the nurse do next?
Initiate CPR when the client has no pulse or respirations
What is the nursing role in advance directives?
- Providing written information regarding advance directives.
- Documenting the client’s advance directives status
- Ensuring that advance directives are current and reflective of the client’s current decisions
4.Recognizing that the client’s choice takes priority when there is a conflict between the client and family, or between the client and the provider - Informing all members of the health care team of the client’s advance directives
HIPAA give client’s the right to?
privacy and confidentiality related to healthcare.
right to obtain a copy of their medical record
requires healthcare and insurance to provide written info about how medical info was used and shared
You are a nurse and have some downtime on your shift. You decide to pull up your mychart and read through it. What is wrong with this?
You are not allowed to pull up your own records
The Privacy Rule of HIPAA requires that nurses protect?
all written and verbal communication about clients
Components of the Privacy Rule
Only healthcare team members directly responsible for the client’s care are allowed to access to the client’s records
Clients have a right to read and obtain a copy of their medical records and a agency policy should be followed
No part of the client record can be copied expect for authorized
exchange of documents between healthcare institutions
-transfer from a hospital to a extended care
-exchange of documents for a consult
What are the benefits of social media?
Provides a mechanism for nurses to access current information about health care
Enhances communication among nurses, colleagues, family
What is continuity of care
refers to the consistency of care provided as clients move through the health care system
-achievement of positive client outcomes
What is Lewin’s Change Theory
promotes planned change
What are the 3 stages of Lewin’s Change Theory?
Unfreezing: needed for change is identified or created
Change/Movement: Strategies (driving forces) that overcome resistance to change (restraining force) are identified and implemented
Refreezing: Change is integrated and the system is re-stabilized
5 stages of change model for individual change
Precontemplation: no intent to change is present or has been considered
Contemplation: individual considers adopting a change
Preparation: individual tends to implement the change in the near future
Action: individual implements the change
Maintenance: individual continues nee behavior without relapse
What is case management?
coordination of care provided by an interprofessional team from the time a clients starts receiving care until they no longer receive services
When dealing with client transfers what communication hand off tool is used?
SBAR
