Class 5 Professional Liability Flashcards

1
Q

Standards of Nursing Practice
guidelines for what?

aka?

determines what 2 things?

A

Provides guidelines for nursing practice; also referred to as Standards of Care, the Nursing Process

Determine whether a nurse has acted in a “reasonably prudent” manner

Determines whether the nurse has acted the same as another nurse in a similar setting with the same credentials would have acted

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2
Q

Standards of Nursing Practice aka?

A

Provides guidelines for nursing practice; also referred to as Standards of Care, the Nursing Process

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3
Q

Standards of Nursing Practice determines what 2 things?

A

Determine whether a nurse has acted in a “reasonably prudent” manner

Determines whether the nurse has acted the same as another nurse in a similar setting with the same credentials would have acted

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4
Q

who oversees Nurse Practice Acts?

A

State Boards of Nursing oversee Nurse Practice Acts:

Regulate scope of nursing practice

Protect public health, safety and welfare

Shields public from unqualified and unsafe nurses

Establish minimum education, required certifications, and practice guidelines for advanced practice nursing

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5
Q

State Boards of Nursing oversee Nurse Practice Acts
what 4 things do they do?

SEDAN LSS

ssee

A

State Boards of Nursing oversee Nurse Practice Acts:

Regulate scope of nursing practice

Protect public health, safety and welfare

Shields public from unqualified and unsafe nurses

Establish minimum education, required certifications, and practice guidelines for advanced practice nursing

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6
Q

Public Health Code

In Michigan what do they do?

what 4 legal boundaries do we need to know

A

In Michigan, defines the legal boundaries of Nursing Practice

Standard of Practice for a Student
Safe and prudent care
Based on standards of Professional Nursing Practice
Same as a professional nurse

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7
Q

Student Liability

Who is Liable for Your Actions as a Student?

A
Who is Liable for Your Actions as a Student?
You
Your instructor
MCC Nursing Program
Institution where you are practicing

Students are Not Employees: Implications
No workers comp
No health care coverage
No disability
Need to carry your own health and liability insurance

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8
Q

Student Liability

Students are Not Employees: Implications?

A

Students are Not Employees: Implications
No workers comp
No health care coverage
No disability
Need to carry your own health and liability insurance

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9
Q

Federal Statutes and Nursing Practice

what does HIPAA stand for?

what does ADA stand for?

what does EMTALA stand for?

Name of Gift Act?

what does OSHA stand for?

A

Health Insurance Portability and Accountability Act (HIPAA)

Americans with Disabilities Act (ADA)

Emergency Medical Treatments Active Labor Act (EMTALA)
Patient Self Determination- Advanced Directives- Living Wills
Durable Power of Attorney for Health Care (DPAHC)

Uniform Anatomical Gift Act

Occupational Safety and Health Act (OSHA)

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10
Q

Federal Statutes and Nursing Practice

What does HIPAA stand for ?
What year was HIPAA established?
What 5 things does HIPAA do?

A

HIPAA (1996) Health Insurance Portability and Accountability Act

Protects privacy of personal health info
Establishes guidelines for sharing info regarding patient
Limits access to patient charts
Confidentiality
Allows patient to receive a copy
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11
Q

Federal Statutes and Nursing Practice

HIPAA what are the 2 main reasons for?

A

Confidentiality and Privacy

Privacy—the right to keep personal info from being disclosed

Confidentiality—protects private info once it has been disclosed in health care settings

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12
Q

Federal Statutes and Nursing Practice

What does EMTALA stand for?
what year established?
what 3 does it say?

A

Emergency Medical Treatments and Active Labor Act
( EMTALA 1986)

A hospital must perform a medical screening exam to any person coming to the ED seeking care.

A patient must be stabilized prior to transfer to another facility. (“dumping” patients)
A hospital may not transfer an unstable patient.

Patient can be transferred by their own request.

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13
Q

Federal Statutes and Nursing Practice

name of act for Advanced Directives?
year established?
what 4 things we need to know this Act does?

A

Patient Self Determination Act 1991 (Advanced Directives)

Based on values of informed consent, patient autonomy over end-of-life decisions, truth telling and control over the dying process.

Health care facilities must provide written info to patients concerning their rights to make healthcare decisions including the right to refuse treatment and develop an advanced directive.

The patient’s medical record needs to have documented whether or not the patient has signed an advanced directive.

Living wills or durable powers of attorney for health care are enforceable.
The patient must be legally competent.

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14
Q

Federal Statutes and Nursing Practice

Patient Self Determination Act 1991 (Advanced Directives)

what 3 legal documents used?

A

Living will: Written document that directs treatment according to the patient wishes in the event of a terminal illness or condition. (Specific procedures)

Durable power of attorney: A legal document that designates a person or persons chosen by the patient to make health care decisions when no longer able to make decisions.

DNR-Do not resuscitate. Pt and family wishes to honor the patient’s wish to die with dignity.

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15
Q

Federal Statutes and Nursing Practice

Patient Self Determination Act 1991 (Advanced Directives)

what is a living will?

A

Living will:
Written document that directs treatment according to the patient wishes in the event of a terminal illness or condition. (Specific procedures)

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16
Q

Federal Statutes and Nursing Practice

Patient Self Determination Act 1991 (Advanced Directives)

what is durable power of attorney?

A

Durable power of attorney:
A legal document that designates a person or persons chosen by the patient to make health care decisions when no longer able to make decisions.

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17
Q

Federal Statutes and Nursing Practice

Patient Self Determination Act 1991 (Advanced Directives)

what is DNR? What does DNR stand for?

A

DNR-Do not resuscitate.

Pt and family wishes to honor the patient’s wish to die with dignity.

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18
Q

Federal Statutes and Nursing Practice

what does ADA stand for?
what year ADA established?

A

Americans with Disabilities Act (1990)

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19
Q

Federal Statutes and Nursing Practice

Americans with Disabilities Act (1990) - ADA

what 3 things do we need to know they do?

A

Protects the rights of individuals with physical or mental impairment

Prohibits discrimination

Disclosure by patients is not mandatory

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20
Q

Federal Statutes and Nursing Practice

Uniform Anatomical Gift Act year established?

What 4 things we need to know they do?

A

Uniform Anatomical Gift Act (2006)

Anyone over 18 y/o can consent to be organ donor
Donation must be in writing with signature
Required request laws
Know agency’s policy

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21
Q

Federal Statutes and Nursing Practice

What does OSHA stand for?
what year established?

A

OSHA (1970)

Occupational Safety and Health Administration

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22
Q

Federal Statutes and Nursing Practice

what does OSHA stand for?
what 4 things do we need to know they do?

A

OSHA (1970)
Occupational Safety and Health Administration

Provides guidelines for safety in the employment setting

Sets and enforces standards to protect employees

Provides training, outreach, education and assistance

Annual Blood Borne Pathogens Training

23
Q

Criminal Laws

Criminal Acts are considered offenses against whom?

A

Criminal Acts are considered offenses against the state

Felony: A serious act punishable by death or greater than one year imprisonment
Murder, failure to report child abuse, fraud in business records, patient abuse and neglect, stealing, selling or using illegal drugs
Violation of a State Practice Act
Violation of Narcotic Laws

Misdemeanor: less than a year in jail
Assault, battery, theft, crimes against others

24
Q

Criminal Laws

2 examples of criminal acts

A

Criminal Acts are considered offenses against the state

Felony: A serious act punishable by death or greater than one year imprisonment
Murder, failure to report child abuse, fraud in business records, patient abuse and neglect, stealing, selling or using illegal drugs
Violation of a State Practice Act
Violation of Narcotic Laws

Misdemeanor: less than a year in jail
Assault, battery, theft, crimes against others

25
Criminal Laws what is a felony? examples? Violation of what Act? Violation of what Law?
Felony: A serious act punishable by death or greater than one year imprisonment Murder, failure to report child abuse, fraud in business records, patient abuse and neglect, stealing, selling or using illegal drugs Violation of a State Practice Act Violation of Narcotic Laws
26
Criminal Laws Misdemeanor potential jail time? examples of a misdemeanor?
Misdemeanor: less than a year in jail | Assault, battery, theft, crimes against others
27
Civil Laws-Contracts 3 examples
Written agreement or contract Breach of contract Nursing malpractice and employment actions, involve civil laws
28
Civil Laws-Tort Laws name 3 torts
Intentional Torts Quasi-intentional Torts Unintentional Torts
29
Civil Laws-Tort Laws | what are 3 Intentional Torts?
Assault Threat-- threaten, restrain, inject, withhold food, threaten to harm Battery Harmful or offensive physical touching without consent Ask permission and document General permission in hospital consent forms False Imprisonment Without legal authorization to hold Physical or chemical unless danger to self or others Against medical advice (AMA)
30
Civil Laws-Tort Laws Intentional Torts what does assault mean?
Assault | Threat-- threaten, restrain, inject, withhold food, threaten to harm
31
Civil Laws-Tort Laws Intentional Torts what does battery mean?
Battery Harmful or offensive physical touching without consent Ask permission and document General permission in hospital consent forms
32
Civil Laws-Tort Laws Intentional Torts what does false imprisonment mean?
False Imprisonment Without legal authorization to hold Physical or chemical unless danger to self or others Against medical advice (AMA)
33
Civil Laws-Tort Laws | what 2 Quasi-intentional Torts?
Defamation of character | Invasion of Privacy
34
Civil Laws-Tort Laws Quasi-intentional Torts what is Defamation of character? what are the 2 forms of defamation?
Defamation of character Must be false Must be made to another person(s) Caused negative impact on reputation Was made as a statement of fact rather than opinion Libel (written) Slander (spoken)
35
Civil Laws-Tort Laws Quasi-intentional Torts what does invasion of privacy include?
``` Invasion of Privacy Includes Confidentiality of information Protection from publishing hospitalization No photos without written consent No release of record without consent ```
36
Civil Laws-Tort Laws | name 2 UNintentional Torts
Negligence The failure to act as a reasonably prudent (careful) person would have acted in a specific situation. (hang the wrong IV) Malpractice: Professional negligence Criteria: Nursing care falls below a standard of care. The nurse owed a duty to the patient. The nurse did not carry out that duty The patient was injured Only applies to professionals: Physicians, nurses, dentists Professional standard of care
37
Civil Laws-Tort Laws UNintentional Torts what is negligence?
Negligence The failure to act as a reasonably prudent (careful) person would have acted in a specific situation. (hang the wrong IV)
38
Civil Laws-Tort Laws UNintentional Torts Malpractice: 4 Professional negligence Criteria? who does it apply to?
Malpractice: Professional negligence Criteria: Nursing care falls below a standard of care. The nurse owed a duty to the patient. The nurse did not carry out that duty The patient was injured Only applies to professionals: Physicians, nurses, dentists Professional standard of care
39
Good Samaritan Act | what year established?
Good Samaritan Act (1997)
40
Good Samaritan Act (1997) what 3 things we need to know?
Encourages health care professionals to respond in an emergency (Stop at the scene of an accident) Provides immunity from liability if complications occur from actions designed to help save a life If you perform a procedure for which you aren’t trained, you are liable for injury If you leave a patient without “handing off” to a capable person you can be liable for patient abandonment
41
Malpractice litigation what 4 things we fail to do that may cause malpractice litigation?
Malpractice litigation Failure to follow standards of care Failure to assess and diagnose Failure to communicate Failure to document
42
what 8 things should you follow to not Be Named in a Lawsuit
Don’t Be Named in a Lawsuit Know and follow Standards of Professional Practice and Standards of Professional Performance Theory, knowledge, skills practice, application to the clinical area ``` Provide competent care Empathy with patients Complete and objective documentation Maintain confidentiality Follow policy and Procedure Safe equipment Honesty ```
43
Informed Consent | definition
Full disclosure of risks and alternatives available
44
Informed Consent | requirements?
Full disclosure of risks and alternatives available Information on surgical/medical procedures is provided by the physician. (Risks/benefits) Patient is competent Patient > 18 years old Patient understands and has no further questions. RN witnesses patient’s signature of consent. RN signature indicates witness of signature and above criteria. As a student, report questions to the RN or physician. Medical translator needed for consents. Exception: Emergency department (To save life)
45
Informed Consent | exception?
Exception: Emergency department (To save life)
46
Mandatory reporting | what 4 things are you required to report?
Impaired professionals Abuse or neglect (CPS for children) Communicable diseases Unauthorized practice
47
Professional liability insurance | insert question here
Pros and cons Covered under student college policy for student experiences Covered as an employee under employer liability insurance If self employed Occurrence based Claims made (during policy period only)
48
Communication TLO 1.6 | 6 body systems
``` Musculoskeletal Urinary Reproductive Skin / sense organs Endocrine Lymphatic ```
49
Communication TLO 1.6 | Urinary
organs that produce and send urine out of the body. kidneys ureters bladder urethra
50
Communication TLO 1.6 Reproductive male female
male organs that produce sperm cells and male hormones female organs (ovaries) that produce and transport (fallopian tubes) eggs cells and secrete female hormones (estrogen and progesterone) includes uterus, where the embryo and fetus grow
51
Communication TLO 1.6 | Skin / sense organs
skin: outer covering that protects the body sense organs: parts of the body that receive messages from the environment and relay them to the brain so that we see, hear, and feel sensations. examples: eye ear skin
52
Communication TLO 1.6 | Endocrine
endocrine glands | organs that produce (secrete) hormones; examples are thyroid, pituitary, and adrenal glands
53
Communication TLO 1.6 | Lymphatic
``` group of organs composed of lymphatic tissue that produce lymphocytes to defend the body against foreign organisms lymph vessels lymph nodes spleen thymus ```
54
Communication TLO 1.6 | Musculoskeletal
``` organs that support the body and allow it to move, including: muscles bones joints connective tissues ```