CNOR Domain 7: Professional Accountability Flashcards
What is the name for a document that indicates the wishes related to healthcare and designates someone to make decisions for a patient unable to do so?
Advance directive
(B&K, p. 37)
What is the definition of being legally responsible for personal actions?
Liability
(B&K, p. 37)
What is the name of the action for determining the reason for a failed process that did/could result in patient harm?
Root cause analysis
(B&K, p. 37)
What is defined as an unexpected event that involves a risk for or the occurrence of death or serious physical or psychologic injury?
Sentinel event
(B&K, p. 41)
What is an informed consent?
A process that includes a verbal explanation of the intended procedure, risks, benefits, and alternatives provided at the patient’s level of understanding.
(B&K, p. 44)
What is the name of the nationwide standardized system for reporting to the FDA any medical device suspected of causing a patient’s death?
MedWatch
(B&K, p. 50)
What does nonmaleficence mean?
Duty to do no harm
(B&K, p. 51)
What is defined as documented validation of an individual’s professional achievement of knowledge and skill in identified standards?
Certification
(B&K, 56)
_________ requires compassion for all humans as deserving of dignity and respect.
Ethical nursing practice
(ANA Code of Ethics, Provision 1.1)
What is a nurse’s conflict of commitment?
The focus of the nurse’s time and attention is not on the recipients of care.
(ANA Code of Ethics, Provision 2.2)
What is a nurse’s conflict of interest?
When the nurse’s personal interest interferes with the nurse’s professional responsibilities or patient’s interests.
(ANA Code of Ethics, Provision 2.2)
What is defined as the nondisclosure of personal information that has been communicated within the nurse-patient relationship?
Confidentiality
(ANA Code of Ethics, Provision 3.1)
Professional growth requires a commitment to
lifelong learning.
(ANA Code of Ethics, Provision 5.5)
How can nurses support a peer suffering from an addiction that has led to impaired practice?
Support through remediation, recovery, and restoration to nursing practice, when possible.
(ANA Code of Ethics, Provision 3.5)
What law prevents an emergency department from refusing to treat a patient, if the facility receives Medicare funding?
Emergency Medical Treatment and Labor Act (EMTALA)
(cms.gov)
In your role as a perioperative nurse, what is it called when actively support another person or patient?
Advocacy
(B&K, p. 16)
What is a competency statement?
Document based on empirical data that define expected and measurable clinical activities.
(B&K, p. 16)
What is a document or concept based on empirical data that guides clinical activities called?
Guideline
(B&K, p. 16)
What is the surgical ‘golden rule’?
Do unto the patient as you would have others do unto you.
(B&K, p. 16)
In perioperative practice, what is it called when you do the right thing even if no one is watching?
Surgical conscience
(B&K, p. 16)
Hospital policies and procedures should be established based on what information?
Policies and procedures should be based on standards, recommended practices, and guidelines developed by professional organizations and predicated on scientific research and evidence-based practice.
(B&K, p. 17)
What organization evaluates compliance with these standards and reviews clinical outcomes of care provided as fundamental criteria for accreditation?
The Joint Commission
(B&K, p. 18; www.jointcommission.org)
Retained surgical items, wrong site, or wrong patient surgery is considered a ______
Never event by the Centers for Medicare & Medicaid Services (CMS)
(cms.gov)
What organization is responsible for overseeing safe use of lasers?
American National Standards Institute (ANSI)
(B&K, p. 20)