Ethical and Legal Considerations Flashcards by Bianca Helfrich

What is ethics

Study of CONDUCT and CHARACTER

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What is ethics influenced by

Values, societal norms, and practices

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What is morals

VALUES and BELIEFS that GUIDE begavior and DECISION making

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Are morals always changing

Yes in time and situational

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What are the four ethical principles

Ethical THERORIES, FRAMEWORK, GUIDE decisions, COMMUNICATION

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What is beneficence

Doing GOOD, focusing on the PT’s NEEDS even if that is DIFFERENT than what you want, ACTION YOU DO

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What is an example of beneficence

Emotional care, stoping smoking

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What is nonmaleficence

DO NO HARM, WEIGH the benefits and risks, ACTION YOU AVOID

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What is an example of nonmaleficence

BP meds, fall precautions, side effects

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What is justice

Act FAIRLY and equitably

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What is accountability

Willing to accept RESPONSIVILTY for ACTIONS

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What is the advocacy

Support the interests of OTHER greater than ourselves

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What is confidentiality

Limit sharing PRIVATE INFO

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What is fidelity

Keeping PROMISES

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What is responsibilty

DEPENDABLE and reliable

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What is veracity

ACCURACT FACTS

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What is autonomy

All by myself

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What are the pts rights

PRIVACY, good CARE, INFORMED, NAMES of caretakers, CONSENT or REFUSE, ADVANCED DIRECTIVE, obtain their own MEDICAL RECORDS

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What are the three types of tort

Uniintentional, quasi-intentional, intentional

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What are the two unintentional torts

Nefligence, and malpractice

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What is an example of negligence

No bed alarm

What is an example of malpractice

Wrong surgery

What are the two quasi-intentional torts

Breach of CONFIDENTIALITY, DEFAMIATION of character

What is an example of breach of confidentiality

Talking in the elevator

What is an example of defamation of characer

Doc has addiciton or affair

What are the three intentional torts

Assault, battery, false imprisonment

What is assault

Make another FEEL scared

What is battery

Physical contact, BAT

What is false imprisonment

CONFINED or RESTRAINED against their will

What is informed consent

WRITTEN permission for a procedure or treatment

When is consent informed

Providers EXPLAIN, and the pt UNDERSTANDS

What are the things the patient needs to understand for informed consent

REASON, HOW, BENEFIT, RISKS, OPTIONS

What is the RN responsibility with informed consent

Pt got GOOD INFO, they UNDERSTAND, not COERCED, WITNESSED

Who can grant consent for another person

Parent of a minor, legal guardian, court, durable power of attorney authority, emancipated

What is the purpose of advanced directives

Communicate the pt's wishes regarding end-of-life care

What is the patient self-determination act (PSDA)

Asking ALL pts on ADMISSION if they have an advance directive

What to do if a pt does not have an advance directive

Give a WRITTEN form of their RIGHTS and how to make an advanced directive, a person will ALWAYS be able to HELP

What is the RNs responsivilities with advance directives

Give WRITTEN MATERIAL about it, DOCUMENT, CURRENT, inform ALL MEMBERS of the pt's status

What does the living will do

Express the pt's WISHES about END of life measure, does NOT APPOINT someone. PROTECT WORKERS from following the living will

What is a durable power of attorney

A person who can make DECISIONS for them if they are NOT ABLE to. COMPENT ADULT

Tell me about providers orders

If the doc has not put in a DNR or AND then the nurse does CPR, find this out BEFOREHAND

What are the two major roles as a nurse in end of life care

Provide accurate INFORMATION about the disease process and offer SUPPORT to the pt or family without our own opinions

What is futaile care

No amount of care will make the person get better

What does the nurse need to know about organ donations

Aware of organ donation institional and state policies

Is your drivers licence a legal document of organ donation

Who is an impaired coworker

The worker poses a sinificant RISK to PT SAFETY

What is your duty for impaired coworkers

Report the coworker

What is moral distress with nursing

Having to deal with what is RIGHT or WRONG

What are some examples of nursing moral distress

Unsafe ratios, poor communication, cost reductions

What are the four A's to moral distress

Ask- are you feeling sidtressed? Affirm- validate your feelings Assess- What is the cause Act- make a change

What does the ethics committee do

RECOURCES, POLICIES, REVEIW cases, set VALUES, determin CONFLICTS, provide UNBIASED input, LEGAL issues

What are some progessional boundary violations

Excessive self-DISCLOSURE, keeping SECRETS, spending excessive TIME, acting as if a pt is a FAMILY member