Ethical & Legal Flashcards
What does the code of ethics guide
decision making
professionalism
collaboration
protect pt rights
reflection and growth
reference for complaints and legal proceedings
autonomy (principle)
pt has a right to make their own choices
beneficence
doing right & being compassionate
“doing for”
fidelity
loyal to all actions
accountability
responsible for all actions
justice
equal healthcare for everyone
non-maleficence
do no harm (including unintentionally)
veracity
be truthful
altruism
selflessness
human dignity
everyone has intrinsic value and should be respected
integrity
honesty and standing ground in what you believe strongly in
autonomy (value)
self-determination
social justice/distributive justice
basic right to healthcare and well being for everyone
morality
sense of right or wrong
how are personal and professional values expressed
behaviors and morphed with social systems
what defines an ethical dilemma
ethic vs personal values conflict
no clear right or wrong
available alternatives won’t solve the issues
what is the emergency medical treatment and labor act (EMTALA)
access to healthcare regardless of financial status and insurance
what are the 3 requirements for the EMTALA
require medical screening evaluation
have to stabilize pt or transfer to a facility that can
sign off transfer outweigh risks of transfer unstable pt
informed consent
permission from the pt to continue after knowing the possible consequences
implied consent
implied permission by acting
i.e. giving meds, IV, urinary catheter
good samaritan laws
protection from claims of negligence for those provide care without expecting payment
just culture
shared accountability and mindfulness
what defines client abandonment
leaving a pt without ensuring another nurse is taking over
no change of shift report
what are the 5 rights of delegation
- person
- task: scope of practice
- communcation: timeframe, goals, report back
- circumstance: unstable vs. stable
- supervision: evaluation by RN/LPN
what type of pts would be considered unstable and UAC can’t be delegated task to
- new pt
- sudden change in status
- first time doing
- returning to floor after procedure
never delegate what : U EAT
U: unstable
E: evaluation
A: assessment
T: teaching (initial)
name 3 things only the RN can do
- IV push
- blood transfusion/blood related
- central line drugs: chemo, TPN
tort
private wrong doing subject to civil lawsuit
unintentional vs. intentional tort
- unintentional: negligence
- intentional: assault & battery, defamation, fraud, invasion of privacy (HIPPA), false imprisonment
how to resolve ethical dilemmas
- validate feelings
- case analysis
- identify outcomes - know consequences
- short/long term goals
- clarify responsibilities
- follow through after decision is made
- resolve rxns & evaluate impact
