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NCM 118 > Ethico-Moral Legal Obligations > Flashcards

Ethico-Moral Legal Obligations Flashcards

1
Q

4 reasons for high instances of medical errors in the ICU

A
  1. Patients are very sick and need constant monitoring
  2. Complex cases
  3. Several consultants
  4. Life-and-death situations need to be made quickly
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2
Q

4 general domains for improvement of a patient safety program

A
  1. Ensuring compliance with patient safety regulations
  2. Responding to adverse events by performing root cause analyses
  3. Applying evidence-based risk reduction strategies
  4. Implementing strategies to meet and exceed patient safety metrics
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3
Q

Uses of 2 patient identifiers

A
  1. medications and blood products
  2. specimen collection
  3. imaging tests
  4. any type of treatment
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4
Q

NPSG

A

National Patient Safety Goals

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5
Q

Important patient safety issues (3)

A
  1. Proper patient safety goals
  2. Timely response
  3. Use of clinical alarms
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6
Q

A0 2020-0007

A

National Policy on Safety in All Health Facilities and No Blame Culture

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7
Q

AO 2008-023

A

Patient Safety Program

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8
Q

Major focus of an adverse event is system failure

A

Just Culture Concept

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9
Q

A well-established approach to preventing errors in critical errors

A

Team training

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10
Q

Components of good team training (3)

A
  1. Strong leadership
  2. Clear communication
  3. Ad hoc huddles
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11
Q

Ideal tool for ICU for teaching procedures or fostering teamwork

A

Simulation

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12
Q

Most important part of simulation

A

Debriefing

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13
Q

Use of financial incentives to reward hospitals that perform well on pre-established safety and quality measures

A

Pay-for-performance

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14
Q

A publicly displayed _________________ shows the hospital’s strengths and weaknesses

A

Report card

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15
Q

8 key elements of the Patient Safety Program

A
  1. Leadership and Governance
  2. Organizational Development
  3. Risk Management
  4. Teamwork and Communication
  5. Human Resource Development
  6. Documentation and Reporting
  7. Health Worker Safety
  8. Patient-Centered Care and Empowerment
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16
Q

4 proactive risk strategies

A
  1. Patient risk assessment
  2. Patient feedback survey
  3. Health technology assessment
  4. Use of safety checklist
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17
Q

Developed by the DOH and Health Facility Development Bureau

A

Safety checklists

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18
Q

Annual World Patient Safety Day

A

September 17

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19
Q

2 recent alerts provided by the American Association of Critical-Care Nurses

A
  1. Implement ABCDE bundle

2. Alarm practice management

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20
Q

3 unintended consequences being prevented by the ABCDE bundle

A
  1. Delirium
  2. Prolonged Mechanical Ventilation
  3. Excessive muscular deterioration
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21
Q

The interdependent components of the ABCDE bundle are designed to: (3)

A
  1. Improve collaboration among HCPs
  2. Standardize care processes
  3. Break the cycle of suboptimal sedation practices
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22
Q

ABCDE:

ABC component meaning

A

Awakening and Breathing Trial Coordination

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23
Q

ABCDE:

D component meaning

A

Delirium

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24
Q

ABCDE:

often goes undetected and untreated leading to negative long-term consequences

A

Delirium

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25
Q

ABCDE:

E component meaning

A

Early Exercise and Progressive Mobility

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26
Q

ABCDE:

Another term for daily Spontaneous Awakening Trials

A

Sedation vacation

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27
Q

The desensitization to alarms caused by sensory overload

A

Alarm fatigue

28
Q

Describes what is expected in terms of right and correct and wrong

A

Ethics

29
Q

ETHICS:

2 schools of though

A

Deontology

Utilitarianism

30
Q

Ethics:

Both the means and the end goal are ethical

A

Deontology

31
Q

Ethics:

End goal justifies the means

A

Utilitarianism

32
Q

7 ethical principles

A 
Justice
Beneficence
Nonmaleficence
Accountability
Fidelity
Autonomy
Veracity
33
Q

Fairness

A

Justice

34
Q

Doing good and the right thing

A

Beneficence

35
Q

Doing no harm

A

Nonmaleficence

36
Q

Accepting responsibility for one’s own actions

A

Accountability

37
Q

Keeping one’s promises and responsibilities

A

Fidelity

38
Q

When the nurse accepts the client as a unique person

A

Autonomy

39
Q

Telling the whole truth

A

Veracity

40
Q

2 most commonly occuring ethical issues and concerns in health care

A

Allocation of scarce resources

End of life issues

41
Q

Addresses ethical concerns of advancing sciences and technology

A

Bioethics

42
Q

Critical care nurse functions in accordance with common law, ordinance, and regulation

A

Legal Responsibilities

43
Q

RA 9173

A

Philippine Nursing Law of 2002

44
Q

Critical care nurse complies with the code of professional conduct, ethical principles, and accept accountability.

A

Ethico-Moral Responsibilities

45
Q

Duty of the nurse accdg to RA 9173 (5)

A
  1. Provide nursing care
  2. Establish linkages with community resources
  3. Provide health education
  4. Teach, guide, and supervise nursing students
  5. Undertake nursing and health human resource development, training, and research
46
Q

Written instruction made by a person before they become incapable of making decisions

A

Advanced directive

47
Q

> Unepisodic and unanticipated
Life-threatening
Possible disability
Needs immediate medical intervention

A

Emergency

48
Q

Measures taken by an HCP to determine, restore, or maintain patient status

A

Health Care

49
Q

Devoted primarily to the maintenance and operation of facilities for the care of individuals in need of medical/nursing care

A

Health Care Institution

50
Q

Any licensed individual trained in health care which includes supporting staff

A

Health Care Practitioner/Personnel

51
Q

Any licensed entity that arranges health care coverages for a fixed prepaid premium

A

Health Care Organization

52
Q

Departure from standard medical practice to obtain new knowledge

A

Human Experimentation

53
Q

A patient with no visible means of income or income that is not sufficient for subsistence for his family

A

Indigent patient

54
Q

Voluntary agreement of a person to undergo or be subjected to a procedure or other bodily interventions

A

Informed consent

55
Q

Means of communication that reaches and influences large numbers of people

A

Media Practitioner

56
Q

Service of procedure that could not be omitted without adversely affecting the patient’s condition

A

Medically Necessary

57
Q

One who avails medical or health care service/s

A

Patient

58
Q

State of well-being of the general population

A

Public health and safety

59
Q

Active total care directed at maintaining or improving the comfort of a patient suffering from a terminal illness that does not hasten nor prevent death

A

Terminal Care

60
Q

Illness or condition resulting in death within the foreseeable future

A

Terminal illness

61
Q

Stage of illness where there is no prospect of recovery or remission of symptoms

A

Terminal Phase

62
Q

Knowledge, skills, and practices outside of biomedicine

A

Traditional and Alternative health care

63
Q

Person who practices non-allopathic healing methods

A

Traditional and Alternative Health Care Practitioner

64
Q

Patient is being subjected to exposure without their consent

A

Unwarranted Public Exposure

65
Q

13 patient rights

A
  1. Appropriate Medical Care and Human Treatment
  2. Informed Consent
  3. Privacy and Confidentiality
  4. Information
  5. Choose Healthcare Provider and Facility
  6. Self-Determination
  7. Religious Beliefs
  8. Medical Records
  9. Leave
  10. Refuse Participation in Medical Research
  11. Correspondence and Receive Visitors
  12. Express Grievances
  13. Informed of His Rights and Obligations as a Patient
66
Q

5 societal Rights

A
  1. Right to Health
  2. Right to Access Quality Public Health Care
  3. Right to Healthy and Safe Workplace
  4. Right to Prevention and Education Programs
  5. Right to Participate in Policy Decisions
67
Q

8 Patient Obligations

A
  1. Know rights
  2. Provide accurate and complete information
  3. Report unexpected health care changes
  4. Understand the purpose and cost of treatment
  5. Accept consequences of own informed consent
  6. Settle financial obligations
  7. Relation to others
  8. Exhaust grievance mechanism

NCM 118 (1 decks)

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