Ethics and Legal Flashcards
what does the california board of RN do
regulates the practice of RNs and certified advanced practice nurses
T/F Every state has the same nursing practice acts
F, every state has theur own
Broadly define legal scope of nursing practice
open to interpretation
avoid being too specific
nursing practice is dynamic
What can happen if you practice beyond your scope?
disciplinary action
license can be pulled, can exclude people from practicing nursing
What is informed consent
protects pt and the health care provider
What are essential elements of informed consent
disclosure
comprehension
competence
voluntariness
What are the rights that patients have in regards to informed consent
right to refuse
right to revoke
what are the elements of disclosure (informed consent)
description of procedure
purpose
risks/ benefits
alternatives
consequences of not having it done
Who is the person that is supposed to conduct informed consent?
person doing procedure
ex: surgeon
What is the nurses responsibilities regarding informed consent
NOT to OBTAIN informed consent
witness/confirm pt signature
confirm presence of consent in chart prior to procedure
answer pt questions (REGARDING POST OP. NOT ABOUT PROCEDURE)
A pt is visibly anxious with their hands shaking and their RR is 24. Their vitals is as follows
Bp: 140/80
HR: 110
spO2: 98%
Temp: 98.6*
They start stammering and asking you questions about their procedure they are going to have done in 1 hour. What will you do?
Tell them that you are unable to answer questions regarding the procedure but can tell them what you will be doing with them after the procedure.
What is the pts bill of rights and whats it AKA
AKA: Patient Care Partnership
lists expectations, rights, and responsibilities
What are some things that are expected pts will have in their bill of rights?
high-quality hospital care
clean and safe environment
involvement in their own care
protection of privacy
help prearping you and family when you leave hospital
help with billing and fling insurance claims
what are some of the nurses responsibilities regarding pts bill of rights?
Promoting autonomy
advocating
-nurses act as bridge between vulnerable pts and resources they need, protecting and supporting anothers rights
Addressing unmet needs
advocating safe work environment
What is a liability?
legal obligation or responsibilities
What are nursing liabilities
Negligence (unintentional harm)
intentional torts: assult/ battery, defamation, invasion of privacy, false imprisonment
Liability related to informed consent: ensure pts understand procedures and consent voluntarily
what is student nurse liability?
where students are responsible for their own negligence and held to same standard for care as RN
