Ethics and Legal Standards 2 Flashcards
Correctly identify patients Improve staff communication Use medicine safely Prevent infections Prevent surgical mistakes Identify patients at risk for suicide
National Patient Safety Goals while providing care.
Identify patients using 2 or more means
-Ensure blood transfusion patients get correct blood.
To correctly identify patients
[national patient safety goals]
Transmit test results in a timely manner to the appropriate staff member.
Improve staff communication
[national patient safety goals]
Label all medicines
Use extra caution with blood thinners
Take care when recording and communicating patient medicine information.
Use medicine safely
[National patient safety goals]
- Employ existing CDC and WHO hand hygiene guidelines.
- Employ existing protocols on difficult to treat infections.
- Employ existing protocols on postsurgical infections.
- Employ existing protocols on urinary tract infections from catherization.
Prevent Infections
[National patient safety goals]
- Ensure that the correct surgery is performed on the correct patient.
- Mark the intended surgical site on the patient.
- To prevent a mistake, pause briefly before surgery.
Prevent surgical mistakes.
[National patient safety goals]
- Assess patient risk for suicide.
- Provide safety of patient.
- Provide suicide prevention information to client and family upon discharge.
Identify patients at risk for suicide (applicable in psych hospitals and in general hospitals when caring for patients with psych disorders)
[National patient safety goals]
The overall goal of the client advocate is to protect client’s rights. The nurse serves as both a teacher and an advocate by informing clients about their rights, by providing them with information they need to make informed decisions.
- The nurse advocate needs to remain objective if the clients decision goes against what the physician is recommending and their own belief/value system. Do not convey approval or disapproval of the client of their choice.
- Advocacy requires accepting and respecting the client’s right to decide, even if the nurse believes the decision is wrong.
Nurse’s role as a patient/family advocate
- Be assertive.
- Recognize that the rights and values of clients and families must take precedence when they conflict with those of healthcare providers.
- Be aware that conflicts may arise over issues that require consultation, confrontation, or negotiation between the nurse and administrative personnel or between the nurse and a primary care provider.
- Work with the community agencies and lay practitioners.
- Understand that advocacy may require political action-communicating a client’s healthcare needs to government and other officials who have the authority to do something about those needs.
The nurse as an effective advocate
is a system of moral principles or standards governing behaviors and relationships that is based on professional nursing beliefs and values.
- Standards of right and wrong.
- Morality
- Laws reflect the moral values of a society, and the offer guidance in determining what is moral. [An action can be legal but not moral]
Ethics
Standards of right & wrong
Morality; private, personal standards of right and wrong in conduct, character, and attitude.
-Laws reflect the moral values of a society, and the offer guidance in determining what is moral.
Ethical standards in the provision of care
the right to self-determination. Respect of the clients rights to make decisions on their own.
Autonomy
the application of ethics to issues of human life or health. Caring for clients with HIV/AIDS, genetic testing, abortion, organ transplants, or end-of-life decisions.
Bioethics
The act of doing good.
Beneficence
The duty to do no harm
Nonmaleficence
Fairness, due reward in accordance with honor, standards, or law
Justice
telling the truth
Veracity
Autonomy Bioethics Beneficence Nonmaleficence Justice Veracity Ethics Morality
Principles of ethical decision making terms to know: