exam 2 study guide Flashcards
Understand different legal issues related to nursing; be able to apply this knowledge in
making decisions about nursing interventions.
Malpractice-Performing a procedure outside your scope of practice or failing to closely follow a physician’s patient-monitoring orders can be enough evidence for a patient to press charges.
Negligence- negligence tends to arise from a mistake or carelessness that causes the patient unintended harm
Defamation-presenting false or accusatory statements as fact, which can harm someone’s reputation or character.
Battery-offensive or harmful touching of someone without their expressed or implied consent.
Disclosure of information-Patients have a right to privacy and an expectation of confidentiality.
Identify the roles and responsibilities of each member of the health care team.
LPN-assist Rn in routine information
Rn-use nursing process to ADPIE
Charge nurse supervises nurses
N practitioners-NPs have advanced knowledge complete more
midwife-performs all the care down there
PT-Develop and implement a plan of care as a licensed professional for clients with dysfunctional physical abilities
Understand proper delegation and the chain of command.
CNA
LPN
RN
MSN-practioner
Understand HIPAA and how it relates to nursing care
Health Insurance Portability and Accountability Act
the law’s mandate to preserve the privacy of patients’ private health information.
Understand the use of implied consent
a defense to an intentional tort.
The plaintiff’s consent is implied when the plaintiff fails to object, or is silent in a situation in which a reasonable person would object to the defendant’s actions.
Review the different types of nursing roles in healthcare in various settings
CNA-assist with the patient’s daily activities such as bathing, dressing, eating, and ambulating
LPN-monitor patients’ health and do some physical care tasks, such as taking blood pressure, inserting catheters, starting IVs, and changing bandages
rn-RN level of nursing, more specialized positions open up
aprn-APRNs focus on directing a plan of care.
MSN
DNP
Review the use of incident reports in health care.
It helps to identify the root causes of incidents to prevent future ones, which directly contributes to improving healthcare safety and quality.
Identify environmental factors affecting safety including prevention across the lifespan
harmful substances, such as air pollution or proximity to toxic site
access to various health-related resources (e.g., healthy or unhealthy foods, recreational resources, medical care);
Describe the nurse’s role in responding to a bioterrorism attack.
Because nurses identify and interview persons potentially exposed to bioterrorism agents, they need to know the signs and symptoms of all suspected diseases. They will assess, triage, isolate, treat, and provide public health support for victims and responders [
Apply assessment tools to identify safety needs.
risk matrix, decision tree, failure modes and effects analysis (FMEA), and bowtie mode
risk assessment tools like Braden scale or Glasgow coma scale
Identify nursing strategies for injury prevention.
clean hands
Use the lift and transfer equipment
Watch for hazards and practice good body mechanics
Speak up and step up
Get vaccinated
Practice safe needle handling
PPE
sleep
self care
Bed positioning, providing alarms and railings and orienting a patient to their room
Review the interventions and legal implications of restraint use.
Except in emergencies, patients should be restrained only on a physician’s explicit order. Patients should never be restrained punitively, for convenience, or as an alternate to reasonable staffing.
never put patents on restraints always find alternative methods
Identify characteristics that increase a patient’s risk for falls.
the fear of falling
limitations in mobility and undertaking the activities of daily living
impaired walking patterns (gait
)
impaired balance
visual impairment
reduced muscle strength
poor reaction times
use of multiple medications specifically benzodiazepines, antidepressants, anti-psychotics and psychoactive medications
Identify what nursing interventions can be implemented to keep patients safe.
Familiarize the patient with the environment.
Have the patient demonstrate call light use.
Maintain call light within reach.
Keep the patient’s personal
possessions within patient safe reach.
Have sturdy handrails in patient bathrooms, room, and hallway.
Place the hospital bed in low position when a patient is resting in bed; raise bed to a comfortable height when the patient is transferring out of
bed.
Keep hospital bed brakes locked.
Keep wheelchair wheel locks in “locked” position when stationary.
Keep nonslip, comfortable, well-fitting footwear on the patient.
Use night lights or supplemental lighting.
Keep floor surfaces clean and dry. Clean up all spills promptly.
Keep patient care areas uncluttered
Review interventions for dealing with emergency situations.
first aid,
triage patients’ needs,
direct victims to resources and community support,
and continuously assess and monitor patients’ physical and psychological needs.
