Final Sem 1 Flashcards
What are the 3 values of HCA?
commitment, compassion, competence
Kapolei High School would like its graduates to be…
college, community, career ready
What is the Hippocratic Oath?
oath of ethics taken by physicians
“maxim primim non nocere”
“first do no harm”
What does autonomy mean?
acknowledge that others have the decision making capacity
What does non-maleficence mean?
to not inflict harm on others
What does beneficence mean?
charity, mercy, kindness, doing good to others
What does justice mean?
integrity, fair, and equitable
HIPAA stands for?
Health Insurance Privacy and Accountability Act
When was HIPAA passed?
1996, (2003 Nationalized)
Who has the right to privacy?
those providing care
Confidentiality is about preventing?
someone hearing/seeing private health records and any other information unless they have proper authorization
Why do we need to be more concerned about health information?
health information is in electronic form, security is a must
Who had to follow HIPAA rules?
- health plans and health insurance companies
- health care billing services
- health care workers
What kind of information does HIPAA protect? Give 5 examples
- a person’s past/future/present health information
- health tx/dx
- payment for health services
- name
- date of birth
- digits
- medical record # (MRN)
- SSN
- employer
What is DNI, DNR, DNAR, and Full-Code?
DNI: do not intubate
DNR: do not resuscitate
DNAR: do not attempt to resuscitate
Full-Code: all procedures performed to keep alive
When thinking about the Patient’s Bill of Rights, the patient has the right to _____ and _____ care.
considerate; respectful
What does auscultate mean?
listening to the sounds of your heart, lungs, arteries and belly (abdomen)
What does palpate mean?
to feel
AIDET, PACE, SPIDIC
AIDET: Acknowledge, Introduction, Duration, Explanation, Thank-You
PACE: Presence, Anticipation, Communication, Empathy
SPIDIC: Safety, Privacy, Independence, Dignity, Infection-Control, Communication
What is LTC?
Long Term Care
What type of care does LTC provide?
- provide care to persons whose conditions are stable but need monitoring, and nursing care, txs.
- many are elderly BUT if patient meets requirement for admission then OK.
What are three functions of a Health Care Facility?
- provides services for ill and injured
- reducing risk factors and preventing disease
- promoting individual and community health
- educating healthcare workers
- promoting research in medicine and nursing
What is a multi-skilled worker?
- being/can cross-trained to perform additional skills
- enables them to do more than one kind of work
How is healthcare paid for?
insurance
What does the Affordable Care Act provide?
- healthcare insurance to pay for preventive care
- keep uninsured adult, children, under 26 on coverage plan
What facilities are included in short-term care?
- hospital
- urgent care
- surgicenter
- outpatient clinics
- psychiatric hospitals
- physicians office
- acute care
What facilities are included in long-term care?
- long term care hospitals (more than 25 days)
- subacute and transitional care facilities
- SNF and NF
- respite care (temporary relief to allow caregiver time off)
- group homes and highly specialized LTC facilities
- home care
When it comes to continuum of care, what does transitions mean?
movement of patient between various locations in which care is given as their needs change
What do “transitions” include?
- educating patient and family
- coordinating health care services that will be needed for discharge
- making phone calls and visits in the patient’s new locations
- ensuring that the transition is safe and satisfying to the patient
- providing important information to the patients next care provider
What increases with each “transition”?
risk of poor communication, lack of coordination, potential errors
What are some departments in a “hospital organization”?
- medical department
- surgical department (PAR/PACU)
- SNF
- obstetrics
- emergency department
- critical care department
- dietary services
- pharmacy
- diagnostic services
- laboratory
- rehab services
- social services
- pastoral care
What is Quality Assurance?
meets to evaluate care and improve practices in the facility
Surveys are done because…
review and evaluate to ensure that facilities are maintaining acceptable standards of practice
Facilities have to have a _____ to conduct business
license
Most facilities have _____ if _____ and _____ payments
certifications needed; you want to collect Medicare; Medicaid
What is voluntary…
Process in which a professional organization recognizes a facility for demonstrating its ability to meet certain quality standards
What is a magnet hospital?
facilities that adhere to the American Nurses Association
What is SNF?
Skilled Nursing Facility, nursing/therapy care that can be safely performed
What is the Interdisciplinary Care Team?
patient, physician, nursing team, therapist (ot, pt), other specialists, family members
Who provides direct-patient care
nursing team
I can become an RN through _____ or _____ year programs
2; 4
What is an APRN and NP?
with a masters/advanced degrees
Name the specialty services
- Chaplain
- Dietician
- Occupational Therapy
- Orthotist
- Physical Therapy
- Respiratory Therapy
- Social Worker
- Speech Language Pathologist
What are three ancillary services?
- Pharmacist
- Phlebotomist
- Lab Tech
- Administrator
- Environmental Services
- Volunteers
The NA performs ____ ____
delegated tasks
What does OBRA stand for?
Omnibus Budget Reconciliation Act
When was OBRA passed?
1987
What are three things that the NATCEP must include in its curriculum?
- basic nursing skills, infection control
- mental health and social services needs
- personal care skills
- resident right and good communication
- safety and emergency care
- continuing education
What is scope of practice?
means the skills the NA is legally permitted to carry out
Know the typical descriptions for NA
- Assist w/ patient assessment and care planning
- Assist patients in meeting nutrition and elimination needs
- Assist patients with mobility
- Assist patients with personal hygiene and grooming
- Assist with patient and anxiety relief
- Assist in promoting patients safety and environmental cleanliness
- Assist with unit management and efficiency
_____ is a learned quality
Professionalism
Demonstrating professionalism…
- dressing appropriately in class and in clinical
- arrive for class prepared and before call time
- complete assignments w/o offering excuses
- make good first impressions
- strive for accuracy in your assignments/patient care documentation
- do not miss class
- be polite and respectful, demonstrate courtesy and maturity
- let patients know that assisting them is a pleasure
How long should fingernails be?
not exceed 1/4 in beyond the fingertip
What is EBP and why is it important?
EBP: Evidence Based Practice
- guides decision making by identifying evidence for a practice or activity
- realized that scientific evidence is needed to validate nursing practice
Who delegates tasks?
RN
What are the Five Rights of Delegation?
- Right person
- Right direction and communication
- Right supervision
- Right task
- right circumstance
What should the nursing process look like?
accurate, succinct, easy to understand, thorough, complete, consistent, analytical, logical, neutral, fair
Know the ten time management and organization
- Establish and develop a systemic daily routine for things
- Practice good communication skill with patients and families while making rounds; avoid being defensive, if pt/family members complain; report complaints/needs to nurse
- Determine which patients need frequent monitoring
- Develop a personal plan for organizing your time by: being realistic, write down plan, complete top priorities first
- Be flexible, expected the unexpected
- Accept that your priorities might change
- Avoid repetition; do things right the first time
- Plan to do things simultaneously
- Communicate with colleagues; treat others with dignity, respect, integrity
- Be assertive
What is hand-off communication
when the responsibility for a patient changes from one person to another
What is informed consent?
the person gives permission for care after full disclosure of the purpose of procedure, benefits, and risk involved
Advanced directives…
documents that describe the consumers wishes for treatment and end-of-life care if the person is unable to communicate or make healthcare decisions
What is an ombusman?
- person who advocates for patients and residents of healthcare facilities
- not an employee, volunteer, or staff
- monitor facility conditions, assists with problems and complaints, and assist in quality care
What is the most basic rule of ethics?
life is precious
What is the platinum rule?
shifting the focus form treating everyone alike to providing individualized patient-focused care by placing patient interests first. Fulfilling legal and ethical obligations
How do you follow Legal Issues?
- stay within your scope of practice
- use good judgment
- keep your skills up to date
- request guidance from the RN
- always keep safety and well being of patient foremost in your hand
What is negligence?
failure to exercise the degree of care that is reasonable in particular situation
What is defamation?
false statements
Slander vs. Libel
slander: verbally
libel: writing
What is malpractice?
improper, negligence or unethical conduct that results in injury or loss to a patient
What is malpractice?
improper, negligence or unethical conduct that results in injury or loss to a patient
_____ & _____ are the hallmarks of _____ & _____ NA
honesty; integrity; sincere; conscientious
What is false imprisonment?
restraining a person’s movements or actions without proper authorization
What is the difference between assault and battery?
Battery: ACTUALLY touching a person without consent
Assault: ATTEMPT
Being under-involved can be viewed as…
neglect
When it comes to SNS… facilities do not that people in the community think that their employees…
- lack empathy
- use making fun of patients
- disrespecting patients
- do not take patient illnesses or misfortunes seriously
What are membranes?
sheets of epithelial tissue supported by connective tissue
- cover the body
- line body cavities
- produce same body fluids
What is mucous membrane?
produce mucous
lines body cavities that open to the outside
- respiration
- digestive
- genitourinary
- eyelids
What is serous membrane?
- produce serous fluid
- cover the organs and line closed cavities of the body
- reduce friction as organs move
- pericardium: surrounds heart
- pleural: surrounds lungs and thoracic cavity
- meninges: cover brain and spinal cord, lines dorsal cavity
What is synovial membrane?
- produce synovial fluid
- lines joint cavities
- reduce friction between bones, joints, tendons
