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Module 4 (MedSurg 2) > Healthcare Trends > Flashcards

Healthcare Trends Flashcards

1
Q

Telemedicine

A

Use of audio, video, & other telecommunications and electronic information processing technologies to monitor the health status of a patient from a distance.

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2
Q

Telemedicine Benefits

A

Support long-distance clinical health care
Promote patient and professional health-related education
Support public health and health administration
Reduce healthcare costs
Patient counseling
Case management
Supervision/preceptorship

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3
Q

Telemedicine Conflicts

A

**HIPPA, confedientiality, and informed consent
additional licenses
ANA scope
Future (reimbursements, legal, resources

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4
Q

Types of tellemedicine

A

Teletriage
Teletrauma
Telestroke/ Telecardiology
TelementalHealth
Telehomecare
Forensic Telenursing

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5
Q

What is the number 1 thing telemedicine can not do for nursing?

A

Assessments

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6
Q

Healthcare Payment

A

public insurance
private insurance
private pay
diagnoses-related groups
performance pay

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7
Q

Accreditation for hospitals

A

The Joint Commission (JCAHO)
Centers for Medicare and Medicaid (CMS)
Magnet designation
Other- Trauma/NICU/Stroke/
Nursing Education Program Accreditation

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8
Q

Beneficence

A

doing good or acting in the best interest of the patient

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9
Q

Autonomy

A

patients to make decisions about their medical care without their health care provider trying to influence the decision

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10
Q

Justice

A

all persons (patients) will be treated fairly and equitably

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11
Q

Fidelity

A

loyalty and trust from both parties

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12
Q

Nonmaleficence

A

the obligation of a physician not to harm the patient

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13
Q

Veracity

A

requires that healthcare providers be honest in their interactions with patients

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14
Q

Confidentiality

A

prohibits the health care provider from disclosing information about the patient’s case to others without permission
-HIPPA

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15
Q

Ethical dilemma

A

All solutions/options pose ethical problems
May be equally unpleasant
involve pt’s right to self-determination

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16
Q

Examples of ethical dilemmas

A

Informed consent
Do not resuscitate directives
Pain control
Withdrawal of fluids and nutrition
Genetic testing/reproductive technology
Experimental therapies
Inability to afford treatment
Organ/tissue donation

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17
Q

Decision making for ethics

A

Advance directives
Living wills
Patient care partnership/Patient bill of rights
Power of attorney
Medical
Legal

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18
Q

Advance directives

A

opportunity to express their values, goals for care, and treatment preferences to guide future decisions about health care.
- autonomy

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19
Q

Living wills

A

legal document that tells doctors how you want to be treated if you cannot make your own decisions about emergency treatment.

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20
Q

Power of attorney

A

gives someone else the right to make decisions about their medical care on their behalf.

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21
Q

Ethics committees

A

Create policies to assist with decision making
Education
Case Review
Policy Development

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22
Q

The ethics committee needs to have no

A

direct relationship to the pt

23
Q

Nurses are obligated to report

A

Communicable diseases
criminal acivity (abuse and domestic violence)
animal bites (bed bugs)
gunshot
stab wounds
assaults
homicides
suicides
HIPPA breaches

24
Q

Incidents Reporting

A

Goals
Avoiding a similar event at any stage in the future
Improve patient care
Specific Details and Descriptions are factual only
Facts Only/Objective Tone
Witness Statements

25
What should you never chart in thir file regarding incident reports?
Only objective data - ONLY WHAT IS OBSERVED **Never chart and incident report was filed**
26
Internal Report
fall
27
External Report
organizations outside the hospital CPS
28
T/F: Incident Reports substitute for documentation in the client's chart.
False; no substitution, all documentation needs to be completed on both ends
29
Obligation to Report
Violates rule and contributed to the death or serious injury of a patient Suspect nurse’s practice is impaired by chemical dependency or drug or alcohol abuse **Abuse, exploitation, fraud, violation of professional boundaries Lacks knowledge, skill, judgement, or conscientiousness and pose a risk of harm** -TPAPN
30
Notify the physician if
Change in LOC, VS, respirations, symptomatic vs no symptomatic, wrong medication, incidental needlestick, Chain of command
31
TPAPN
Nurses with drug and alcohol problems The board of nursing prefers the employing organizations to be a part of this process Ultimately, it may not protect the nurse’s license
32
T/F: If I am a licensee and see another nurse or a student nurse do something wrong, I can only report it to the Board of Nursing.
FALSE
33
If I receive disciplinary action against my license, why does it have to be published in the Board's Newsletter?
PUBLIC KNOWLEDGE
34
What happens after reporting?
Disciplinary Hearing Peer assitance program (TPAPN)
35
Whistleblowing
A person may not suspend or terminate the employment of or otherwise discipline or discriminate against a person who reports in **good faith** no backlash
36
Whistleblowing concerns
firing or lay off blacklisting demoting deny overtime or promotion disciplining denial of benefits failure to hire intimidation threats reassignments reducing pay
37
The Safe Harbor Rule (SHPR) – RNs or LVNs Instances
when the nurse feels accepting the assignment puts the pt and nurse at risk
38
When do you need to call Safe Harbor?
Before taking the assignment still get it then protected by safe harbor
39
Civility
Having good manners and being polite Respecting others Based on recognizing that all human beings are important Protection from discrimination
40
Incivility
Any type of speech or behavior that disrupts the harmony of the home, work, or educational environment Other names in health care Nurses eating their young The doctor-nurse game Aggressive communication
41
Civility in Nursing
The basis for caring Promotes emotional health Creates a positive environment for learning and the promotion of healing Develops emotional intelligence in nurses Transforms negative attitudes
42
Incivility increases when people are under
stress
43
Incivility includes
Cyber-harassment Vicious anonymous e-mails Hate text messaging Acts of rudeness Social rejection
44
Bullying
Defined as any behavior that could reasonably be considered humiliating, intimidating, threatening, or demeaning to an individual or group of individuals Can occur anywhere Can become habitual, being repeated over and over A complex concept that includes Physical/Emotional/Verbal abuse
45
Hazing and initiation rites are forms of
bullying
46
Bullying ultimately effects the
patient
47
Peer abuse or lateral violence
one to one bullying from peers have helpers that contribute to or prolong the bullying activities.
48
Lateral or Horizontal Violence
Has many of the same characteristics as bullying except that it takes place almost exclusively in the work setting among peers Can be either covert or overt
49
Overt Lateral Violence
Name calling Threatening body language Physical hazing Bickering Fault finding Negative criticism Intimidation Gossip or divulging confidential information Shouting Blaming Put-downs Raised eye brows and rolling of the eyes Verbally abusive sarcasm with rude tones Physical acts such as Pounding on a table Throwing objects Shoving a chair against a wall
50
Covert Lateral Violence
More difficult to identify Includes Unfair assignments Marginalizing a person Refusing to help someone Ignoring Making faces behind someone’s back Refusing to work with certain people Whining, sabotage, exclusion, and fabrication
51
Results of Lateral Violence
decreased communication poor quality of care reduced saety of clients poor morale excessive "sick days" High turnover leave profession
52
What re the physical symptoms of lateral violence
HTN Insomnia Depression GI upset
53
Incivility consequences in clinical settings
**jeopardizes client safety** increase errors low quality hostile, toxic work environment high turnover

Module 4 (MedSurg 2) (36 decks)

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