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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
Q

What should you never chart in thir file regarding incident reports?

A

Only objective data - ONLY WHAT IS OBSERVED
Never chart and incident report was filed

26
Q

Internal Report

A

fall

27
Q

External Report

A

organizations outside the hospital
CPS

28
Q

T/F: Incident Reports substitute for documentation in the client’s chart.

A

False; no substitution, all documentation needs to be completed on both ends

29
Q

Obligation to Report

A

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
Q

Notify the physician if

A

Change in LOC, VS, respirations, symptomatic vs no symptomatic, wrong medication, incidental needlestick,

Chain of command

31
Q

TPAPN

A

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
Q

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.

A

FALSE

33
Q

If I receive disciplinary action against my license, why does it have to be published in the Board’s Newsletter?

A

PUBLIC KNOWLEDGE

34
Q

What happens after reporting?

A

Disciplinary Hearing
Peer assitance program (TPAPN)

35
Q

Whistleblowing

A

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
Q

Whistleblowing concerns

A

firing or lay off
blacklisting
demoting
deny overtime or promotion
disciplining
denial of benefits
failure to hire
intimidation
threats
reassignments
reducing pay

37
Q

The Safe Harbor Rule (SHPR) – RNs or LVNs
Instances

A

when the nurse feels accepting the assignment puts the pt and nurse at risk

38
Q

When do you need to call Safe Harbor?

A

Before taking the assignment
still get it then protected by safe harbor

39
Q

Civility

A

Having good manners and being polite
Respecting others
Based on recognizing that all human beings are important
Protection from discrimination

40
Q

Incivility

A

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
Q

Civility in Nursing

A

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
Q

Incivility increases when people are under

A

stress

43
Q

Incivility includes

A

Cyber-harassment
Vicious anonymous e-mails
Hate text messaging
Acts of rudeness
Social rejection

44
Q

Bullying

A

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
Q

Hazing and initiation rites are forms of

A

bullying

46
Q

Bullying ultimately effects the

A

patient

47
Q

Peer abuse or lateral violence

A

one to one bullying from peers

have helpers that contribute to or prolong the bullying activities.

48
Q

Lateral or Horizontal Violence

A

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
Q

Overt Lateral Violence

A

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
Q

Covert Lateral Violence

A

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
Q

Results of Lateral Violence

A

decreased communication
poor quality of care
reduced saety of clients
poor morale
excessive “sick days”
High turnover
leave profession

52
Q

What re the physical symptoms of lateral violence

A

HTN
Insomnia
Depression
GI upset

53
Q

Incivility consequences in clinical settings

A

jeopardizes client safety
increase errors
low quality
hostile, toxic work environment
high turnover

Module 4 (MedSurg 2) (36 decks)

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