Issues, trends, and Health Policy Part IV/ Professional Responsibility Flashcards
Scope of Practice
1. Based on legal allowances in each _____, according to and delineated by individual State Nurse Practice Acts
State
Scope of Practice
3. Key elements of the NP role include the integration of care across the acute illness continuum with collaboration and coordination of care, research-based clinical practice, clinical leadership, family assessment, and _______ planning.
discharge
Scope of Practice
2. Provides guidelines for nursing practice; varies from _____ to _____
state to state
Standards of Advanced Practice
Both generic and specific specialty standards _____.
exist
Standards of Advanced Practice
Delineated by the American Nurses Association (1996)
as ______ statements by which to measure of
practice, service, or education
authoritative
State Practice Acts
States also vary in specific practice requirements, such
as _______
certification
State Practice Acts
Authorize Boards of Nursing in each state to _____
statutory authority for licensure of registered nurses
establish
State Practice Acts
Authority includes use of title, ________ for scope
of practice including prescriptive authority, and
disciplinary grounds
authorization
Prescriptive Authority
While the Drug Enforcement Agency (DEA) has ruled
that nurses in advanced practice may _____
registration numbers, state practice acts dictate the
level of prescriptive authority allowed.
obtain
Prescriptive Authority
The ability and extent of the NP’s ability to prescribe
medications to patients is dependent on ___ nurse
practice acts.
state
Credentials
Encompass required education, licensure and
________ to practice as a nurse practitioner
certification
Credentials
Establish minimal _____ of acceptable performance
levels
- Credentialing is necessary to:
a. Ensure that ____ health care is provided by
qualified individuals
safe
- Credentialing is necessary to:
b. ____ with federal and state laws relating to
advanced practice nursing
Comply
Credentials
4. Acknowledges the ____ of practice of the NP
scope
Credentials
5. Mandates ________
accountability
Credentials
6. Enforces professional standards for ______
practice
_________
Establishes that a person is qualified to perform in a
particular professional role
Licensure
Licensure
Licensure is granted as defined by rules and
regulations set forth by a governmental regulatory
_____ (i.e., state.board of nursing)
body
Certification
2. Certification is granted by nongovernmental agencies
such as the _____, AANP, PNCB, NCC.
ANCC
Certification
1. Establishes that a person has met certain standards in a particular profession which signify ____ of specialized knowledge and skills
mastery
Admitting Privileges to Hospitals
1. Non-physician providers were granted the possibility of hospital staff membership in ____ by the Joint Commission.
1983
_____ and _______
1. Process by which a nurse practitioner is granted permission to practice in an inpatient setting
Credentialing and Privileging
Credentialing and Privileging
2. Credentialing with hospital privileges is granted by a Hospital ____ _____ comprised of physicians who hold privileges at the given hospital where the NP has made request
Credentialing Committee
Credentialing and Privileging
3. Privileges may be granted in ____ or full; stipulations regarding the allowance of future privileges may be made by the Credentialing Committee (e.g., number of additional supervised hours required before a certain privilege is granted)
part
____ _____ _____
1. Results when the caregiver-patient relationship is terminated without making reasonable arrangements with an appropriate person so that care by others can be continued
Patient Medical Abandonment
Patient Medical Abandonment
2. Determination of patient abandonment may depend on many factors including:
a. Whether the practitioner _____the patient
assignment (which formally created a practitioner-
patient relationship)
accepted
Patient Medical Abandonment
2. Determination of patient abandonment may depend on many factors including:
b. Whether the practitioner provided _______
notice before terminating the practitioner-patient
relationship
reasonable
Patient Medical Abandonment
2. Determination of patient abandonment may depend on many factors including:
c. Whether reasonable ________ could have
been made to continue patient care when the
adequate notification was given
arrangements
Patient Medical Abandonment
3. In most cases, the following do not constitute patient abandonment:
a. An NP refuses to _____ responsibility for a patient
assignment when the NP has given reasonable
notice to the proper authority that the NP lacks
competence to carry out the assignment
accept
Patient Medical Abandonment
3. In most cases, the following do not constitute patient abandonment:
b. An NP refuses an assignment of a _____ shift or
additional hours beyond the posted work schedule
when proper notification has been given
i) When “proper notification has been given”
potentially becomes a problematic and
sometimes, arguable phrase in difference of
opinion.
double
Risk Management
- A systematic effort to reduce risk begins with a formal, written risk management plan that includes:
a. The organization’s _______
goals
Risk Management
1. A systematic effort to reduce risk begins with a formal, written risk management plan that includes:
b. Delineation of the program’s ______, components
and methods
scope
Risk Management
1. A systematic effort to reduce risk begins with a formal, written risk management plan that includes:
c. Delegating _______- for implementation and
enforcement
responsibility
Risk Management
- A systematic effort to reduce risk begins with a formal, written risk management plan that includes:
d. Demonstrating ______ by the board
commitment
Risk Management
1. A systematic effort to reduce risk begins with a formal, written risk management plan that includes:
e. Articulates guarantees of _________ and
immunity from retaliation for those who report
sensitive information
confidentiality
Risk Management
2. ____ ____: The most common method of documentation
Incident reports
Risk Management
- Policies regarding incident reports should address:
a. Persons _______ to complete a report
authorized
Risk Management
- Policies regarding incident reports should address:
b. Persons ______ for review of a report
responsible
Risk Management:
- Policies regarding incident reports should address:
c. Immediate actions needed to minimize the _____ of the report’s event
effects
Risk Management:
- Policies regarding incident reports should address:
d. Persons responsible the _____-____
follow-up
Risk Management:
- Policies regarding incident reports should address:
e. A plan for ______ the aftermath of the report’s event
monitoring
Risk Management:
- Policies regarding incident reports should address:
f. Security and ______ of completed incident report forms
storage
- ____ ______: Important form for identifying problems before developing into actual incidents or claims; important to track and analyze just like incident reports
Satisfaction surveys
- Satisfaction surveys:
b. Employee and/or ______ satisfaction surveys
practitioner
- Satisfaction surveys:
a. ______ satisfaction surveys
Patient
- Complaints:
c. Persons responsible for monitoring ______resolution of the complaint
follow-up
- Complaints:
b. Persons responsible for ______ to the complaint
responding
- Complaints:
a. ______ notified after receiving a complaint
Persons
- ________: A key source of potential risk management information. A risk management plan should delineate tracking, analyzing and managing complaints by clearly identifying:
Complaints
- Action taking initiatives:
a. _______: Proactive risk awareness and safety programs in place
Prevention
- Action taking initiatives:
b. ________: Post-incident remediation to minimize the impact and prevent future occullences
Correction
- Action taking initiatives:
b. Correction: Post-incident remediation to minimize the impact and prevent future occullences
i) Corrective steps must be monitored and ______
audited
- Action taking initiatives:
c. ________: Essential for legal defense; thorough medical records and institutional policies
Documentation
- Action taking initiatives:
d. ________: M-services of all staff at orientation and annually, at a minimum
Education
- Action taking initiatives:
e. _____ ______: Encouraging departments and managers to work together for the common goal of improved patient and staff safety
Departmental coordination
Medical Futility
1. Refers to interventions that are unlikely to produce may significant benefit for the patient; “Does the intervention have any reasonable _____ of helping this patient?”
prospect
Medical Futility
2. Two kinds of medical futility are often distinguished:
a.____ _____: Where the likelihood that an
intervention will benefit the patient is extremely
poor, and
Quantitative futility
Medical Futility
2. Two kinds of medical futility are often distinguished:
b. _____ _____: Where the quality of benefit an
intervention will produce is extremely poor.
Qualitative futility
Informed Consent and Obtaining Informed Consent
1. ______ (Decisional Capability): A state in which a patient is able to make personal decisions about his/her care
a. Implies the ability to understand, reason,
differentiate good and bad and communicate
Competence
- Competence (Decisional Capability):
a. Implies the ability to _______, reason,
differentiate good and bad and communicate
understand
Informed Consent and Obtaining Informed Consent
2.___ _____: A state indicating that a patient has received adequate instruction or information regarding aspects of care to make a prudent, personal choice regarding such treatment
Informed Consent
