legal and ethical Flashcards
represents 4 million registered nurses
american nurses association (ANA)
act of doing/causing evil or harm, quality of being evil or harmful
maleficence
act in a way to benefit others, promote well being, protect legal interests
beneficence
organization that protects public health, develops new drugs, black box warnings
food and drug administration (FDA)
enforces controlled substance laws and regulations, drug diversion
drug enforcement agency (DEA)
categorized by schedule (I-V) therapeutic, potential abuse, nursing duties for storage, administration, and record keeping
scheduled medication
illegal distribution or abuse of prescription drugs
drug diversion
safety culture, root cause analysis, speak up
joint commission
what are the five rights of medication administration ?
right dose, right patient, right route, right time, and right medication
nursing process is…
assessment, nursing diagnosis, outcome identification, planning, intervening, and evaluation
high risk medications (APINCH)
A: anti-infective, P: potassium/ other electrolytes, I: insulin, N: narcotics, C: chemotherapeutic agents, H: heparin/ anticoagulants
organization that is patient-centered care, teamwork, collaboration, evidence based practice, quality improvement, safety and informatics
quality and safety education for nurses (QSEN)
failure to take proper care in doing something, result in damage/ injury to others
negligence
failure to provide a reasonable standard of care and harms the patient
malpractice
defined in state nursing practice acts, healthcare organizations policies and procedures
legal aspects of drug therapy
ANA code of ethics
respect for human dignity, commitment to patient, promote advocate and protect rights of patient, authority accountability and responsibility for nursing practice, follow legal requirements, promote health and safety, avoid harm, practicing within scope of practice, social determinants
schedule 1 controlled substance
no currently accepted medical use and high potential for abuse (heroine, LSD, weed)
schedule 2 controlled substance
high potential for abuse, with use potentially leading to severe psychological or physical dependence, considered dangerous (Vicodin, cocaine, meth, hydromorphone, adderall, fentanyl)
scedule 3 controlled subtsance
moderate to low potential for psychical and psychological dependence, abuse potential less than 1 and 2 but more than 4 (Tylenol, ketamine, testosterone, anabolic steroids)
scehdule 4 controleld substance
low potential for abuse and low risk of dependence (xanax, soma, valium, Ativan, talwin, ambien, tramadol)
schedule 5 controlled substacne
minimal potential for abuse (robitussin, lomotil, lyrica)
when do you use the five rights of medication
must be done before any medication delivery, used to prevent medication error, used to show that procedures were correctly performed
state nurse practice act: disciplinary action
practicing beyond scope of practice, confidentiality, patient privacy, consent, disclosure violations, fraud and deception, unsafe practice/ substandard care, improper supervision, improper dispensing or administering drugs
what causes medication errors
information management in health records, unrecognized patient deterioration, implementation of clinical support, fatigue, interruption, multitasking, emotional stress
how can medication errors be prevented
patient transfer, patient identification, system factors, know medicines, patient education, double check
medication administer procedure in order
- gather all necessary equipment and supplies before procedure
- wash hands
- check prescription
- confirm medical chart complete
- follow facility policies
- verify patient is correct
- obtain informed consent
