legal and ethical guidelines for safe practice Flashcards

1
Q

five principles of bioethics

A
beneficence
autonomy
justice
fidelity 
veracity
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2
Q

beneficence

A

The duty to promote good

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3
Q

autonomy

A

: Respecting the rights of others to make their own decisions

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4
Q

justice

A

Distribute resources or care equally

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5
Q

Fidelity (nonmaleficence)

A

Maintaining loyalty and commitment; doing no wrong to a patient

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6
Q

Veracity

A

One’s duty to always communicate truthfully

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7
Q

admission procedures

A
  • Informal admission—sought by patient
  • Voluntary admission—sought by patient or guardian
  • Involuntary commitment
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8
Q

who is a involuntary commitment

A
  • Mentally ill
  • Danger to self or others
  • Unable to acquire basic necessities
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9
Q

what is and who is an Emergency commitment (temporary admission)

how long

A

PEC: dcotor sign pt. needs to be seen

  • Person confused or demented; emergency admission
  • Used for observation, diagnosis and treatment
  • Generally for 24 to 96 hours
  • Court hearing before discharge or next admission
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10
Q

assisted outpatient treatment

A

ct and ma not included

- court ordered

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11
Q

due process in involuntary commitment (DNTK)

A

Writ of habeas corpus- a “formal written order” to “Free the person.”
Least restrictive alternative doctrine- mandates that care providers must take the least drastic action to achieve a specific purpose

don’t need to know

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12
Q

discharge procedures (DNTK)

A
  • Conditional release- requires outpatient treatment for a specified period to determine if the patient follows the medication regimen, can meet basic needs, and is able to reintegrate into the community
  • Unconditional release- the termination of a patient-institution relationship
  • Release against medical advice (AMA)
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13
Q

pt. right under law

A

Right to treatment
Right to refuse treatment
Right to informed consent

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14
Q

right to informed consent

A
  • Indicates that the patient has been provided with basic understanding of risks, benefits, and alternatives
  • Person must voluntarily accept treatment
  • To be effective legally, it must be informed and in general a physician or advanced practice provider must obtain the consent.
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15
Q

patients right under law

A
  • Rights regarding involuntary commitment and psychiatric advance directives
  • Rights regarding restraint and seclusion
  • Right to confidentiality
  • adults: 4hr window with restraints
  • age 9-17: 2 hr
  • under 9: 1 hr
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16
Q

patient confidentiality (DKTK)

A

Legal considerations

  • Health Insurance Portability and Accountability Act (HIPAA)
  • Confidentiality after death
  • Confidentiality of professional communications
17
Q

confidentiality exception to the rule

A

Duty to warn and protect third parties

Child and elder abuse reporting statutes

18
Q

tort

A

a civil wrong for which money damages may be collected by the injured party (plaintiff) from the responsible party (the defendant)

19
Q

intentional tort

A
assult
battery 
false imprisonment 
invasion of privacy 
defamation of character (slander or libel)
20
Q

assault

A

intentional threat designed to make another person fearful that you will cause them harm

21
Q

battery

A

the actual harmful or offensive touching of another person

22
Q

false imprisonment

A

occurs when a person is confined in a limited area or within an institution

23
Q

invasion of privacy

A

Breaking a person’s confidence or taking photographs without explicit permission

24
Q

defamation of character

A

occurs when a provider makes a false statement that causes some degree of harm

25
Q

negligence

A

the failure to use ordinary care in any professional or personal situation when you have a duty to do so

26
Q

standards of nursing care

A

State Boards of Nursing
Professional Organizations
Institutional Policies and Procedures
Custom as a Standard of Care

27
Q

advoiding liability

A
Respond to patient: address their need
Educate patient: side effects of meds 
Comply with the standard of care
Supervise care
Adhere to the nursing process
Document carefully
Follow up and evaluate: did med work 
Maintain a good interpersonal relationship with patient and  family