Legal/Ethical Implications Flashcards
Which organization developed the Code of Ethics for Nursing?
The American Nurses Association
Provision 1 of the Code of Ethics
Respect for human dignity and right for self-determination
Provision 2 of Code of Ethics
Nurses primary commitment is to the patient
provision 3 of Code of Ethics
Nurse’s responsibility is to promote the health and safety of patients (includes disclosing errors to patients)
Provision 4 of Code of Ethics
Responsibility of a nurse to follow legal requirements
Provision 5 of Code of Ethics
Responsibility of nurse to promote health and safety
Provision 6 of Code of Ethics
Virtues that make a nurse morally good (avoid causing harm (maleficence) and do good (beneficence)
Provision 7 of Code of Ethics
Nurse practicing within professional standards of state nurse practice act and standards of professional nursing orgs
Provision 8 of Code of Ethics
Nurse must address social determinants of health
How does the ANA define nursing?
The protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through diagnosis and treatment, and advocacy in the care of individuals, families, groups, communities, and populations.
What are authoritative statements of duties that all RNs, regardless of role or specialty, are required to perform competently?
Standards of Practice (ANA)
Which part of ADPIE is health promotion and teaching?
Intervention
What describes the competent level of behavior in a professional nursing role?
ANA Standards of Professional Performance
What is culturally congruent practice?
Application of evidence-based nursing that fits with cultural values and beliefs and the patient and communities
How does the FDA protect public health regarding meds?
Enforcing an official drug approval process, issuing Black Box Warnings, and regulating OTC medications.
What part of the FDA evaluates new drugs?
The Center for Drug Evaluation and Research
What are risk management strategies that are needed for FDA approval?
FDA-approved drug label that describes the drug’s benefits and risks.
If more is needed, drug maker may need to implement a Risk Management and Mitigation Strategy
What agency enforces the controlled substances laws and regulations in the US?
The US Drug Enforcement Agency (DEA)
What is the Controlled Substances Act? Who enforces it?
A law enforced by the DEA regarding manufacture, distribution, and dispensing of legally produced controlled substances
Are most controlled substance laws federal or state level?
Most are state although the federal government does create some laws.
Healthcare professionals follow whichever (state or federal) that is more strict.
Can an NP prescribe a controlled substance?
Yes, any physician, PA, or NP can prescribe a controlled substance as long as they have a DEA registration number.
How are Schedule II prescriptions required to be sent?
Handwritten or electronically sent to the pharm through DEA approved software (fax or phone is NOT acceptable)
How many times can you refill schedule II? Schedule III or IV?
Schedule II: NO REFILLS
Schedule III or IV: up to 5 times
What types of records must hospitals, clinics, and pharmacies maintain to have a “closed system”?
Records regarding the location from manufacturer to the hospital/clinic/pharm, receipt by the pharmacy, distribution to the patient, and disposal.
What are Schedule I drugs?
High potential for abuse and dependence, and NO medical use
Heroin, LSD (???), marijuana (LMAO??????)
What are Schedule II drugs?
High potential for abuse with potential for dependence, but have medical use.
Vicodin, cocaine, meth, methadone, Diluadid, Demerol, oxycodone, fentanyl, Dexedrine, Adderall, Ritalin
What are Schedule III drugs?
Moderate to low potential for physical and psychological dependence.
Tylenol with codeine, ketamine, anabolic steroids, T
Schedule IV drugs
Low potential for abuse and low risk of dependence.
Xanax, Soma, Valium, Ativan, Talwin, Ambien, Tramadol
Schedule V drugs
Lower potential for abuse than schedule IV and contain little narcotics. Used as antidiarrheal, antitussive, and analgesic.
Robitussin with codeine, Lyrica, Lomotil
What is the Joint Commission?
National org that accredits and certifies healthcare organizations
What are the National Patient Safety Goals?
goals established by the Joint Commission to help accredited organizations address areas of concern regarding patient safety.
Goals are developed annually.
What does the Centers for Medicare and Medicaid Services do?
Establishes and enforces regulations to protect patient safety in hospitals that receive Medicare and Medicaid funding.
What are the 5 Rights of medication administration?
Right patient
Right drug
Right route
Right time
Right dose
What is a good way to remember high risk medications?
A : Anti-infective
P : Potassium and other electrolytes
I : Insulin
N : Narcotics and other sedatives
C : Chemotherapeutic agents
H : Heparin and Anticoagulants
What is polypharmacy?
Routine use of 5 or more meds
What is the gold standard for medication safety info?
The Institute for Safe Medication Practices
