Legal Stuff Flashcards
Ethics
The study of beliefs about what is right or wrong
Bioethics
Is ethical questions that arise in healthcare
laws
Tend to reflect ethical values of society
Board of nursing
Making sure nursing education is teaching what we are suppose to be taught, regulate licensure and practice, investigate complaints of nurses
Code of ethics for nurses
Comes from ANA and have a standard of practice
Compassion , commitment , advocacy, accountability, responsibility, authority , professional growth, improve ethical environment and conditions of employment, advancing profession ( research) , collaborator, health diplomacy, maintaining integrity
Nursing process
Assess pt probs
Nurse diagnosis
Come up w plan with how they are going to achieve it
Implement plan (interventions)
Evaluate
Standards of practice include
Ethics , advocacy, requires the nurse to be respectful , equitable practice (treating pt the same) , communicate , collaborate, take part in leadership, continue your education, scholarly inquiry ( research) , quality of practice stewardship, professional practice, evaluation ( of self) , enviromental health
Beneficence
The duty to act so as to benefit or promote the good of others
(Spending extra time to help calm an extremely anxious pt )
Autonomy
Respecting the rights of others to make their own decisions
(Acknowledging the pt right to refuse medication)
Justice
The duty to distribute resources or care equally regardless of person attributes
Fidelity (nonmaleficence)
Maintaining loyalty and commitment to the pt and doing no wrong to pt (maintains expertise in nursing skills through nursing education)
Veracity
One’s duty to communicate truthfully
( describing meds truthfully )
Voluntary
Seeks voluntarily for treatment and has right to discharge
( adult or parent if under 18 )
Request in writing for discharged but need reevaluation
Must be realeased unless risk of harm
Involuntary- what criteria do they need to meet
Danger to self or others or is unable to meet his or her own basic needs
Competency
Related to the capacity to understand the consequences of ones decisions
Conservatorship
Guardian is appointed to speak for pt if pt is ruled incompetent .. ( cannot provide his or own shelter, food or clothing. Cannot act on owns best interest and cannot run business and financial affairs )
S/P
Suicide precautions
A/P
Aggressive precautions
E/P
Elopement /escape precautions
Emergencies
Codes
Mileu
Safety of the environment
Agitation
An acute behavioral emergency requiring immediate intervention
Best practice of agitation
Verbal de-escalation .. medication.. seclusion.. restraints
Anger
Emotional response to frustration of desires threat to ones needs (physical or emotional) or a challange
Aggression
Action of behavior that results in a verbal or physical attack
Violence -
intentional use of force that results in or has potential to result in injury to
Emergency meds antipsychotic
Haloperidol (Haldol)
Ziprasidone (geodon)
Olanzapine(zyprexa)
Emergency meds antianxiety
Lorazepam (benzodiazepine)
When someone is experiencing acute symptoms of anger and aggression What is used along side emergency meds to reduce extrapyramidal side effects?
Diphenhydramine , benztropine (Benadryl)
Seclusion
Involuntary confinement in specially constructed room where person is prevented from leaving
Restraint
Any manual method or physical or mechanical device that immobilizes the ability of person to move
Time limit restraint for 18 and older
4 hours
Time limit restraint for 9-17 years
2 hours
Under 9 yr old restraint time limit
1 hour
Causation
Negligent malpractice / unintentional tort
But for the nurses action would this injury have occurred
Proximate cause
Unforeseeable intervening actions or inactions that were the actual cause of harm to pt
