Practice Issues; Ethical And Legal Princies Part 1 Flashcards
The average adult reads at the _________
Grade level
8th
Medical information literature should be written at no higher of a grade level than
6 to 8th grade
Accreditation guidelines are often laid out by the
Joint commission
What are institutional bylaws
Rules laid out by the institution that may provide further qualification and restriction on the role of healthcare staff
Example: duties, responsibilities and privileges of adult dermatology, acute care, nurse practitioners
How can you prepare for a mass casualty event
Pre enrolling for disaster help
Cage-aid assessment tool is used for
Alcoholism assessment
What are the components of the CAGE Assesssment
C: Have you ever felt the need to cut down on your drinking?
A: Have people annoyed you by criticizing your drinking?
G: Have you ever felt bad or guilty about your drinking?
E: Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?
What are the 4 behavioral categories of the CPOT pain assessment tool
Facial expression
Body movements
Muscle tension
Compliance with ventilator or vocalization
Scoring range 0-8
What are the four features of the cam ICU?
Acute onset of mental status changes or fluctuating course
In attention
disorganized thinking
Altered lower of consciousness
______ are not covered by Medicare
Hearing aids
Which complementary and alternative medicine therapy is good inParkinson’s patients
Tai chi
Light therapy is containdixated inpatients who have
Retinal issues
(Glaucoma)
Define benchmarking
Comparison and measurement of a healthcare organization services against of their national healthcare organizations
Benchmarking a core principles
Maintaining quality
Improving customer satisfaction
Improving patient safety
Continuous improvement.
A formal systematic peer review nursing practice is required for
Magnet recognition
What are the colors of healthy people 2030?
To increase the quality and years of healthy life
To eliminate health disparities among Americans
The state health department should be notified for which diagnoses?
Gonorrhea
Chlamydia
Syphilis
HIV
TB
Lyme dx
Covid
Title 1 of HIPPA protects
Health insurance coverage for workers and their families
COBRA
Consolidated Omnibus Budget Reconciliation Act
Who sets the standard for reimbursement and cutting costs
Medicare
Medicaid is for the
Poor
Medicare is for the
Elderly
What form of Medicare do we reimbursed under
Medicare B
Medicare A covers
Inpatient/hospital, skilled nursing facility, home health services
Medicare B
Covers physician/NP services, outpatient services, labs, procedure & medical equipment
NPs and Canada get what percentage of physician reimbursement for services provided with a collaborating physician
85%
Medicare C is also known as
Medicare advantage
Qualified for after you have A+ B
Medicare D
Unlimited drug prescription coverage
Requires a monthly premium and copay
Which 2 forms of Medicare do patients have to pay for something
B & D
Incident to physician billing
The doctor has to be there while the NP is performing services in order to bill under their provider number
Incident to billing is not allowed in the
Hospital
Medicaid payment are made _____other insurance or third party payer
AFTER
Who outlines steps of continuous improvement or Quality Assurance
Joint commission
Who mandates what we can and can’t do in NYS
State Board of Nursing
Establishes that a person is qualified to perform in a particular professional role
Licensure
established that a person has met certain standards to perform in a particular professional role
Certification
Privileges may be granted in part or full may be decided by the
Credentialing committee
The duty to do no harm
Nonmalficence
The right act is the one that produces the greatest good for the greatest number
Utilitarianism
Ex. Sickest patients last to cared for in mass casualty event
The duty to prevent harm and promote good
Beneficence
The duty to be fair
Justice
The duty to be faithful
Fidelity
The duty to be truthful
Veracity
Autonomy
The duty to respect an individuals thoughts and actions
What are the 4 distinct roles of an NP
Clinician
Consultant/collaborator
Educator
Researcher
