Professional Adjustment Flashcards
right of person/pt to decide for himself for own welfare;
Decision-making
Autonomy
If patient refused medication:
Accept!!!
(Principle of Advocacy)
Waiver is the decision of the _______.
Doctor
explains the action of drug to the patient
Doctor
PRIORITY if patient refused medication:
Document!!!
If the medication is new and the patient refused to take medication:
DO NOT explain the action of drug.
BUT explain the consequences of refusal.
-Before giving medication, the nurse is already explaining the action of drug so does not need to explain
head of healthcare team
Doctor
WITHHOLD AUTONOMY OF PATIENT for the benefit of the patient because the patient’s condition is unstable.
Paternalism
Jehovah’s Witness patient, unconscious in a vehicular accident with no company, the doctor orders immediate blood transfusion.
Paternalism
GIVES CONSENT:
Patient
EXPLAINS THE INFORMED CONSENT CONTENT:
Physician
WITNESS
Nurse
Next of Kin:
a. legal spouse
b. parents
c. siblings
Requirements to sign consent:
a. Legal age: 18 years old and above
b. Should be of Sound Mind
Ability to read and write is not required / required to sign the consent!
not required!!
used to sign for illiterate people
Thumb mark
Mother is 15 yrs old (Minor), and patient is baby. Can the mother give consent?
NO. The mother CANNOT give consent because she is a minor. There is no emancipated minor in the Philippines.
Mother is 15 yrs old (Minor), and patient is baby. Who is the next of kin?
a. Father of baby
-If in the age of majority (18y/o) and acknowledges the baby of its own (signed the birth certificate)
b. Grandparents of only MOTHER SIDE.
5 things that the Nurse shall Witness
i. Actual conversation of Doctor and patient
ii.There must be full and sufficient explanation from physician/doctor
iii.Patient should have fully understand
iv.Patient should have voluntarily consented
-No force, violence, intimidation
-Patient in sound mind
v.Patient voluntarily SIGNED the consent
practice of telling the truth
VERACITY
concept of faithfulness and the practice of keeping promises
Fidelity
Withhold the truth from the patient for the benefit of the patient because the patient condition is unstable
PRINCIPLE OF BENEVOLENT DECEPTION
One responsible for telling the truth to the patient
Doctor
Failure to meet the standard of due care
Breach of duty
Injury to the plaintiff is directly caused by the breach of duty
Causation
the lack of ability, legal qualifications or fitness to discharge the required duty
Incompetence
To Do [Good]
BENEFICENCE
To prevent or To protect
NON-MALEFICENCE
Tepid Sponge Bath, Gave Pain relievers PRN
BENEFICENCE
Withhold giving medication to infant to prevent overdose; picked up banana peel on the floor; raising of side rails
NON-MALEFICENCE
The good effect should overcome the bad effect.
Principle of Double Effect
In Principle of Double Effect, If the bad effect overthrows the good effect, _____.
STOP
Chemotherapy
oKills cancer cells
o Nausea and vomiting, decrease immune system
Principle of Double Effect
equal or fair treatment of patients that are SIMILARLY situated
JUSTICE
Name is not disclosed to protect identity
Anonymity
use only INITIALS
Anonymity
Do not disclose any information or the case of subjects
Confidentiality
court order asking a person to appear in court to bring along records, reports and documents within his control
Subpoena duces tecum
court order asking a person to appear in court to testify
Subpoena ad testificandum
The court subpoena’s the Hospital / Custodian of Records / Doctor (if clinic only)
Subpoena duces tecum
The court can subpoena the barangay to bring their OWN CCTV footage
Subpoena duces tecum
not an oral will; the deceased will confess to other person the circumstances of his/her death
Dying declaration
Dying declaration dated, written and signed by the person himself
Holographic will
Dying declaration executed in the presence of 3 witness
Notarial will
to testify on matters on their field of specialization
Expert witness
NOTICE informing the accused of the nature and the cause of accusation against him and asking him to appear or to answer in a specified date and time; requirement of due process
Summon
private moments, private parts, private properties
Privacy
Philippine Nursing Act of 2002
RA 9173
Consequence of violation of RA 9173
Revocation and suspension of license
Accredited Professional Organization for nurses
Philippine Nurses Association (PNA)
Active support of an idea or cause
ADVOCACY
ensure patient’s rights, needs, privileges are supported
Patient advocate / ADVOCACY
Principle when the nurse questions the doctor’s order
Principle of Advocacy
Principle when the nurse withhold giving medication as it can cause further harm
Principle of Non-maleficence
Principle when the nurse accepts after the patient refused the medication
Principle of Advocacy
refers to the commission and omission of an act
NEGLIGENCE
reasonable care under the circumstances
Due care
an obligation one has incurred or might incur through an act or failure to act
Liability
improper or unskillful care of a patient by; also denotes stepping beyond one’s authority with serious consequences
malpractice
performing beyond the standards of care
malpractice
4 Elements of Negligence
- Existence of duty
- Failure to meet standard
- Forseeability of harm / Proximate Cause
- Injury
Gross Incompetence
-suspension / revocation of license
absence of injury you do not have a case of negligence
True
unlicensed
Negligence
professional (licensed)
Malpractice
When off shift, you are going outside using a car and you hit a patient :
Negligence
(because your duty is not related to the profession, it is the duty of the motorist)
let the master answer to its subordinates
Respondeat Superior
the thing (evidence) speaks for itself
Res Ipsa Loquitor
Employee-Employer Relationship
-– employer is also held answerable
Vicarious liability
General Rule: Do not wave signing of Informed Consent.
Except: Time is off at the essence. (Patient’s life is in danger.)
TRUE
Lead surgeon: responsible for anything happening inside the OR
Doctrine of the Captain of the Ship
The patient let a gouty patient on a defective wheelchair and suffered fracture
Assumption of Risk
– pt has already shown the risk
Irressistable inevitable, unforseeable act although sometimes forseen it cannot be prevented; Acts of God
Force Majeure
Marian Rivera is in the hospital and earthquake occurred, her face got scarred. She can file a complaint / demand to hospital but it will be defense as Force Majeure.
Force Majeure
Civil or wrongful act committed by a person against another, wherein the person being liable for damages
Torts (damages)
imminent threat of bodily harm or contact
Assault
“isang hakbang mo pa, gigripuhan ko yang tagiliran mo”
Assault
Inambahan ng suntok at kinwelyuhan
Assault
unconsented touching of another person which resulted to physical harm
Battery
Detaining a person against their will without violating a law
False Imprisonment
Detaining a person in violation of a law
Illegal detention
Use of restraints
False Imprisonment
- No law prohibits use of restraints
committed when the nurse divulges information from a patient’s chart to improper sources or unauthorized persons
Invasion of Right to Privacy
committed through publication of any picture of a patient without the consent or revelation of the contents of the records of the patient.
Breach of Confidentiality
Public Defamation
Libel
Requirement: (+) publication
Private Defamation
Slander
Requirement: (+) witness
Scrub out in OR and you talked to a friend, shared the tea, then the tea reached the doctor
Slander
Lolit chismis somebody and published on newspaper and aired on TV
Libel
throwing reputation of others
e.g.slaps someone on the face publicly
Slander by deed
the corporation (hospital) has a duty separate and distinct from its duty as an employer, to assure that patients receives safe and quality care
corporate liability
will that is made orally
Noncupative Will
