professional issues and trends Flashcards
AIDET
acknowledge
introduce
duration
explanation
thank you
capacity vs competency
capacity - functional assessment about a particular decision (may change day to day or hour to hour) – nurse or NP can assess
competency - global legal determination made by judge (leads to guardianship)
components of capacity
ability to communicate decisions
ability to give reasons for decisions
reasons given are logical
appreciation of ramifications
comprehension of ramifications
respect for autonomy
duty to respect a person’s right to self governance
nonmaleficence
duty to avoid causing harm to and minimize harm to the patient
beneficience
duty to maximize benefits and enhance patient’s wellbeing
formal justice
duty to treat patients fairly and equitably
veracity
truth telling, informed consent, respect for autonomy
fidelity
loyalty, maintain the duty to care for all no mater who they are or what they have done
confidentiality
only sharing private information on a “need to know” basis
privacy
a person’s right to remain private, not to disclose information
credentialing
represents verification of a person’s education, training and experience
ANCC, AANP
privileging
permission to provide medical or other patient care services in the granting institution based upon the individual’s education, professional, license, experience, competence, ability, health, and judgement
ex institutions placing regulations on certain tasks that re permitted by NPs
done to prove that you are able to bill
negligence
failure to exercise the care that a reasonably prudent person would exercise in like circumstances
medical malpractice
occurs when a hospital, physician, or other health professional, through a negligent act or omission, causes an injury to a patient
components of therapeutic relationship
mutual trust (common goal)
professional boudaries (cell phone)
confidentiality (HIPPA)
cultural respect (no assumptions)
living will
what pt would or would not accept in serious illness
may be lawyer generated or notarized
POLST/MOST forms
5 wishes forms - not legally binding but helpful
MDPOA
who will make decisions
durable power of attorney - finances
medicare
FEDERAL health insurance program for people: 65 or older, under 65 w disabilities, or have ESRD or ALS
medicaid
FEDERAL AND STATE program that helps pay health care costs for those of low income/resources
long application, must provide documentation of lack of resources
4 factors for malpractice
duty
breech
injury
causation
occurrence insurance policies
if you leave employer, you will be covered for claims that occurred while you worked there
claims made insurance policies
offer coverage for claims that occur during employment
once you leave job, coverage expires too
sometimes includes 1-2 years after leaving job
tail coverage
offered when claims made policy is cancelled, you can purchase this coverage to extend time of policy
