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AORN Periop class > Professionalism > Flashcards

Professionalism Flashcards

1
Q

What is a calling requiring specialized knowledge and often long and intensive academic preparation?

A

profession

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2
Q

What is the nursing process?

A

a systematic approach in which nurses utilize problem-solving techniques in the individualized care of the patient.

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3
Q

What elements does the professional nurse utilize for the nursing process?

A
  1. Assessment
  2. nursing diagnosis
  3. outcome identification
  4. planning
  5. implementation
  6. evaluation
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4
Q

Who are members of the perioperative team?

A
  1. RN circulator
  2. Scrub RN or surgical technologist
  3. RN first assist
  4. advanced practice RN
  5. surgeon
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5
Q

What is the role of the RN circulator?

A
  1. primary responsibility is pt. advocate

2. oversees skin prep, positioning, and surgical counts

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6
Q

What is the role of the scrub RN or scrub technologist?

A
  1. organizes instruments and supplies on the sterile field

2. Hands instruments to the first assistant or surgeon

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7
Q

What is the state board of nursing?

A

governmental agencies that regulate the practice of nursing specific to each state:

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8
Q

What do boards of nursing do?

A
  1. establish standards. Determine roles that an RN can fulfill in that state
  2. issue licenses. Review and approve or accredit nursing education programs.
  3. monitor licensees
  4. discipline licensees
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9
Q

What is a systematic inquiry or investigation?

A

research

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10
Q

What is a method of creating a change to a current process and measuring the effectiveness of the change?

A

quality improvement

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11
Q

What is the conscientious integration of the best valid research with clinical expertise in conjunction with the patient’s values and needs

A

Evidenced-based practice

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12
Q

What are the goals of EBP?

A

improvement of the patient’s health and outcomes

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13
Q

What do the AORN guidelines for perioperative practice contain?

A

contain recommendations for patient care based on the systematic review of evidence?

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14
Q

What is done to the evidence to inform the AORN guidelines?

A
  1. evidence is appraised and scored
  2. recommendations are created that are rated on the strength and quality of the evidence
  3. the recommendations complement the nursing process
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15
Q

Policies and procedures are created and implemented for the protection of who?

A
  • Patient
  • Personnel
  • Organization
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16
Q

Standardization of care provides what in P&P?

A

provides consistency of care across the organization

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17
Q

who are Sources for Policies & Procedures?

A
  1. Regulatory agencies
  2. Accreditation agencies
  3. Specialty association recommendations
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18
Q

what is an example of P&P?

A

j

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19
Q

what is an example of AORN guideline?

A

k

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20
Q

what is an example of standards of Periop nursing

A

l

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21
Q

who obtains informed consent?

A

physician

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22
Q

what must the patient do for informed consent?

A

• The patient must give consent voluntarily with the full understanding of all implications

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23
Q

what does informed consent include?

A

o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment

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24
Q

what can an RN do w/UAP??

A

The professional nurse may delegate certain activities to unlicensed assistive personnel.

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25
Q

What is imp. for RN to remember w/delegating??

A

The RN who delegates a task remains accountable for the task that was delegated.

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26
Q

What are the 5 rights of delegation??

A
  1. Right task
  2. Right circumstance
  3. Right person
  4. Right communication and direction
  5. Right supervision and evaluation
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27
Q

Health care providers and personnel have an ethical and legal responsibility to always maintain what?

A

the patient’s privacy and confidentiality

28
Q

what 4 things are important in privacy?

A
  1. medical info - Hippa
  2. physical exposure - showing body parts during transfer
  3. personal privacy - verbal or written comments at pt.’s lifestyle, appearance, social status, specific health care needs
  4. electronic privacy - social media
29
Q

What is an unlawful threat to harm another physically.

A

assault

30
Q

What is carrying out the bodily harm?

A

battery

31
Q

What is Payment made, up to the limit of the policy, on behalf of the policy holder who has paid the insurance policy premium?

A

indemnity policy

32
Q

A legal obligation or responsibility?

A

liability

33
Q

An act or a failure to act (omission) that deviates from the accepted standard of care?

A

negligence

34
Q

What is nursing malpractice?

A

Negligence or an intentional act that causes physical, financial, emotional, psychosocial, and/or
cognitive damage to the person in the nurse’s care.

35
Q

What is Respondeat superior?

A

Employers are responsible for employee actions when
o the nurse acted within the scope of practice.
other allegations occurred during the nurse’s employment.
o the nurse’s actions were in the employer’s best interest.

36
Q

What are actions of a reasonable and prudent professional in the same or similar circumstance?

A

standards of care

37
Q

What is a A breach of duty to another person as outlined by law?

A

tort

38
Q

What is autonomy?

A

Self-determination; the patient’s right to make their own decisions based on their own values and beliefs.

39
Q

What is an example of autonomy?

A

the patient’s right to refuse treatments that may benefit them.

40
Q

What is beneficence?

A

The duty of health care workers to promote good for the patient and minimize harm; actions that help another.

41
Q

What is an example of beneficence?

A

observing fall precautions, appropriate medication administration.

42
Q

A person’s right to privacy of identifiable medical and personal information.
The duty of health care providers to keep a person’s information private.

A

confidentiality

43
Q

To keep a promise. Nurses must be competent in providing safe, quality care in keeping with their
professional promise to do so.

A

fidelity

44
Q

What is justice?

A

The patient’s right to be treated fairly and equally.

45
Q

What is an example of justice?

A

providing patients who do not have insurance with the same treatment that would be provided to those who are insured.

46
Q

What is nonmaleficence?

A

Nurses must avoid causing harm to their patients.

47
Q

What is an example of nonmaleficence?

A

supporting the patient who has chosen to stop taking a medication that can save their life.

48
Q

What is truth-telling; honesty; allows the patient to practice their autonomy?

A

veracity

49
Q

What is Cash inflow, typically from providing patient services

A

revenue

50
Q

Expenses

A

Costs related to cash inflow such as patient care equipment and personnel salaries

51
Q

Costs related to the service provided such as the supplies needed to deliver care and salaries of those providing
direct patient care

A

Direct expenses

52
Q

Costs not related directly to patient care such as heating/cooling the building and salaries of those not providing direct patient care

A

Indirect expenses

53
Q

non-productive time

A

Employee payment when not in direct patient care such as vacation time and orientation

54
Q

What is owned by the organization?

A

assets

55
Q

What are business elements that are quantified in financial terms?

A

budget

56
Q

What is a structured language approach to nursing practice?

A

PNDS

57
Q

What are the 4 malpractice elements?

A
  1. duty
  2. breath of duty
  3. the breach caused injury
  4. injury caused measurable harm
58
Q

What is duty?

A

The professional nurse has a legal responsibility to provide patient care that a reasonable and prudent nurse practicing in a similar situation would follow.

59
Q

What are examples of duty?

A
  1. following facility policies and procedures
  2. being clinically competent to perform duties
  3. practicing within the Nurse Practice Act in the state of employment.28
60
Q

What is breach of duty?

A

The care provided did not adhere to the standard of care.

61
Q

What is helped to understand breach of duty?

A

the nurses are within the care standard of a reasonable and prudent nurse in the same situation.

62
Q

What is breach caused an injury?

A

The action of the nurse caused the injury.

63
Q

What must the plaintiff do in a breach caused an injury case?

A

The plaintiff must prove that the actions or the lack of action by the defendant nurse caused the harm for which the plaintiff seeks a monetary reward.

64
Q

What is injury caused measurable harm?

A

The plaintiff suffered harm as a direct result of the injury and is seeking compensation from the court.

65
Q

What is injury caused measurable harm usually?

A

This is usually a monetary compensation to cover the costs of additional medical treatment, lost earning capacity, or physical therapy.

66
Q

What must the plaintiff do in an injury caused measurable harm case?

A

Plaintiffs seeking damages from defendants must prove personal harm to justify compensation, either monetary, non-monetary, or both.

AORN Periop class (23 decks)

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