Quiz 1 Flashcards
Standards of practice
- 2 content areas
1. Nurses should demonstrate a competency of nurses based on nursing process (assessment, diagnosis, outcomes, ID, planning, implementation and evaluation)
2. describes the level of competence required in the professional rile, delineating nursing activities in areas of ethics, edu, evidence based practice and research, quality of practice, communication, collegiality, collaboration professional practice eval, resource utilization and environmental health
ANA Scope and standards of practice
- 5 tenets
1. Individualizing care to meet specific needs
2. Coordinate care by establishing partnerships and shared goals
3. Concept of caring is central to nursing practice
4. Using evidence based knowledge
5. Emphasizes the existence of a strong link between the professional work environment and the ability to provide quality healthcare, optimal outcomes
Profession vs. occupation
Profession: An occupation that requires advanced knowledge and skills and grows out of society’s needs for special services
Occupation: Broad terms that describes a field of career interests, a role in society that performed regularly for payment
What are ethics?
The study of conduct and character
What is a code of ethics?
A guide for the expectations and standards of a profession
What are the ethical principles for patient care
Autonomy
Beneficence
Veracity
Fidelity
Justice
Nonmaleficence
What is autonomy
Freedom of independence to make own decisions
What is Beneficence?
Actions guided by compassion/kindness
What is Veracity
telling the truth
what is fidelity
keeping promises or commitments
What is justice
actions are fair and equitable
What is nonmaleficence
commitment todo no harm
Unintentional vs. intentional negligence
Negligence is failure to exercise reasonable or ordinary care, doesn’t provide the standard of care
- Failure to use such care as a reasonably prudent and careful person would use under similar circumstances
Intentional: Knowingly disregards a patients safety or deliberately fails to act
Unintentional: Fails to meet the standard of care without malicious intent
What are the levels of healthcare?
Preventive level
Primary healthcare
Secondary healthcare
Tertiary healthcare
Restorative healthcare
Continuing healthcare
What is preventive healthcare
Focuses on educating and equipping patients to reduce and control risk factors for disease
Example: Focus on stress management and imunizations
What is Primary healthcare
Emphasis health promotion and includes prenatal and well-baby care, family planning, nutrition counseling and disease control
Ex: Office or clinic visits
Secondary healthcare
Includes the diagnosis and treatment of acute illness and injury
Ex: care in hospital settings, as emergent care centers
Tertiary healthcare
Acute care
Involves the provision of specialized highly technical care
Ex: Intensive care, burn centers
Restorative health care
Involved intermediate follow up care for restoring health and promoting self-care
Ex: Home health care, rehab centers
Continuing healthcare
Addresses long-term or chronic health care needs over a period of time
Ex: end of life care, palliative care, hospice
What are the principle of ethics
Advocacy
Responsibility
Accountability
Confidentiality
What is Advocacy
support and defend clients’ health, wellness, safety, wishes, and personal rights, including privacy
What is Responsiblity
willingness to respect obligations and follow through on promises
What is accountablity
ability to answer for one’s own actions
What is confiendality
protection of privacy without diminishing access to high quality care
What is malpractice
-Improper or unethical conduct of unreasonable lack of skill by a holder of a professional or official position
- Breach in the standard of care provided by a nurse that results in harm to the patient
What four elements must be present for malpractice
Duty, breach of duty, causation, injury
What is delegation
The transfer of responsibility for the performance of an activity from one person to another while retaining accountability for the outcome
What are the five rights of delegation
right task, right circumstance, right person, right supervision, right direction and communication
Nurse practice Act
- Activities you perform in the delivery of client care cary from state to state
- Laws that regulate professional nursing pratice
- The laws defining nursing’s scope of practice in each state, together with the board of nursing’s rules and procedures are the NPA
- Serve to protect the health, safety and welfare of general public
Who is the founder of nursing and what is their significance
Florence Nightingale
Significant because she revolutionized nursing practice, founded the first nursing school, promoted evidence based nursing, and was a patient advocate
What can and cant be delegated?
You can have them ambulate a patient, they assume responsibility for the patient however they are in charge of assessing the clients ability to ambulate or evaluate weather or not the activity is effective intervention. That is not within their scope of practice. So I as the nurse am responsible for the outcome of the activity and making sure it is safe
What is a professional nurse, practical nurse, nursing assistant
- Professional nurse
- Practical nurse: under direction and supervision of an RN or other licenses healthcare professional
Types of Insurance
Medicare:
- 65 years +
- Part A-D
A: Insurance for hospital stays, home health, hospice
B: Insurance for outpatient and provider services
C: Medicare advantage or supplement plan (covers A, B, sometimes D)
D: Medication coverage for those eligible and required a monthly premium
Medicaid:
- Low income patients, federally and state funded, individual states determine eligiblity requirements
Private Plans:
- Traditional insurance reimburses for services on a fee for service basis
State Children’s Health Insurance Program:
- Coverage for uninsured children up to age 19 at low cost to parents
HMO: See only the the doctors in their network
PPO: Tight management, doctors are employed by the company, little more flexible
Regulatory agencies
oversee and enforce healthcare laws, nursing standards, and patient safety to ensure high-quality care.
Defamation of character
False statements made about the nurse, coworkers or patients
Invasion of privacy
Violating HIPPA, talking about patients specifically with identification details not in a secure place or with people who are not involved with the patient
Types of positioning
