Quiz #24 Community, Safety, Emergency, Legal & Ethical & Transcultural Nursing Flashcards
some types of Negligence
medication errors, patient falls, use of restraints, and equipment injuries.
assault
intentional threat to cause bodily harm .
battery
Unlawful touching of another person
this is why we have to ask informed verbal consent.
or administering injection against a will of client.
negligence
Doing of an act or not doing of an act that was reasonable to do that resulted in harm towards a person.
tort
A type of civil law that false imprisonment/unlawful confinement against a clients will.
Competency
Legal presumption that a person of age can make their own decisions unless otherwise noted.
Defamation
Spoken or written statements made
maliciously and intentionally that may injure the subject’s reputation.
Libel
malicious or untrue writing about another person
that is brought to someone else’s attentio
example of negligence:
a nurse is caring for a pt with gast . what do you need to do?
monitor for cmst :
circulation , movement, sensation and temp
The nurse in the morning has assessed that the pt has slow capillary refill and the temp is not warm and did not report to health care provider?
this is negligence ,
must report right away
the nurse is assisting pt to bathroom and they had a fall as a result the pt sustained a hip fracture?
the nurse can be sued for negligence.
*expert witness would be asked
they would get another nurse (expert witness) nurse has to be proactive was this accident preventable? you have to have the preventive measures ahead of time. if you know the pt is at risk for falls you have to be proactive ahead of time. provide walker , gate belt etc..
Pt has a urinary catheter, you have been taking care of pt and pt acquired a urinary tract infection.
usually if pt has a catheretaor pt is at risk for urinary tract infection (uti).
uti can be considered negligence.
Pt is post op so there is strict bed rest that was ordered by doc the pt asked for bedside commode the nurse allowed it since she saw another nurse do it ?
This is considered negligence because you have to stick to the order of the doctor .
*what you see others do might not be correct. stick to order.
examples of negligence acts:
Medication error that resulted in injury?
allergic reaction, stomach upset ,increase in blood pressure
negligence acts
*Failure of the nurse to check function of aquimnet
*failure to report (coc )
change of condition.
Example of (coc) change of conditions among Elderly?
Fever is not the first sign of infection confusion is the first or early sign of infection .
fall results from?
failure to provide safety to the client
Mr. S is a patient at County General Hospital. He has designated that his daughter will make decisions regarding his medical treatment if he becomes unable to do this himself. This is called:
A health care proxy or a durable power of attorney.
Who is responsible for regulating and licensing the nursing practice?
The Board of Registered Nursing (BRN)
Which of the following best defines “breach of duty?
“Failure to perform in a reasonable, prudent, manner”
The nurse has strong moral convictions that abortion is wrong. When assigned to assist with an abortion, the nurse has the right to:
Ask for another assignment.
Although the nurse may disagree with a DNR order, the nurse:
Must follow the order
**A do-not-resuscitate (DNR) order is a legal document that means a person has decided not to have cardiopulmonary resuscitation (CPR) attempted on them if their heart or breathing stops
accountability
Being responsible for our actions , when the nurse shows responsibility for their own action in respect to legal duty.
liability
our legal responsibility
*legal relationship
nurse patient relationship
When the nurse assumes responsibility for patients care.
*respect and trusting relationship
legal liability
Failure to provide care to expected level of expertise rise to legal liability.
as an lvn you are expected to do the procedures . know the scope of your practice.
advocate
-Defend or plead a cause or issue on behalf of another.
-health care proxy or DPOA
health care proxy or DPOA
-It could be a member of the family but the member should be legal age .
-The nurse cannot because it is a conflict of interest .
-Assigned by pt him or herself to act in his behalf in case there will come a time when pt will not be able to make decisions for himself .
standards of care
-what should and what should not be done to patient.
-Boundaries and limitations of our practice.
-acts that are or not permitted to be performed.
-failure to adhere to the standards may adhere to legal liability.
scope of nursing practice
-the interventions or acts that should be done or not done because we are in the limits and boundaries of our profession.
-give direction to the practice of nursing. Follow the laws of individual states.
nurse practise act
defines and limits the scope nursing in a given state.
*document that identifies the roles and responsibilities of an LVN.
Defined in every state.
if you are not sure how to do something?
ask for help,
patients bill of rights
Created by the american hospital association in 1972, it is part of admission form.
*Was modified in 2003 now its called patient care partnership is a document that has become the standards of care for patients expectations/Understanding Expectations,Rights, and Responsibilities.
STATE BOARD
responsible for regulating and licensing the nursing practice.
Why is it so important for each state to implement their
own licensing laws in the medical field?
To protect the public, which includes you and me, from
unqualified practitioners.
A newly licensed nurse must practice under the supervision of an RN or Physician.
Patient rights
Health Insurance Portability and Accountability
Act of 1996 (HIPAA)
staff that have direct care to pt can only access pt information.
clients health care records
Can only be shared to health care team member who are directly involved with care of pt.
*Medical records are NOT public documents
Brining documents of pt out of unit?
Violation of pt privacy, can not do that. hipaa
Doing an invasive procedure without informed consent?
civil battery
-informed consent must be obtained before any invasive treatment or procedures.
to provide consent that pt must be at least?
a. legal age 18
b. marriage
c. court approved emancipation
d. living apart from parents/guardian
e.serving in military
Confidentiality
Nurses have an ethical responsibility to protect patient information.
Failure to maintain confidentiality gives rise to legal liability.
The BEST way to avoid a lawsuit is to Provide
-compassionate, competent nursing care
-Nurse-patient rel. must be one based on trust and respect
*Use of open and honest communication
*Maintain and adhere to the standards of care and scope of
practice
*Good Samaritan law provides immunity from lawsuits in
certain circumstances
Proper documentation
IF IT ISN’T CHARTED, IT WASN’T
DONE
Non-maleficence
means to do no harm
what is malpractice
physical injury or harm that has occurred
bridge of duty : the direct cause of the harm , failure to perform
