Regulatory Compliance Flashcards
What is the Nursing Code of Ethics?
A guide for carrying out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession
focused on outlining the goals, values, and obligations to the profession of nursing.
ANA code of Ethics for nurses.
Written policies and procedures for blood transfusion services must conform to the standards of the:
American association of blood banks
takes the lead in Evidence Based Standards related to the criteria for blood donors, compatibility testing, and administration of human blood products.
A peer review
Focuses on an individual practitioner’s
strengths and weaknesses.
An associate with the same role expectations and performance description examines and evaluates the clinical practice of a peer.
Internal benchmarking
When processes within the same facility are measured against each other
Benchmarking
Continual monitoring of a competitor for performance improvement
Competitive benchmarking
Another way of saying you’re monitoring a competitor for performance improvement in your own facility
Functional benchmarking
-comparing your industry to another industry
-as you might compare a preop checklist in surgery to a preflight checklist in aviation.
Monies for larger purchases that have lasting use implications for a time defined period is called?
Capital budget
Some items might depreciate over time and need replacement as technologies change. The budget for these large expenses is called a capital budget.
US nuclear regulatory commission (NRC)
Sets radiation safety limits
Inside label of autologous tissue must include
-Patient identification using 2 unique identifiers
- Source of tissue
-Laterality if indicated
-Type of tissue
-Patient medical diagnosis, any pertinent clinical information
Outside label of autologous tissue must include
“For autologous use only”
“not evaluated for infectious substances”
“Biohazard”
Safe medical device act
Must report any incident of death or serious injury related to medical device
EPA (Environmental Protection Agency)
Recommends background noise not be more than 45 decibels
OSHA (Occupational Safety and Health Administration)
Mandatory limits on radiation exposure
Requirements on respirators
FDA (Federal Drug Administration)
-Collects medical device safety info reported by patients, manufacturers, and other stake holder
-Issue recalls
-Requirements for reprocessing
Capital budget
Typically used for purchase of large equipment (over $500) or for maintenance of assets with a “life” longer than the current year
Ex: OR beds, monitors, lasers, robots
Operational budget
Concerned with day-to-day running of the department or service line
Ex: salaries, supplies
According to AAMI and ANOR how much can pans weight?
25 lbs
Health literacy
Ability to make appropriate health decisions based on finding, understanding, and using information and services
How long do we maintain documentation related to an exposure?
The duration of the individual’s employment plus 20 years
FDA
Regulates medical and pharmaceutical devices and products
CDC
-Protect health, safety and security threats
-risk of healthcare associated infections
-Infection prevention guidelines and recommendations
CMS
-oversight of enforcing conditions of participation
-determines reimbursement fees and fees-for-services regulations; focuses on decreasing fraud
-establishes value-based incentive reimbursement; ties reimbursement to improve patient outcomes
-Enforces compliance with HIPAA
OSHA
-ensure safe and healthy work environment (staff & pts)
-managing infectious disease
-establishing a culture of safety
-Addressing workplace violence
-Performing safe patient handling
-Managing biological and chemical exposure risk
