Safety Unit 1 Flashcards
1
Q
Focuses on noncompliance, informed consent, right to refuse tx
A
Risk mgt
2
Q
Identifies, evaluates, develops plan for potential risks
A
Risk mgt
3
Q
Planned program of loss prevention & liability control
A
Risk mgt
3
Q
Evaluates & improves d process
A
Team, headed by team leader
4
Q
Provides for process and mgt health care team
A
Coordinator
5
Q
Establishes policy
A
Senior mgt
6
Q
Process: Senior mgt, Coordinator, Team leader
A
Continuous quality improvement
7
Q
Managed by team of 5-10 people
A
Continuous quality improvement
8
Q
Involves organized incident reporting
A
Continuous quality improvement
9
Q
Prevention focused approach
A
Continuous quality improvement
10
Q
Aka Care Maps
A
Managed Care
11
Q
Critical pathways used as foundation of activities and guide services
A
Managed care
12
Q
Emphasizes costs
A
Managed care
13
Q
Uses interdisciplinary approach
A
Managed care
14
Q
Goal is to reduced healthcare cost
A
Managed care
15
Q
Be cautious to give info on d phone(hard to ID caller)
A
Privacy
16
Q
Focuses on client outcomes
A
Managed care
17
Q
Duty to warn of threatned suicide or harm others
A
Tarasoff Act
18
Q
Limit the liability of professionals in emergency situations
A
Good Samaritan Laws
19
Q
Define “reasonable care” in each state
A
Nurse practice acts
20
Q
Nurse is responsible for using reasonable care in practicing nursing
A
Accountability
21
Q
Rules of conduct established and enforced by authority
A
Laws
22
Q
Intentional touching w/o consent
A
Battery
23
Q
Intentional threat to cause harm
A
Assault
24
Release of info to an unathorized persons w/o clients consent
Invasion of privacy
25
4 Required Elements of Malpractice
Duty
Breach of duty
Causation
Injury
26
Professional negligence
Malpractice
27
Unintentional failure of individual
Negligence
28
Provides info abt needs & options so that clients can mke informed decisions
Advocacy
29
Safeguard clients autonomy and independence
Advocacy
30
Communicate clients needs to interdisciplinary teams
Advocacy
31
Defend clients in decisons affecting them
Advocacy
32
Actively supports clients rights
Advocacy
33
Cannot order restraints to be used as?
PRN
34
Requireed specifying duration & circumstances under restraints should be used
Physician's order
35
Restraint of pt w/o informed consent or sufficient justification
False imprisonment
36
Is needed to use in restraints
Informed consent
37
Inaappropriate use causes deep sedation, agitation, combativeness
Chemical restraints
38
Can be used only for diagnoses-related condition
Chemical restraints
39
Cannot be used to control behavior
Psychotropic drugs
40
Provides pt w/ the right to be free from physical & chemical restraints imposed for the purpose of discipline or convenience and not required to treat medical symptoms
Omnibus Reconcillation Act
41
8 Bill of Rights
```
Privacy
Respectful care
Current information
Informed consent
Confidentiality
Refusal of tx
Reasonable response to a request for services
Right to know hosp/clinic regulations
```
42
Permits pt to appoint surrogate or proxy in the event that pt becomes incompetent
Durable power of attorney
43
Indicates who is authorized to make health care decisons if indi becomes incapacitated
Living wills
44
Legal document signed by competent individual incase pt ability to make decisions is lost
Living wills
45
May be witheld to avoid prolonging life w/o dignity
Aggressive tx
46
Extraordinary measures used to maintains individuals physiologic process
Aggressive tx
47
Federeal law abt written info abt d rights of clients to make decisions
Self determination act
48
2 Advanced Directives
Living wills
| Durable power of attorney
49
3 Refusal of Treatment
Self determination act
Agressive tx
Advance directives
50
Not released to others w/o permission
Confidentiality
51
Info is used only for purpose of diagnosis & tx
Confidentiality
52
Right to privacy of records
Confidentiality
53
When nurse witness a signature it means
It means that theres a reason to believe that client is informed of incoming tx
54
Legal responsibility of informed consent Rest To Who
Rest With individual who Will Perform treatment
55
Informed consent includes (6)
```
Explanation of tx and expected results
Anticipated risks andnp discomforts
Potential benefits
Possible alternatives
Answers to questions
Statements that consent can be withdrawn anytime
```
56
Cannot give own consent unless she fits to one of other exemptions
Mother
57
Who retains the right to provide consent for infant
Mother
58
Can sign consent for themselves and fetus
Pregnant minor
59
6 minors who can provide own consent for tx
Married
Over specific age for STD, HIV, AIDS or drug/alcohol tx
Emancipated and mature minors
Minors seeking birth control services
Minors seeking in/outpatient psych services
Pregnant minor
60
Info must be given in understandable form
Lay terminology
61
Freedom of choice w/o force, fraud, deceit, duress, coercion
Voluntary
62
Can make choices or understand consequences
Capacity
63
4 Informed consent requirements
Capacity
Voluntary
Info must be understandable
Cant sign if drunk or premedicated
64
For employees, can only verify employment & comply w/legal investigation
Privacy
65
Necessary to obtain pt permission to release info to familyorfriends
Privacy
66
Healthcare team cannot use data w/o permission frm client
Privacy
67
People involved in diagnosis and tx related to pt
Authorized personnel
68
Violated when info revealed to unathorized persons
Privacy
69
Right to have info kept confidential
Privacy
70
Right to make personal choices w/o interference
Privacy
71
Right to be left alone
Privacy
72
Nurse or client cannot be forced to reveal info between themselves
Protected relationship
73
6 Ethical Standards
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Respect for human dignity
Confidentiality
Competence
Advocacy
Research
Promotion of public health
```
74
Commited to local and global goals
Promotion of public health
75
Participates in process of scientific inquiry
Research
76
Protects clients from incompetent or unethical practice
Advocacy
77
Has knowledge and skills to provide care
Competency
78
Does not discuss condition with anyone not invoved with care
Confidentiality
79
Give respectful service regardless of clients personality
Respect for human dignity
80
Adheres to standards of practice
Autonomy and accountability
81
Foundation of nursing science
Specific knowledge and skills
83
Problem focused
Risk mgt
84
Consists of clinical experts: nursing, medicine, physical therapy, social work
Collaborative practice team
85
Determines expected outcomes
Collaborative practice team
86
Determines appropriate interventions with a specified time frame
Collaborative practice team
87
Involves specific patient diagnoses that are hig-volume (frequently seen), high-cost, high-risk (frequently develop complications)
Collaborative practice team
88
Reduce complications
Critical pathways
89
Reduce cost
Critical pathways
90
Increase collaboration
Critical pathways
91
Improve quality of care
Critical pathways
92
Provide direction for care
Critical pathways
93
Orient staff to expected outcomes for each day
Critical pathways
94
Alteration in time frame or interventions is
Variance
95
All variances are tracked to note ?
Trends
96
Change in established plan that include more, different, or fewer services to client to achieve desired outcome
Variance
97
Deviations from specific plans
Variance
98
Is included in a database and is used to evaluate services provided
Variances
99
Are used to monitor variances
CQI strategies
100
Usually has advanced degree and considerable experience
Case Manager
101
Doesn't provide direct patient care
Case manager
102
Supervises care provided by licensed and unlicensed personnel
Case manager
103
Coordinates, communicates, collaborates, solve problems
Case manager
104
Facilities client care for a group of patient (10-15)
Case manager
105
Follows client through the system from admission to discharge
Case manager
106
Notes variances from expected outcomes
Case manager
107
Identifies, coordiantes, monitors implementation of services needed to achieve desired outcomes within specified period of time
Case management
108
Involves principle of CQI
Case management
109
Promotes professional practice
Case management
110
Allocating to health care team members work required to care for groups of individuals
Assignment
111
Responsibility and authority for performing a task (function, activity, decision) is transferred to another individual who accepts that responsibility and authority
Delegation
112
Remains accountable for task
Delegator
113
Is accountable to delegator for responsibilities assumed
Delegatee
114
Can only delegate tasks for which the nurse is responsible
Delegation
115
Obligation to accomplish a task
Responsibility
116
Accept ownership for results or lack of results
Accountability
117
Responsibility is transferred
Delegation
118
Responsibility is shared
Accountability
119
(6) Don't delegate
```
Total control
Discipline issues
Confidential tasks
Technical tasks
Controversial task
During a crisis
```
120
Assist with implementation of defined plan of care
LVN
121
Perform procedures according to protocol
LVN
122
Differentiate normal from abnormal
LVN
123
Care for physiologically stable patients with predictable outcome
LVN
124
Has knowledge of asepsis and dressing changes
LVN
125
Ability to administer medications varies with educational background and state nurse practice act
LVN
126
Assists with direct patient care activities
UAPs
127
Includes nurses aides, assistants, technicians, orderlies, nurse extenders
UAPs
128
Scope of nursing practice is limited
UAPs
129
Designed to promote smooth functioning within a large and complex organization
Organizational hierarchy
130
Emphasis on vertical relationships
Chain of command
131
Involves creativity, problem solving, decision-making
Critical thinking
132
Purposeful and goal oriented; nurse identifies and selects options and alternatives
Decision making
133
4 types of decision making
Prespective
Behavioral
Sayisficing
Optimizing
134
Involves routine decisions with objective information
Prescriptive decision making
135
Options are known and predictable
Pescriptive decision making
136
Decisions are made according to standard procedures or analytical tools
Pscriptive decison making
137
Involves nonroutine and unstructured information
Behavioral decision making
138
Options are unknown and unpredictable
Behavioral decision making
139
Decisons made by obtaining more data, usingpast experiences, using creative approach
Behavioral decision making
140
Solution minimally meets objectives
Satisficing decision making
141
Expedient; use when time is an issue
Satisficing decision making
142
Goal is toselect ideal solution
Optimizing decision making
143
Best decision comes from this process but is the most time consuming
Optimizing decision making
144
Focus is trying to solve immediate problems; includes decision making
Problem solving
145
3 Methods of Problem Solving
Trial and error
Experimentation
Purposeful inaction
146
Repeated attempts at different solutions until it is identified that one solution works best
Trial and error
147
Used by inexpereinced staff
Trial and error
148
Study problem using trial periods or pilot projects to determine best outcome
Experimentation
149
Will have greater probability of achieving best outcome if sufficient time devoted to the process
Experimentation
150
Do nothing approach
Purposeful inaction
151
Use when problem is judged to be insignificant or outside a person's control
Purposeful inaction
152
Gives an individual what he /she deserves regardless of race, color, creed, gender, or socioeconomic status
Distribution of justice
153
Provides equal access to care for all
Distribution of justice
154
Designed to manage health care according to need rather than provide care for everyone
Distribution of justice
155
Primary principle is to provide the greatest good for the greatest number of people
Allocation of resources
156
Decision about how limited resources will be used
Rationing
157
Judiciously use resources to achieve identified client goals
Nursing management
158
Guide nursing activities
Standard of sre and practice
159
Used to evaluate quality of care
Standard of care and practice
160
Determine the facts
Resolution of conflict
161
Promotes communication
Documentation
162
Maintains a legal record
Documentation
163
Meets requirements of regulatory agencies
Documentation
164
Reqired for third party reimbursement
Documentation
165
Statement of fact and patient's physical response
Incident reports
166
Accurate and comprehensive report on any unexpected or unplanned occurence that affects or could potentially affect the client, family member, or staff person
Incident reports
167
Regularly scheduled, structured exchange of information
Change of shift report
168
Group of individuals' values and beliefs that strongly influence individual's actions and behaviors
Cultural norms
169
Personal preferences, commitments, motivations, patterns of using resources, objects, people, or events that have special meaning and influence individual's choices, behaviors, actions
Values
170
Basic assumptions or personal convictions that the individual thinks are factual or takes for granted
Beliefs
171
Used to determine values
Beliefs
172
Include cultural traditions
Beliefs
173
Principles of right and wrong, good and bad
Ethics
174
Decision-making framework for solving ethical problems
ANA Code of Ethics
175
Support of client's independence to make decisions and take action for themselves
Autonomy
176
Duty to help others by doing what is best for them; for refusal of care, autonomy overrides beneficence
Beneficence
177
" do no harm"; act with empathy toward patient and staff without resentment or malice
Nonmaleficence
178
Violated by acts performed in bad faith or with ill will, or when making false accusations about patient or employee
Nonmaleficence
179
Use available resources fairly and reasonably
Justice
180
Communicate truthfully and accurately
Veracity
181
Safeguard the client's privacy
Confidentiality
182
Following through on what the nurse says will be done
Fidelity
183
7 Ethical principles of nursing
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Autonomy
Beneficence
Nonmaleficence
Justice
Veracity
Confidentiality
Fidelity
```
184
Process of learning
Patient education
185
Begins with first encounter
Discharge planning
