Test 2 Flashcards
National League of Nursing
nursing school accreditation (center of excellence) certifies nurse educators
American Nurses Association (ANA)
provides: specialty certification, code of ethics, and magnet status (rn) to hospitals- also the code for nurses/policy statement
code for nurses
policy statement. gives goals, values and ethical precepts that direct profession. is nonnegotiable and each nurse has obligation to uphold and adhere to code of ethics.
DECs for educators
Differentiated Essential Competencies provides guidance for curriculum development, a guidline/tool for benchmark/evaluation of programs, and a statewide standard
Decs for employers
guide for job description and career ladder, data for competencies and information for policy and procedures
DEC structure
divided into 3 degrees, each with 4 nursing roles and 25 competencies. roles- member of profession and healthcare team, provider of pt centered care and pt safety advocate. competencies base upon knowledge clinical judgement and behaviors.
Member of the profession (nursing role DEC)
Commitment to continued competency/ life long learning and self assessment. better the profession/contribute to society (better self). and stay within LEGAL SCOPE, guidelines. ASSUME responsibility and accountability. ex) RN at national conference presenting EBP
Provider of pt centered care- DEC nursing role
ADPIE. pt centered involves FAMILY. ACCEPT responsibility (not ASSUME). use knowledge, clinical reasoning, evidence based practice and determine phys and mental status/ needs/ preferences, analyze date for plans, goals- eval and report.
Patient safety advocate- DEC nursing role
Reduce risk, provide safety- one way- obtain instruction, supervision or training as needed, or comply with mandatory reporting. ex- rn instructing yearly competencies for policies and procedures in ICU.
Member of healthcare team (DEC nursing role)
COORDINATE, COLLABORATE, COMMUNICATE in a timely manner, provide REFERRALS to pts and families, serve as HEALTHCARE ADVOCATE, ASSIGN & DELEGATE and supervise care. ex)RN coordinating hospice care
Fraud
most common criminal- fed and state prosecution. kickbacks, billing, coding, unbundling.
false claim act
office of inspector general can enforce monitory penalty and exclusion from medicare and other programs
Medicare and Medicaid Patient Protection Act
aka- Anti-kickback statute: criminal penalties for solicitation or receipt of pmt for referral secs payable by medicare or medicaid HIPPA added more civil and criminal penalties
Falsification of records
intentional (doc services not provided) or unintentional, failure to disclose for licesnce, Criminal prosecution and civil for any injury
Drug diversion and theft
criminal- most common bon disciplinary action. theft, falsifying med records, mandatory report of impaired nursing. bon provides Texas Pear Assistance Program Nurses for rehab and to keep nurse in practice.
Pt abuse and neglect (act)
Omnibus budget and reconciliation act. resident has right to be free of verbal, sexual, pays, or mental abuse, corporal punishment and involuntary seclusion. Institution may be liable as well- mandatory to report
disciplinary sanctions
for violating NPA and rules and regs
Mandatory report
Falls, medication errors, impaired nursing, abuse to vulnerable, family complaint of inadequate care, injury from equipment failure, treatment induced incidents (reactions, and missed or incorrect diagnosis_
civil law
intentional tort- assault, battery, false imprisonment, conversion of property. Quasi- invasion of privacy, defamation of character. Unintentional tort- Negligence, malpractice
prove negligence
negligence is unintentional harm- common are car accidents, slip and falls. to win must prove Duty of reasonable care, breach of duty, proximate or foreseeable cause, and injury or damages. could be expert witness, but not necessarily.
Types of damages awarded for negligence
General damages- cost of injury
Special damages- all losses and expenses incurred as result of injury.
emotional damages from injury
punitive damages- if malicious, willful or wanton misconduct
Malpractice
special case of negligence from a professional. requires expert testimony as to breach of duty of standards- lay person does not know expectations of professional in situation (duty)
Assault
conduct makes another person fearful. pt has fear of touching and you approach with blood pressure equip. you threaten a pt with a diaper
battery
unconsented touching of another. taking blood pressure without asking.
search engines for health sciences lit
CINAHL- Cumulative index of nursing and allied health literature. Medline, and
Agency of healthcare research and quality (AHRQ) clinical guidelines and evidence summaries.
5 Steps EBP
1) Ask clinical Question
2) collect best/ most relevant evidence
3) critically appraise evidence
4) integrate all evidence with clinical expertise, client preferences and values in decision making or change
5) evaluate decision or change
Benefits of EBP
Develop distinct nursing body of knowledge, credibility of prof, cost of effective care, accountability for practice, validates interventions, improves care
clinical vs research article
in manuscript narrative- clinical- describes/explains /teaches followed by summary of clinical implications
RESEARCH- purpose stmt, methods/design, results/conclusion, clinical implications
Abstract
summarizes purpose of research or query, major themes/finding, implications for nursing
introduction
purpose and importance to audience w/ brief supporting evidence
Lit Review or Background
A good author gives detailed background of the level of clinical info that exists about the topic-how past research led to this researcher’s question
charting AMA
pt informed leaving could: aggravate current condition and complicate future care, result in permanent physical and mental impairment, result in complications leading to death, result in pt responsible to pay for hospitalization
