unit 1 Flashcards
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Licensed practical nurse
1 year in length
Work under RN
Multi exit programs
Provide opportunity to discontinue education at certain points in a program and work
Name the three types of RN programs
Diploma
Associate degree
Baccalaureate
Articulation
Have an agreement with other colleges to accept the credits to continue on with higher education
Graduate nursing
Specialization occurs
CEU
Continuing education
30 hrs needed to maintain your RN
Credentialing
Necessary to maintain credentials
Licensure
Legal permit based upon standards
Registration
Given status recorded in a registry
Certification
Recognition of meeting standards of competency in specialty area
Accreditation
Recognizes institutions/programs meet standards
Who does the accreditation for hospitals?
Joint commission
Evidence based practice
Base practice on scientific evidence
Benners stages of nursing expertise
Novice Advanced beginner Competent Proficient Expert
Career ladder
Progression from one degree to another
Why have healthcare costs sky rocketed?
Malpractice New technology Aging population Cost shifting Increased cost of prescription drugs
Cost shifting
Paying for those who can’t pay
Medicare
Insurance for those over 65 years
Medicaid
Insurance for those of low income and disability
DRG
Diagnostic related groups
Est. pretreatment diagnosis billing
Managed care
Focus on prevention
3 leading causes of death & disability?
CAD
CVA
Cancer
Telemedicine
Long distance healthcare, w/out state boarders
Patient Bill of Rights
The Right to: Choose Access emergency services Be a full partner in healthcare decisions Care w/out discrimination Privacy Speedy complaint resolution
HIPAA
Healthcare insurance portability and accountability Act
Why is there a nursing shortage?
Aging workforce
Avg. age of a nurse?
48
Criteria for a professional
Utilizes a body of specialized knowledge
5 essential characteristics of a profession
Code of ethics Altruism Specialized education Research Autonomy
Altruism
Selflessness
Autonomy
Own profession
Code of ethics
Formal statement of a groups ideals and values
Advocate
Looking out for patients rights
Inpatient
Pt physically stays at facility (more than 24 hours)
Outpatient
Less than 24 hour stay
Most important member of the healthcare team
The patient
Roles of caregiver
Restore physical, psychological and social well being
Goal of rehabilitation
To assist clients with injury or illness to achieve maximum functioning
Framework
Underlying structure of healthcare for continuity of care and cost effectiveness
Patient focused care
Focus on bringing all services to the client
Case method
One on one care
RN manages total care
ICU
Team nursing
RN heads team
Delegates tasks
Primary nursing
RN responsible for overseeing care of clients 24/7
HMO
Health maintenance organization
Functions of the law in nursing
Provide a framework for est. what nursing actions are legal
Nurse practice act is under which law?
Statutory law (legislative)
State of board of nursing falls under which law?
Executive
Name the three sources of law
Statutory
Executive
Judicial
Judicial law is aka?
Common law
Judicial law
To resolve disputes between two parties
Criminal law
Deals with actions harmful to the public and the individual
Civil law
Has two subdivisions
Contract
Tort
Tort
Civil wrong committed by a person against another person or his property
The most common law affecting nursing practice
Tort law
Tort liability
Seeks compensation for damages
Negligence
No intent to do harm
Intentional torts are
Invasion of property
Breach of confidentiality
Fraud
HIPAA