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
Fraud
False presentation of facts
Assault
Threat of bodily injury
Am act to invoke fear
Battery
Touching of another’s body w/o consent
False imprisonment
Unlawful restraint against wishes
Defamation of character
False communication
Slander
Spoken work
Libel
Printed written word
Malpractice
Negligent acts of people with speaclized education
How too you have to prove malpractice?
Breach has to cause harm
What defines the practice of professional nursing?
Nurse practice act
Who establishes standards for nursing practice
State board of nursing
Is licensure mandatory to practice nursing as RN
True
Treating a patient in a manner considered unethical
Unprofessional conduct
Good Samaritan law
Protects hcw who provide care at accident scenes against willful wrong doing
Agreement by pt to accept a treatment or procedure after being provided complete information
Informed consent
Implies consent
Pt’s non verbal behavior indicates agreement
Delegation
Transferring responsibility of performance for a task from one person to another
During delegation, who remains responsible for the pt?
RN
HIPAA applies to electronic transfer of information among organizations
True
Advanced directives
Legal document allowing a person to specify aspects of care they wish to have should they become unable
Name the two types of advanced directives
Living will Healthcare proxy (power of attorney)
What are the legal actions of a student nurse?
Responsible for own actions & negligence
Ethics
Branch of philosophy dealing with standards of conduct and moral judgement
Values
Ideas or beliefs
Beneficence
Duty to do good
Nonmaleficence
Duty to do no harm
Veracity
Duty to tell truth
Justice
Principle of fairness
Fidelity
Duty to keep ones promise
Theoretical framework
Can be used to explain ethical decisions and actions
Utilitarian
Consequence based
Deontologic
Principle based
Dilemma
Conflict of basic human rights
Wellness
Healthy balance of mind body spirit
Continua
On going
Health illness continua
Scale measures perceived health from good to poor
Agent host environment model
How factors predict illness
Eudemonistic model
Health is actializarion or reaching full potential
Adaptive model
Disease fail to adapt
Clinical model
Health is the absence of illness
Illness
Abnormal process in which any aspect of a persons functioning is diminished or impaired as compared with his previous condition
Culture
The learned, shared, and transmitted values, beliefs, norms and life way practices of a particular group that guide thinking
Transcultural nursing
Study of different cultures and subcultures with respect to nursing and health, illness, caring practices, beliefs and values
Spirituality
Dealing with the unknown or uncertainties in life
Complimentary therapy
Used in addition to conventional treatment
Alternative therapy
Therapy used in place of conventional treatment
Biofeedback
Process for monitoring body functions through relaxation or imagery
Naturopathic medicine
Remedies from nature
Therapeutic touch
Massage and reflexology
Holistic care
Mind, body and spirit
The whole or
Professionalism
Set of attributes
Way of life
Client centered care
Most important
Everything we do is for the pt
Health promotion
Promoting wellness
Health maintenance
Preventing illness
Health restoration
Early detection & recovery
American nurses association definition of nursing
A diagnosis and treatment of human responses to actual and potential problems
3 essential components of professional nursing
Care
Cure
Coordination
Modern nursing theorist
Seek to define the basis and principles of nursing practice systematically and uniquely
4 major concepts central to nursing theory
Health
Person
Environment
Nursing
Nightingale theory
Act of utilizing the enviornment
Henderson theory
Assist ppl who can’t help themselves
Orem theory
Self care/ self care deficit model
What influences nursing?
Religion
War
Societal views
Women’s roles
When did nursing start
Begging of man kind
Apprentice
On job training
No formal education
500-1500
Built hospitals
1400-1800
Medical education ignored
Who was founder of nursing?
Florence nightingale
What did Florence Nightingale do for nursing?
Improved enviornment that pt’s were in, education
Lady of the lamp
Florence nightingale
When was nightingale school of nursing est?
1860
Clara Barton
Est red cross
Volunteered in civil war as nurse
Dorothea Dix
Nurse in civil war, unions supervisor of nurses in army hospitals
World war one influenced nursing, how?
Treated injuries never seen before
Progressed health care
World war II influenced nursing, how?
Bc of lack of nurses, CNA & LPNs were developed
Linda Richards
America’s first professional nurse
Mary Mahoney
First africian American nurse
Lillian wald
Created Henry street settlement
Clara Maas
Volunteered as test subject for yellow fever, on postage stamp
Margaret Sanger
Planned parenthood
Birth control
Mary Breckinridge
Est. frontier nursing
Began first midwifery school
1910
Flexor Report
Nursing a profession
1965
ANA Position paper
BSN still debating
Compact licensure
Multi state license
Beebe hospital founded
1916
Beebe school of nursing established?
1921
Nursing education is controlled by?
States board of nursing