X Foundations - Legal & Ethical

Question 1

Doctrine of INFORMED CONSENT

Answer 1

patient needs to know all possible foreseeable outcomes of procedure. what happens if patient does or does not go through with surgery

Question 2

Who’s responsibility to obtain ‘Informed Consent’?

Answer 2

Doctor

Question 3

Can a nurse obtain Informed Consent?

Answer 3

A nurse can get a patient to sign informed consent document if the doctor asks the nurse to obtain the sig.

Question 4

Can nurse sign Informed Consent doc?

Answer 4

yes, as a witness to patient signing.

Question 5

If patient doesn’t seem well informed, should nurse still get sig?

Answer 5

No, get doc to ensure patient understands.

Question 6

non-malificence

Answer 6

practice of “do no harm”

Question 7

Sanctions

Answer 7

repercussions or punishments

Question 8

2 categories of law

Answer 8

Criminal vs Civil

Question 9

Criminal law

Answer 9

break a law that sicuety has set up

Question 10

Civil law

Answer 10

violating other people’s rights

Question 11

Statutory Law

Answer 11

Written laws, usually enacted by a legislative body

Question 12

Common Law

Answer 12

law developed by judges through decisions of courts and similar tribunals that decide individual cases

Question 13

Plaintiff

Answer 13

person complaning

Question 14

Defendent

Answer 14

person potentially liable

Question 15

Discovery

Answer 15

when all evidence is presented

Question 16

??? Learn Box 2-2

Answer 16

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Question 17

Assault

Answer 17

THREAT. If you get up in someone’s face, you don’t even have to touch them, it can be assault.

Question 18

Battery

Answer 18

if you touch the patient in ANY unwanted way

Question 19

Defamation

Answer 19

damaging the good reputation of someone

Question 20

Slander

Answer 20

making false damaging claims about someone

Question 21

Libel

Answer 21

written words of defamation or slander

Question 22

Malpractice

Answer 22

failing to meet legal duty requirements

Question 23

Negligence

Answer 23

to commit or not commit an act, resulting in causing harm

Question 24

Standards of Care

Answer 24

medical care policies and procedures that would be carried out for certain patients no matter where in the world you/they are.

Question 25

Scope of Practice

Answer 25

what the medical professional would and can do in a given situation - varies based on professional level

Question 26

???? Box 2-3 | Common Breaches of Care

Answer 26

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Question 27

Patient Bill of Rights

Answer 27

is a list of guarantees for those receiving medical care. It may take the form of a law or a non-binding declaration. Typically a patient's bill of rights guarantees patients information, fair treatment, and autonomy over medical decisions, among other rights.

Question 28

Consent for Treatment does not cover....

Answer 28

invasive procedures (biopsy, surgery etc)

Question 29

Invasive procedures require what form?

Answer 29

Informed Consent Form

Question 30

If patient is refusing treatment and decides to sign the AMA form (against medical advice), you must inform them that.....

Answer 30

health insurance may not pay for service

Question 31

??? Box 1-1

Answer 31

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Question 32

Deontology

Answer 32

the normative ethical position that judges the morality of an action based on the action's adherence to a rule or rules. It is sometimes described as "duty" or "obligation" or "rule"-based ethics, because rules "bind you to your duty."

Question 33

Teleology

Answer 33

an account of a given thing's end or purpose. (i.e. we might give a teleological account of why forks have prongs by showing their purpose—how the design helps humans to eat certain foods. Stabbing food and helping humans eat is what forks are for. There are two kinds of telos or end.)

Question 34

2 most common Nosocomial infections

Answer 34

- pneumonia | - UTI

Question 35

Lasix used for?

Answer 35

diuretic drug

Question 36

unit measurement of the lumen of catheter tube

Answer 36

french

Question 37

3 Branches of Law

Answer 37

Executive Judicial Legislative

Question 37

Penal codes

Answer 37

Protect citizens from people who pose a threat to public good.

Question 38

Assault

Answer 38

In your face threat. Verbal

Question 39

Torts

Answer 39

a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.

Question 39

Battery

Answer 39

Unwanted touching. Invasive procedure without informed consent unless in life saving emergency.

Question 40

Assault

Answer 40

verbal threat, in your face agressiveness

Question 40

False Imprisonment

Answer 40

Restraints without permission

Question 41

Battery

Answer 41

any unwanted touching, invasive procedure without informed consent,

Question 42

Nurse Practice Act

Answer 42

Defines scope of nursing practice, establish limits to practice http://www.rochestergeneral.org/about-us/rochester-general-hospital/about-us/rochester-medical-museum-and-archives/online-exhibits/the-nursing-practice-act-the-armstrong-act-of-1903/

Question 43

When can an LPN manage a central line?

Answer 43

http://www.op.nysed.gov/prof/nurse/nurse-lpn-iv-acutecare.htm - under direct supervision of RN - completed an IV training course - demonstrate competency - in an acute care setting

Question 44

Common law

Answer 44

decisions based on similar cases

Question 45

Civil laws

Answer 45

protect personal freedoms and rights

Question 46

False Imprisonment

Answer 46

using restraints when unwanted

Question 47

How to avoid lawsuits

Answer 47

- good nurse patient relationship - give competent, considerate care - anecdotal records - incident reports - risk management

Question 48

nonmalefincenec

Answer 48

do no harm

Question 49

beneficence

Answer 49

doing an action for the benefit of others

Question 50

autonomy

Answer 50

must allow patient their decision and honor it.

Question 51

Veracity

Answer 51

always tell the truth. Is it going to hurt? Yes, a liitle.

Question 52

Fidelity

Answer 52

do what you promise

Question 53

living will

Answer 53

describes certain life prolonging treatments. indicate which treatments you do or do not want applied to you in the event you either suffer from a terminal illness or are in a permanent vegetative state.

Question 54

Power of Attorney

Answer 54

is a legal document that gives someone you choose the power to act in your place, In case you ever become mentally incapacitated.

Question 55

Triage

Answer 55

the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties.