Professional Development Quiz #2

Malpractice:

(Check Med Math book) Ex. The doctor shows up intoxicated. Tort: an injury that occurs because of another person's act or failure to act Pg. 33

Biological death:

Absence of respiration, heart, cessation of circulatory function. Once taken off life sustaining treatment, there is no chance of life.

Battery

Actually hitting the patient, physical contact without a person's consent. Ex. The patient refused medication, and the nurse administered anyway.

What crime or tort is committed when a nurse does an invasive procedure while a client refuses the treatment?

Battery

Laws protecting vulnerable persons

Children and some adults are considered vulnerable to deficient or harmful care. Reporting suspected child abuse or vulnerable adult abuse is manditory in the United States and Canada. In most states a hospitalized individual is considered vulnerable as well. The law protects vulnerable persons from injury, abuse, or neglect while receiving care in a healthcare facility, nursing home, school, or even their own home. Families can also be charged with abuse under the vulnerable adults law. (pg 41)

Discuss goal planning:

Choose goals that are simple and practical. You should give yourself time by starting with smaller, more manageable goals. 1. Write down your goal. 2. Set a reasonable deadline for your goal. 3. Think about possible obstacles to achieving your goal, and how to avoid them. 4. Write down a step-by-step process to help you reach your goal— a plan of action. 5. Reasonable deadlines for completing each step in the process.

Invasion of Privacy

Clients should expect his or her property will be left alone, Ex. be careful to not pull up patients information on the computer in front of other patients.

What types of actions could result in malpractice?

Conducting procedures without consent, failing to abide by facility safety precautions, damage, HIPAA violations

Termination of treatment:

Conscious decision to stop treatment once they determine brain death

What should the nurse do if he/she feels that the orders for a patient are incorrect?

Double check orders with a physician or pharmacy.

What can be done to protect HIPAA legislation?

Each facility has their own privacy policy that employees must sign. Failure to follow these policies ay end up in civil or criminal charges

Discuss strategies that can be used to improve your working memory:

Going over your notes, break up large tasks or projects into smaller bits, use checklists, practice memory skills, limit multi tasking.

What agency establishes standards for confidentiality?

HIPAA

Right to privacy

Invasion of privacy and confidentiality are of critical legal and medical concern. The right to privacy means that a client has a right to expect that their property will be left alone. Healthcare individuals may be charged with trespassing, illegal search and seizure, or releasing private information (even if the information is true). (pg 35)

Brain death:

Irreversible cessation of neurological function of the entire brain, including brain stem; no response stimuli. To meet criteria: cessation of breathing for more than 3 minutes after ventilation is removed, cessation of heartbeat without external stimuli, lack of response to any external stimuli, all functions of the brain cease to function. LIFE SUSTAINING TREATMENT CAN BE USED TO KEEP IN VEGETATIVE STATE.

Abandonment of care:

Leaving before you give report to oncoming nurse

What is meant by Durable Power of Attorney?

Legal document grants another person the authority to make financial, legal and healthcare decisions. "Durable" signifies that the authority granted remains valid and in effect when the principle becomes incapacitated or unable to make decisions

What can high levels of stress cause people to do?

Make you irritable and overreact, immune system is low, insomnia, lack of appetite

What standards are considered during the accreditation process of a facility?

Meet minimum requirements for the accrediting foundation, and standards of performance

According to the Patient's Bill of Rights what kind of services can the client expect from the nurse?

Minimum standard of care

What are some types of nursing actions that could cause a nurse to be found liable in a court of law?

Practicing outside scope, forgetting to chart, medication errors, failure to report abuse, failure to report a communicable disease or animal bite

What are the benefits and limitations of the Good Samaritan Act?

Protects you when rendering emergency aid, must wait for first responders to arrive.

What should the nurse do if medical equipment is broken? What could happen if you used the equipment anyway and it caused injury?

Remove the equipment, you are at risk for negligence if not removed.

What should the nurse do if a patient is ordered a medication they are allergic to?

Report or question physician order

What is one of the most important things about nursing insignias?

Represents the privilege , authority and honor that it takes to be a nurse. Makes us distinguishable

What characteristics should goals have?

SMART: Specific: your goal should be clear and specific. You should be able to say in one sentence what your goal is. Measurable: you should be able to measure — accurately, and specifically— the success of your goal. Achievable: your goal should be realistic. The goal of working hard every day over time is more achievable and realistic than trying to pull an all-nighter Relevant: your goal should matter to you Time-sensitive: you should have a specific deadline by which you intend to accomplish your goal.

There are three characteristics of goals. Name those major characteristics:

Specific, Measurability, Achievable.

What body has the legislative power to initiate, regulate and enforce the provisions of the nurse practice act?

State board of nursing (pg 37/MF).

What are at least three resources (including people) that can be used to support your effort in becoming a successful student?

Successful student resources that are offered are; learning labs or tutorial services, counseling, and writing centers. Pg 30

Withholding treatment:

Treatment will not be performed or was denied because it was deemed inappropriate. If administered illegally against clients wishes it would be considered battery.

What types of patients are considered VULNERABLE?

Underage children, minors, mentally ill.

Short term goal

Usually 6 months to 2 years. Short-term goals help you reach your immediate goals. Ex: if your intermediate goals include obtaining a degree or certificate, it may be helpful to have several short-term goals every semester.

Name some areas that require a clinical specialist certificate.

Wound care, Family practice, marriage/family, Geriatrics, nurse practitioner, emergency specialist, pediatrics, community health, psychiatric mental health

Refusal of care:

a patient has a right to refuse care, refused life saving treatment against doctors advice

Right to Confidentiality

all medical records and related information is to be kept confidential. If any files are left out, or even computers left open with the clients personal information, this could be reason enough for a breach of confidentiality lawsuit. (pg 35)

Long term goals

educational or career goals. They are things you hope to accomplish in the next 5 to 10 years. Such goals may include completing a new degree, reaching a specific job or career level, or even purchasing a new home. (pg 15)

Immediate Goals

goals that you want to accomplish today, this week, or or this month. These goals are small tasks that can usually be completed quite quickly.Your immediate goals should help you reach your short term goals.

Negligence:

harm done to a client due to reckless behavior. Ex. The nurse didn't raise the side rails, so the patient fell out of bed.

False imprisonment

restraint of movement when unnecessary can be chemical or physical Ex. Using restraints without medical order

The Nurse practice Act

the law that defines and regulates the practice of nursing. Nurses can have their licenses revoked if they are involved in drug or alcohol abuse, fraud, deceptive practices, criminal acts, previous disciplinary action, and gross or ordinary negligence. (pg 38)

Assault

threaten bodily harm, Ex. "if you don't stop talking I will give you the injection anyway".