Module 5

When can you break HIPAA?

intent to harm self or others Answering court orders, subpoenas, summonses (don't need authorization from patient)

Define Forced Field Analysis

looks at helping and hindering forces. Helping: toward goal hindering: blocks goal

Define risk analysis

ongoing process providing organization with understanding of risks and how to address risks

Specific example of a QI project?

retrospective chart review

Level I evidence

systematic review or meta-analysis of randomized controlled trials

ROI requirements for releasing info on patient's chemical and psychiatric disorders to a third party? Chemical: alcohol use disorder Psychiatric: schizophrenia

2 separate ROIs

Standard of practice: Determined by state board of nursing or ANA?

ANA

Which ethical principle? Rennie Vs Klein court case stating he has the right to refuse medication after being involuntarily committed

Autonomy

Which ethical principle? Concerned with promise keeping, integrity, and honesty. Involves meeting patient's reasonable expectations that you are respectful, competent, and professional

Fidelity: being true and loyal

Failure Modes and Effects Analysis:

Identifying where and how a process might fail and look at relative impact of different failures

Which ethical principle? Stopping medication with harmful side effects or DC treatment strategy that isn't effective and may be harmful

Nonmaleficence: do no harm

Standard of practice definition

PMHNP required to do what other reasonably prudent nurses would do in a similar circumstance. Ensures high quality care

Keys to patient advocacy according to georgette?

Reduce stigma of mental illness through education, helping clients receive available services, participate in professional organizations

Scope of practice: Determined by state board of nursing or ANA?

State board of nursing

Root cause analysis:

a collective term that describes a wide range of approaches, tools, and techniques used to uncover causes of problems.

Key component to reflective practice

debriefing strategies (getting feedback after something happens)