Nursing Fundamentals: SCOPE OF PRACTICE Ch.1
Medicare
-65+ -Part A covers hospitalizations -Part B provides partial coverage of physician services
JCAHO
-Accrediting agency -Accredits hospitals, out patient care, and home health care -Ensures quality client care and adequate staffing
Medicaid
-People with disabilities -Covers home health care and some primary preventative services
ANA
-maintains code of ethics -develops standards of care (skills and lessons possessed by people of the same profession)
Standards of Practice
1. Developed by the ANA 2.Define and describe the responsibilities for which nurses are accountable
What 6 elements need to be present for malpractice to be proven?
1. Duty (nurse was on duty to watch and care for the client) 2. Breach of duty (something was done that should not have been done OR nothing was done when something SHOULD HAVE been done) 3. Foreseeability (a link must be present between the nurse's act and the injury suffered) 4. Causation (the harm was done as a result of the nurse's failure to follow the standard of care) 5. Harm (the patient must be harmed or injured 6. Damages (If proven, the nurse is responsible for the damages
RN programs
1. Need to have a diploma, associates degree, or bachelors degree
LPN Programs
1. Programs typically last 9-12 months 2. LPNs work under the supervision of RNs 3. Provide basic nursing care
Standards of Professional Performance
1.Developed by the ANA 2. Describes the behaviors expected in the professional nursing role
Nurses provide care for 3 types of clients. What are they?
1.Individuals 2.Families 2.Communities
Nurse Practice Acts
1.Legal Acts 2.Every state has it's own so they are all kind of different 3.Regulates the practice of nursing 4. Common theme in all Acts=PROTECT THE PUBLIC
Nursing practice (scope of practice) involves what 4 areas?
1.Promoting Health and Wellness 2.Prevention Illness 3.Restoring Health 3.Caring for the Dying
Felony
A crime of serious nature
Definition of a patient
A person who is waiting to undergo medical treatment and care
Assault
An attempt or threat
Definition of a consumer
An individual, a group of people, or a community that uses a service.
Accountability
Answering to ones self and other for one's own actions
Values
Beliefs or attitudes about the worth of a person, object, idea, or action
Tort
Civil wrong committed against a person or a person's property
Defamation
Communication that is false and results in injury to a person's reputation
Slander
Defamation by the spoken word
Libel
Defamation in prints, pictures, or writing
Invasion of privacy
Direct wrong of a personal nature
Justice
Fairness
Continuing Education
Formalized experiences designed to enhance the knowledge or skills of practicing professionals
National League for Nursing (NLN)
Fosters the development and improvement of all nursing services and nursing education.
International Council of Nurses (ICN)
Member national associations can work together for the mission of representing nursing worldwide, advancing the profession, and influencing health policy.
Attitude
Mental feelings towards a person, object, idea, or action
Definition of Nursing
Nursing is the protecting, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities, and populations.
Misdemeanor
Offense of a less serious nature
NSNA
Official organization for nursing students -imprint magazine
Beliefs
Opinions that people accept as true
Definition of a client
Person who engages the advice or services of another who is qualified to provide the service
Morality
Private personal standards of what is right and wrong
Values Clarification
Process by which people identify, examine, and develop their own individual values
Malpractice
Professional negligence while the person was practicing as a professional
NFLPN
Promotes the practice of practical nursing
Liability
Quality or state of being legally responsible for one's obligations and actions
Patient Self Determination Act (PSDA)
Requires that every competent adult be informed in writing on admission to a health care institution about his or her rights to accept or refuse medical care and to use advance directives.
Veracity
Telling the truth
Definition of Telehealth
The use of medical information exchanged from one site to another via electronic communications to improve the patients health status.
Definition of Telenursing
The use of telecommunications and information technology to provide nursing practice at a distance.
Unprofessional conduct
The worst-->practicing without a license, illegally possessing/using controlled substances
Battery
Willful touching of a person that may or may not cause harm
Negligence
misconduct or practice that is below the standard expected