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