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60 Cards in this Set

  • Front
  • Back
Mechanisms for total quality management quality improvement
outcome achievement
peer review
record audit
certification of nurses
utilization review
risk mgmt
research utilization
consumer involvement
personal values
freely chosen, enduring beliefs or attitudes about the worth of a person, object idea or action
code to ethics
formal statement of a group's ideals and values. Shared by all group members, reflecting moral judgement over time. Serves as a standard for professional actions
ANA code for nurses
1973 striking change, deleting statements that showed dependency on the physician.
informed consent
must be voluntary. Made with capacity and competence to understand. Receive enough info to understand
Bill of Rights
right considerate and respectful care.
right to....relevant, current, understandable info concernning dx, tx and prognosis
-make decisions about plan of care
-expect hospital to honor advance directive
-review own patients records
-consent or decline participatin in proposed research studies
living will
instrument by which a dying person makes wishes known to care givers; a living will has no legal validity in most states
ability or tendency to function independently
advanced directives
a written agreement established between a client and physician to withhold heroic measures or life sustaining tx if the patients condition becomes irreversible. Advance directives are usually written at the time when clients are healthy or able to make conscious decisions regarding their welfare
for consequentiality theory, views a good act as one that brings the most good and the least harm for the greatest number of people
(principles based)emphasizes individual rights, duties and obligation. Morality of an action is determined not by consequences but by whether it is performed according to an impartial, objective principle
(relationship based) stress courage, generosity, commitment and the need to nurture and maintain relationships
(fairness) assist client's in receiving unbiased tx, health services and resources proportionate to their needs
"doing good" implement actions that benefit clients and their support persons.
right to make one's own decisions. Inward autonomy-abiltiy to make choices outward autonomy- choices are not limited or imposed by others
duty ot do no harm. Harm can mean intentional harm, risk of harm and unintentional harm
ethical decisions
refers to telling the truth. BOK (1992) lying to sick or dying people is rarely justified
faithful to agreements and promises
information learned in the context of a professional relationship is shared outside the health care team only with the client's permission or as legally required
ethical issues in nursing practice
nurse has no right to impose their values on a client
informed consent
process of obtaining permission from a client to perform a specific test or procedure after describing all risks, side effects and benefits
DNR/No code
means in the event of cardiac/respiratory failure, no resuscitative efforts should be instituted. Does not mean no care
no public consensus has been reached. Conscience clauses permit nurses to refuse to assist with an abortion if doing so violates their religious or moral principles.
organ transplant
allocation of organs, selling of body parts, involvement of children as potential donors, consent
bringing about the client's death with or without clients consent. Forbidden by law, can result in criminal charges of murder
right to die
withdrawing or withholding food/fluids. Morally obligated to withhold food and fluids when it is more harmful to administer them than to withhold them. Morally/legally permissible for nurses to honor the refusal of food/fluids by competent patients
criminal law
public law;deals with relationships between individuals and the govt. actions against the safety and welfare of the public
civil law
body of law that deals with relationships between private individuals. Includes contract law and tort law
laws enacted by any legislative body. Such as regulation of nursing
laws that evolve from court decisions; continually beingadapted and expanded
(private/civil)can be intentional or unintentional.....wrong against a person or property
misconduct/practice that is below the standard expected of an ordinary reasonable and prudent practitioner(unintentional)
professional negligence; negligence that occurs during a person is performing as a professional. To avoid charges of malpractice, nurses need to recognize those nursing situations in which negligent actions are most likely to occur; medication error, burning a client(heating pads, water bottles), client falls(bed rails), failure to observe and take appropriate action igoring the clients complaints
attempt or threat to touch another person unjustifiably. Assault precedes battery(intentional). Threat of injection for a client that will not consume oral meds is assault
willfual touching of a person/their clothing or something that person is carrying, that may/may not cause harm. Thouching must be done without permission, be embarrassing, or cause injury. Liability exists even if the doctor ordered the medication and or the client benefits from the nurse's action
invasion of privace
necessary discussion about a client's medical condition is considered appropriate, unnecessary discussion/gossip are considered breach of confidentiality. To include: deaths, births, infxns, communicable disease, child/elder abuse and violent incidents
privileged communications
information given to a professional person who is forbidden by law from disclosing the info in a court without the consent of the person who provided it. Many states do not extend the privelege to nurse-client communication
willful and purposeful misrepresentation that could cause or has caused loss or harm to a person or property. Misrepresentation of a product is a common fruadulent act
defamation of character; use of spoken word, stating false words by which a reputation is damaged. One nurse saying another nurse is incompetent. Is no slander if spoken to the accused without a third party hearing it
defamation of character- use of print, writing or pictures
false imprisonment
unlawful restraint of detention of another person against his/her wishes. Does not require force, the fear of force is sufficient
failing to continue to give services to a patient without notice. A RN leaves without giving report or determining that there is another RN to cover her patients
breach of duty
not behaving in a reasonable manner; careless admin of meds
elements of a valid contract
assent of parties/ person involved
2) valid consideration(something of value) for fulfilling the terms of the contract
3)lawful purpose- activity must be legal
4)competent parties
5) completion of the document if required by law
rights and responsibilities of the rn
1) remain competent to care for the client
2)expect the client to provide accurate info as required
respondent superior
the employer assumes responsibility for the conduct of the employee and can also be held responsible for the malpractice by the employee. therefore the rn's conduct is the hospitals responsibility
declaration by a person about how the person's property is to be disposed of after death. Person making the will must be of sound mind, able to understand and retain mentally, must not be unduly influenced by anyone else
health records
a client's medical record is a legal document and can be produced in court as evidence
criminal negligence
commission or omission of an act that causes a serious wrong to another. any act of negligence resulting in the death of a patient
assisted suicide
active euthanasia; or giving the clients the means to kill themselves if they request it
legal permits a govt. agency grants to individuals to engage in the practice of a profession and use a particular title
role of the state board of nursing
to see that nursing practice act is carried out. establishing rules and regulations to implement the board terms in the law itself and setting minimum standards of practice. developing standards for continuing competency of licensed practioners
sunset laws
periodic reexamination of licensing agencies to determine whether particular boards/activities should be maintained
Controlled Substance Acts(federal)
1973 regulates the distrubution of narcotics and other drugs of abuse. Drugs categorized according to therapeutic usefullness/potential for abuse. Govt. programs established for prevention and tx of drug abuse
freedon of information act
expanded medicare reimbursements to include certified nurse-midwives working in HMOs and to nursing homes for the service of gerontalogical nurse practioners(1987)
good Samaritan Laws
exemption from civil liability when emergency care is given in "good faith" with "due care" or without "gross negligence"
expert witness
a person with special training/experience or skill in a relevant field that is allowed by the court to offer an opinion of some issue within the area of expertise