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57 Cards in this Set
- Front
- Back
types of laws
name 5 |
stauutory
regulatory criminal civil common |
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nurse practice act
know your scope of practice Law? |
statutory
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tx is prejudice..race, social status or ability to pay violation of one's rights, lack of care damages of money or sanctions which law?
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civil law
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1. punishable by jail time and loss of license
2. jail time for less than a year or a fine. Action by the board could be suspension or loss of license. |
Criminal
1. Felony 2. Misdemeanor |
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laws created to provide consent for services when pt. is unable to or the right to refuse. Ex patient bill of rights
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common laws
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principles that guide nursing decisionsand conduct that pertain to what is righ/wrong. Even though the nurses values are different...maintain integrity
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ethics
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receive respectful tx
refuse tx without prejudice safe environment HIPPA receive second opinion see files see practioners credentials |
ex. common law Pt. Bill of Right
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compasion and respct even if you are uncomfortable with that pt.s status
commitment, advocate, accountable, current licensure, participate in advacncement of career..education, research |
ex. code of ethics of nsg
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legal charges against a nurse...5 terms
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negligence
malpractice tort assault fraud |
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lack of reasonable conduct..falsifying something you didnt do through documentation of not putting pt. siderails up
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negligence
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professional misconduct or unreasonable lack of skill that results in injury or loss of services,ex. medication errors, failure to take vitals and pt. deteriotes
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malpractice
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unjustifiable threat or attempt to touch or injure a pt.
ex. psychiatric pt. you restrain using undue power |
assault
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legal wrong against a pt. or his/her property. intentional or uniintentional ex. destoying property while searching through belongings. other tort slander and battery intending to do harm
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tort
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attempt to mislead in any form falsyfing documentation such as vitals that weren't taken
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fraud
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Responsibility for witnessing of consent
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nurse witnesses that pt. voulntarily consented, appears to competent and the signiture is authenic
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the most critical clients should be delegated to the person with the most education and experienced
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delegation of care
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skilled nsg but stable goes to whom?
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LPN
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ADL's are assigned to whom?
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CNA/ UAP
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stable clients are assigned to the lesser qualified
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LPN
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Utilize Maslows Hierachy of Care with..
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delegation of care
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RN only duties
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Place the client in restriants
CVP readings insert PICC (certified) IV meds, piggyback , push and teaching |
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calculate hourly I&O, postop V/S or care for unstable clients..don't assign to
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CNA
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legal document that describes a clients wishes for medical decisions in the event the client becomes incapacitated
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advance directive
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advance directive includes...
(client self determination act of 1990) |
durable power of attorney for healthcare and a living will
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points to remember when client speaks a differnt language
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dont tx different;y
speak in normal tone respect space use interpertor have them demonstrate care showed ie. drsg change |
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lactulose intolerance
prefer potatoes and corn spicy vegetables, fruits and meats, pinto beans |
hispanics
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rice, all fruts/meats, bean sprouts, ice cream but few milk products
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chinese
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all grains, fruits, veg. restrict meats no beef and milk products allowed
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chinese buddhist
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rice, all veg and meats, certain fruits and high incidenece of lactulose
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japanese
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most grains, use of Kosher, leavened bread forbidden at passover, all ruits/veg, pork, fish with scales and blood forbidden. milk not eaten at the same meal with meat
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euorpeans of jewish faith
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all grains,frutis/veg, beef ans some fowl restricted, all meat must be slaughtered, milk allowed
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arab americans
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tx accepted, but beef and beef products not allowed, priest for last rites
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buddhism
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no meats on fri durin lent, mass on fri, sat and sun during hospitlization, priest for last rites
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catholic
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tx allowed to preserve life, practices vary in respect to death and burial
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protestant
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most tx allowed, at time of death religous leader called for last rites, burial prefered to creamation
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church of latter day saints
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priest called for consultation of tx, believe in reincarnation, body preserved, amputation refused, believe n prayers and rituals
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hindu
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kosher, only certain animals, no pork, dairy and meat not at same meal, fasting at passover, infant circumcised on 8th day of life, unleavened bread, rabbi for last rites body washed and someone remains with body until buried
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judaism
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no blood products and some surgery believe prayer will save
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jehovah witness
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during lent all animal products forbidden, fasting, wed/fri no meats, religous leader for last rites
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russian orthodx
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priest called for last rites, tx of 5 k's
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sikhism
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at time of death Muslims want to face Mecca if in the US what direction?
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southeast
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left hand reserved for toileting,
most cough syrups forbidden due to alcohol |
ishlamic
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have a relaxed value with time
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hispanics
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assumes 24 hr accountability of unit
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nurse manager
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mgmt style. decisions made with little or no staff input. mgmt doesnt delegat responsiility
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autocratic
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mgmt style. little direction, stucture or support, little interst in achiving goals
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laissez-faire
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mgmt style.staff encourage to participate in decesion making. staff development encouraged. most decesions made by group
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democratic
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mgmt style.problems identified by manager and presnted to staff for solutions. staff can provide input but manager makes decision
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participative
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Multidisciplinary guidelies for client care
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clinical pathways
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nurse manager compares best practices from top hospitals
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bench marking
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system of formal evaluation of job performanceand recommends ways to improve performance
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performance improvement
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reviewed annualy. outlines the plan for providing quip. that costs more than $500..for 3 to 5 yrs use
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capital budgement
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day to day expenses for a unit
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operating budgement
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cost for staffing the unit, based on full time equivelans needed
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personnel
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comprehensive health services fro a designated payment, fixed payment give to provider periodically to cover costs of health care
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HMO
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negotiate special rates, reduced rates to attract insurance plan beneficiaries, members care paid for if they use a provider under contract
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PPO
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provide benfeciaries with carious client care services for an established agreed on payment
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Managed Care
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