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30 Cards in this Set
- Front
- Back
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What does the mission statement of an organization determine?
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Determines how decisions are made
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What is the difference between profit and non profit?
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Profit: money goes to stockholders
Non profit: money goes back into the company |
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What are some forces that drive healthcare?
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- Culture diversity
- Aging population - Technology - Money |
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What are factors that contain cost?
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- Capturing patient charges
- Time management - Evidence based practice - Manage care plans - discuss costs with clients |
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Why is evidence based practice a cost containing factor?
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Using EBP leads to fewer side effects
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What are factors that increase costs?
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- general inflation
- aging population - medical technology - malpractice insurance |
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What are the 4 fundmental costs?
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- Direct
- indirect - fixed - variable |
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What are direct costs?
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Related to client care; nurses wages, client care supplies
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What are indirect costs?
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Electricity, heat, A/C, maintaining the facilities
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What is the difference between fixed and variable costs?
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Fixed: remains the same, ex. managers salary
Variable: changes with volume |
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What is an operational budget?
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Daily operation and supplies; staffing, salaries, linens
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What is a capital budget?
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- Major equipment or physical plant construction
- Anything over 300-1000 |
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What is the difference between productive time and non-productive time?
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Productive: time actually worked on the unit caring for clients
Non- productive: not on the floor with patients; sick leave, education leave, and vacation time |
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What is the nurse's role in cost containment?
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- Manage time
- Manage supplies - Participate in planning |
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What are some agencies that influence regulations?
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- Center for Medicare and Medicaid Services
- FDA - The Joint Commission - ANA - State children health care - federal and state govt - LSBN - OSHA |
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What does ANA do?
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Sets minimum standards of care
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What does The Joint Commission do?
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Accredits healthcare facilities to ensure that specific standards are met
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What is malpractice?
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A professional's wrongful conduct in their professional duties or failure to meet standards of care that results in harm to the patient
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What are the 4 elements of malpractice?
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- Duty
- Breach of duty - Foreseeability - Causation |
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What is duty?
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Happens when you recieve report, ask question, monitor that client
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What is breach of duty?
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Failing to provide care
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What is foreseeability?
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Things you should know; allergies
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What is causation?
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Didn't do what you should of done and cause harm to patient
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What is negligence?
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Failure to provide the care a reasonable person would ordinarily provide in a similar situation
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What is the commonality between negligence and malpractice?
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Omission and commission
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What is omission?
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Failure to do something that a reasonable person would do
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What is commission?
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Acting in a manner that causes injury to the closet
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What are some common errors in nursing?
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- Failure to communicate significant data
- Refusal of treatment - Verbal orders/ telephone orders (do only in emergency) - Incident reports (only the facts) |
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What are some causes of malpractice?
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- Delegation/supervision
- duty to orient, educate, evaluate - failure to warn - breach of confidentiality - staffing issues |
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If you are involved in an accident outside of work, and someone needs help do you help them?
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No, only if you are not part of the accident. It can be seen as conflicting interest.
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