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14 Cards in this Set
- Front
- Back
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Nurse practice act -based on -maintains -defines and describes |
Ø Based on Legislative Law Ø Maintains legal control of nursing throughlicensing Ø Defines and describes the scope of practicefor various levels of nursing |
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State Boards of Nursing ex. -enforce -accredit -assign -maintain |
OSBN Ø Enforce the provisions of the Nurse PracticeAct. Ø Accredit Schools of Nursing Ø Assign penalties for infractions of the NursePractice Act Ø Maintain a registry of all nurses in the State. |
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Professional nursing organizations fx
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establish and implement standards of nursing practice
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Stands of nursing practice -reflect -provide (2) -define |
P Reflectvalues and priorities P Providedirection for practice P Providea framework for evaluation P Defineaccountability to the public and patient outcomes |
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CNA scope
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under supervision of licensed nurse, CNA may only provide care and assist ct's w/ tasks r/t ADLs
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CMA scope
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Under the supervision of a licensednurse, the CMA may administer selected drugs through selected routes. |
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what division of nurse practice act identifies practice rules for LPN and RN |
Division 45 |
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LPN scope
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-provider of care in structured healthcare setting -common, well defined health problems -participate and subscribe to legal/ethical standards -contribute to the nursing process |
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RN scope
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-provider of care in multiple settings -supervision of others in the provision of care -participate and subscribe to legal and ethical concers -develop, implement, evaluate, and make revisions to the pt plan of care utilizing the nursing process |
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Competencies common to bother RN and LPN roles
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Þ Performs technical skillseffectively within the scope of practice.Þ Delivers care safely andmaintains a safe environment.Þ Delivers care in a cost-effectivemanner. Þ Records patient data accurately,in a timely manner, and in accord with legal standards.Þ Provides for confidentiality ofpatient information.
Þ Demonstrates trustworthy behavior. Þ Accepts responsibility for own actions. Þ Advocates for patients rights. Þ Refrains from undertaking duties or tasksbeyond level of expertise and/or scope of practice. Þ Seeks learning to meet professional needs andmaintains competency. Þ Practices within ethical frameworks of Nursing. |
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Provider of care: LPN vs. RN
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LPN: -collect data regarding pt status -contribute to establishment of the nursing diagnosis -participate in development of the pt plan of care -participate in the implementation of the plan of care -contribute to the evaluation of pt responses to nursing intervention RN: -conduct assessment of pt health status -establish and document the nursing diagnosis -develop and modify plan of care based on assessment and nursing diagnosis -implement plan of care -evaluate the response of individuals or groups to nursing interventions |
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Manager of care: LPN vs. RN
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LPN: -collaborate with health team members and seek guidance as necessary -obtain instruction/ supervision when implementing nursing techniques -assign task only to those prepared and w/in that individuals sop -direct and supervise subordinates only in pt care tasks they are prepared and qualified to perform -organize and prioritize components of care for assigned pts RN: -collaborate w/ other health team members to provide optimal care -obtain instruction/supervision as needed when implementing nursing techniques and practices -assign and delegate task only to those prepared and w/in that individuals sop -supervise others to whom nursing intervention have been assigned -manage the care of individuals and groups of pt's |
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Member w/in discipline of nursing: LPN vs. RN
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LPN: -accept pt care assignments only from the RN or other Board approved health care providers -make decisions regarding pt care based on professional values/ responsibilities at the practical nurse level while complying with identified ethical standards RN: -Accept only patient care assignments for whichone is educationally prepared and competent Make decisions regarding patient care based on professional values and responsibilities at the registered nurse level while complying with identified legal/ethical standards.
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6 sop laws for all licensed nurses
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1. advocated for ct's right to receive appropriate care, intervenes on behalf of ct, communicates ct's choices, concerns, and special needs, and protect ct rights 2. promote safe environment and comfortable for all care, and identify ct safety and environment concerns 3. has knowledge and practices w/in sop, accepts responsibility and maintain competence, obtains instruction, accepts nursing assignments, maintains documentation, ensure unsafe nurse practices are reported to BoN, retains professional accountability, demonstrates honesty and integrity, promotes and preserves ct's autonomy, maintain professional boundaries -promotes selevtion, acquires and maintatins knowledge, skills, and abilities - assign/ supervise care: assign tasks appropriately and w/in supervision w/ appropriate documentation, evaluation, intervention -accept/implement orders: may accept/ initiate orders from professionals authorized by OR statutes, CRNA< PA; has which is not clear, perceived as unsafe, contraindicated for ct or unconsistent w/ plan of care |
