Trn, General Terms Review

Front 1

Accountability

Back 1

To accept ownership for the results or lack thereof associated with the task. Accountability is shared and you can only delegate tasks for which you are responsible.

Front 2

Accreditation

Back 2

the process by which an agency or organization evaluates and recognizes an institution or program of study as meeting certain predetermined criteria

Front 3

Advocacy

Back 3

the act of standing in for the rights of the patient

Front 4

AAN

Back 4

American Academy of Nursing. Focus is on healthcare, nurse professional development and economic and general welfare of nurses

Front 5

American Civil War

Back 5

No organized care for troops.

Dorthea Dix was appointed "secretary of war" to oversee trained nurse volunteers

Front 6

ANA

Back 6

American Nurses Association

It's a federation of state nurses associations.
Publications: AJN, nursing research and international nursing index.
American Member of the ICN
Open to professional nurses with a currently valid license

Front 7

BBA
Public Law 105-33 of 1997

Back 7

Allowed NPs to directly bill medicare.
Requires a collaborative rather than supervisory relationship between NPs and MDs

Front 8

Clara Barton

Back 8

Convinced Congress to ratify the Geneva Contract and allowed the American Red Cross to act in peacetime.

Front 9

Breach of Contract
(liability theory)

Back 9

A contract is a promise or set of promises between two parties.
The RN may be asked to witness a one-party document.

Front 10

Elements of a valid contract

Back 10

1. Parties are competent to contract
2. The contract must concern a legal subject matter.
3. There must be a consideration (without it, the agreement is for a gift)
4. There is a mutuality of agreement.

Front 11

Breach of Warranty
(liability theory)

Back 11

These claims are a specific type of contractual clam and are prompted by a representations from the HMO that its providers will provide high quality care.

Although the HMO may advertise high quality care, the HMO is not simulatenously

Front 12

Mary Brewster

Back 12

Worked with dock and wald in henry street settlement.
Pioneer in community health nursing .

Front 13

Case management

Back 13

a process that is implemented in an integrated health care delivery system.
RN is assigned and responsible for moving the pt through the continuum of care in the integrated system.

Front 14

Case Method
(Delivery of Care)

Back 14

The total care of one pt is assigned to one RN.
Main nurse assigns associate nurses duties to help with pt care but the main nurse is totally responsible and accountable.

Front 15

Certification

Back 15

Used as a tool to measure competence.

Front 16

Luther Christman

Back 16

Founded the American Assembly for Men in Nursing.
He is the founder and dean emeritus for Rush University School of Nursing

Front 17

Clinical Pathways
(Outcomes)

Back 17

used to make nursing knowledge, manageable, define standards and maintain quality.
Critical paths, care maps, care protocols, practice guidelines, clinical guidelines

Front 18

Community College Education for Nursing (1959)

Back 18

Montag
AD nurses could carry on intended nursing functions and programs could be set up in community colleges

Front 19

CQI

Back 19

A tool to measure efficiency, satisfaction and quality

Front 20

Corporate Negligence
(Liability theory)

Back 20

Says that the hospital may be held liable if it fails to uphold the proper standard of care owed to the pt.

1. the pt must prove the hospital knew of defect in procedures
2. the defect was a substantial factor in bringing about the injury to the pt .

Front 21

Corporate Negligence: Failure to allocate resources properly

Back 21

HMO did not delegate resources properly.

Front 22

Crimean War

Back 22

Florence Nightingale and helped clean the environment in the hospitals

Front 23

Critical Path

Back 23

this defines standards and outcomes.
It creates a multidisciplinary approach and reduces the burden of documentation.

Front 24

Critical thinking

Back 24

the process of identifying underlying assumptions, interpreting and evaluating arguments, imagining and exploring alternatives and developing a reflective criticism to attain a logical and justifiable conclusion.

Front 25

Decision Making

Back 25

1. Immediate: no time for reflection. Action is automatic or immediately responsive.
2. Intermediate: there is time for reflection before action.
3. Deliberate: information acquisition precedes thinking, consulting and reflection with the objective of making a rational decision. (most common)

Front 26

Defamation of Character

Back 26

The publication of anything injurious to the the good name or reputation of another.
Slander: spoken
Libel: written

Front 27

Delegation

Back 27

Defined as transferring authority to a competent individual to perform a selected nursing task in a selected situation. .

Front 28

Differentiated Practice

Back 28

This builds on primary nursing, but decentralizes all management functions such as staffing and scheduling. it is the structuring of roles and functions of nurses according to their level of expertise, education, and competence

Clinical ladder.

Front 29

Direct Liability

Back 29

Three theories: corporate negligence, breach of contract/breach of warranty, and intentional misrepresentation or fraud

Front 30

Dorothea Dix

Back 30

"secretary of war"
development of state psych institutions

Front 31

Lavinia Dock

Back 31

Worked with Wald and Brewster on Henry Street Settlement

Front 32

Justice

Back 32

the right to be treated equally

Front 33

Beneficence

Back 33

Obligation to do good and avoid harm

Front 34

Autonomy

Back 34

Right to Self-determination, freedom and independence

Front 35

Nonmaleficence

Back 35

obligation to not create or inflict harm on others

Front 36

Veracity

Back 36

Obligation to tell the truth and not be deceptive

Front 37

Fidelity

Back 37

Faithful to the commitment

Front 38

Confidentiality

Back 38

an obligation a pt right

Front 39

Ethics

Back 39

obligation that the nurse's personal beliefs do no interfere with pt care.

Front 40

Emergency Medical Treatment and Active Labor ACt

Back 40

This act prevents pt "dumping" and denial of emergency care when a pt does not have the ability to pay.

Front 41

ERISA Act of 1974

Back 41

this is designed to proved consistent application for employee benefits which would include health care benefits

Front 42

Fabiola

Back 42

a wealthy first century christian who founded a free hospital for the poor.

Front 43

Freedom on Information Act

Back 43

Passed into law in 1966. Gives people the right to obtain information from the public and governmental agencies by requesting it in writing.

Front 44

Four Elements that comprise Malpractice

Back 44

Duty.
Breach of Duty.
Proximate Cause.
Damages.

Front 45

Functional Nursing

Back 45

Bundles pt care tasks and assigns them.
Task are grouped to save time and to comply with legal requirements. The obvious disadvantage is a lack of continuity of care.
Objective is to get the work done regardless of satisfaction.

Front 46

Group Process

Back 46

Collaborative decision making

Front 47

HCFA

Back 47

Health Care Financing Administration.

Front 48

Health Care Quality Improvement Act of 1986

Back 48

an effort to control various components of the health care delivery arena. It gave rise to efforts that provided and managed info on health care providers who had been a party in litigation

Front 49

HIPPA

Back 49

This act addresses electronic pt information. It developed standards for health information systems and for the electronic transmission of health car information.

Front 50

HMO
Health Maintenance Organization

Back 50

Most popular are the staff model, the network model, and independent practice association model.
HMO's are the most common type of managed care plan with the highest number of people enrolled.

Front 51

Health Professions Education for the Future: Schools in Service to the Nation

Back 51

1993
A study sponsored by the Pew Health Professions Commission.
It found that education and training of health professionals were not adequate to meet the health care needs in America.

The professional education was out of synch with the changing health care system.
It proposed seven competencies and six strategies.

Front 52

Healthy People 2010

Back 52

This study augments the Healthy People 2000 study. HP 2000 developed surveillance and monitoring patterns in health and living.
2010 provides emphasis to individual communities to strengthen their own capabilities.

Front 53

Wilma Scott Heide

Back 53

Was the NOW first president

Front 54

Virginia Henderson

Back 54

Developmental Model
Saw nurse's role as an advocate where the nurse would act on the behalf of the patient for those things that the pt would be able to do or themselves if they had the strength, knowledge and willingness to do so.

Front 55

HMO Act of 1973

Back 55

This act sets for the requirements for a federally qualified health maintenance organizations

Front 56

Human Genome Project

Back 56

A worldwide project calling upon scientific teams to collaborate to map the entire human genome

Front 57

International Council for Nurses
ICN

Back 57

It is a confederation of national association of professional nurses
one per country
Publishes the International Nursing Review

Front 58

Informed Consent

Back 58

1. The pt must be informed regarding the treatment or procedure
2. the pt must be provided an opportunity to review the consent and ask questions.

3. A pt must have the capacity to sign the consent (pt must not be a minor and not be impaired chemically or mentally

Front 59

JCAHO
Joint Commission on Accreditation of Health Care organizations

Back 59

Inspection teams that visit healthcare institutions to insure that government mandated standards are met. Noncompliance results in loss of federal funds