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acute care setttings
legal & ethical issues in nursing chap 16
| Question | Answer |
|---|---|
| Dramatic changes in past 30 years | Critical care units, Intermediate care units, Advanced nursing skills, Advanced nursing knowledge, technology, equipment |
| Patient Safety | Protecting against falls, Injuries to self and others, Medication errors, Faulty equipment, Unsafe conditions |
| Suicide prevention | Once identified, duty of care increases, Legal responsibility to protect patient |
| Warning of intent to harm | Failure to warn of patient’s dangerous propensities when the victim is identifiable |
| Failure to protect from harm | Variant from duty to warn, Patients are vulnerable and incapable of distinguishing potentially harmful situations |
| False imprisonment/wrongful commitment | The patient should or should not have been detained? |
| Level of care required | Must afford the least restrictive environment to meet their needs,Restriction of civil rights must be no more than necessary to protect the individual |
| Confidentiality right of mentally ill patients | Stringently upheld by courts |
| Restraints | Physical, Chemical |
| Trend toward restraint-free environments & Side rail use, Beds, Gurneys during transport | |
| JCAHO guidelines for restraint use | Decision based on patient condition at the moment, Attempt alternative least restrictive approaches first |
| Medication Errors | Remain the number one liability for nurses in all practice settings, Number one cause of mortality and morbidity |
| Easily averted by following the “five rights” | Right patient, Right medication, Right dose, Right route, Right time |
| Patient Falls | Second to medication errors, Top incidents that create potential for serious patient injury or death |
| Technology and Equipment | Nurses must know the capabilities, limitations, hazards, and safety features of machines and devices |
| Negligence associated with improper use | Not conforming to manufacturers’ recommendations and hospital policy and protocols, Failure to inspect for defective or unsafe equipment |
| Failure to adequately assess, monitor, and communicate | Most important duty is to communicate |
| Failure to communicate to patients | Listening to the patient |
| Communicating with the Culturally and Ethnically Diverse | English is not the primary language for 47 million U.S. residents |
| Professional nursing role | Patient advocate, Develop and implement nursing diagnosis, Exercise good patient judgment |
| Failure to act as a patient advocate | Duty to report when care or orders jeopardize the care of patients |
| Patient Education | Early discharge warrants need for discharge planning and patient education |
Created by:
rcline@
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