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Trans. to Practice
Module's 1 & 2
| Question | Answer |
|---|---|
| What are the main functions of the Board of Nursing? | Protect the public, govern the state's Nurse Practice Act, and to hold hearings to investigate violations |
| What is the Good Samaritan Act? | Provides immunity from liability in certain circumstances |
| What is the goal of the Good Samaritan Act? | Except in cases of gross negligence, is to encourage assistance in emergencies occurring outside of a medical facility |
| What is the Nursing Standard of Care? | Guideline for good nursing |
| What is the nursing standard of care based on? | What an ordinary, prudent nurse with similar education and nursing experience would do in similar circumstance |
| What is Scope of Practice? | Every nurse needs to know what he/she can do |
| What is the Nurse Practice Act? | Law that defines the title and regulates the practice of nursing |
| Professional Organization | In developing standards of care for nursing practice and constantly evaluate existing standards and revise them as needed |
| Who governs the Nurse Practice Act? | Each individual state |
| Interstate Endorsements (Compact) | Makes it possible to work in another state without repeating the NCLEX-PN examination, after you meet the state's criteria for licensure by endorsement |
| Multi-State Licensure | Allows a nurse to have one license in his or her state of residency and practice in other states, depending on each state's Nurse Practice Act and legislation |
| Malpractice | Negligence by a professional (medication & treatment errors, lack of assessment/timely action of condition, defective equipment which causes (or potential to cause) harm, failure to protect the patient) |
| Negligence | Conduct which falls below the standards established by the law for the protection of the patient. (failure to check allergies & patient has reaction to medication) |
| Abandonment | Wrongful termination of patient care (leaving the floor without covering the care of our patient) |
| Malpractice Insurance | Personal policy that includes liability that works for you (the nurse) and not the facility you work in |
| What are the three factors that can help the nurse avoid malpractice suits? | Follow policy, stay within your scope of practice (maintain expertise in practice), and develop a positive nurse/patient relationship |
| What department has a primary goal to minimize medical error and decrease potential litigation? | Risk Management |
| Criminal Action | Involves people and society as a whole and relationships between individuals and government |
| Civil Action | Protects individual rights and results in payment of money to the injured person |
| Crime | Any offense, serious wrongdoing |
| Tort | A violation of civil law, involves a wrong against an individual or his/her property |
| Misdemeanor | Criminal offense defined as less serious than a felony |
| Intentional Tort | Intended to cause harm to the individual |
| Felony | An offense, as murder or burglary of grave character than those called misdemeanor. Imprisonment for more than a year |
| Unintentional Tort | An action that is not meant to cause harm to the patient, but does |
| Assault | Purposely threatened physical harm to an individual |
| Battery | To touch an individual without consent |
| Harm | Injury to a person or the person's property that give rise to a basis for a legal action against that person |
| Breach of duty | Not performing duties according to the standard of care |
| False Imprisonment | Intentionally preventing a competent patient from leaving a facility, restricting his/her movement with the use of physical restraints or chemical use |
| Defamation | Damage to someone's reputation through false communication without their permission |
| Libel | An example of defamation through written communication; keep your opinions out of your charting, just chart the facts |
| Slander | An example of defamation by verbalizing untrue or private information (gossip) or a third party |
| HIPPA | Health Insurance Portability & Accountability Act; main focus is privacy, also gives the rights over their health information (patients are able to view their own medical records, but follow agency policy) |
| Competency | A legal state that a person has reached the age of maturity and can make decisions for herself/himself |
| Patient Rights | Fundamental right for treatment with dignity and compassion |
| General Consent | A person has voluntarily sought admission to a health care facility |
| Informed Consent | Must be obtained for invasive procedures for a therapeutic or diagnostic purpose |
| Authorized Consent | Parent cannot give informed consent for their children, but they can authorize treatment for their children |
| Confidentiality | A duty to protect information about a patient no matter how the information is received (share information only with those involved with the patient's care) |
| Medical Records | Provides data on each patient. It is used for communication by health care providers (chart does not belong to the patient, but is the property of the facility) |
| Reporting Abuse | There are exceptions to the right of privacy {certain communicable diseases, gunshot wounds, signs of abuse (children & older adults)} |
| Elder Abuse | Any needs physical, mentally, or financial that are not met is abuse of older person (withholding food or medication due to confusion) |
| Advocate | A person who acts on behalf of another person |
| What are nursing ethics? | Values and principles governing nursing practice, conduct, and relationships |
| What is the focus of nursing ethics responsibilities? | Ideal behavior, morality, and higher standards (notify physician of improper medical orders that could cause harm to patient; nurse can refuse to carry out the order after notifying physician, but must also notify proper chain of command) |
| What is accountability? | Being responsible for one's actions (accountability errors) |
| Nomaleficence | Do no harm (skin puncture, drug s/e, physical manipulations, product/equipment safety, participate in research) |
| Beneficence | Do good (put patient interest first, place the good of the patient before one's own needs) |
| Autonomy | Right to be independent and make decisions |
| What are the four steps of autonomy decisions? | Thinking through all the facts, deciding on the basis of an independent thought process, acting based on a professional & personal decision, undertaking a decision voluntarily, without pressure from anyone else |
| Fidelity | BE TRUE - acting in patients' best interest when they are unable to make free choices - being faithful to agreements and promises - do what you say, when you say you are going to do it |
| What is the order in variance of care (incident report)? | Provide urgent care & collect data, Notify charge nurse, Call physician, Identify all witnesses, Fill out incident report |
| What are incident/variance reports? | aka: unusual occurrence reports; are completed in the even of an unusual occurrence or accident. Report should include objective, observed information including what happened DO NOT MENTION INCIDENT REPORT IN CHART |
| Why is the narcotic count done? | Keep track of controlled medication |
| When is the narcotic count completed and by whom? | At the beginning and end of each shift by 2 licensed individuals |
| Delegation | Process of transferring a selected nursing task in a situation to an individual who is competent to perform that specific task |
| Assignment | Transferring performance of client care activities to specific staff members |
| What are some task that a LPN can delegate to a UAP/CNA? | Bed making, feeding, bathing, ambulation, applying hearing aid, stocking supplies, turning & repositioning patient, recording I/O, giving enema, filling H20, ROM exercises, taking specimens, transferring patient to chair/bed, oral hygeine |
| What are the 5 rights of delegation | Task, Circumstance, Person, Direction/Communication, Supervision |
| What is essential to the delivery of nursing care? | Communication - essential for the exchange of information about patients, includes needs of patient or changes that have occurred, includes history of events for the patient |
| How do you avoid misunderstanding's & disagreements with co-workers? | Understanding job descriptions |
| Who can transcribe physicians orders in nursing home? | Nurse |
| Who can transcribe physicians orders in acute care setting? | Nurse/Unit clerk/secretary |
| What is the best practice if orders are unclear? | Clarify orders with physician |
| What is good to have/do for your 6 mos. & annual job evaluations? | Read & have copy of job description |
| Who is held accountable for all the nursing actions that you perform or are assigned to perform? | You are |
| What are reasons for disciplinary action? | Drug & alcohol use, fraud & deceit, negligence, criminal activity, incompetence, violation of NPA, disciplinary action by another jurisdiction, and unethical conduct |
| What are the 4 steps in disciplinary action? | Sworn complaint, Complaint reviewed, Finding not guilty, Finding guilty |
| Autocratic Style | Retains all authority - displays little trust in staff, concerned primarily w/task & goals accomplished, one-way communication w/group |
| Democratic Style | People-centered approach - allows more control & participation in the decision making process; works best with mature employees who work well together as groups |
| Laissez-Faire | "Free-run style" or permissive leadership - relinquishes control completely to the team - wants everyone to feel free to "do their own thing" - avoids responsibility by delegating all decision making to the group |
| Situational Leadership | Takes into account the style of the leader, the maturity of the group, and the situation at hand to perform a comprehensive approach |
| What are "written" orders? | Recorded on the chart by the physician; NEVER guess, if in doubt, call physician - if you still believe orders are inappropriate, contact your supervisor |
| What are "verbal/telephone" orders? | May only be taken from physician or nurse; are subject to more error. Clarify order by repeating it to the person giving it (repeat more slowly if needed) |
| What are charting guidelines? | Date & time each entry, must be legible (spelled correctly), use black in, signature after each entry, DO NOT delete notes (report accidental computerized deletions to supervisor) |
| Physician's Office | Opportunity focus on disease prevention and patient teaching, salary tends to be lower, schedule is primarily days with minimal weekends |
| Temporary Agencies | Salary is good, must be highly flexible, right to refuse assignment, wealth of variety available, more flexibility in personal schedule, uncertainty of work available, always an outsider |
| How do you prioritize patient care? | Decide which needs/problems require immediate action & which could be delayed (use ABC's as guide) Patients with life-threatening needs that could result in harm are higher |
| What are general client problems that usually indicate priority? | Fresh post-op, pts whose status has deteriorated from baseline, pts exhibiting signs of shock, patient w/allergic reaction, pts w/chest pain, pts who have returned from diag., pts who verbalize unexpected symptoms, pts who have equip/tubing malfunctions |
| Who can administer blood? | RNs - can spike & monitor for reactions for the first 15 minutes, then LPN can monitor |
| Who verifies blood products? | 2 licensed persons |
| Who is responsible for notifying charge nurse if they are floated to another unit and are unfamiliar with specific skills needed for that unit? | Nurse |
| What is the supporting documentation for SRD's? | Reason for restraint, explanation to patient & family type of device used, patient's response, and restraint must be tied to bed frame and not railing |
Created by:
tandkhopkins
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