BP 1119 FINAL Exam
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| Nurse Practice Act | defines nursing practice and sets standards for nurses in each state; defines scope of practice; makes requirements for licensure and entry into practice; creates board of nursing; identifies legal titles for nurse; determines grounds for disciplinary act
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| Client Rights | refuse treatment, adequate treatment, right to have say in their quality of life, right to privacy, right to make their own decisions
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| Life-sustaining treatment and ethical issues | There are no absolute answers; DNR; power of attorney; living will
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| Client privacy and confidentiality | HIPPA, give patient privacy, don't discuss pt in public areas
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| Viruses that concern nursing | HIV, Hantavirus, SARS, H1N1
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| Terrorism | deliberate creation and exploitation of fear for bringing about political change; requires a conscientious attention to the policies and emergency programs of facility
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| State Board of Texas and its purpose | primary - protect the public; review and approve nursing education programs in the state; form criteria for granting licensure; overseeing procedures for licensure examinations; issuing or transferring licenses; implementing disciplinary procedures
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| Compact State | states that allow licensed nurses from other states to practice
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| Safe Harbor | nurse's right to refuse unsafe assignment; Whistle Blower's Law; facility cannot retaliate
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| Types of assessments | RN performs head to toe initial assessment; LVN performs focused assessment
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| Rule 15.27 | know this - Standards of Nursing Practice - A Look at the New Interpretive Guideline for LVN Scope of Practiced
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| LVN scope of practice |
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| Characteristics of a good professional |
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| TPAPN | Texas Peer Assistance Program for Nurses; for alcohol/substance/whatever abuse or rehabilitation
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| Unsafe practice | out of scope; causes injury; negligence
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| GVN permit | good for 75 days after graduation or until NCLEX is passed or failed
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| Felony | bad offence; can still be nurse
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| Common Law | judicial laws based on earlier court decisions, judgements and decrees
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| Assault | threat to do harm
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| Durable power of attorney | someone is assigned to make decisions for a person
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| Leaving AMA | against medical advice
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| Slander | oral defamation
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| Malpractice | professional negligence (must be licensed to be malpractice)
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| Negligence | failure to act as a responsible person would have in a similar situation
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| Fraud | deliberate deception for the purpose of personal gain and usually prosecuted as a crime
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| Beneficence | good over evil
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| Good Samaritan Law | for lay-people; legal immunity for rescuers who provide first aid in an emergency to accident victims
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| False imprisonment | holding or restraining someone against their will (physical or mechanical)
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| Informed consent | nurses only serve as witness; physician explains to pt.
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| Living will | states what you want in event you become incapacitated
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| Advanced Directive | living will, medical durable power of attorney, advanced directives
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| Autonomy | right to self-determination or the freedom to make choices without opposition; working on your own
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| Right | entitlement
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| Veracity | tell the truth
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| Elements of lawsuit for negligence | duty; breech of duty; damages; proximate cause
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| License renewal | Initially one year then every 2 years
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| Mission statement of Board of Nursing | Protect and promote the welfare of the people of Texas by ensuring each person holding a license as a nurse in the state of Texas is competent to practice safely.
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| CEUs | continuing education credits; 20 every 2 years
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| Interpretive guidelines of standards of practice? What for? | to interpret Nurse Practice Act and Standards of Practice
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| Supervises LVN | RN, doctor, dentist, chiropractor, NP
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| assessment is called: | data collecting
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| If pt is confused or drunk before surgery, what should the nurse do? | notify the doctor
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| Malpractice vs. negligence | malpractice if licensed professional
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| Impaired nurse | is drunk or high
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| A leader may or may not | have delegated authority but are capable of obtaining power through means other than delegated authority. They have more roles than a manager.
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| A leaders focus is on | the group process, info gathering, feedback, and empowering others.
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| Reward Power | ability to grant favors - team leader making assignments
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| Coercive Power | Fear - Head nurse cheduling vacations
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| Legitimate Power | Position - DON
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| Expert Power | Knowledge and skill - LVN with 20 years experience
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| Referent Power | associated with others - shift supervisor
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| Informational Power | Need for info to accomplish a goal - Merit raise related to annual evaluation.
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| Manager | assigned position within an organization. legitamate source of power. Expected to carry out specific functions.
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| Managers emphasize | control, decision making, decision analysis, results
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| 5 Rights of Delegation | Task, Circumstances, Person, Direction/communication, Supervision/evaluation
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| Be sure to | Delegate! Do not do everything yourself.
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| Autocratic Leadership | Authoritarian, directive, or bureaucratic. Set goals and have them carried out without input from others. Complete authority and should not be questioned. Task oriented, making decisions independently and issuing orders.
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| In emergency situations which kind of leadership is needed? | Autocratic
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| Democratic Leadership | achieve goals through participation of group members by focusing on individual abilities of each member. Leader keeps group headed in right direction. Lead by suggestion, not domination.
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| Decisions made through group consensus | Democratic Leadership
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| Laissez-Faire leadership | opposite of autocratic. Littler or no directive. Do anything they want without any direction from administration. May lose all sense of initiative and desire for achievement. Ends up in a muddle of confusion.
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| May work well with highly motivated well focused group | laissez faire
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| Participative leadership | crosses between autocratic and democratic leaders. Sometimes called multicratic or situational leaders.
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| Leaders present own personal views to group members, who provide criticism and comments. Leader then analyzes feedback from the group and makes a final decision | Participative Leadership
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| Roles of the LVN | clinician, mgr, advocate, educate, counselor, consultant, researcher, collaborator
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| Time mgmt | organizing time as well as delegating tasks to other personnel and making optimal use of time
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| Operative Budget | Monthly budget submitted for expenditures of the entire facility.
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| Manpower Budget | The amout of money each department spends on FULLTIME employees
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| Capital expenditure budget | advanced budget proposal submitted to finance committee for upcoming fiscal year.
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| Interview and its process | Never Easy. Be Prepared. Dress appropo. Take- LVN license, CPR card, Vaccines, any additional certifications, resume, firm handshake. Do background research on company.
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| Resume | Limit to one page, do not "pad, 5 year plan, experience as LVN, strengths, References, Summary of you as a professional.
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| Resigning from a job. | 2 weeks. Good paper. hand deliver. Say: plan to quit, last day, appreciation
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| Win-Win | based on caring, no power struggle, no anger, everyone feels good
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| Win-Lose | boss wins, employee loses
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| Win-Yield | breakdown until gives up, never have to lose
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| Lose-Lose | conflict is here to stay, no matter what no winners
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| Accomodation | agreement is reached, differences may be suppressed (may leave anger or resentment)
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| Collaboration | generates commitment to work toggether, may waste time. Builds understanding and empathy.
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| Compromise | produces mutually acceptable solutions. May not be the best even thoguh it keeps the peace.
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| Avoidance | temporarily defuses highly charged emotional disagreemnt. Conflict is not resolved, neither is satisfied.
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| Competition | reflects a strong stance to defend important principles. Can generate bad feelings.
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| Mgmt Process Step 1 | Planning:
Decide
Decision making
Problem solving
Identify the problem
Brainstorming
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| Mgmt Process Step 2 | Organizing:
Developing objectives.
Objectives – guide process of planning and organizing.
Establish policies and procedures, guidelines for carrying out objectives.
Delegate responsibility
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| Mgmt Process Step 3 | Directing:
Making assignments and directing people to carry out assignment.
Explain what, how, and why.
Assignments made so skills of assigned personnel match patient needs.
Only one person responsible for making assignments.
Be clear and concise
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| Mgmt Process Step 4 | Coordinating:
Helps pull together various activities to achieve a goal.
This insures that all activities are being carried out and helps to identify overlap, duplication, and omissions.
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| Mgmt Process Step 5 | Controlling:
Activities are analyzed to make sure that plans are being carried out.
Efficiency and effectiveness of organization are evaluated in controlling process.
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| Three Basic Steps of Evaluation | Establish standards and objectives. Measure performance and compare with standards. Make corrections or adjustments to remedy deficiencies.
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