Term
List sources of law and types of law. |
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Definition
Sources: Constitution, Legislation (Statutes)-->Nurse practice acts, Administrative law, Common law; Types: Public (Criminal) & Private or civil (Contract law, Tort law) |
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Term
Describe ways nurse practice acts, standards of care & agency policies & procedures affect the scope of nursing practice |
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Definition
Constitutional (due process, equal protection), Statutory (Nurse practice acts, Good samaritan acts), Criminal (Homicide, manslaughter, active euthanasia, Sexual assault) Contracts (nurse & client, nurse & employer), Torts (Negligence/malpractice, libel & slander, invasion of privacy) |
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Term
Compare & contrast the state-based licensure model & the mutual recognition model for multistage licensure. |
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Definition
State-based (separate license required for each state, challenged by changes in health care delivery), Mutual recognition (new regulatory model developed by NCSBN, allows for multistage licensure, state legislatures initiate & establish a compact (NLC) |
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Term
Describe the purpose & essential elements of informed consent |
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Definition
Purpose: provides client w/complete info prior to obtaining agreement by client to accept a course of treatment; based upon principle of autonomy; Essential: consent must be voluntary, must be given by client w/capacity & competence to understand, patient must be given enough info to be decision maker, under no influence of drugs or alcohol |
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Term
Describe the purpose of the following acts: Good Samaritan Acts and Americans with Disabilities act |
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Definition
ADA: prohibits discrimination on the basis of disability, purpose: provide national mandate, provide enforceable standards, ensures gov't role in enforcing; Good samaritan: protect health care providers providing assistance at an emergency scene against claims of malpractice |
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Term
Discuss the impaired nurse and available diversion or peer assistance programs |
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Definition
Impaired nurse: functions diminished due to chemical dependency on drugs, alcoholism, mental illness; Diversion programs: state boards of nursing, institutional policies, require: counseling, participation in support groups, periodic progress reports |
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Term
Recognize the nurse's legal responsibilities w/selected aspects of nursing practice |
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Definition
informed consent, delegation, violence abuse neglect, ADA, controlled substances, impaired nurse, sexual harassment, abortions, death & related issues |
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Term
Differentiate crimes from torts and give examples in nursing |
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Definition
Crime: an act committed in violation of public law, doesn't have to be intended in order to be a crime;Tort: civil wrong against a person or person's property, based on fault (something done incorrectly, something omitted) |
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Term
Discriminate between negligence and malpractice. |
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Definition
Negligence is misconduct or practice that is below the standard expected of an ordinary, reasonable and prudent person but malpractice is negligence occurred while person while performing as a professional. |
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Term
Delineate the elements of malpractice. |
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Definition
Duty, breach of duty, forgeability, causation, harm or injury |
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Term
Give examples of intentional torts |
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Definition
Assault/battery, false imprisonment, invasion of privacy, defamation; Act done on purpose or with intent, no harm need be caused; |
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Term
Give examples of unintentional torts |
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Definition
negligence, malpractice; negligence, malpractice, do not require intent, require element of harm |
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Term
Describe the 4 specific areas of the Health Insurance Portability and Accountability Act (HIPAA) and their impact on nursing practice |
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Definition
1) Electronic transfer of info among organizations 2) Standardized numbers for id-ing providers, employers & health plans 3) security rule 4) Privacy rule; name cannot be posted near or on room door, charts must be kept in secure location, printed materials shouldn't be unattended in any machine, access to protected, access to protected health info is limited to those authorized to obtain the info |
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Term
Describe the purpose of professional liability insurance |
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Definition
necessary due to increasing #s of malpractice lawsuits, nurses advised to carry own insurance, insurance covers costs up to face value of policy |
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Term
List information that needs to be included in an incident report |
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Definition
id client by name, initials, or hospital/id number; date, time and place of the incident; description of facts of the incident; incorporation of client's account of the incident in quotes; id of all witnesses; id of any equipment by # and any med by name and dosage |
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Term
Identify ways nurses and nursing students can minimize their chances of liability |
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Definition
function w/in scope of education, job, description & nurse practice act; follow procedures and policies, build & maintain good rapport, always check on client id, observe & monitor, accurate communicate & record significant changes; promptly & accurately document all assessments & care, be alert when implementing nursing interventions, perform procedures correctly & appropriately, 5 rights: medication, dose, routes, time, and client |
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