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Fundamentals Ch. 4
N/A
16
Nursing
Undergraduate 3
09/26/2010

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Cards

Term
List sources of law and types of law.
Definition
Sources: Constitution, Legislation (Statutes)-->Nurse practice acts, Administrative law, Common law; Types: Public (Criminal) & Private or civil (Contract law, Tort law)
Term
Describe ways nurse practice acts, standards of care & agency policies & procedures affect the scope of nursing practice
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)
Term
Compare & contrast the state-based licensure model & the mutual recognition model for multistage licensure.
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)
Term
Describe the purpose & essential elements of informed consent
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
Term
Describe the purpose of the following acts: Good Samaritan Acts and Americans with Disabilities act
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
Term
Discuss the impaired nurse and available diversion or peer assistance programs
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
Term
Recognize the nurse's legal responsibilities w/selected aspects of nursing practice
Definition
informed consent, delegation, violence abuse neglect, ADA, controlled substances, impaired nurse, sexual harassment, abortions, death & related issues
Term
Differentiate crimes from torts and give examples in nursing
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)
Term
Discriminate between negligence and malpractice.
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.
Term
Delineate the elements of malpractice.
Definition
Duty, breach of duty, forgeability, causation, harm or injury
Term
Give examples of intentional torts
Definition
Assault/battery, false imprisonment, invasion of privacy, defamation; Act done on purpose or with intent, no harm need be caused;
Term
Give examples of unintentional torts
Definition
negligence, malpractice; negligence, malpractice, do not require intent, require element of harm
Term
Describe the 4 specific areas of the Health Insurance Portability and Accountability Act (HIPAA) and their impact on nursing practice
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
Term
Describe the purpose of professional liability insurance
Definition
necessary due to increasing #s of malpractice lawsuits, nurses advised to carry own insurance, insurance covers costs up to face value of policy
Term
List information that needs to be included in an incident report
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
Term
Identify ways nurses and nursing students can minimize their chances of liability
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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