Shared Flashcard Set

Details

FUNDAMENTALS HESI
HESI
90
Health Care
Undergraduate 1
06/16/2012

Additional Health Care Flashcards

 


 

Cards

Term
Unintentional tort: Negligence
Definition
performing an act that a resonable and prudent person wouldn't perform.
Term
Unintentional tort: Malpractice
Definition
negligence by professional personal (misconduct or unreasonable lack of skill in carrying out professional duties
Term
The four elements that are eeds to prove negligence or malpractice. If on is missing, then it cannot be proven.
Definition
Duty, breach of duty, injury damage, and causation
Term
Incident reports
Definition
alerts administrationn to possible liability claims and the need for investigation, these do not protect against legal action for negligence or malpractice
Term
Intentional tort: Assault
Definition
mental or phyical threat such as forcing, without touching, a client to take a med or treatment.
Term
intentional tort: Battery
Definition
touching, with or without intent to do harm such as hitting or striking. Another example would be when a client who is mentally competent is forced to have treatment they have refused.
Term
invasion of privacy
Definition
enrochment or trespassing without authorization
Term
Invasion of privacy: False imprisonment
Definition
confinement without authorization
Term
Invasion of privacy: Exposure of a person
Definition
exposure or discussion of a client's case. Remember the client has the right to be unobserbed, excluded from unwarranted operation, and protected from authorized touching of the body
Term
invasion of privacy: defamation
Definition
divulgence (disclosing something that was a secret or private) of privileged info or communication. could be through charts, conversations, or observations
Term
Fraud
Definition
willful and purposefull misrepresenation that could cause, or has caused, loss or harm to person or property such as false credentials and descring a myth regarding treatment, saying placebo wont have any side effects.
Term
if a suspected child abuse is not reported it is a
Definition
crime
Term
voluntary admission
Definition
the client admits themselves to an institutionf or treatment and retains civil rights
Term
civil procedures
Definition
methods used to protect the rights of psychiatric clients
Term
Involuntary admission
Definition
someone other than the client applies for the client's admission to an institution
Term
for involuntary admission it requires
Definition

certification by health care provide that person is a danger to self and others.

-Individuals have the right to a legal hearing within a certain number of hours or days

-Most states limit commitment to 90 days

-Extended commitment usually don't last longer than 1 year

Term
Emergency admission
Definition
any adult may apply for emergency detention or another. However, medical or judicial approval is required to detain anyone beyond 24 hours
Term

Competency hearing

 

Definition
legal hearing that is held to determine a person's ability to make responsible decisions about self, depedents, or property
Term
people who are delcared incompetent have a status of a minor, they cannot
Definition

-vote

-make contracts ot wills

-drive a car

-sue or be sued

-hold a professional license

Term
an incompetent person always need a
Definition
guardian
Term
the ones who can declare a person incompetent is
Definition
the state and family
Term
Insanity
Definition
legal term meaning the the personn accused isn't criminally responsible for their unlawful action because they are mentally ill
Term
Inability to stand trial
Definition

the person accused of committing a crime isn't mentally capable of standing trial

-they can't understand the charge against themselves

-they must be sent to a psychiatric unit until they are legally determined to be competent for trial

-one they are mentally fit, they must stand trial and serve any sentence (if convicted)

Term
Surgical permit
Definition
consent to operate, which is obtained prior to any surgical procedure (minor and major procedures)
Term

legally, the surgical permit must be

 

Definition

-written

-obtained voluntarily

-exaplined to client (informed consent)

Term
Informed consent
Definition

operation has been fully explained to the client that includes:

-possible complications and disfiguremnts

-removal of any organs or parts of the body

Term
surgery permits must be witnessed by
Definition
an authorized person-> health care provider or nurse
Term
surgery permits protects
Definition

-client from unsanturzed surgery

-health care provider, surgeon, hospital, and hospital staff against possible claims

Term
prtmiddion yo oprtsyr on s minot ot sn invompryrny ot unconscious adult must be obtained from
Definition
responsible family member or guardian
Term
to perform a mideical treatment it doesn't require a
Definition
wrriten consent
Term
when a verbal consent is obtained a
Definition
notation should be made
Term

the age ofminors that must agree to treatment along with their parents aor guardians

 

Definition
 14 years or older
Term
these minors can consent to treatment themselves
Definition
emancipated minors
Term
Good samaritan act
Definition

Protects health practitioners against malpractice for care provided in emergency situations.

Nurses are required to perform in a reasonable and prudent manner

Term
Verbal telephone prescriptions should be
Definition

-followed by agency's poly and procedures

-if not followed, it's considered negligence

-READ-BACK

-The one is receiving should write it on the chart or record it in the computer then read it back to health care provider

Term
If nurse questions a health care provider's or physicans prescription because they believe it is wrong, for instance wrong dosage, the nurse should:
Definition

1. Inform health care provider or physician

2.Record that they were informed and their response

3. Inform nursing supervisor

4. Refuse to carry out the prescription

Term
If the nurse believes the health care provider's or physican's prescription was made with poor judgement, for instance the nurse veliebes the client doesn't need as much transquilizers as prescribed, the nurse should:
Definition

1. Inform the health care provider or physician

2. Record that the health care provider/physician was notified and that the prescription was questioned

3. Carry out prescription because nursing judgment cannot be substituted for a health care provider's or physician's medical judgement .

Term
If a nurse is asked to perform as take for which they aren't prepared educationally or doesn't have the necessary experience, the nurse should
Definition

1. Inform the health care provider or physcian that they don't have the education or experience necessary to carry out prescription

2.Refuse to carry out any prescription

Term
If the nurse carried out a health care providers or physicians prescription for which they are not prepared and doesn't inform the health care provider or physician,the nurse is
Definition
SOLELY LIABLE FOR ANY DAMAGES
Term
If the nurse inform the health care provider or physciain of their lack of preparing in carrying  out prescription and STILL carried out the prescription then
Definition
BOTH the NURSE and HEALTH CARE PROVIDER/PHYSICIAN are LIABLE for any damages!
Term
Wuthout a health care provider or physician's prescription, the nurse CANNOT
Definition
alter the amount of drug given to a client. The nurse must always check with the HCP/Physician
Term
Clients may be restrained only under the following circumstances:
Definition

-In an emergency

-For a limited time

-For the purpose of protecting the client from injury

Term
Nurses responsibilities regards to restraints:
Definition

1. They nurse must notify the health care provider or physician IMMEDIATELY that the client has been restrained

2. The nyrse should dovyment that facts regarding the rationale for restraining the client

Term
restraints of any king may constitute
Definition
false imprisonment
Term
under HIPAA, patient must provide
Definition
written approval of the disclosure of any of their health info for almost any purpose
Term
If you do not comply with HIPASS regulations or ake unauthorized disclosure you are at risk for
Definition

civil and criminal liability

civil penalities-> 25,000 per year

criminal penalities-> 50,000 per year with 1 year in prison to as much as 250,000 wiht 10 yrs in prison

Term
leader
Definition
individual who influences people to accomplish goals
Term
Manager
Definition
individual who works to accomplish goals of the organizations
Term
Nurse manager
Definition
acts to achieve goals of sage , effective client care withiin the overall goals of a health care facility
Term
Authority, accountability, and responsibility of the RN are based on the
Definition
state NURSE PRACTICE ACT
Term
delegation
Definition
process by which responsibility and authority are transferred to another individual
Term
Responsibility
Definition
obligation to complete a task
Term
Authority
Definition
the right to act or command to actions of others
Term
Accountability
Definition
ability and willingness to assume responsibility for actions and related consequences
Term
The nurse transfers responsiblity and authority for delegated tasks, but the nurse retains
Definition
accountability, making sure the five rights of delegation have been achieved
Term
Five rights of Delegation (national council of state boards of nursing)
Definition

1. Right task: is this a task that can be delegated by nurse?

2. Right circumstance: considering te setting and available resources, should delegation take place?

3. Right person: is the task being delegated by the right person to the right person

4.Right direction/communication: is the nurse providing a clear, concise desrcription of taks, including limits and expectations

5. Right supervision: once task has been delegated, is appropriate supervision maintained?

 

Term
Democratic(participative) leadership style is
Definition
assertive
Term
Authoritarian (autocratic) leadership style
Definition
Aggressive
Term
Laissez-faire (permissive) leadership style
Definition
Passive
Term
Delegating to the right person required the nurse to be aware of the qualifications of the delegatee:
Definition
approrpaite education, training, skills, experience, and demonstrated and documented competence
Term
Nursing process cannot be delegated to
Definition
UAP
Term
`The role of the nurse takes place at all three levels of disaster management
Definition

1.Disaster preparedness

2.Disaster response

3.Disaster recovery

Term
To achieve effective disaster managment:
Definition

1: ORGANIZATION is key

2.All personnel must be trained

3.All personnel must know their roles

Term
Primary prevention of disaster managment
Definition

1. Participate in dev. of a disaster plan

2. Train rescue workers in triage and basic first aid

3. Educate personnel about shelter management

4. Educate the publis about the disaster plan and personal preparation for disaster

Term
Secondary disaster prevention
Definition

1. Triage

2.Treatment of injuries

3. Treatment of other conditions,  including mental health

4. Shelter supervision

Term
Tertiary disaster prevention
Definition

1. Follow-up care for injuries

2. Follow-up care for psychological problems

3. Recovery assistance

4. Prevention of future disaster and their consequences

Term
Triage
Definition

a french work meaning to sort or categorize

 

GOAL: Maximize number of survivors by sorting injured accorsing to treatable and untreatable victims.

Term
Urgency (RED)
Definition
Most urgent, first priority
Term
Urgency (yellow)
Definition
urgent, second priority
Term
Urgency (GREEN)
Definition
third priotity
Term
Urgency (Black)
Definition
Dying or dead
Term
Injury type (RED)
Definition
life-threatening injuries
Term
Injury type (yellow)
Definition
injuries with systemic effects and complications
Term
Injury type (GREEN)
Definition
minimal injuries with no systemic complications
Term
Injury type (BLACK)
Definition
catastrophic injuries
Term
Do you delay treatment for RED?
Definition
NO
Term
Can you delay treatment for yellow
Definition
only for 30 to 60 minutes
Term
can ou delay treatment for GREEN?
Definition
for several hours
Term
CAn you delay treatment for BLACK
Definition
No hopefor survival, so no treatment
Term
Triage: Separate the walking wounded
Definition

first and move to a safe area

Evaluate later  (GREEN)

Term
TRIAGE: For non-walking victims there is a
Definition
three step evaluation,always help one victim at a time! Help them after walking wounded
Term
Bioterrism coud appear
Definition
days or weeks after exposure
Term
For bioterrorism health care providers and nurses are
Definition
first responder when victims seek medical attention
Term
First responders are critical in
Definition
identifying an outbreak, determining cause of outbreak, identifying risk factors, implementation of measures to control and minimize the outbreak
Term
Biologic Agents include
Definition

-Anthrax

-Pneumonic plaque

-Botulism

-Smallpox

-Inhalation of tularemia

-Viral hemorrhagic fever

Term
Chemical agents
Definition

-Biotoxin agents: ricin

-Nerve agents: sarin

Supporting users have an ad free experience!