• A iclient iwho ileaves ia ifacility iwithout ia iprescription ifor idischarge ifrom ithe
iprovider i is iconsidered i leaving iagainst i medical iadvice i(AMA). iA iclient iwho i is
i legally icompetent ihas ithe i legal iright ito ileave ithe i facility iat iany itime. iThe i nurse
ishould i immediately i notify ithe iprovider. iIf ithe iclient iis iat irisk i for i harm, i it i is
i imperative ithat ithe inurse iexplain ithe irisk i involved i in i leaving ithe i facility. iThe
i individual ishould isign ia i form irelinquishing iresponsibility i for iany i complications
it hat iarise i from idiscontinuing iprescribed icare. iThe i nurse ishould idocument iall
icommunication, ias iwell ias ithe ispecific iadvice ithat iwas iprovided i for ithe iclient. iA
inurse iwho itries ito iprevent ithe iclient i from i leaving ithe i facility ican i face i legal
icharges iof iassault, ibattery, iand i false i imprisonment.
• It iis iessential ifor inurses ito ibe iaware iof ithe irights iof iclients iin iregard ito iprivacy
iand iconfidentiality. i Facility ipolicies iand iprocedures iare iestablished i in iorder ito
iadhere ito ithe ipolicies iand iprocedures. iHIPAA iregulations ialso iprovide i for
ipenalties i in ithe ievent iof inoncompliance iwith ithe iregulations.
➢ Continuity iof iCare i– i(1)
▪ Information iTechnology: iPreparing ia iChange-of-Shift iReport i(Active iLearning
iTemplate i– iBasic iConcept, iRM iFUND i9.0 iCh i5)
• Nurses igive ithis ireport iat ithe iconclusion iof ieach ishift ito ithe inurse iassuming
iresponsibility i for ithe iclients. iFormats i include i face i to iface, iaudiotaping, ior
ipresentation iduring iwalking irounds i in ieach iclient’s iroom i(unless ithe iclient ihas ia
iroommate ior ivisitors iare ipresent). iAn ieffective ireport ishould: i include isignificant
, Ariana Melesio 2
objective iinformation iabout ithe iclient’s ihealth iproblems; iproceed iin ia ilogical
isequence; i include i no igossip ior ipersonal iopinion; irelate irecent ichanges i in
i medications, itreatments, iprocedures, iand ithe idischarge iplan
• Standards iof icare iguide, idefine, iand idirect ithe ilevel iof icare ithat ishould ibe igiven iby
ipracticing i nurses. iThey ialso iare iused i in i malpractice i lawsuits ito idetermine i if ithat
ilevel iwas i maintained. iNurses ishould irefuse ito ipractice ibeyond ithe ilegal iscopeio f
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