Regulatory agencies - US Dept of Health and Human Services
FDA
State and local public health agencies
State icensing boards
Joint Commission-JCAHO
Professional Standards Review Organizations
Review committees
Healthcare financing mechanisms - publically federally funded progams
-Medicare
-...
,Physical Therapist-increase musculoskeletal function
Provider-assess, diagnose, treat client
Radiologic Techs-perform xrays
Respiratory Therapist-evaluate respiratory status
Social Worker-equip client/family with community resources
Speech Therapist-assist with regaining speech
Autonomy (Ethical Responsibilities) - ability of the client to make personal diecisins, even when those
decissions may not be in the clients best interest
Beneficence (Ethical Responsibilities) - agreement that the care given is in the best interest o the client;
taking positive actions to help others
Fidelity (Ethical Responsibilities) - agreement to keep one's promise to the client about care that was
offered
Justice (Ethical Responsibilities) - fair treatment in matters related to physical an psychosocial care and
use of resources
Nonmaleficnce (Ethical Responsibilities) - avoidance of harm of pain as much as possible when giving
treatments
Ethical dilemna (Ethical Responsibilities) - it cannot be solved solely by a review of scientiic data; it
involves a conflict between two moral imperatives; the answer will have a profound effect on the
situation/client
Nurses basic code of ethics (Ethical Responsibilities) - advocacy, responsibility, accountability and
confidentiality
nurses role in ethical decision making (Ethical Responsbilities) - 1. an agent fo the client facing and
ethical decision-helping decision of abortion for adolscent; discussing blood transfusion w/JW;
2. the decison maker in regard to nursing practice-witnessing surgeon provide options but not dangers
,Sources of Law (legal responsibilities) - Health Insurance Portablity and Accountability Act-HIPAA;
The Americans with Disabilities Act-ADA;
The Mental Health Parity Act-MHPA;
The Patient Self-Determination Act-PSDA
Criminal law - subsection of public law and relates to the relationship of an individual with the
govenment-nurse who falsifies medical record
Civil law - protects the individual rights of people-provision of nursing care is tort law
Negligence - Unintentional Torts - nurse fails to implement safety measures for a client who has been
identified as at risk for falls
Malpractice - Unintentional Torts - nurse administers a large dose of medication due to a calculation
error. Client has a cardiac arrest and dies
Breach of Confidentiality - Quasi-Intentional Tort - a nurse release the medical diagnosis of a client to a
member of the press
Defamation of Character - Quasi-Intentional Tort - a nurse tells a coworker that she believes the
clienthas been unfaithful to her spouse
Assault - Intentional Torts - the conduct of one person makes another person fearful-threatening
Battery - Intentional Tort - intentional and wrong physical contact that involves injury or offensive
contact-restraining of a client
False Imprisionment - Intentional Tort - a person is confined/restrained against their will-competent
client put in restraints to prevent leaving facility
, Professional Negligence - failure of a person with professional training to act in a reasonable and
prudent manner
Responsiblities for informed consent - Provider-obtain consent;
Client-give consent;
Nurse-witnesses consent
Types of Advance Directives - Living Will-expressin clients wishes regarding medical treatment;
Durable Power of Attorney for Healthcare-designates a healthcare proxy;
Providers Order-DNR-do not resuscitate; AND-allow natural death; CPR-cardiopulmonary resuscitation
Chart Information - assessments; medication administration; treatments geven and the clients
responses; client education
Chart documentation - subjective data-what the client says in quotation marks;
objective data-what you see;
accurate/concise-info documented must be precise;
complete/current-info is comprehensive and timely;
organized-communicate in logical order
Delegation and Supervision - RNs to RNs, LPNs and Nursing assistants
Delegation Factors - Predictability of outcome; Potential for harm; Complexity of care; need for problem
solving and innovation; level of interaction with the client
Five Rights of Delegation - Right Task-identify task;
Right Circumstance-access health status/complexity of care;
Right person-verify compentencey of delegatee;
Right direction/communication-data to collect;
Right supervision/evaluation-provide direct/indirect supervision
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brainboost. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
