NCLEX Kaplan Review Course- Legal, Management, and Cultural Issues
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| Informed Consent Req | show 🗑
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| show | Married minors; over a specific age for STDS, HIV, AIDS, or drug/alcohol tx/testing, emancipated &mature minors, minors seeking birth control, seeking outpatient psychiatric services or inpatient voluntary care, pregnant (sign for themselves &fetus), deli
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| Consent includes | show 🗑
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| show | legal document signed by competent pt indicating tx or life saving measures to be used if pt ability to make decisions is lost due to terminal illness or unconscious state; indicates who is authorized to make healthcare decisions; legally binding in most
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| Durable power of attorney | show 🗑
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| show | actively supports pt rights, defend pt participation in decision affecting them, communicate pt needs to interdisciplinary team, safeguard pts autonomy and independence, provide pt with info about needs and available options
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| Negligence | show 🗑
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| Malpractice | show 🗑
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| Assault | show 🗑
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| show | INTENTIAL touching without consent
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| Accountability | show 🗑
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| show | goal to reduce health care costs, focuses on client outcomes, uses interdisciplinary approach, emphasizes costs, critical pathways used as foundation for activities and guide services that clients receive for specific health conditions
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| show | “quality assurance”;prevention focused care,organize incident reporting,managed by team of 5-10 ppl,SR mgt develops policy,coordinator provides process&mgt healthcare training,&team headed by a team leader evaluates&improves the process
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| show | reduce complications, cost, increase collaboration, improves quality of care, provides direction, orients staff to EO, modified by case mgr if EO not achieved, variances are tracked to note trends, interventions presented in groups
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| Variance | show 🗑
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| Variances | show 🗑
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| Case mgr | show 🗑
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| show | identifies, coordinates, monitors implementation of services needed to achieves desired outcomes within specified time, involves principles of CQI, and promotes professional practice
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| Delegation | show 🗑
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| show | accountable
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| show | responsible
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| Responsibility | show 🗑
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| Accountabililty | show 🗑
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| show | transferred, shared
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| Responsibility is determined by: | show 🗑
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| Steps for delegation include: | show 🗑
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| show | decscribe EO &timeline; tell delegatee how and how often task will be evaluated; provide reason for task; identify changes or incidents need to be brought to delegator’s attention; written report is needed, inform delegatee where to put the report; state
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| Identify_________for completeing task and risks | show 🗑
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| Obtain _________from delegatee to make sure they understand the taks to be performed and yoru expectations | show 🗑
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| show | monitor
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| show | delegate to lowest person on hierarchy who has the required skills and abilities and who is allowed to do the task legally and according to the organization
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| Rights of delegation (6) | show 🗑
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| show | empowers others, build trust, enhances communication and leadership skills, develops teamwork, increase productivity
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| LPN competence | show 🗑
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| UAP competence | show 🗑
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| show | emphasis on vertical r/s (nurse reports to nurse mgr who reports to nursing supervisor
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| show | authority
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| Purpose of documentation | show 🗑
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| Characteristics of good documentation | show 🗑
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| Document changes by: | show 🗑
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| show | statement of fact and pts physical response; accurate and comprehensive on any unexpected or unplanned occurrence that affects or could potentially affect a pt, family member or staff person
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| Incident report purpose | show 🗑
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| show | don’t include a reference to incident report; don’t use error or inappropriate, don’t include judgmental statements, chart follow up to adverse rxn, document pt rxn as status changes and shoe be continued until pt returns to original state
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| Sequence of incident reports | show 🗑
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| Risk Manager | show 🗑
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| Common Situations Req Incident Reports: | show 🗑
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| Medical/Legal Incident Examples | show 🗑
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| Change in shift report | show 🗑
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| show | pt status, current care plan, responses to current care, things needing further attention
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| show | actual/potential needs; how needs were addressed during previous shift; info about labs, tests, txs, & rn activities for next shift; reporting rn must legally communicate all facts relevant to care; info must be pertinent, current, & accurate
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| Shift Report/Rounds should NOT include: | show 🗑
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| How does the RN give rounds? | show 🗑
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| show | Pt info medical plan, nursing plan
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| show | individual pt sx; discomfort; what has been done; what remains to be done; how pt has responded to tx and activities so changes can be made to meet needs
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| How does the RN receive shift report? | show 🗑
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| show | involves a task approach to pt care, w/major tasks being delegated by charge RN to individual member of team;goals are concerned w/work productivity at the lower possible cost;task generally are assigned to lowest skilled paid workers who are available
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| show | generally led by RN whos responsible for assessing,developing nursing dx,planning,&evaluating pt plan of care;member works fully w/i the realm of their educational&clinical expertise;member is accountable for pt care&outcomes of care delivered;characteriz
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| Primary Nursing | show 🗑
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| show | principles of right/wrong;governs r/s w/others;used to id solutions to problems arising from conflicts;base on personal beliefs&cultural values that guide decision making &determine conduct;diversity increase need to understand ethical principles increase
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| Ethical Dilemma | show 🗑
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| show | process of thinking though what one should do in an orderly and systematic manner to provide justification for actions base on principles
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| show | Autonomy, beneficence, nonmalefience, justice, veracity, confidentiality, fidelity
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| show | support of pt independence to make decisions and take action for themselves
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| Beneficence | show 🗑
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| show | “do no harm”; act with empathy toward pt and staff without resentment or malice; violated by acts performed in bad faith or with ill will, or when making false accusation about pt or employee
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| show | use available resources fairly and reasonably
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| Veracity | show 🗑
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| Confidentiality | show 🗑
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| Fidelity | show 🗑
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| show | (RAIDSE) Recognize a moral issue, Analyze facts, Identify the dilemma, Decide on possible alternative actions, Select specific action, Evaluate the effectiveness of the action
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| Behaviors for handling complaints | show 🗑
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| show | legal wrong against a person or his property INTENTIONALLY
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| show | attempt to mislead in any form (recording vitals that were not taken, BG that weren't obtained)
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| Witnessing Consent of Care | show 🗑
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| Code of Ethics for Nursing discusses the ________ and ________ of the RN | show 🗑
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| RN practices with ________ and ________ for the dignity, worth, and uniqueness of the individual, unrestricted by social or economic status, personal attributes, or the nature of the disease | show 🗑
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| RN is committed to pt, whether pt is an individual, a family, or a community; RN must respect pt wishes to have family involved in _______________ | show 🗑
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| RN is expected to promote the protection of the pt and protect the ________ , ________ , and ________ of the pt | show 🗑
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| show | accountable; roles; responsibilities
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| RN expected to preserve ________ and ________ to maintain ________ and to continue personal and professional growth; in other words, RN will abide by state regulations of continuing education to keep license | show 🗑
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| show | ethical values
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| show | research
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| RN ________ with others in health community to meet client needs | show 🗑
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| show | professional organizations
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