practice, and how will you change your practice in the future based on each key area. Place Key Point in this column: Reflect on the Key Point (following Journal Rubric) in this column: Key Point 1 Duty to the patient Why it is important: The nurse having a duty to the patient is very important. The minute we arrive on our designated floors or units and are assigned a patient or patients and we accept that assignment, we as nurses have a duty to the patient. This duty doesn’t come from the hospital you work in, but it comes from the state which grated you your nursing license. You are then a licensed nurse 24 hours a day, 7 days a week. That duty begins the moment you take an assignment and start assessing the patient, therefore building a relationship. How does it impact my work/nursing practice: Having a duty to my patient impacts my nursing practice because I understand that once I agree to my assignment and step into my patients’ room to assess them, that patient is my responsibility. Basically their life is in my hands. This is not a task I take lightly, because doing so could jeopardize my license and career as a nurse. My duty to the patient is to be their advocate and to help them to receive the best care and ©2015University of Texas at Arlington Save this document to your desktop or other storage device after each entry. Page 9 of 11
3375 Health Policy & Legal Aspects treatment possible while under my watch. How will I change my practice: By having a better understanding of my duty to my patient, I can change my nursing practice to be more aware of my patient’s needs. In my three years of nursing, I have always thought of myself as being a good patient advocate. Through this course and reading some of the lectures, I see there is always room for improvement. My duty is to my patient once I am on the floor working, and I need to do a better job of remembering that. I work in the MICU, so my doctors are usually on the floor and available to us at any time. They do occasionally have to step off the floor to assess other patients, and when this happens I usually wait for them to return to notify them of any change in my patient. I now see that any waiting is wrong of me, and I will change my practice by paging or calling them when they are off the floor if the change in my patient warrants their involvement. Key Point 2 Elements of a malpracti ce claim Why it is important: As a nurse, I feel that it is important to know that there are four elements of a malpractice claim. The first element is that of taking an assignment and taking care of the patient. This happens every shift you work and can’t be avoided. The second element is a breach of the nurse’s duty. This occurs when the nurse fails to follow the standard of care that is required for that patient’s condition. This standard of care is dictated by the State BON and the Nurse Practice Act. The third element is that an actual injury has to occur to the patient. As a nurse, I go through every shift doing my best to make sure this never happens. The fourth element is that the apparent cause of the patient’s injury is directly related to something the nurse did.
- Summer '16