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1 assess the potential for harm to yourself and your

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1.Assess the potential for harm to yourself and your patientsConsider the circumstances of the situation and your practice setting.Continue to work within your knowledge, skill and judgement and complete apoint-of-care risk assessment.2.Use evidence-based sources to inform your decision-making andconsider the context of the situation3.Communicate your concerns to your employerTell your employer that you are considering refusing an assignment ordiscontinuing nursing care. Discuss your concerns with your employer andconsider their response. If, after doing so, you choose to refuse theassignment or discontinue care, work with your employer to develop a plan toensure that safe patient care continues.4.Ensure your patient(s) continue to receive careYou must ensure that a suitable alternative for care is available for yourpatient(s) or allow reasonable time for alternate or replacement services tobe arranged.5.Document your decision-making process, actions, and decision4.08 Describes the ethical value related to Client Choice as outlinedin theEthicspractice standard.Client Choice:self-determination and include the right to the informationnecessary to make choice and to consent to or refuse care. Client knows the contextin which they live and their own belief and value.Limit to Choice:client do not have the right to choose to endanger the safety ofother. Client choices maybe restricted by policies that promote health, for examplerestriction on smoking. Client choice is also influence by the resources available in aparticular situation. There may be a situation in which the client request nurses toperform an act that is illegal or may cause serious harm.When a client wish conflict with a nurse personal value, and the nurse believe thathe/she cannot provide care, the nurse needs to arrange for another caregiver andwithdraw from the situation. If no other caregiver can be arranged, the nurse mustprovide the immediate care required.4.09 Defines key terms related to consent as per theConsentpracticeguideline (e.g., continuing power of attorney for property, power ofattorney for personal care, spouse, substitute decision-maker, plan oftreatment, treatment).
Power of Attorney:a legal documentation in which a capable person givessomeone else the authority to make decision about his/her personal care if she/hebecome incapable.Continuing Power of Attorney for Property: the same as the power of attorneyfor personal care, except relating to decision about propertySpouse: two person who are married to each other, or who are the parent of a childor have a cohabitation agreement under the Family Law Act.Substitute Decision Maker:a person identified by the HCCA who make atreatment decision for someone who is incapable of making his/her own decision.

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Term
Spring
Professor
N/A
Tags
Nursing, nursing acts

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