Basic Concept EARNING TEMPLATE STUDENT NAME CONCEPT NEVIEW MODULE OSTER Underlying Principles Related Content O.
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Basic Concept EARNING TEMPLATE STUDENT NAME CONCEPT NEVIEW

MODULE OSTER Underlying Principles Related Content O. DELEGATION LEVELS OF PREVENTION ADVANCE DIRECTIVES Nursing Interventions WWW HOW NG TEMPLATES formance Profile Serenation
Nation Proficiency Level National CHAPTER 4 SAFE, EFFECTIVE CARE ENVIRONMENT HERO MAGNE Legal Responsibilities Understanding the laws governing nursing practice helps nurses protect clients' rights and reduce the risk of nursing liability Nurses are accountable for practicing nursing within the confines of the law to shield themselves from liability, advocate for clients rights, provide care that is within the nurse's scope of practice; discern the responsibilities of nursing in relationship to the responsibilities of other members of the health care teams and provide safe, proficient care consistent with standards of care. STATE LAWS • Each teated states that dete the parameters of ang practice and give the authority at the part of using this state and . In turn, the board of morsing have the authority to adopt rules and regulations that further relate nursing pets. Although the practice of minh similar among wates, it is critical that are know the laws and rules governing nursing in the state in which they Handsot narsing have the authority to me and revoke Tiene Boardshest standards for using programs and further delineate the scope of practice for practical PN) and advanced practice itses . All sales lave some type of Good Samaritan law that protects health care workers from liability when they merwne at the scene of an emergency LICENSURE In general, nurses must have a current license in every state in which they practice. The states about half of them that have adopted the nurse licensure compact are exceptions. This model allows licensed urses who reside in a compact state to practice in other compact states under a multistate license within the compact, nes must practice in accordance with the states and rules of the state in which they provide care SOURCES OF LAW FEDERAL REGULATIONS Federal laws affecting nursing practice • Health Insurance Portability and Accountability Act (HIPAA) • Americans with Disabilities Act (ADA) • Mental Health Parity Act (MHPA) • Patient Self-Determination Act (PSDA) CRIMINAL AND CIVIL LAWS . Criminal law is a subsection of public law and relates to the relationship between an individual and the government. A nurse who falsifies a record to cover up a serious mistake can be guilty of breaking a criminal law • Civil laws protect individual rights One type of civil law that relates to the provision of nursing care is 4.1 Types of torts Unintentional torts NEGLIGENCE Anurse fails to implement safety measures for a dentatis tortas MALPRACTICE PROFESSIONAL NEGUGENCE) Anurse administers a large dose of medication due 10 a calculation error. The client has a cardiac arrest and des Quasi-intentional torts BREACH OF CONFIDENTIALITY A nurse releases client's medical dugo to a member of the pres DEFAMATION OF CHARACTER Anurse tells a coworker that they believe the dient has been unfaithful to their partner Intentional torts ASSAULT BATTERY FALSE IMPRISONMENT The conduct of one Intentional and wrongful A person is confined of personas another physical contact with restrained against their wil person foarlaland person that involves an Aruse restraints apprehensive Injury or offensive contact on a competent client Anurse threatens to place Anne restrina to prevent their leaving an NG tube in a client client and administers the health care facility who is refusing to eat an injection against the wishes tort law. 14.11 CHAPTER 4 UGAL SPOT FUNDAMENTALS FOR NURSING
CLIENTS' RIGHTS ncy Level PROFESSIONAL NEGLIGENCE information security INFC • Info ot wr Con clie Nurses are accountable for protecting the Examples include informed one Profesionalce the failure of a person who of treatment, advance directives, condena has professional training to act in a reasonable and prudentman Themenable and prudent • Clients' rights are legal privileges or powe Renerally describe a person who has the average when they receive health care services Intelligence, foresight, and skill that a person with similar • Clients using the services of a health care retain their rights as individuals and • Negrocess that prompt most malpractice • The American Hospital Association des clients' rights in health care settings. See The Patient Care Partnership on the American Hospital • Nursing facilities that participate in Medicate also follow Resident Right statutes that are Communicate effectively and thy with clients NURSING ROLE IN CLIENTS' RIGHTS • Nursing students face they had a • Nurses must ensure that clients understand a result of the director at They should Det perform anks for which they are pred . Regardless of the client's age, nursing needs, and they should have perry learn new care setting the basic tenets are the same. The habity for the wrong or inaction) training and experience would have Include tailure to * Follow professional and facility-estatuhand standards of care Association website Use equipment in a responsible and knowledgeable manner. Os their operation Document care the worse provided Notify the provider of a change in the client's condition * Complete a prescribed procedure and must protect their clients' rights. procedures fact, then the student, has the right to: Instructor, educational and facility share Understand the aspects of care to be active in se decision-making process • Nurses can avadanly for meget by Accept, refuse, or request modification of the Following standards of plan of care. Glving competent.com - Communicating with other health team members • Receive care from competent individuals who the and clients a the client with respect. Developing a carung rapport with clients Pully documentents, interventions and evaluations Teing familiar with and following a facility's policies and procedures • The wil for in INFC Clier care . Pa is th FC to • Fo р SE OD 4.2 The five elements necessary to prove negligence ELEMENT OF LIABILITY EXPLANATION EXAMPLE: CLIENT WHO IS A FALL RISK Luty to Care should give or whata The nurse should complete a full risk assessment nedided sonably prudente would do for all dients during admission 2. Failure to give the standard of care The nurse does not perform a fall risk assessment during admission 1.fo Knowledge that failing to give the proper standard of care could harm the client The nurse should know that failure to take fall risk Fato meet the standard precautions could endanger a client at risk forfalls fed potential to cause harm- Without a fall risk assessment, the nurse orhip must be provable does not know the client's risk for fails and does not take the proper precautions The client falls out of bed and fractures their hip S. Actual harm to the client occurs
AN ram Type 12 Level REVUSAL OF TREATMENT anchens they care for the actor whether to height away are prowthe line We har they understand the Behang the trutment or recedure а у decided to in the facility paint Bhout discharge perscription, the we provides and discusses with the torpect when eving the facility prior The other to suman Against Medical A documents the incident COMMUNICA Nem the local of reportal wo Prev which is • Reportin En ber Monte beat Plan -dent The purpose of advance directives t's wishes regardingendo Wiecare The PSD Tequires asicing all to a health care facility whether . Staff shouldve elints who directives written information that related to health care decisions and • A health care representative should be • A living will is a legal document the client's wishes tegarding medical event the client becomes incapacitated • Most state Laws include provisions care providers who follow a living will be A durable power of attorney for health care is no in which clients designate a health care proxy health care decisions for them if they are to The proxy can be any competent adult the cho Unless a provider writes a "do not uscate ADVANCE DIRECTIVES become unable to do so advance directives advance directives with this process Types of advance directives Living with STANDARDS OF CARE PRACTICE) end-of-life issues • Base praction established standards of care or guidelines for care, including the following Theune practice act of each state bished standarde of nursing practice from profesional organizations and specialty groups, including the American Nurses Association (ANA), the American Association of Critical Care Nurses (AACN), and the American Association of Occupational Health Murses (AAOHNI Provider's orders Health care facilities policies and procedures, which establish the standard of practice for employees of that facility. They provide detailed information about how the nurse should respond to or provide care in specific situacions and while performing client care procedures • Standards of care define and direct the level of care nurses should give and they implicate nurses who did not follow these standards in malpractice lawsuits • Nurses should be to praction beyond the legal scope of practice a obide of their atras of competence regardless of risan bathing shortage, lack of appropriate persone • Nurses should use the forma chain of command to vertalte od to goment in light of current legal cope of practice, job description, and area of compete Durable power of attorney for health care allow natural death" AND prescription in the comes medical record, the nurse initiates cardiopulmonary resuscitation (CPR) when the client has no pulse er respirations. The provider consult the client and the family prior to administering a DNROE AND NURSING ROLE IN ADVANCE DIRECTIVES Nursing responsibilities include the following • Provide written information about advance directives • Document the client's advance directives status • Ensure that the advance directives reflect the client current decisions • Inform all members of the health care team of the client's advance directives. Que IMPAIRED COWORKERS Imparted health care provides potea Ngnificant risk to client safety Od • Ants who suspects coworker of any behavior that jeopardizes dient care of could indicate a substance use disorder has a day to report the cowoker to the approgres manager • Many policies provide access to assistance programs that facilitate entry into a treatment program MANDATORY REPORTING Health care providers have a legal obligation to report their findings in accordance with state law in the following situations ABUSE Nurses must report any suspicion of abuse (child or elder abuse, adult violence) following facility policy . Each stabas laws and regulations that govern the disposition of me who have substance use disorders. Crisal charges could apply our

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