HESI Leadership and Management – Flashcards

the HCP. It is the RN's responsibilty to be sure that the operative permit is signed and is on the chart.

The means of protecting a nurse when she or he is performing emergency care.

the nurse is soley liable for any damages

the nurse and the HCP are liable for any damages

making assignments. Usually when determining who should be assigned to do a sterile dressing change, for example, a licensed nurse should be chosen--that is an RN or LPN who has been checked off on this procedure.

basic human right and is protected by law. Restraints of any kind may constitute false imprisonment.

Sterile or invasive procedures

Would a reasonable and prudent nurse act in the same manner unde rthe same circumstances?

Duty (failure to protect client against unreasonable risk). Breach of duty (failure to perform according to established standards. Causation (a connection exists between conduct of the nurse and the resulting damage). Damages (damage is done to the client, physical or mental).

Conducting or causing damage to another person is a willful or intentional way without just cause. Ex: Hitting a client out of anger, not in a manner of self-protection.

Voluntary= client admits self to an institution for treatment and retains his or her civil rights; he or she may leave at any time. Involuntary= someone other than client applies for the client's admission to a institution (a relative, a friend, or the state); requires certification by one or two health care providers that hte person is danger to self or others; the person has a right to a legal hearing (habeas corpus) to try to be released, and the court determines the justification for holding the person.

Vote, make contracts or wills, drive a car, sue or be sued, hold a professional license.

Voluntary, informed, written

Alert, coherent, or otherwise competent adults; a parent or legal guardian; a person in loco parentis of minors or incompetent adults.

The Good Samaritan Act

Inform the HCP; record that the HCP was informed and the HCP's response to such information; inform the nursing supervisor; refuse to carry out the prescription.

Inform the HCP or person asking the nurse to perofrm the task that he or she is unpreparted to carry out the task; refuse to perform the task.

Apply restraints properly; check restraints frequently to see that they are not causing injury and record such monitoring; remove restraints as soon as possible; use restraints only as a last resort.

A patient must give written consent before HCPs can use or disclose personal health information; HCPs must give patient notice about providers' responsibilities regarding patient confidentiality; patients must have access to their medical records; providers who restrict access must explain why and must offer patients a description of the complaint process; patients have the right to request that changes be made in their medical records to correct inaccuracies; HCPs must follow specific tracking procedures for any disclosures made that ensure accountability for maintence of patient confidenitality; patients have the right to request that HCPs restrict the use and disclosure of their personal health information, though the provider may decline to do so.

"I need" (rather than "You must"

invasive or sterile procedures, education, assessment/analysis. The also cannot do any part of nursing process (ADPIE), because this requires nursing judgement.

1) Direction/guidance. 2) Evaluation/monitoring; 3) Follow-up.

Seeking input, showing respect, valuing opions, and building trust.

State Nurse Practice act. The State Nurse Practice Act contains legal requirements for the protection of client confidentiality and the consequences for breaches in confidentiality

Code of ethics for nurses, Patient's Bill of Rights, ANA standards of Practice

The ANA Scope of Standards of Practice for Psychiatric-Mental Health Nursing (C) serves to direct the philosophy and standards of psychiatric nursing practice. (A and D) define the client's rights. (B) provides ethical guidelines for nursing.

Implementation

Assertive communication skills.

Right task, right circumstance, right person, right direction or communication, and right supervision

Direction, evaluation, and follow-up

Disaster preparedness, disaster response, disaster recovery

To sort or categorize

Primary: develop plan, train and educate personnel and public. Secondary: Triage, treatment-shelter supervision. Tertiary: follow-up, recovery assistance, prevention of future disasters.

Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhagic fever, ricin, sarin, radiation

Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhagic fever, ricin, sarin, radiation