1Living Will Def
The purpose of a living will is to allow the client an opportunity to specify what aspects of care and treatment are to be accepted or refused in the event that the client can no longer communicate those decisions.
2Health Proxy def
Who will make healthcare decisions if PT is unable. This describes a health care proxy document, which frequently accompanies a living will but is not considered a part of it.
3When do you need an informed consent
A living will does not serve in the same capacity as informed consent. Prior to any procedure, consent must always be obtained, whether it is from the client, a family member, or a designated health care proxy.
4Autocratic leadership def
An autocratic leader makes decisions independently and then notifies staff of the decisions made. An autocratic manager maintains a high degree of control over the staff and allows little freedom of staff members.
5Democratic Leadership def
A democratic leader guides staff toward reaching an objective and shares responsibility with the staff. This is the ideal type of leadership in this situation because a great amount of creativity can occur and many strategies can be developed.
6Laissez-faire leadership
A laissez-faire leader exerts little or no leadership and control.
7Moral Leadership
Moral leadership involves honesty and fairness under any circumstances. The leaders inner moral compass serves as a guide and inspiration for the group.
8Patients consent needed for delegation to assistive personnel
Tasks that can be delegated to an AP do not require the client’s consent.
9Delegation Supervision/5 rights
Successful delegation involves assigning the right task to the right person under the right circumstance. The person that is to perform the task must be given adequate direction and specification regarding the amount of supervision that will be provided. The right communication of expectations and the right feedback on performance must also be supplied.
10Documentation should include...
It presents objective facts and assessments related to this event. The nurse should also include vital signs, further assessments, the name of the provider that was notified, treatments or procedures that were done per the provider's prescription, and the client’s response.
11Avoid what in documentation
-blame on AP/PT
-vague descriptions
-assumptions or conclusions
12Root Cause Analysis def
a function of quality improvement in client care, the purpose of which is to determine what factors led to a deviation from established standards of care resulting in errors in client care. It focuses on organizational process/any counseling or education needs for workers.
13HIPPA
The nurse should not discuss information about clients, including their personal concerns, diagnoses, and treatments, with anyone who is not directly involved in the client's care. Doing so is a violation of HIPAA regulations. Nurses should take special care not to compromise this right by discussing client care in such places as elevators, restaurants, or other areas that are accessible to the public in which the discussion might be overheard.
14Actions after a Fall Incident
Determining level of consciousness is the priority action, then calling for help, notifying the provider, and finally completing an incident report.
15Negligence def
Negligence occurs when a client is exposed to an unreasonable risk of injury.
16Battery def
Battery is defined as the touching of a client without consent.
17Intentional Tort def
An intentional tort occurs when a person intentionally injures another in some manner.
18Slander def
Slander is an injury to one’s reputation caused by a spoken word about another.
19Educating AP
Practice skill and then assist
20Media Inquiries and HIPPA
The HIPAA Privacy Rule prohibits disclosing client information to individuals not involved in client care without that client's express consent. The reporter should be told that, due to confidentiality issues, no information can be given out about any clients. The nurse should refer the reporter to the nursing supervisor.
21Responsibility def
the nurse upholds obligations.
22Accountability
the nurse answers for personal actions.
23Advocacy
the nurse supports the client in the decisions she makes about her own health care.
24Confidentiality
the nurse protects the privacy of the client and her health care information.
25Steps to dealing with coworkers under ETOH
After gathering data, the nurse must first validate suspicions with another observer, take the appropriate action to safeguard clients, and then document the incident.
26Incident Report should be completed when...
An incident report should be initiated whenever an error is made involving a client, even if no injury occurred. Incident reports are also used for statistical purposes in determining the types of incidents that occur. These reports might help administrators to recognize if a particular type of incident is occurring at an undesired frequency to determine if intervention is needed.
27LPN scope of practice for patient assignments
Should be stable, no PICC lines/new admissions
28Beneficience def
based on the principle that actions should be taken with the intent to do good.
29Autonomy
the right to self-determination, independence, and freedom of choice.
30Justice
the principle that everyone should be treated similarly and fairly
31Consent in PT under narcotics
A client who has received meperidine cannot give consent, because the medication can alter the client’s ability to understand the consent process. The nurse should obtain consent from a relative of the client. If a relative is unavailable and the surgery is determined to be critical, the surgery can proceed without client consent.
32Does MRI require consent
no
33Does CT scan require consent
no
34Does cerebral arteriogram require consent
yes
35Transformational leadership
A transformational leader gives group members responsibilities that will enhance their professional development.