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Nursing Exam 3 Review

Terms in this set (15)

Purpose of licensing:
-To protect public health, safety, and welfare of the PEOPLE (NOTnurses)
-All states have a mandatory licensure law for the practice of nursing to safeguard the public
-Thus, only licensed nurses (RN or LVN/LPN) can practice nursing

Board of Nursing:
-Jurisdictional governmental agencies in the 50 states, the District of Columbia, and four US territories that are responsible for the regulation of nursing practice
-Established over 100 years ago to protect the public's health and welfare by overseeing and ensuring the safe practice of nursing
-Boards outline the standards for safe nursing care and issuing licensure to practice nursing, ONCE A LICENSURE IS ISSUED: the board's job continues by monitoring licensees' compliance to jurisdictional laws and taking action against the licenses of those nurses who have exhibited unsafe nursing practice (KEEP TABS BASICALLY: ARE YOU DOING A GOOD JOB AND FOLLOWING THE LAWS IF NOT :/)
-Members of the board are appointed by the Governor with advice and consent of senate, there are 13 members; 1 APN; 2 RNs; 3 LVNs; 1 Nurse Faculty LVN program; 1 Nurse Faculty ADN; 1 Nurse Faculty BSN; 4 public members
-The state boards of nursing have the authority to set and enforce minimum criteria for nursing education criteria (THEY DECIDE WHAT YOU HAVE TO LEARN)
-An applicant for licensure must graduate from a state-approved nursing education program
-The state board of nursing has the power to sanction a nurse for performing professional functions that are dangerous to the patient or general public (probation, suspension, or revocation) HAVE THE ABILITY TO DISCIPLINE NURSES WHO ARE NOT DOING GOOD

-Executive, with the authority to administer the nursing practice act (BASICALLY RULEBOOK)
-Legislative, with authority to adopt rules necessary to implement the act
-Judicial, with authority to deny, suspend, or revoke a license or to other wise discipline a license or to deny an application for license

Most common reason for disciplining nurses:
-Practicing while under the influence of alcohol or drugs (diverted from workplace)
Delegation and Malpractice(PATIENTHASTOBEINJUED).
-Professional nurses may delegate independent nursing activities (as well as medical functions that have been delegated to them) to other nursing personnel
-State nurse practice acts do not give LPNs or LVNs the authority to delegate
-Professional RNs retain accountability for acts delegated to another person (LIKE AN INTERN. EVEN IF ITS THEIR FAULT, YOUR NAME IS ON THE CHART)
-RN is responsible for determining that the delegated person is competent to perform the delegated act (YOU MUST BE CONFIDENT THEY KNOW WHAT THEY ARE DOING)
-The delegatee is responsible for carrying out the delegated act safely (DONT DO IT IF YOU KNOW YOU CANNOT)
-The professional nurse remains legally liable, however for the nursing acts delegated to others unless the delegatee is also a licensed professional whose scope includes the assigned act

Informed Consent:
-Three major conditions of informed consent:
-Consent must be given voluntarily (YOU CANNOT FORCE THEM INTO SAYING YES)
-Consent must be given by an individual with the capacity and competence to understand (CANNOT BE A 3 YEAR OLD)
-The patient must be given enough information (BE SPECIFIC)
-Unless primary providers, nurses collaborate with the primary provider
-A nurse may witness a patient's signing but is not responsible for explaining the proposed treatment
-The nurse is not responsible for evaluating whether the physician has truly explained the significant risks, benefits, and alternative treatments (NO RESPONSIBILITY TO DO WHAT SURGEONS DO, BE OLIVIA)
-The nurse is responsible for determining that the elements for valid consent are in place, providing feedback if the patient wishes to change consent, and communicating the patient's needs for further information to the primary provider (IF QUESTIONS ON TREATMENT CALL MEREDITH GREY)

- Legal and ethical concern, protection of private information gathered about a patient during provision of care (UNDER YOUR CARE). ONLYNEEDTOHEARIFITISSOEMTHINGYOUNEEDTOKNOW.
Avoiding Malpractice:
-Maintain open, honest, respectful relationships and communication with patients and family members
-Patients are less likely to sue if they feel that a nurse has been caring and professional (THEY FEEL LIKE THEY KNOW YOU)
-Don't offer opinions when a patient asks what you think is wrong with them, you may be accuses of making a medical diagnosis (ITS NOT OUR JOB TO DIAGNOSE)
-Don't criticize health care providers or their actions when you are with patients (NURSES ON GREYS DONT CARE IF JO WILSON IS WRONG OR NOT. THEY JUST GONNA DO IT)
-Maintain confidentiality in health care setting (DONT BE GOSSIPING IN THE HOPSITAL)
-Maintain competence in your specialty area of practice (GOTTA BE EDUCATED TO KEEP UP WITH THE YOUNGSTERS)
-Attend relevant continuing education classes (THE SURGEONS ALWAYS GO TO CONVENTIONS TO LEARN)
-Attend relevant hospital-in-service programs (THE GREYS SURGEONS ALWAYS GO TO EACH OTHER SURGERIES TO LEARN)
-Expand your knowledge and technical skills
-Know legal principles and incorporate them into everyday practice (KNOW THE RULE LIKE CHIEF WEBBER)
-Keep up to date on your state's nurse practice act (PLAYERS MUST KEEP UP TO DATE WITH THE RULE BOOK BEFORE THEY GET FLAGGED)
-Keep up to date on hospital policies and procedures
-Practice within the bounds of professional licensure
-Perform only the nursing skills allowed within your scope of practice and that you are competent to perform (ONLY WHAT YOU KNOW)
-Know your strengths and weaknesses, don't accept a clinical assignment you don't feel competent to perform
-Evaluate your assignment with your supervisor
-Accept only those duties you can perform competently
-Let an experienced nurse on the unit assume responsibilities for the specialized duties
-Document all nursing care accurately
-If care is not documented, courts assume it was not rendered
-When documenting care on the patient's chart, use the FACT mnemonic: be Factual, Accurate, Complete, and Timely