ATI fundamental
FundamentalsI(ChamberlainUniversity)
Studocuisnotsponsoredorendorsedbyanycollegeoruniversity
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, FundamentalsATI(thethingsyoumaybetestedon)
Chapter1
• StateboardofNursing
o Determineslawsandregulationthatgovernsnursingintheirstate
o Ensurehealthcareproviderscomplywithstateregulations
o Issueandrevokenursinglicenses
o Nursesmusthavealicenseineverystatethattheypracticein
• JCAHO
o Developsaccreditationstandardsforhealthcarefacilities
o Theydosurveys,interviews,checkcharting
• Medicare/Medicaid
o MedicareEligibility:
▪ >65years
▪ Receivingdisabilityforatleast2years
▪ diagnosedwithALSORendstagerenaldiseaseanddialysis
o MedicareParts:
▪ A:coversinpatienthospitallimitedskilledcare
▪ B:outpatientcare[diagnostic,PT,OT]
▪ C:combinesAandBandisprovidedthroughprivateinsurancecompany
▪ D:providesprescriptiondrugcoverage
o MedicaidEligibility:
▪ Lowsocioeconomicstatusw/noinsurance
▪ Householdsize
▪ Income
Chapter2
• Registereddietitian:assistw/nutritionalneeds
• Labtechnician:blooddraws
• Pharmacist:medications
• PT:worksonmobility
• OT:canhelppatientregainabilitytoperformADLs
• Providers[doctor,APRN,PA]:sometimeshavetoworkunderneathdoctors
• Socialworker:identifiesandcoordinatescommunityresources,medicalequipment,
andotherneedsforpatientstobedischarged.
• Speechpathologist:helpwithspeechanddoswallowingassessments
Chapter3:
• Autonomy:patienthastherighttomakehis/herowndecisionevenifit’snotintheirb
estinterest.[Jehovah’switnessrefusesbloodtransfusion]
• Beneficence:doingwhatisbestforthepatient[doinggood]
• Fidelity:keepingyourpromises[followthrough]
Downloaded by david murimi ()
, • Justice:fairnessincareandallocationofresources[allocatingmoney,resources,a
ndtimefairlyacrossmultiplegroups]
• Non-
maleficence:donoharm[doctorprescribeswrongprescription;youshouldqu
estionit]
• Veracity:tellingthetruth[ifpatientasksaboutdiagnosisyouhavetotellthem]
Chapter4:
• Unintentionaltorts:
o Negligence:Hadpatientwhoisathighriskforfallsandyouforgottosetbed
alarmandtheyhurtthemselves
• Youdidnotmeantohurtpatientbuttheydid
o Malpractice:medicationerror–gavethewrongdoseortypeofmedication
• Intentionaltorts:
o Assault:youthreatenthepatient
o Battery:followthroughwiththreat
o Falseimprisonment:inappropriatelyrestrain,orgivechemicalrestraint[sedative]
• Informedconsent:
o Providerisresponsibleforcommunicatingpurposeofprocedureanddescriptio
n
ofprocedureintheperson’slanguage.Explainingtherisksvsbenefitsofprocedu
re.Alternativeoptionstotreatconditions.
o RN:providergavepatientalltheinformationtheyneed.Patientiscompetentto
giveinformedconsent[drunk,high].Havepatientsignsdocument.Notifyprovi
derifpatienthasmorequestionsordoesnotunderstand.
o Whocangiveinformedconsent:
▪ Competentadults
▪ Child:parentorlegalguardian
▪ DurablePowerofAttorney
▪ Emancipatedminors
o Refusaloftreatment:
▪ Patienthasrighttoautonomy
▪ Makepatientsigndocumentthattheyarerefusingtreatmentdespit
erisks
▪ Ifpatientwantstoleaseagainstmedicaladvicethenweneedtonotify
provider,patient,andthensignAMA
• Advancedirectives
o Livingwill:documentcreatedbypatientthatcommunicateswishesregarding
treatmentiftheybecomeincapacitated
o DPOA:individualthatthepatientdesignatesthatistheirhealthcareproxy
o Providersorder:prescriptionforDNRorAND[allownaturaldeath].
• Mandatoryreporting
o Ifyoususpectabuseyouhavetoreportit[donothavetogathermoredata,do
notneedproof,suspicionneedstobereported]
Downloaded by david murimi ()
FundamentalsI(ChamberlainUniversity)
Studocuisnotsponsoredorendorsedbyanycollegeoruniversity
Downloaded by david murimi ()
, FundamentalsATI(thethingsyoumaybetestedon)
Chapter1
• StateboardofNursing
o Determineslawsandregulationthatgovernsnursingintheirstate
o Ensurehealthcareproviderscomplywithstateregulations
o Issueandrevokenursinglicenses
o Nursesmusthavealicenseineverystatethattheypracticein
• JCAHO
o Developsaccreditationstandardsforhealthcarefacilities
o Theydosurveys,interviews,checkcharting
• Medicare/Medicaid
o MedicareEligibility:
▪ >65years
▪ Receivingdisabilityforatleast2years
▪ diagnosedwithALSORendstagerenaldiseaseanddialysis
o MedicareParts:
▪ A:coversinpatienthospitallimitedskilledcare
▪ B:outpatientcare[diagnostic,PT,OT]
▪ C:combinesAandBandisprovidedthroughprivateinsurancecompany
▪ D:providesprescriptiondrugcoverage
o MedicaidEligibility:
▪ Lowsocioeconomicstatusw/noinsurance
▪ Householdsize
▪ Income
Chapter2
• Registereddietitian:assistw/nutritionalneeds
• Labtechnician:blooddraws
• Pharmacist:medications
• PT:worksonmobility
• OT:canhelppatientregainabilitytoperformADLs
• Providers[doctor,APRN,PA]:sometimeshavetoworkunderneathdoctors
• Socialworker:identifiesandcoordinatescommunityresources,medicalequipment,
andotherneedsforpatientstobedischarged.
• Speechpathologist:helpwithspeechanddoswallowingassessments
Chapter3:
• Autonomy:patienthastherighttomakehis/herowndecisionevenifit’snotintheirb
estinterest.[Jehovah’switnessrefusesbloodtransfusion]
• Beneficence:doingwhatisbestforthepatient[doinggood]
• Fidelity:keepingyourpromises[followthrough]
Downloaded by david murimi ()
, • Justice:fairnessincareandallocationofresources[allocatingmoney,resources,a
ndtimefairlyacrossmultiplegroups]
• Non-
maleficence:donoharm[doctorprescribeswrongprescription;youshouldqu
estionit]
• Veracity:tellingthetruth[ifpatientasksaboutdiagnosisyouhavetotellthem]
Chapter4:
• Unintentionaltorts:
o Negligence:Hadpatientwhoisathighriskforfallsandyouforgottosetbed
alarmandtheyhurtthemselves
• Youdidnotmeantohurtpatientbuttheydid
o Malpractice:medicationerror–gavethewrongdoseortypeofmedication
• Intentionaltorts:
o Assault:youthreatenthepatient
o Battery:followthroughwiththreat
o Falseimprisonment:inappropriatelyrestrain,orgivechemicalrestraint[sedative]
• Informedconsent:
o Providerisresponsibleforcommunicatingpurposeofprocedureanddescriptio
n
ofprocedureintheperson’slanguage.Explainingtherisksvsbenefitsofprocedu
re.Alternativeoptionstotreatconditions.
o RN:providergavepatientalltheinformationtheyneed.Patientiscompetentto
giveinformedconsent[drunk,high].Havepatientsignsdocument.Notifyprovi
derifpatienthasmorequestionsordoesnotunderstand.
o Whocangiveinformedconsent:
▪ Competentadults
▪ Child:parentorlegalguardian
▪ DurablePowerofAttorney
▪ Emancipatedminors
o Refusaloftreatment:
▪ Patienthasrighttoautonomy
▪ Makepatientsigndocumentthattheyarerefusingtreatmentdespit
erisks
▪ Ifpatientwantstoleaseagainstmedicaladvicethenweneedtonotify
provider,patient,andthensignAMA
• Advancedirectives
o Livingwill:documentcreatedbypatientthatcommunicateswishesregarding
treatmentiftheybecomeincapacitated
o DPOA:individualthatthepatientdesignatesthatistheirhealthcareproxy
o Providersorder:prescriptionforDNRorAND[allownaturaldeath].
• Mandatoryreporting
o Ifyoususpectabuseyouhavetoreportit[donothavetogathermoredata,do
notneedproof,suspicionneedstobereported]
Downloaded by david murimi ()
