What is the purpose of the Nurse Practice Act? - ✔️✔️-describes and defines the
scope of practice for nurses
-what we can and can't do
-do not practice beyond limits
What are the safeguards to competent practice? - ✔️✔️-respect legal boundaries of
practice
-follow procedures and policies
-owning personal strengths and weaknesses
-evaluating proposed assignments
-keeping current
-respecting patient rights and developing rapport with patients
-documenting carefully
-working within agency for management policies
ethics - ✔️✔️the study of conduct and character; it is concerned with determining what
is good or valuable for individuals and society at large
values - ✔️✔️personal beliefs about the worth of a given idea, attitude, custom, or
object that sets standards that influence behavior
autonomy - ✔️✔️freedom from external control; in healthcare the concept applies to
provider respect for the autonomy of patients
ex: letting patient choose gown color or which arm to use for a shot
beneficence - ✔️✔️taking positive actions to help others; the best interest of the patient
is more important than self-interest
nonmaleficence - ✔️✔️avoidance of harm or hurt; tries to balance the risks and
benefits of care while striving to do the least harm possible
justice - ✔️✔️fairness
fidelity - ✔️✔️the agreement to keep promises; unwillingness to abandon a patient no
matter the circumstances
Americans with Disabilities Act (ADA) - ✔️✔️do not discriminate based on disabilities;
must reasonably accommodate patients
, Emergency Medical Treatment and Active Labor Act - ✔️✔️-also known as "patient
dumping act"
-can't refuse treatment because of inability to pay
Mental Health Parity Act - ✔️✔️forbids healthcare plans for placing lifetime or annual
limits on mental health coverage
Uniform Anatomical Gift Act - ✔️✔️an individual who is at least 18 years old has the
right to make decision to be organ donor
Advanced Directives - ✔️✔️living wills, durable power of attorney
living wills - ✔️✔️written document that directs treatment in accordance with patients
wishes
durable power of attorney - ✔️✔️legal document that designates a person of ones'
choosing to make healthcare decisions in the event you can't make them for yourself
Health Insurance Portability and Accountability Act (HIPAA) - ✔️✔️-protects privacy of
patients
-orders for restraints has to be ordered every 24 hours
-a lot of policies and procedures when restraints are in place
Good Samaritan Laws - ✔️✔️protects bystanders trying to help within scope of practice
The Uniform Determination of Death Act - ✔️✔️healthcare providers can use cardio-
pulmonary definition or whole brain definition to determine death
What is a nurse's role in informed consent? - ✔️✔️to make sure a signed informed
consent is in patient's file and answer's questions regarding consent
What is "disclosure" as a part of informed consent? - ✔️✔️informs nature of procedure,
both risks and benefits, and alternative treatments
What is "comprehension" as a part of informed consent? - ✔️✔️make sure the patient
understands what is being said to them, have them repeat it back to you
What is "competence" as a part of informed consent? - ✔️✔️Is the info understood?
Does the patient have the ability to comprehend?
What is "voluntary" as a part of informed consent? - ✔️✔️consenting or refusing can
not be coerced or intimidated into doing so
advocacy - ✔️✔️supporting a particular cause; expressing patient's concerns