CSI 3701

State board of nursing - answer-laws and regulations that govern nursing in their state o Ensure the state hospitals are complying with regulations o Issue and revoke nursing license Nurses must have license in every state they practice in JCHO - answer-Regulations for health care facilities Medicare - answer-Eligibility: 65+ , on disability for 2 years, or diagnosed with ALS and end state renal failure and on dialysis o Four parts A: inpatient, limited skill nursing care, home health B: outpatient care: diagnostics services, and OT/PT C: combines A and B and provided through private insurance companies D: prescription drug coverage Medicaid - answer-Eligible: low socioeconomic status, no insurance, dependent on size of household Ch. 2 Interprofessional Team - answer-Dietician: assist with NTR needs - Lab tech: blood draws - Pharmacy: reviews meds, put in MAR - PT: mobility - OT: helps Pt regain ability to perform ADL's - Provider: can be the doctor or advanced practiced nurses or PA - Social workers: identifies and coordinates community resources, medical equipment, and other needs of the Pt to be discharged from acute care - Speech/language pathologist: help with speech and swallowing assessments o Dysphagia and difficulty swallowing Ch. 3 nursing ethical principles - answer-Autonomy: Pt has a right to make his/her decision even it is not in their best interest o Ex. Going AMA - Beneficence: doing good and best for the patient o Providing medications, helping the patient, doing the right thing - Fidelity: keeping your promise o If you say you're going to find out, then find out - Justice: providing fairness in care in the allocation of resources o You are not giving one Pt more resources than another - Nonmaleficence: do no harm o Catching an incorrect prescription dose - Veracity: telling the truth o If the Pt asks their diagnosis, tell them their diagnosis Torts - answer-Unintentional tort o Negligence: Pt is at high risk for falls and you didn't set their bed alarm, and they fell o Malpractice: medication error - Intentional tort o Assault: threatening o Battery: following through with a threat o False imprisonment: inappropriately restrain or administering a sedative Informed consent - answer-necessary for all procedures o Provider: communicating purpose, giving Pt a complete description of procedure in the Pt's primary language, explains R v. B and alternatives to the procedure o RN: make sure the provider did everything they were supposed to, make sure the pt was competent to make the decision (not mentally impaired), have Pt sign consent document, and notify provider if Pt has any more questions o Who can give informed consent? DPOA: durable power of attorney (Pt gave this person the right to make decisions)