Patient bill of rights
Where the nurse gives the Placebo ; answer
Good Samaritan Law
held to a standard consistent with education
Cultural diversity
Charge nurse must first accept their own cultural values
Pre Op Informed Consent Education
Surgery does NOT guarantee results
Beneficence
Promoting good & preventing harm
Performance Review
Look at the file; past supervisors
Joint Custody Consent
Either parent can sign
Which patient DOES NOT need consent for surgery
answer; 17 year old
Health Care Financing
third party provider sets predetermined amount
Hospital is going to undergo a change in their admissions procedure this is what? (Change Theory)
PLANNED LINEAR CHANGE
Break in pt Confidentiality
Nurse talking about care at lunch
What standard do they measure Negligence to?
what a normal competent prudent nurse would/would not do in the same situation
Negligence
heart cath; doesn't check the pedal pulses in two hours
negligence
failure to act causing harm
Access to health care
POVERTY
Organ donation
Nurse approaches family at time of death
Which order is written correctly?
Wound change @ 0400, 1600, 2100
Going through charts
Quality assurance
Spiritual Considerations
VEGAN
Continuing of care
detailed shift change report
Understaffing concerns
FIRST talk to the nursing supervisor
What does the case manager do?
Follows the pt from admission to discharge
Referent Power
Looks up to someone above them; it is a clinical specialist or something
shift change report; priority to report
lab values; it says lab values indicating pt is anemic
Restraints
put on if agitated/confused, take off in AM
Informed Consent
DR/translator go in TOGETHER
Informed Consent
Nurse can witness the pt signing
Time Management
I see you have a hard time saying no to others
Assault & Battery
Hold pt down to insert foley
DNR
12 rescue breaths
Living will
can indicate of pt would want to get blood products
Right to Refuse Treatment
make sure the pt understands the risks
Incorrect charting by Nurse
pt seems good, pleasant to all
Floating nurse should what when coming to the unit??
ask for orentation & let them know she has not been with these kinds of pts in a few years
Priority for charge nurse to do when they get a FLOATER
assign the lowest acuity pts
Most damaging to a new idea in change theory
THE REJECTOR
Delphi (theory)
time consuming, hard to coordinate, difficult to see participation, lots of testing & resubmission. (a lot of pt you don't meet with)
Durable power of attorney
CAN MAKE ALL DECISIONS r/t health care
conflict resolution; charge says wait until everyone comes back from vacation
avoiding
Mentor
Share your goals
find pt on the floor what next?
stay w pt call for help
fall prevention survey
identify what medications have been taken prior
teaching/learning
identify and assess pt stress and anxiety first before trying to educate
stress (nurse)
nurse omits 3 meds
nurse w substance abuse
taking care of ALL the pts w pain meds
teaching/learning (scrubbing technique question)
demonstrating
risk management
what do they do? they work with other nurses to ensure something
UAP/CNA
all have different skill sets
incident report; walk in and find pt on the floor
dont document pt fell
shift report;
do report pt has been on the phone all night since surgery
therapeutic communication
gourmet cook, ask about food
variance
more/fewer services
allocations
greatest good for greatest number of people
Nurse Practice act
legal boundaries/standards for practice
Advance directive into action
when they can no longer make their own decisions
opinion seeker is
the one asking how they feel about changes
medicare
number of people/illness provider treats is determined in advance
advocacy
representing community; something about reforms or something at the preschool
inactive resolved conflict
talk to the peer and find out why they are being rude
Florence Nightingale
manipulate environment
delegation ; considerations you would think about prior to LPN OR CNA taking the pt
unstable pt that had complications from surgery the night before
cancer pt declines treatment
report to nursing supervisor
conflict resolution ; doesn't like new staffing schedule
scheduling committee and talk about it
health care delivery; med nurse, treatment nurse, 30 pts
Functional nursing