COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ WALDEN UNIVERSITY
Save
Terms in this set (903)
Prescriptive authority Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses registration numbers, state practice acts dictate level
in advanced practice may of prescriptive authority allowed
obtain..
required education, licensure and certification to
Credentials encompass...
practice as an NP
Credentials establish... minimal levels of acceptable performance
ensure that safe healthcare is provided by qualified
Credentialing is necessary
individuals; comply with federal and state laws r/t
to:
APN
acknowledges the scope of practice of NP, mandates
Credentials also... accountability, enforces professional standards for
practice
establishes that a person is qualified to perform in a
Licensure
particular professional role
Licensure is granted as a governmental regulatory body (ie. state board of
defined by rules and nursing)
regulations set forth by
Person has met certain standards that signify mastery
Certification
of specialized knowledge
,Certification is granted by ANCC, AANP
nongovernmental
agencies such as
Admitting privileges to 1983 by JC
hospitals (non physican)
were granted
Credentialing and process which an NP is granted permission to practice
privileging in an inpt setting
Credentialing with Hospital Credentialing Committee
hospital privileges is
granted by a
When caregiver-pt relationship is terminated w/o
Pt Medical Abandoment making reasonable arrangements w an appropriate
person so that care can be continued
Whether NP accepted pt assignment, whether NP
Determination of pt
provided reasonable notice before termination,
abandonment depends on
whether reasonable arrangements could have been
factors such as:
made
NP refuses to accept responsibility for pt assignment
when NP has given reasonable notice to proper
Following do not authority that NP lacks competence to carry out
constitute pt assignment; NP refuses assignment of a double shift
abandonment or addtl hrs beyond posted work schedule when
proper notification has been given..latter phrase can
be controversial
Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes: organizations
goals, delineation of program's scope, components,
Risk Mgmt methods; delegating responsibility for implementation
and enforcement; demonstrating commitment by the
board; confidentiality and immunity from retaliation
for those who report sensitive info
,Most common method of incident reports
documentation for risk
mgmt
ppl authorized to complete report; ppl responsible
for review of a report, immediate actions needed to
Policies regarding incident
minimize the effects of the event; ppl responsible for
reports should address:
follow up; plan for monitoring aftermath;
security/storage of completed report
Important for identifying problems before they
Risk mgmt - Satisfaction
develop into incidents or claims; for pts and
surveys
employees
Risk mgmt - Complaints: ppl notified after receiving complaint; ppl responsible
Risk mgmt plan should for responding; ppl responsible for monitoring follow
delineate tracking, up
analyzing, and managing
complaints by clearly
identifying:
Prevention, correction (corrective steps must be
Action taking initiatives: monitored and audited), documentation, education,
departmental coordination
Interventions that are unlikely to produce significant
Medical Futility benefit for pt - "Does the intervention have any
reasonable prospect of helping this pt?"
Quantitative futility: likelihood that intervention will
Two kind of medical benefit pt is extremely poor
futility: Qualitative futility: quality of benefit an intervention
will produce is extremely poor
Informed consent - state that pt is able to make personal decisions about
competence (decisional their care
capability)
competence implies that understand, reason, differentiate good and bad, and
ability to: communicate
, pt has received adequate instruction or info regarding
informed consent aspects of care to make prudent, personal choice
regarding such tx
Informed consent discussing benefits and risk
includes:
consent is assumed if... pt's condition is life threatening
pts are informed at time of admission to federally
funded institution (such as hospital, nursing home,
Danforth Amendment 1991 hospice, HMO, etc) that they have the right to refuse
care as long as the pt has decisional capability
(competence)
study of moral conduct and behavior protecting the
Ethics
rights of an individual
most salvagable pts. Most critically injured cared for
1st priority is the
last.
nonmaleficence, utilitarianism, beneficence, justice,
Key ethical principles are:
fidelity, veracity, autonomy
Nonmaleficence duty to do no harm
the right act is the one that produces the greatest
Utilitarianism
good for the greatest number
Beneficence duty to prevent harm and promote good
Justice duty to be fair
Fidelity duty to be faithful
Veracity duty to be truthful (tends to be in conflict with fidelity)
duty to respect an individual's thoughts and actions
Autonomy
(tend to be in conflict with beneficence)
Dismissing/discharging a NP cannot withdraw from caring for a pt without
pt or closing practice notification