safe effective care pt 2

americans with disabilities act ADA

prohibits discrimination to anyone with disability

mental health parity act MHPA

says insurance has to give equal coverage to mental health needs as it does to med/surg so they can get care they need

patient self determination act

requires healthcare facilities to inform patients ON ADMISSION of their right to accept or refuse care

Uniform anatomical gift act

regualtes body donations to science only as gift cant get money for it

Emergency medical treatment and labor act EMTALA

act that says emergency departments can refuse to treat anyone. Everyone will at least provide medical screening exam.

tort

wrongful act or an infringement of a right leading to civil legal liability

Unintentional tort

negligence or malpractice

negligence

failed to do something that was nurses duty

malpractice

major medical error

quasi intentional tort

breach of confidentiality (HIPPA) and defamation of character

libel

written defamatory statement

slander

spoken defamatory statement

intentional tort

battery, assault, or false imprisonment

assualt

threat without justification, (threat to force them to take medicine)

battery

intentional touching of client or clothing they are wearing. Must be harmful or embarrassing. Making them take medicine

false imprisonment

restraining or detaining client against their will, with or without restraints

state laws

where you can work

patient care partnership

brochure that informs patient of what they should expect during their stay

informed consent

legal consent by client to have procedure, surgery, treatment

the client is informed if…

understands why they need procedure, understands benefits, understands risks, and knows other options

implied consent

starting iv bc client holds out arm for you

Refusing treatment against medical advice AMA

if mentally competent, have the right to refuse, first contact provider, then write discharge prescription, ask to sign AMA form and document

standards of care come from

states nurse practice act, published standards from professional organization, health care facility policies.

communicable diseases mandated to report

TB, hepatitis A, STI, covid, HIV, hepatitiss, influenza, meningitis

continuity of care

communication to ensure consistent, high quality care

legal documentation guidelines

date and time, black ink

change of shift report

at end of shift to nurse assuming care

telephone report

have all information needed ready before calling

telephone order

write down order, read it back, have second nurse listen if possible, and let provider verify for accuracy and document everything. most doctors need to sign withing 24 hours

transfer report

get name and credentials to transfer to another level of care or facility

incident report

risk management and quality improvement

5 rights to delegation

task (can they legally/ethically do it), circumstance (complexity of client needs), person (does the delegee have the training to do this), direction (must give delegatee exact instructions), right supervision/evaluation

discharge planning

starts on admission

personal/valuables

sent home, if not: locked in facility lock box. “gold colored” “Clear” never gold or silver 2 nurses must witness items and sign