Leadership week 4 pp

What is professional responsibility in nursing

nurse is responsible for practicing safely, competently, ethically, and legally.

What are the major areas of professional responsibility

Accountability → Competence → License → Growth → Advocacy → Legal → Ethics

What does professional role accountability mean

Being responsible for your nursing actions, decisions, and professional behavior

“Why did I do this, and was it safe, legal, ethical, and within my scope?”

What areas make up role accountability

Safe Care + Advocacy + Environment + Resources + Law + Team.

What is safety, quality, and risk management

Nurses are responsible for identifying risks, preventing errors, promoting patient safety, and improving quality of care

Recognizing a medication error before it reaches the patient

5 components of professional qualification

Education

Scope of practice

Licensure

Professional development

Leadership development

“Educate → Know your Scope → Get Licensed → Develop → Lead”

What is scope of practice?

The activities and responsibilities a nurse is legally and professionally authorized and competent to perform

Who regulates nursing licensure

State law (State Board of Nursing)

What does the Board of Nursing do

Sets standards for nursing education

Regulates nursing practice

Establishes requirements related to licensure

Can discipline nurses who violate nursing laws

When can nursing licensure be revoked or suspended

Practicing without a valid license

Substance abuse disorders

Felony conviction

Professional negligence

Providing care beyond scope of practice

What is the Nurse Licensure Compact

agreement between states that allows nurses to practice across state lines

What is a Multistate License

actual nursing license that allows a nurse to practice in other states

What is professional development

Growth with education, certifications, role, expansion,

Why are continuing education hours important

They are used to meet continuing education requirements for licensure renewal

Magnet Recognition

Focuses on nursing excellence, quality patient care, and strong nursing leadership

Pathway to Excellence

Focuses more on a positive work environment and nurse satisfaction

What is ARPN

Advanced Practice Registered Nurse

NP, CRNA, CNM (midwife), CNS (nurse specialist)

What is professional practice evaluation

Regularly evaluating your nursing practice to identify areas for improvement

What risks to health and well-being are identified for nurses

High stress

Lack of sleep

Long shift hours

Workplace violence

Musculoskeletal injuries

What actions promote nurse health and well-being

Physical activity

Rest

Nutrition

Quality of life

Safety

Mental health

How can nurses influence health policy

Maintain membership in nursing organizations

Lobby legislators

Interact knowledgeably with the media

Participate in political action committees

What is lobbying

Communicating with legislator to make concerns known and influence policy

What is a PAC

Political Action Committee created to persuade legislators to vote a certain way.

What are current legislation FOCI

major areas of nursing legislation

Quality of care

Access to care

Workplace safety

Workplace violence

Healthcare restructuring

APRN reimbursement

Nurse education funding

Budgeting financial resources must nurses understand

Budget

Personnel

Operating resources

Capital resources

What laws govern nursing practice

State Nurse Practice Acts

Federal regulations

Criminal laws

Civil laws

Tort law

What is the Nurse Practice Act

State legislation that establishes rules related to nursing education, licensure, and practice

What does the BRN do

sets standards for nursing education and scope of practice.

What are Good Samaritan laws

Laws that may provide legal protection when someone provides emergency care outside work

How long should a nurse remain with a patient during Good Samaritan care?

remain until care can be relinquished to another competent provider.

What does HIPAA protect

Patient privacy

What does the ADA do

American Disabilities act

Protects discrimination from disablity

What does the MHPA address

Mental Health Parity Act

Equivalent care for mental health

What does the PSDA address

Patient Self-Determination Act

Patient rights and advance directives

What does the UAGA address

Uniform Anatomical Gift Act

Organ procurement (donation)

What does the NOTA address

National Organ Transplant Act

Organ allocation (Who gets the organ)

What does EMTALA do

Emergency Medical Treatment Act Labor Act

Ensures public access to emergency services regardless of ability to pay

Felony vs Misdemenor

F: serious criminal offense

M: less serious criminal offense

What are Torts and the three major categories of torts

Wrongful acts that lead to lawsuit

Unintentional

Quasi-intentional

Intentional

2 ex of Unintentional torts

Negligence

Malpratice

2 ex of Quasi Intentional torts

Invasion of Privacy

Defamation

3 ex of Unintentional torts

Assult

Battery

False Imprisonment

What is defamation and 2 examples

Communication that damages another person's reputation

Libel = written

Slander = spoken

What is assault

Creating unwanted Threat

What is battery

Creating unwanted physical contact

What is false imprisonment

Not allowing someone to leave

What is incivility

Rude, intimidating, or insulting behavior

What is lateral violence

Negative behavior between coworkers

What is utilitarianism

Making decisions based on what provides the greatest good for the greatest number

What is deontological theory

Making decisions based on duty, obligations, and what is considered right or wrong

beneficence

Doing good

BENEFIT = BENEFICENCE

fidelity

Keeping promises, commitments

FIDELITY = FAITHFUL

justice

Fairness and equitable treatment

nonmaleficence

avoid causing harm

veracity

Telling the truth

What is an ethical dilemma

to choose between two things that are both morally right

Multiple patient incident how many casualties

less than 10

Multiple casualty incident how many casualties

less than 100

Mass casualty incident how many casualties

Greater than 100

What are the five stages of a disaster

Pre-disaster preparation

Warning

Impact

Emergency

Recovery

What is FEMA's role during disasters

Federal Emergency Management Agency

Planning for emergencies

Responding to emergencies

Leadership during recovery

Supporting victims through funding and resources

Primary vs secondary victims

P: directly affected by the disaster

S: responders affected by distater

types of trauma can lead to PTSD

Death

Threatened death

Serious injury

S violence