228-02 ATI

Health Policy chapter

Evidence Based Practice: Test to prove that something Works, the best out come possible.

Helath policy and nursing practice- Nursing practice- regulated by health policy to safeguard the consumer.

ANA code of Ethics- Establish

Nurse Staffing- process of determining the correct number and skill mix of nurses for the number and acuity of clients needing care.

Acuity- amount of nursing time required to provide nursing services for each client. Time to work on a patient getting all their daily needs done within a specific time range. ICU- gets more time

Nurse to patient ratio- nurses to clients assigned, California to have minimum Approaches by states- What do nurses try to keep out of the building? Unions | Why?

                  Requiring health care organizations to have nurse driven staffing, minimum nurse to patient ratios, Requiring facilities to disclose staffing levels to the public.

                   Minimum staff- patient care goes down, places shut down.

Organizational Policies and Procedures- Health care delivery organization has written policies and procedures (p&p) for every nursing intervention. Who can perform the intervention, indications, and contraindications, specific equipment needed, room entry procedure, procedure steps (how to put ppe on), patient monitoring and documentation.

HIPPA- Protect individual health insurance coverage through ==portability.==

HIPPA PRIVACY RULE- protects health information that could be used to identify an individual, applies to all forms, paper, oral and electronic of health information that health care professionals and care plan. Unless if required by law regarding victims of abuse, neglect or domestic violence, regarding

          decedents, and for research purposes. (DHS, POLICE)

          Only people you can talk to are the %%intermediate care team%% that care for that specific patient.

EMTALA ( Emergency Medical Treatment and Active Labor ACT- helping patients no matter what their payment status is. The practice of one health care organization moving a client based on their inability to pay of lack of insurance coverage.

“@@patient dumping” sending a patient to another facility@@

PSDA ( patient self determination ACT) Passed in 1990. Required all health care organization to inform clients of their right to make decision regarding their care. Gives clients right to refuse treatment

Advance directives- are written documents outlining the wishes of the person in the event they cannot make decision for themselves.