Friday, November 13, 2020

LEGAL PRACTICE IN NURSING

 

If a nurse forces a treatment on a patient without their consent, the nurse can be charged with battery.
Correct!
 
 

law is something that we need to follow 

nursing law ( protecting the patient ) 

what we can do what we cannot do 

  1. constitution 
  2. statues 
  3. administrative law  (authoritiy  -BRN given authority to NPA)
  4. common law 
  5. regulation with nursing home 

criminal law 

prohibit conduct harmful to society 

nurses can get trouble into civil law 

practice medicine without license =criminal law 

reasonable doubt 

its mean that 

tells that you are guilty

unreasonable 

confusing 

what happen if you break  a law ( could be fine , jail , can be both  ) 

sue you at the court

civil law ( your dog broke my fence ) 

liability ( 51 percent you did do it or you did not do it penality is monitoring ) 

intentional tortorts 

assult and battery 

false imprisonment 

any unlawful confinment within fixed boundaries 

false imprisonment

AMA ( they can sign the form ) Against medical advicement ( let them sign the form and let them go ) 

autonomy 

Do i have a good doctor ( do you want information on other things ? )

 invasion of privacy 

you need to insert the urinary cathether ( you need to create a privacy ) 

you should ask for the permission ( if you need to teach your student nurse for doing catheterization) 

better than not asking the question 

i will allow enough student to get in 

not the whole team 

battery 

assult 

threat

you don't have to touch them 

somefearful of you 

contact this requirement

might happen 

little lady dress

people are not happy 

ICU ( their love one is not doing they are out of control ) 

charge with  battery 

she was charge with it 

they was accusing her 

here what she did 

the patient was not doing well 

my formal student 

gentally guided 

guiding them her body language, 

can get into trouble 

reasonable 

better clam without touching 

produre on someone ( inform consent ) can prevent some disturb 

sometime the situation cannot prevent 

matter of my routine ( they misinterpret) 

when draw blood ( they saw can misinterpret too ) 

do not recuscitate ( the family tend to be not happy ) 

paramedic  

implied concent ( i am going to take blood pressure) 

explicit ( formal process for taking consent for surgery) 

dementia patient 

battery ( don't do it  ) 

ER psy ward ( there are people patient tried to kill you ) 

its under standable ( ER taking care the psy background patient , patient decided stocking that he would call the unit ) she had to get restraining order ) 

almost victim of assult 

group therapy session 

witness the signature ( if the patient is not fully understand ) 

in emergency ( consent is presumed ) 

you have to get consent ( the patient is prenarcotic ) can you take consent ? 

go something 

the procedure is ready to do

the consent is missing 

what you going to do first 

you cannot give medication until consent have been giving 

they have the ability to give consent 

communication might not be always verbal ( speak english  ) not in medical term 

make the patient fully understanding ( basic understanding )
we need to keep information confidential 

can you get access 

tried to 

grant access ( to student nurse ) 

you practice on your own license 

you will not practice under anyother license 

you are in elevator 

not to gossip 

confidential is regulated by fedral 

we are mandatory report

what is you wrong 

you have to report withing 24 hours 

you are okay as long as you are in good faith 

reported to authority 

don't social media

getting caught up in the internet 

deanza

found it entry pop up 

she said finish my first sesmenster 

not respecting the dignity of  patient 

a lot of company 

really want the profile picture 

she is in colorado 

nursing school 

football game 

be mindful that 

someplaces could disapline 

no photograph in the unit ward 

mal practice 

under civil right ( not criminal )

legally responsible by the law 

the patient sue you also doctor and hospital 

joint liability (e.g , doctor accuse , you can challange and  dr  accuse you ,

 you are not doing the right job ) 

bonus point 

hospital fellout the window and die 

safety mechanism ( hospital ) 

nurse ( responsible ) 

CNA ( RN is delegate , and responsible ) 

on the other hand 

when you delegating your CNA 

you still have to ---

negligence 

professional part 

mal practice 

resonable and prudent 

similar situation 

resonable 

prudent is careful 

six component 

(1) Duty to act  

(2) breach ( you did not do it )

(3 ) harm  ( something that happen )

(4) causation ( you breach ) 

wrong side of mal practice 

to defense your self

look at those four words 

standard of care 

actually its causation 

suppose somebody 

suppose you are on break 

suppose you went on your break you went break too long 

yes it was damage 

tipical lawyer defence 

she was gone too long 

preventing negligence and malpractice 

the best way stay out of malpractice ( you know what you doing) 

include the setting 

it just seems like 

crazy 

so unsafe 

if you feel like your license is risking you need  to quit 

you need to follow on unsafe situation ( quit from that job ) 

goal  ( long term care ) 

identified the situation and work 

rule of law 

what is the best story 

communication 

patient family and other 

it is been shown 

there is alot of people could sue and some are don't 

they concerned on nurses and sue 

bad thing that happen 

alot of people sue out of frastration becuse of being not listened 

its very important 

70 dollar a year ( insurance ) for patient sue in case 

if you break policy 

in adequate charting 

case study 

you need to document 

two year later it went to the court 

failure to communicate 

read the legal case 

this patient confuse 

thats fine you do your job 

doctor has to review patient medication 

inaccurate counting of instument in surgery 

you have to always 

never ask yes no question 

always identified 

however , you have known this patient very well 

time to get new one 

that will be the case 

acute care hospital 

this is the part

this is something 

medical 

not guilty 

that is clear 

there is criminal behind this 

make a mistake ( all the evidence ) 

cms report 

here is a story 

patient ( was order this drug for sedation ) versed  but she was given vercuronium 

float nurse 

pyxis mechine ( ATM for drug ) 

for sedation 

versed =midazolam

look at vial 

take 10cc 

small drug 2 ml 

she gave the worng medication 

she did not read the name 

she did the wrong drug 

it is criminal 

that is mal practice 

in history ( they did not do any thing bad , mal practice ) 

it was water soluble medication 

including your breating 

not for CT scan 

they have to be on vantilator ( must be O2 ) quiet whole body down before intubation they give that medication 

but she give the wrong medication 

the medcation effect is they cannot open the eye 

she could not even call for help 

this is the case you are practice 

your license 

make a mistake and go to jail 

you have to careful 

reasonable and prudent 

she was ICU nurse she was float nurse 

even if the right drug she should have to monitor the patient respiratory 

the original cause of death 

malpractice - 

criminally 

group of nurse 

the primary purpose is to protect public health and safety 

a law that defines and controls nursing 

state boards of nursing 

California BRN

we are allow to do 

it defines 

sometimes they approched many programmed 

thats why 

get in trouble for that 

AND ( allow natural death) 

DNR ( do not resuscitate) 

what they want 

how aggressively they want to be treated

durable power ( daughter , spouse , family member ) 

you need to careful assessment ( need to evaluate the patient)

LTC ( they need to ensure compliance of law ,educate the staff ) 

information of patient ( you need to make sure the patient is allow his sister to know about his condition ) 

decline 

non compliance 

combactive 

make the reader 

don't use label 

how can you lose your license 

AKA 

obtaining license by fraud 

felony 

somebody had DUI 

seems to the board 

they can 

you might not get your license 

VA 

they don't let you in 

background check 

what are you doing

scare they  don't get that license 

not reporting ( you can be the one for lunch break  ) 

falsely portraying self to public or any HCP as a nurse 

they can give u license immediately ( after evaluate ) 

whistle blower act 

good samaritan act 

you saw a you tube video

if you do reasonable and prudent you won't get mal practice charge 

you are in the air 

what law would apply ( Aviation ) 

joint comission keep in safe 

here is national safety 

always wonder 

what happen 

obviously 

improve 

reduce healthcare reduce risk of fall 

joint comission 

pretty similar 

what hte joint commision does 

you have to ask if you don't want this 

know your power point for sure 

you you get there though 

flight nurse 

star student 

ER master 


 https://kristenfmartins.wordpress.com/2020/04/21/running-out-of-outlets/?fbclid=IwAR0Wx3VmOHsnM2tC29Zuwszy-Pa3FMTNH-RzpNtSwwI9U0qm6OimOUeNBSs
https://kristenfmartins.wordpress.com/2020/04/21/running-out-of-outlets/?fbclid=IwAR0Wx3VmOHsnM2tC29Zuwszy-Pa3FMTNH-RzpNtSwwI9U0qm6OimOUeNBSs