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Wednesday, April 15, 2009


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NurseReview.Org - Professional Adjustment PROFESSIONAL ADJUSTMENT / JURIS PRUDENCE - Presentation Transcript

1. Professional Adjustment PROFESSIONAL ADJUSTMENT / JURIS PRUDENCE First Hospitals: I – Iloilo P - PGH L – St Lukes M – Mary Johnson S –St Paul Nsg is a profession. Profession – defined by PNA adapted from Americans NA - a calling which its members profess to have acquired a unique body of knowledge & skills for purpose of guiding & caring others. Calling – service oriented Members – RN Unique – special body of knowledge Others – pt – recipient of care Characteristics of nsg prof: A ccountability – liable for his/her actions C ompetency – having scientific knowledge E thics – S ervice oriented Prof nsg resp: RA 9173 Oct 21,’02 Independent Function: 1. Promotive, Preventive, Curative, Rehabilitative in all health care settings. 2. Preventive – immunization. Provide health education 3.Utilization of nsg process 4. Link of pts & families to diff community resources - community health nurses – libreng bakuna 5. Collaboration of pts care to other health care team - for continuity of care. 6. Resp for training/ supervision of nsg students 7. Accurate reporting/ recording. 8. Observation of S&Sx – provide proper intervention Dependent fx 9. Execution of valid Dr’s order General rule: RN can’t give meds without Drs order otherwise RN will be liable for malpractice.
2. Exception, under code of ethics, RN can give drugs during emergency, calamity, national epidemics, no MD around. Life of patient is in danger. Protected under Good Samaritan Act. Good Samaritan Act – universal law that protects any person who will give an aid to another person whose life is in danger. RA 8344 – “ No deposit policy” during emergency cases. - emergency care 1st before asking for deposit. Mom calls re: 2 yo girl ingested baby aspirin at home. What’s best action for RN to advice mom on phone. 1. Advice mom to bring kid to hosp 2. Advice to call doc 3. Advice to take emetic meds 4. Advice to call h nrse Health teaching – child proofing the home! Aspirin should not be reached by kid. Principal – direct author of crime. Dispensable Accomplice – dispensable, crime will still happen without accomplice. Accessory – entered scene after the crime LEGAL RESPONSIBILITIES 1. CONTRACTS/ CONSENTS – absence of coercion char: V – voluntary – Free act. Independent act. Rational O – opportunity to ask questions, suggestions & make recommendations T – treatment, surgery, procedure – specifically explained to the patient by MD U – understood by patient M – matured physically – age 18 yo & above Mentally – with sound mind, same & not an imbecile. Substitute or proxy consent – if pt is mentally or physically incapable of giving consent 1. Parent 2. Guardian 3. Adliter – (not a relative!) DSWD, MD 2. ILLEGAL DETENTION – limit freedom of patient to move or travel from one place to another. Hosp – promissory note or guarantee HIV – don’t detain patient High risk HIV transmission – felatio Quarantine regulation – SARS, Meningococcemia, anthrax
3. - public safety is priority. 3. LAST WILL & TESTAMENT - a person in permitted by the law to control/ dispose of his estate. Effect is only upon his death. Decedent – person who died and left no will. The law will handle estate. Testator / Testatoux – died and left a will Testate succession – heirs will inherit under a last will and testament. Illegitimate – entitled to ½ of what legit children will inherit Kabit – will get nothing Intestate Succession – without last will 2 types of last will & testament 1.) Properties 2.) Life/ Body a) Ordinary will - Advance directives - RN should check LOC of pt - pt is still alive giving instructions -determine location of signature a) Living will – DNR, - end of last word – last page organ donation, order for cremation - sign all pages - RN is part of 3 witnesses b) Holographic will - handwritten by testator - dated and signed by testator - no need for witness 4. MEDICATONS/ PRESCRIPTIONS Rules 1. MD, DVM, DMD – can prescribe meds 2. Should have : a.) Name MD, PTR, PRC#, location of clinic/ hospital b.) Name of patient, age, sex c.) Information about drug – frequency duration d.) Generic & brand name in prescription RA 6675 – Generics Act - Should have BOTH generic & brand name on prescription Impossible Prescription – generic & brand name does not correspond with each other. 3. Know 10 rights in giving meds What is the right way to ask identity of patient a. call patent by his name
4. b. check chart c. verify name at nurses station d. check name at identification wrist band 4. Telephone orders - General rule - no telephone order “Whatever is not written is not an order” Exception – Emergency! After MD says order – repeat instruction on phone Have resident MD sign! Administer meds. When MD arrives – have him counter sign his order 5. Documentation – recording/ charting Purposes: C – communication A –assurance of quality R – research purposes L – legal document S – statistics source SUBPOENA - an order from court Duces Tecum (papers) – documents obj, materials, papers, chart Ad Testificadum (person) – witness Do’s & Don’ts of charting Do’s Don’ts F – full, factual & accurate L – language – unacceptable L – legible I – improper corrections I – immediately after procedure S- spaces, skips P – personal notes, not delegated A – avoid using too much abbreviations “addendum” – late entry Negligence – failure to do something which a reasonable & prudent person should have done. 2 types: 1. Commission 2. Omission – total neglect of care – didn’t do anything Elements to prove negligence 1. Duty 2. Failure to do his duty 3. Injury, harm, death= result
5. Malpractice – doing acts or conducts that you are not authorized/ licensed/ competent/ skilled to perform, resulting to injuries/ non injurious consequences - RN exceeding the scope of nursing practice & does an MD’s job. Episioraphy – after proper training, RN can perform this procedure. In absence of fetal & maternal aberration, RN can perform internal examination RES IPSA LOQUITOR – the thing speaks for itself - obvious fault FORCE MAJEURE - God nature – storm, earthquake, flood, - not liable Fortuitous event – created by man – traffic not liable due beyond his control. CRIMES AFFECTING RNs Classification: 1.) Manner of its commission – dolo (deceit) – with criminal content - culpa – (fault) – without criminal intention, negligence 2.)Stages of execution – Consumated – all elements to commit crime were all present. Frustrated – offender performs everything to consummate but it did not happen for reasons beyond his control Attempted – overt acts – mere intensions to commit crime. 3.) Degree of participation Principal – indispensable. Without the principal = no crime- author of crime Accomplice – with or without accomplice = crime will happen - dispensable, look out. - enters scene before or during crime Accessory – enters scene after crime is committed - conceals/ destroys evidence. RA 7877 – anti sexual Harassment act 1. Any person who exercises authority (Prof & student, Dr & RN) 2. Asking sexual favors in exchange of another favor Rape: a.) Ordinary rape – forcible penetration of sex organ to a sex organ b.) Sexual assault – anything forcibly inserted to any orifice. Illegal abortion – termination of product of conception before the age of viability. Infanticide – crime committed of person killed is age < members =" all">

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