Legal and Ethical Context of Practice Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
<ul><li>Morals -standard’s of conduct;  values -ideals, beliefs, and patterns of behavior that are prized and chosen by a ...
<ul><li>Sources of law </li></ul><ul><ul><li>Statutory law-healthcare, nurse practice acts, Medicare, Medicaid </li></ul><...
<ul><li>Definition: civil wrong committed by one person against another person or that person’s property </li></ul><ul><li...
<ul><li>Legal obligation or responsibility to provide care to a client that meets accepted standards of care </li></ul><ul...
<ul><li>Table 2-3 </li></ul><ul><li>Failure to monitor and assess </li></ul><ul><li>Failure to ensure safety-faulty equipm...
<ul><li>Single most important law affecting nursing practice </li></ul><ul><li>Each state has a Nurse Practice Act </li></...
<ul><li>Credentialing: methods by which the nursing professional attempts to ensure and maintain the competency of its pra...
<ul><ul><li>Occupational Safety and Health Act </li></ul></ul><ul><ul><li>Controlled Substance Acts </li></ul></ul><ul><ul...
<ul><li>Informed consent </li></ul><ul><ul><li>Legal right of clients to receive adequate and accurate information about t...
<ul><li>Know your obligations and responsibilities </li></ul><ul><li>Practice competently </li></ul><ul><li>Know your stre...
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Ethical And Legal Chapter 002

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Ethical And Legal Chapter 002

  1. 1. Legal and Ethical Context of Practice Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  2. 2. <ul><li>Morals -standard’s of conduct; values -ideals, beliefs, and patterns of behavior that are prized and chosen by a person, group, or society, and ; ethics -branch of philosophy that systematically examines behavior to determine what constitutes good, bad, right, and wrong in human behavior </li></ul><ul><li>Ethical principles- autonomy -individual choices; beneficence -promotion of good; nonmaleficence -requires practitioner to do no harm; right to privacy -safeguarding information; fidelity- honoring agreements; justice -moral rightness,fairness, of equity; veracity -adhering to the truth </li></ul><ul><li>Common ethical problems-p. 18 </li></ul><ul><li>Ethics in nursing-ANA code of ethics p.19 </li></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  3. 3. <ul><li>Sources of law </li></ul><ul><ul><li>Statutory law-healthcare, nurse practice acts, Medicare, Medicaid </li></ul></ul><ul><li>Types of laws </li></ul><ul><ul><li>Civil law-disputes between individuals, and individuals and groups </li></ul></ul><ul><ul><li>Tort-civil wrong committed by one person against another person or that person’s property </li></ul></ul><ul><li>Understanding the law </li></ul><ul><ul><li>Understand ongoing legal changes that affect your practice </li></ul></ul><ul><li>Understanding your legal and professional obligations </li></ul><ul><ul><li>Illegal or incompetent practice = BAD OUTCOME!!! </li></ul></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  4. 4. <ul><li>Definition: civil wrong committed by one person against another person or that person’s property </li></ul><ul><li>May be intentional or unintentional </li></ul><ul><ul><ul><li>Intentional tort: Unintentional tort: </li></ul></ul></ul><ul><ul><ul><li>– Fraud – Negligence </li></ul></ul></ul><ul><ul><ul><li>– Defamation – Malpractice </li></ul></ul></ul><ul><ul><ul><li>– Assault and battery </li></ul></ul></ul><ul><ul><ul><li>– False imprisonment </li></ul></ul></ul><ul><ul><ul><li>– Invasion of privacy </li></ul></ul></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  5. 5. <ul><li>Legal obligation or responsibility to provide care to a client that meets accepted standards of care </li></ul><ul><li>Liability in malpractice or negligence is determined by: </li></ul><ul><ul><li>Duty </li></ul></ul><ul><ul><ul><li>Nurse is responsible for accurate assessment and timely report of changes in client’s condition </li></ul></ul></ul><ul><ul><li>Breach of duty </li></ul></ul><ul><ul><ul><li>Nurse fails to note a client’s thumb is warm to touch, red, swollen, and painful </li></ul></ul></ul><ul><ul><li>Causation </li></ul></ul><ul><ul><ul><li>Failure to note the signs and symptoms of an infection leads to amputation of the thumb </li></ul></ul></ul><ul><ul><li>Damages </li></ul></ul><ul><ul><ul><li>Loss of the thumb seriously limits the client’s use of the hand </li></ul></ul></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  6. 6. <ul><li>Table 2-3 </li></ul><ul><li>Failure to monitor and assess </li></ul><ul><li>Failure to ensure safety-faulty equipment, failure to follow policy and procedure </li></ul><ul><li>Medication errors </li></ul><ul><li>Improper implementation of skills or procedures-improper training for assignment </li></ul><ul><li>Documentation errors </li></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  7. 7. <ul><li>Single most important law affecting nursing practice </li></ul><ul><li>Each state has a Nurse Practice Act </li></ul><ul><li>Defines the practice of nursing in that state </li></ul><ul><li>Establishes the requirements for obtaining a license to practice nursing </li></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  8. 8. <ul><li>Credentialing: methods by which the nursing professional attempts to ensure and maintain the competency of its practitioners </li></ul><ul><ul><li>Accreditation </li></ul></ul><ul><ul><li>Licensure </li></ul></ul><ul><ul><li>Certification </li></ul></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  9. 9. <ul><ul><li>Occupational Safety and Health Act </li></ul></ul><ul><ul><li>Controlled Substance Acts </li></ul></ul><ul><ul><li>Health Care Quality Improvement Act </li></ul></ul><ul><ul><li>Americans with Disabilities Act </li></ul></ul><ul><ul><li>Good Samaritan Laws </li></ul></ul><ul><ul><li>Mandatory Reporting Laws </li></ul></ul><ul><ul><li>Health Insurance Portability and Accountability Act (HIPAA) </li></ul></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  10. 10. <ul><li>Informed consent </li></ul><ul><ul><li>Legal right of clients to receive adequate and accurate information about their medical condition and treatment </li></ul></ul><ul><li>Advance directives </li></ul><ul><ul><li>Living will </li></ul></ul><ul><ul><li>Durable power of attorney for health care </li></ul></ul><ul><ul><li>Organ transplants </li></ul></ul><ul><ul><li>Do-not-resuscitate orders </li></ul></ul><ul><li>Confidentiality </li></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
  11. 11. <ul><li>Know your obligations and responsibilities </li></ul><ul><li>Practice competently </li></ul><ul><li>Know your strengths and limitations </li></ul><ul><li>Keep current </li></ul><ul><li>Document your care </li></ul><ul><li>Purchase professional liability insurance </li></ul><ul><li>Only you can protect your licensure. Don’t second guess information; don’t be swayed if you know what is right; and always go with your 6 th sense if something doesn’t feel right, it probably isn’t right…. This will come with experience. Use common sense!!! </li></ul>Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier Inc.
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