Legal Implications In Nursing Practice


Published on

Published in: Education
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Legal Implications In Nursing Practice

  1. 1. Legal Implications in Nursing Practice MOHAMMED ALHABSI INDANAN Clinical Instructor King Abdul Aziz Specialist Hospital- Taif Kingdom of Saudi Arabia
  2. 2. Legal Implications in Nursing <ul><li>Sources of law </li></ul><ul><li>Civil & Common law in Nursing practice </li></ul><ul><li>Licensure </li></ul><ul><li>Risk Management </li></ul>
  3. 3. Law <ul><li>“ The sum total of rules & regulations by which a society is governed. </li></ul><ul><li>As such, law is created by people & exists to regulate all persons” </li></ul><ul><li>GUIDO, 2001 </li></ul>
  4. 4. Functions of the Law in Nursing <ul><li>It provides a framework for establishing which nursing actions in the care of clients are legal. </li></ul><ul><li>It differentiates the nurse’s responsibilities from those of other health professionals. </li></ul><ul><li>It helps establish the boundaries of independent nursing action. </li></ul><ul><li>It assist in maintaining a standard of nursing practice by making nurses accountable under the law. </li></ul>
  5. 5. Sources of Law <ul><li>Constitutional law </li></ul><ul><li>Legislation law (Statutory law) </li></ul><ul><li>Administrative law </li></ul><ul><li>Common law </li></ul>
  6. 6. Constitutional Law <ul><li>The supreme law of a country. </li></ul><ul><li>Creates legal rights & responsibilities and a foundation of a system of justice. </li></ul>
  7. 7. Legislation law (Statutory law) <ul><li>Enacted by any legislative body </li></ul><ul><li>The regulation of nursing is a function of state law </li></ul>
  8. 8. Administrative law <ul><li>It creates rules & regulations to enforce the statutory laws. </li></ul>
  9. 9. Common Law <ul><li>Laws evolving from court decisions. </li></ul><ul><li>Interpreting & applying the constitutional or statutory law. </li></ul>
  11. 11. Criminal Law Felony Misdemeanor
  12. 12. Categories of Civil Law Intentional Tort Assault Battery False Imprisonment Quasi-Intentional Tort Invasion of Privacy Defamation of Character Slander & Libel Unintentional Tort Negligence Malpractice
  13. 13. <ul><li>In order to prove that negligence or malpractice has occurred, circumstances must be present & must be proven in a court of law these are: </li></ul><ul><li>Harm must have occurred to the individual </li></ul><ul><li>One person must be in a situation where he had duty towards the person harmed </li></ul><ul><li>The person must be found to have failed to fulfill his/her duties </li></ul><ul><li>The harm must be shown to have been caused by the breach of duty. </li></ul>
  14. 14. Liability Personal Liability Employer Liability Supervisory Liability
  15. 15. Licensure
  16. 16. Licensure <ul><li>Is a legal permit that a government agency grants to individuals to engage in the practice of a profession & to use a particular title. </li></ul><ul><li>Nursing Licensure is mandatory </li></ul>
  17. 17. <ul><li>For a profession or occupation to obtain the right to license its members, it generally must meet </li></ul><ul><li>3 criteria: </li></ul><ul><li>There is a need to protect the public’s safety or welfare </li></ul><ul><li>The occupation is clearly delineated as a separate, distinct area of work. </li></ul><ul><li>There is a proper authority to assume the obligations of the licensing process e.g. board of nursing </li></ul>
  18. 18. Grounds for Revocation of license <ul><li>Incompetent nursing practice </li></ul><ul><li>Professional misconduct </li></ul><ul><li>Conviction to a crime </li></ul>
  19. 19. Risk Management
  20. 20. Patient Safety in Health Care <ul><li>“ The degree to which the risk of an intervention & risk in the care environment are reduced for a patient & other persons, including health care practitioners” </li></ul><ul><li>JCAHO 2003 </li></ul>
  21. 21. Purposes of Risk Management <ul><li>The department focuses on identification & prevention of risk exposures within the organisation that could: </li></ul><ul><li>Cause injury to patient, visitors, & employees </li></ul><ul><li>Jeopardize the safety & security of the environment </li></ul><ul><li>Result in costly claims & lawsuits with subsequent financial loss to the organisation </li></ul>
  22. 22. 2 main Areas of Risk Management <ul><li>Clinical Risk Management </li></ul><ul><ul><ul><ul><li>e.g. medical error, sentinel event </li></ul></ul></ul></ul><ul><li>Environmental Risk Management </li></ul><ul><ul><ul><ul><ul><li>e.g. safety, security & preventive maintenance </li></ul></ul></ul></ul></ul>
  23. 23. Patient Safety Goals: <ul><li>Improve the process of Patient Identification </li></ul><ul><li>Eliminate wrong-site, Wrong Patient & Wrong Procedure Surgery </li></ul><ul><li>Improve the effectiveness of Communication among Caregiver </li></ul><ul><li>Improve the Safety of High Alert Medications </li></ul>
  24. 24. <ul><li>5. Improves Safety in Infusions Pumps </li></ul><ul><li>6. Improve the effectiveness of Clinical Alarm systems </li></ul><ul><li>7. Reduce the risk of healthcare-acquired infections </li></ul><ul><li>8. Accurately & completely reconcile medications across the continuum of care </li></ul><ul><li>9. Reduce the risk of patient harm resulting from falls </li></ul>
  25. 25. Restraint Policy <ul><li>Restraints </li></ul><ul><li>are protective devices used to limit the physical activity of the client or part of the body. </li></ul><ul><li>Purpose: is to prevent the client from injuring self or others. </li></ul>
  26. 26. 2 Classification of Restraints PHYSICAL CHEMICAL
  27. 27. <ul><li>Any order for Restraint & the Implementation of the Restraint order must be: </li></ul><ul><li>In accordance with a written modification to the patient plan of care. </li></ul><ul><li>Implemented in the least restrictive manner possible. </li></ul><ul><li>In accordance with safe appropriate restraining techniques. </li></ul><ul><li>Ended at the earliest possible time. </li></ul><ul><li>documented. </li></ul>
  28. 28. <ul><li>Practice Guidelines for Restraint Application </li></ul><ul><li>Obtain a consent </li></ul><ul><li>Ensure the order is provided </li></ul><ul><li>Assess the restraint every 30 minutes </li></ul><ul><li>Release restraint at least 8 hours </li></ul><ul><li>Never leave patient unattended if restraint is removed </li></ul><ul><li>Provide emotional support </li></ul>
  29. 29. <ul><li>5 Criteria before Selecting Restraint </li></ul><ul><li>It restricts the client’s movement as little as possible </li></ul><ul><li>It doesn’t interfere with the client’s treatment or health problems </li></ul><ul><li>It is readily changeable </li></ul><ul><li>It is safe for the particular client </li></ul><ul><li>It the least obvious to others </li></ul>
  30. 30. <ul><li>Kinds of Restraints </li></ul><ul><li>Jacket restraint </li></ul><ul><li>Belt restraint </li></ul><ul><li>Mitt or hand restraint </li></ul><ul><li>Mummy restraint </li></ul><ul><li>Elbow restraint </li></ul><ul><li>Crib nets </li></ul>
  31. 31. <ul><li>OVR </li></ul>
  32. 32. Occurrence Variance <ul><li>Any event which happens or may happen which is not consistent with normal standard, usually in clinical practice or routine patient care, or threatens the health or life of a patient, a visitor, an employee or a student, or which involves loss or damage to personal or Hospital property. </li></ul>
  33. 33. Occurrence Variance Report <ul><li>Utilized as a quality tool for Continuous Quality Improvement ONLY </li></ul><ul><li>NON-Punitive </li></ul><ul><li>Not be placed in the pt’s record </li></ul><ul><li>Should be reported as soon as possible or within 24 hours </li></ul><ul><li>Handled & maintained in a confidential manner </li></ul>
  34. 34. Criteria of OVR <ul><li>Should be completed for any UNUSUAL, UNEXPECTED or UNANTICIPATED Occurrences and for any event which has or may have an adverse patient outcome.. </li></ul><ul><ul><li>Patient falls </li></ul></ul><ul><ul><li>Medication Error </li></ul></ul><ul><ul><li>Loss of Valuables, belongings </li></ul></ul><ul><ul><li>Equipment malfunction </li></ul></ul><ul><ul><li>Property damage </li></ul></ul>
  35. 35. <ul><li>Magsukul……. </li></ul>