when deciciding what course of action to follow the nurse

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How does a nurse decide what course of action to follow?

When deciding what course of action to follow, the nurse has a duty to always keep the patient safe. A nurse believes that she lacks the basic knowledge and skills necessary to carry out her initial patient assignment.

What are the 5 steps of the nursing process?

The 5 Steps of the Nursing Process. Physical examinations, referencing a patient's health history, obtaining a patient's family history, and general observation can also be used to gather assessment data. Patient interaction is generally the heaviest during this evaluative phase. The diagnosing phase involves a nurse making an educated judgment...

What must the nurse do to accept the assignment?

The nurse must agree to accept the assignment as there is no valid reason to ever refuse an assignment. B. The nurse must go home immediately, as her duty to any of the patient (s) starts only after taking report.

What is the first phase of the nursing process?

Assessment Phase. The first step of the nursing process is assessment. During this phase, the nurse gathers information about a patient's psychological, physiological, sociological, and spiritual status.

When a nurse commits a crime outside of the workplace the Bon's concern relates to whether the nurse may?

(E) nurses who commit these crimes outside the workplace raise concern about the nurse's propensity to repeat similar misconduct in the workplace and raise concern regarding the individual's ability to provide safe, competent care to patients/clients.

What other action is required by the nurse when refusing an assignment?

nurse when refusing an assignment? The nurse must collaborate with the supervisor in an attempt. to determine an alternate assignment that will not violate the nurse's duty to the patient(s).

Why does the Bon require nurses to disclose that they have been diagnosed with?

Why does the BON require nurses to disclose that they have been diagnosed with, treated for, or hospitalized with certain mental illnesses? A. Nurses diagnosed with these disorders are required to not practice in psychiatric settings due to their mental health issues. B.

Which of the following is an appropriate nursing practice supervisor for the LVN?

The newly licensed LVN must ensure that he or she has appropriate supervision. The LVN has a directed scope of practice, which means the LVN must have a registered nurse, advanced practice registered nurse, physician, physician assistant, dentist or podiatrist as a supervisor of his or her clinical nursing practice.

What are the 4 choices every nurse has when given an assignment?

Terms in this set (33)accept.refuse.refuse and request peer review (if disciplined)(301.352)accept and file safe harbor(303.005)

How do you refuse a patient assignment?

It's not okay to just fill out a form. Nurses across the country are advised to document when they don't agree with an assignment… Just complete and sign a 'Refusal of Work Assignment' form acknowledging in detail why the assignment is unsafe and continue with the assignment.

What is the purpose of incident based nursing peer review?

(1) In evaluating a nurse's conduct, the incident-based nursing peer review committee shall review the evidence to determine the extent to which any deficiency in care by the nurse was the result of deficiencies in the nurse's judgment, knowledge, training, or skill rather than other factors beyond the nurse's control.

What can nurses do independently?

10 ideas for a self-employed RNProvide independent care. You might provide individual in-home care for patients as a self-employed nurse. ... Work as a nursing consultant. ... Develop products for nurses. ... Provide health counseling. ... Provide fitness advising. ... Teach health courses. ... Work as a freelance writer. ... Work as nurse contractor.More items...•

Can nurses give patient information over the phone?

Under HIPAA, your health care provider may share your information face-to-face, over the phone, or in writing. A health care provider or health plan may share relevant information if: You give your provider or plan permission to share the information. You are present and do not object to sharing the information.

What action should the nurse prioritize when trying to prevent malpractice claims?

Which action should the nurse prioritize when trying to prevent malpractice claims? Always functioning with the scope of the nursing practice act.

Which of the following are included in the focus of the nurse Practice Act?

Making, amending and enforcing regulations. Setting standards in nursing education. Setting licensure fees. Ensuring criminal background check.

Which action by the nurse is in accordance with the nursing objective propounded by the theorists Benner and Wrubel in 1989?

Which action by the nurse is in accordance with the nursing objective propounded by the theorists Benner and Wrubel in 1989? The nurse encourages a chronically ill adolescent to engage in social networking.

Are online courses worth it?

Cost is another benefit, as most online courses are much cheaper than a traditional classroom program. Tuition is usually lower and there are pract...

Can online classes tell if you cheat?

Online universities and massive open online courses use a variety of tools to deter students from cheating. The most effective way to catch a cheat...

Can I get a degree online?

To get a degree online, research on the internet to find an online course in the subject you want to study. For example, you might be able to study...

You need a reliable internet connection to participate in online courses. Many programs will tell yo...

You need a reliable internet connection to participate in online courses. Many programs will tell you the requirements you need to succeed in their...

What is the diagnosis phase of a nurse?

The diagnosing phase involves a nurse making an educated judgment about a potential or actual health problem with a patient. Multiple diagnoses are sometimes made for a single patient. These assessments not only include an actual description of the problem (e.g. sleep deprivation) but also whether or not a patient is at risk of developing further problems. These diagnoses are also used to determine a patient's readiness for health improvement and whether or not they may have developed a syndrome. The diagnoses phase is a critical step as it is used to determine the course of treatment.

What is the first step in the nursing process?

Assessment Phase. The first step of the nursing process is assessment. During this phase, the nurse gathers information about a patient's psychological, physiological, sociological, and spiritual status. This data can be collected in a variety of ways. Generally, nurses will conduct a patient interview.

What is the implementing phase of nursing?

The implementing phase is where the nurse follows through on the decided plan of action. This plan is specific to each patient and focuses on achievable outcomes. Actions involved in a nursing care plan include monitoring the patient for signs of change or improvement, directly caring for the patient or performing necessary medical tasks, educating and instructing the patient about further health management, and referring or contacting the patient for follow-up. Implementation can take place over the course of hours, days, weeks, or even months.

What is the nursing intervention process?

Once all nursing intervention actions have taken place, the nurse completes an evaluation to determine the goals for patient wellness have been met. The possible patient outcomes are generally described under three terms: patient's condition improved, patient's condition stabilized, and patient's condition deteriorated, died, or discharged. In the event the condition of the patient has shown no improvement, or if the wellness goals were not met, the nursing process begins again from the first step.

What is the nursing intervention classification?

For this phase, nurses generally refer to the evidence-based Nursing Outcome Classification, which is a set of standardized terms and measurements for tracking patient wellness. The Nursing Interventions Classification may also be used as a resource for planning.

Why is the diagnosis phase important?

The diagnoses phase is a critical step as it is used to determine the course of treatment.

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Why is ethics consultant important?

The use of an ethics consultant or consultation team could be helpful to assist the health care team, patient, and family to identify the moral dilemma and possible approaches to the dilemma. The nurse should be familiar with agency policy supporting patient self-determination and resolution of ethical issues.

What are ethical dilemmas?

Some are moral dilemmas, situations in which a clear conflict exists between two or more moral principles or competing moral claims, and the nurse must choose the lesser of two evils. Other situations represent moral problems, in which there may be competing moral claims or principles but one claim or principle is clearly dominant. Some situations result in moral uncertainty, when one cannot accurately define what the moral situation is, or what moral principles apply, but has a strong feeling that something is not right. Still other situations may result in moral distress, in which the nurse is aware of the correct course of action but institutional constraints stand in the way of pursuing the correct action. For example, a patient tells a nurse that if he is dying he wants everything possible done. The surgeon and family have made the decision not to tell the patient he is terminally ill and not to resuscitate him if he stops breathing. From an ethical perspective, patients should be told the truth about their diagnoses and should have the opportunity to make decisions about treatments. Ideally, this information should come from the physician, with the nurse present to assist the patient in understanding the terminology and to provide further support, if necessary. A moral problem exists because of the competing moral claims of the family and physician, who wish to spare the patient distress, and the nurse, who wishes to be truthful with the patient as the patient has requested. If the patient’s competency were questionable, a moral dilemma would exist because no dominant principle would be evident. The nurse could experience moral distress if the hospital threatens disciplinary action or job termination if the information is disclosed without the agreement of the physician or the family, or both. It is essential that nurses freely engage in dialogue concerning moral situations, even though such dialogue is difficult for everyone involved. Improved interdisciplinary communication is supported when all members of the health care team can voice their concerns and come to an understanding of the moral situation. The use of an ethics consultant or consultation team could be helpful to assist the health care team, patient, and family to identify the moral dilemma and possible approaches to the dilemma. The nurse should be familiar with agency policy supporting patient self-determination and resolution of ethical issues. The nurse should be an advocate for patient rights in each situation.

What are the theories of ethics?

One classic theory in ethics is teleologic theory or consequentialism, which focuses on the ends or consequences of actions. The most well-known form of this theory, utilitarianism, is based on the concept of “the greatest good for the greatest number.” The choice of action is clear under this theory, because the action that maximizes good over bad is the correct one. The theory poses difficulty when one must judge intrinsic values and determine whose good is the greatest. Additionally, the question must be asked whether good consequences can justify any amoral actions that might be used to achieve them. Another theory in ethics is the deontologic or formalist theory, which argues that moral standards or principles exist independently of the ends or consequences. In a given situation, one or more moral principles may apply. The nurse has a duty to act based on the one relevant principle, or the most relevant of several moral principles.

Why is it important to understand the role of a nurse in ethical decision making?

Understanding the role of the professional nurse in ethical decision making will assist nurses in articulating their ethical positions and in developing the skills needed to make ethical decisions.

What is moral distress?

Still other situations may result in moral distress, in which the nurse is aware of the correct course of action but institutional constraints stand in the way of pursuing the correct action. For example, a patient tells a nurse that if he is dying he wants everything possible done.

What is the difference between ethics and morality?

In essence, ethics is the formal, systematic study of moral beliefs, whereas morality is the adherence to informal personal values. Because the distinction between the two is slight, they are often used interchangeably.

Which theory of ethics argues that moral standards or principles exist independently of the ends or consequences?

Another theory in ethics is the deontologic or formalist theory, which argues that moral standards or principles exist independently of the ends or consequences.

What is clinical reasoning in nursing?

In the nursing education literature, clinical reasoning and judgment are often conflated with critical thinking. The accrediting bodies and nursing scholars have included decisionmaking and action-oriented, practical, ethical, and clinical reasoning in the rubric of critical reflection and thinking.

What is the ability of a clinician to provide safe, high quality care?

The clinician’s ability to provide safe, high-quality care can be dependent upon their ability to reason, think, and judge, which can be limited by lack of experience. The expert performance of nurses is dependent upon continual learning and evaluation of performance. Critical Thinking.

What did the student ask her teacher about the unusually high dosage?

The teacher, in turn, asked the student whether she had asked the nurse or the patient about the dosage. Upon the student’s questioning, the nurse did not know why the patient was receiving the high dosage and assumed the drug was for heart disease.

What is practical knowledge?

Practical knowledge is shaped by one’s practice discipline and the science and technology relevant to the situation at hand. But scientific, formal, discipline-specific knowledge are not sufficient for good clinical practice, whether the discipline be law, medicine, nursing, teaching, or social work.

What is Dunne's role in the practice of morality?

Clearly Dunne is engaging in critical reflection about the conditions for developing character, skills, and habits for skillful and ethical comportment of practitioners, as well as to act as moral agents for patients so that they and their families receive safe, effective, and compassionate care.

What is clinical judgment?

Clinical judgment requires clinical reasoning across time about the particular , and because of the relevance of this immediate historical unfolding, clinical reasoning can be very different from the scientific reasoning used to formulate, conduct, and assess clinical experiments.

What is critical thinking?

Critical thinking involves the application of knowledge and experience to identify patient problems and to direct clinical judgments and actions that result in positive patient outcomes.

Why do nurses have to report to the BON?

the nurse must be reported to the BON because of the combination of practice errors with possible practice impairment due to substance use or abuse. A nurse would be fulfilling his or her duty to safeguard patients from harm if the nurse.

What is the role of a nurse in a patient's investigation?

A nurse assesses a patient, makes a medical diagnosis of "hypertension," and determines which specific anti-hypertensive medication (including dose, route, and frequency) is appropriate for this patient.

What is a registered nurse?

a registered nurse or a licensed vocational nurse. When deciding what course of action to follow, the nurse. has a duty to always keep the patient safe. A LVN learns that a facility licensing law requires that a registered nurse always perform a specific task related to admission of new patients.

What is a nurse's counsel for a child?

This could be considered. A nurse is counseled for questioning a physician's order that made the physician mad.

Can a nurse be suspended from a job?

A nurse may not be reported to the BON, may not have his or her license sanctioned by the BON, and may not be suspended or terminated from his or her employment for either appropriately invoking Safe Harbor or for advising another nurse of their right to invoke Safe Harbor.

Can a nurse practice if her license has expired?

A nurse whose license has expired. may not practice until the license has been renewed. In a nurse-patient relationship, the most vulnerable patients are those who are.

How to avoid being placed on a board of nursing disciplinary action list?

You can avoid being placed on a board of nursing disciplinary action list by: Knowing and following your state nurse practice act and its rules. Conducting yourself as a professional at all times , since a nurse practice act’s “unprofessional conduct” provision and rules extend beyond the provision of nursing care.

What are the consequences of nursing disciplinary action?

Disciplinary action can result in consequences such as being unable to practice nursing for an extended period of time or obtain licensure in another state, ...

What is an anesthetist in nursing?

A certified registered nurse anesthetist engaged in unprofessional conduct (as defined in board rules) by possessing, obtaining, furnishing, or administering drugs to any person, including himself, except as legally directed.

How many Norco pills were administered to the wrong patient?

As a result, nine pills, including Norco, were administered to the wrong patient and without a physician’s order. Disciplinary action included completing the board of nursing course, “Understanding Board Orders,” a course on state nursing jurisprudence and ethics, and a course on medication administration.

What is the duty of a nurse?

Nurses have a duty to patients to practice in a safe, competent, and responsible manner.

Is patient injury a violation of the nurse practice act?

Patient injury is not a prerequisite to a violation of the nurse practice act. Rather, it is the violation itself that serves as the basis for a disciplinary proceeding. If a discipline is imposed by the board, however slight, the discipline is reported to the National Practitioner Data Bank.