when deciding what course of action to follow the nurse

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. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor.

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

With a team of extremely dedicated and quality lecturers, when deciding what course of action to follow, the nurse will not only be a place to share knowledge but also to help students get inspired to explore and discover many creative ideas from themselves.Clear and detailed training methods for each lesson will ensure that students can acquire and apply knowledge into …

How would the nurse fulfill his duty to the patient?

Aug 06, 2021 · 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 must the nurse take if she decides to invoke safe harbor?

Mar 28, 2021 · 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. The nurse invokes Safe Harbor and brings her Quick Request for Safe Harbor form to her supervisor.

How does the Bon decide to discipline a nurse?

Feb 16, 2022 · Nurses often carry out the interventions recommended or agreed on by a patient's care team. There are four stages to nursing interventions. The first is the assessment, in which the nurse determines what the problem is, as for instance in the case of someone with a nail in his or her foot. After the assessment, the nurse formulates an appropriate intervention plan, …

What initial steps must the nurse take if she decides to invoke safe harbor?

The initial step to invoke Safe Harbor requires that a nurse notify the supervisor and submit a written Quick Request for Safe Harbor to the supervisor before accepting the assignment.

When considering clinical pathways the nurse recognizes that an outcome is?

4. When considering clinical pathways, the nurse recognizes that an outcome is: the result of a collaborative intervention of the health care team. an event that can prevent or help a patient reach wellness.

What should a nursing peer review include?

The review includes whether external factors beyond the nurse's control may have contributed to any deficiency in care by the nurse, and to report such findings to a patient safety committee as applicable.

What does directed scope of practice mean?

The LVN scope of practice is a directed scope of practice and requires appropriate supervision. The LVN is responsible for providing safe, compassionate and focused nursing care to assigned patients with predictable healthcare needs.

Which factor would the nurse leader consider when selecting a functional care delivery model for the unit select all that apply quizlet?

Look at the organization and the population being served when selecting a care delivery model. Consider the organizational structure and processes when selecting the care delivery model.

When considering staffing needs on your unit which considerations is the most important to be evaluated?

1 the number of available licensed staff. 2 the history of staff absenteeism. 3 the availability of support staff. 4 client acuity.

What types of actions are recommended by the peer review committee?

The duties of peer review are: addressing the standard of care, preventing patient harm, evaluating patient safety and quality of care, and ensuring that the design of systems or settings of care support safety and high quality care.

Why is peer review important for nurses?

Purposes of peer review are to determine strengths and weaknesses of nursing care, taking into consideration local and institutional resources and constraints; to provide evidence for use as the basis of recommendations for new or altered policies and procedures to improve nursing care; and to identify areas where ...

What are the two types of nursing peer review?

There are two kinds of nursing peer review: Incident-based (IBPR), in which case peer review is initiated by a facility, association, school, agency, or any other setting that utilizes the services of nurses; or.

What is the nursing process steps?

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.Jul 9, 2021

What determines a nurses scope of practice?

The scope of practice for nurses is determined by each state's nurse practice act. Standard of care, on the other hand, refers to the provision of services in a manner consistent with care, as another professional with similar training and experience faced with a similar care situation would provide.Oct 5, 2010

What is used to determine the nursing standard of care?

These standards are set forth by nursing laws, regulations, policies and ethical codes. In certain situations, a nurse may be accused of violating the standard of care dictated by these laws and policies.

What is the duty of a nurse?

The nurse has a duty to act based on the one relevant principle, or the most relevant of several moral principles. Problems arise with this theory when personal and cultural biases influence the choice of the most primary moral principle.

How do premature infants survive?

In the early stages of life, premature infants are given a chance for survival by the use of technical support. Children and adults who would have died as a result of organ failure are living longer because of organ transplantation. Technological advances have also contributed to an increase in the average life expectancy.

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.

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 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.

What is a delegated medical act?

Delegated Medical Acts. Specifies criteria which must be met for a nurse to carry out a delegated medical act. This includes documentation of individual training and competency, procedures to be performed, physician order to initiate, and appropriate medical and nursing back up. 15.12.

What is a board position statement?

Board Position Statements do not have the force of law, but are a means of providing direction for nurses on issues of concern to the Board relevant to protection of the public. Each position statement is meant to provide guidance in the context of the totality of the position statement. Board position statements are reviewed annually ...

What is a nursing practice?

Professional nursing practice involves the observation, assessment, intervention, evaluation, care, and health teaching of patients who are ill, injured, infirmed, or experiencing a change in normal health.

What is nursing judgment?

Nursing judgment and skill are based on the knowledge and application of principles of biological, physical, and social sciences acquired by completed courses in an approved school of professional nursing. The term excludes acts of medical diagnosis or prescription of therapeutic or corrective measures (BON, 2019).

What is the purpose of the BON?

The stated purpose of the BON is to protect and promote the welfare of the people of Texas. This purpose supersedes the interest of any individual, nurse, the profession of nursing, or special interest group. To this end, the BON regulates the practice of professional and vocational nursing and the accreditation of nursing schools. The BON writes and then interprets the NPA and Administration Code based on the statutes passed by the Texas State Legislature. It receives complaints and investigates possible violations of the NPA. Violators of the NPA are disciplined through the BON. The BON also grants licensure through established standards and recommends appropriate changes to the legislature (Texas Administrative Code [TAC], n.d.).

How often do you need to renew your nursing license in Texas?

For example, Texas (TX) requires nurses to complete their license renewal every 2 years. The original NPA of Texas was passed on March 28, 1909 (Texas Board of Nursing [BON], 2020a). Continuing education regarding the current laws and rules is mandated by the Texas Administrative Code to renew a nursing license.

What is the mission of the Texas Board of Nursing?

The mission statement of the Texas Board of Nursing is as follows: To protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely.

How to renew an expired Texas nursing license?

If the nurse has an expired Texas license but has been practicing nursing in another state for the 2 years preceding the application, they may renew an expired Texas license by paying for an initial license fee and a renewal fee (BON , 2019). The BON requires continuing competency as a condition of license renewal.

What is the Texas occupation code?

(NPA, 2013) The Texas Occupations Code operationalizes or amends material in the Texas Statutes. The Texas Occupations Code contains 3 chapters related to nursing.