when deciding what course of action to follow the nurse has a duty

by Ms. Lenora Lang I 10 min read

An example is patient triage: when a nurse must decide which of several needy patients requires immediate attention. That decision may depend on where the nurse can do the most good, or where the need is greatest, depending on the nurse’s determination of the most just course of action. Examples of Nursing Ethics in Action

Full Answer

When deciding what course of action to follow the nurse has?

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. The LVN understands that this means he or she

How would the nurse fulfill his duty to the patient?

The nurse would fulfill his duty to the patient if the nurse A. advises the patient of the situation and proceeds only with the patient's consent. B. informs the physician of his concern and requests clarification of the order.

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 Bon's policy on attempting to notify the nurse?

Attempts to notify the nurse via standard and certified mail at the nurse's last address of record have been returned to the BON office as being "undeliverable or not at this address." Since the investigator has been unable to communicate with the nurse about the BON's formal charges, Board Rule 213.16 (i) on Practice and Procedure requires that

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.

What are the 4 choices every RN 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)

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. (2) Offenses against property.

Which of the following factors is evaluated by the Bon when determining the relevance of past criminal behavior of a nurse?

Factors the Board Will Consider When Determining Sanctions The nature, seriousness, and extent of the individual's past criminal activity. The age of the individual when the crime was committed. The amount of time that has elapsed since the individual's last criminal activity.

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.

Can a nurse refuse an assignment?

July 11, 2019. According to the American Nurses Association, Nurses have the "professional right to accept, reject or object in writing to any patient assignment that puts patients or themselves at serious risk for harm.

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

(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. (2) Offenses against property.

What action might be taken on a nurse who commits an infraction of the nurse Practice Act?

What action might be taken on a nurse who commits an infraction of the Nurse Practice Act? The nurse is subject to discipline by the state board of nursing.

What happens when a nurse is reported to the board?

Once a complaint hits their desk, the board has to determine if the facts as stated in the complaint are a violation of the laws that govern a nurse's practice. If so, an investigation is initiated, and the nurse may respond to the allegations. The board then resolves the complaint. It may or may not require a hearing.

What action should a nurse take first when a medication error is made?

A nurse makes a medication error. Which action should the nurse take first? 1. Prepare a patient safety or incident report so that the facility can determine the root causes of the error.

What is incident based nursing peer review?

Incident-based nursing peer review focuses on determining if a nurse's actions, be it a single event or multiple events (such as in reviewing up to five (5) minor incidents by the same nurse within a year's period of time), should be reported to the Board or if the nurse's conduct does not require reporting because the ...

What is the purpose of peer review in nursing?

Peer review is defined as "an organized effort whereby practicing professionals review the quality and appropriateness of services ordered or performed by their professional peers." In nursing, it is the “process by which practicing registered nurses systematically assess, monitor, and make judgments about the quality ...

What is the duty of a nurse to advocate for patients?

A nurse’s duty to serve as an advocate for patients is stated in the nursing code of ethics’ third provision, as well as in provisions 9.3 and 9.4, which extend patient advocacy outside the workplace to promote social justice in nursing and health policy.

How many provisions are there in the nursing code?

The code’s nine provisions guide nurses to act ethically in their daily duties and responsibilities. The provisions are based on the four main principles of nursing ethics — nonmaleficence, beneficence, autonomy, and justice — as explained in the book Nursing Ethical Considerations.

How does nursing ethics align with other professions?

The nursing code of ethics closely resembles the American Medical Association’s Code of Medical Ethics, which covers patient-doctor relationships, consent and medical decision-making, privacy, genetics, end-of-life care, and many other issues.

Why is ethics important in nursing?

Strong ethics are vital to nursing, as moral dilemmas can frequently arise while attending to patients. Nurses and other healthcare professionals must recognize these ethical problems when they occur and apply the profession’s ethics and core values in their judgment and decision-making.

What is nursing ethics?

By contrast, nursing ethics focus on patients’ rights and well-being, the healthcare environment’s safety and quality, and the community’s public health needs. Ultimately the arbiter of what’s ethical in any healthcare situation is the caregiver, in consultation with the patient.

What is self-determination in healthcare?

The concept of self-determination is deeply ingrained in healthcare: As long as patients have sufficient decision-making capacity, they have the right to accept or decline the treatment that their healthcare providers prescribe. As the Journal of Medical Ethics points out, some time must pass between the moment the physician or other healthcare professional determines that some course of action should be taken and the moment the patient is competent enough to decide whether to follow the physician’s advice. Temporizing is the practice of waiting until a patient has sufficient decision-making capacity before advising on the matter.

What is bioethics in nursing?

Bioethics combines philosophy, theology, history, and law with medical science, emphasizing the application of ethical principles in nursing and health policy. The Center for Practical Bioethics focuses on four domains: Aging and end of life. Clinical and organizational ethics.

What is the duty of a nurse?

D. not fulfilling nursing tasks with other patients. 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 happens if a nurse moves to Texas?

When the nurse moves to Texas and applies for a nursing license in Texas, the most likely result will be that ANSWER A. the nurse will be granted a nursing license until the Texas BON learns of the revocation in Hawaii. B. the nurse will have to retake the NCLEX licensure exam to be licensed in Texas since his nursing license in Hawaii was revoked.

What does a nurse want to do in Texas?

A nurse wants help to lobby the Texas Legislature in favor of a bill that will help staff nurses. The nurse should contact his or her nursing professional organization. A nurse who contacts a physician to clarify a medication order is A. fulfilling a duty to keep the patient saf e. B. likely to detract from a collegial nurse-physician relationship.

What is considered a crime when a nurse steals money?

When a nurse steals valuables (such as medications, money, jewelry, or credit cards) from a patient, this may be considered criminal as well as unprofessional conduct involving: THEFT OF PROPERTY The mission of the BON supersedes ANSWER. A. the licensing rules for acute care hospitals.

What is a nurse's request to bring a child to the home?

A nurse providing nursing services to a young child in a home setting asks the parent to bring the child to the nurse's home for nursing care. The nurse asks the parent to keep this arrangement confidential. This could be considered a violation of professional boundaries of the nurse-client relationship.

What is the BON rule in Texas?

The BON rules, located in Title 22 of the Texas Administrative Code, help implement and reflect ANSWER A. the standards of nursing care developed by various nursing specialty and professional organizations.

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.

What is a nursing 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 for relevance and accuracy to current practice, the Nursing Practice Act, and Board rules. The Board's last review was performed January 2020.

What is the role of a nurse in achieving moderate sedation?

Role of the Nurse in Moderate Sedation. LVNs cannot administer pharmacologic agents for the purpose of achieving moderate sedation to or monitor patients receiving moderate sedation. The administration of drugs and monitoring of patients for moderate sedation may be within the RN's scope of practice.

What is 15.11 in nursing?

15.11. 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.

Can a nurse relay a physician's order?

Nurses may carry out physician orders relayed by a physician assistant (PA) when the PA is compliant with laws regulating the practice of the PA. The nurse is expected to clarify any order the nurse questions by communicating with the PA or the physician. 15.2.

Can a LVN do DNR?

LVNs must initiate CPR in the absence of a clear do-not -resuscitate (DNR) order. Laws regarding the pronouncement of death are not in the NPA or Board Rules. LVNs cannot pronounce death. The LVN may accept a physician’s order regarding post-mortem care, but cannot accept a verbal order to pronounce death. 15.3.

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