Most states reopen and reexamine the NPA when times and situation change. Nurses face issues with patients regarding legal or ethical decisions on a daily basis. The regulations set by the nurse practice act guides nurses by setting standards of care. It defines what a prudent nurse would do in the same situations. Nurses have a legal liability to advocate for patients, and provide safe administration of medications, and provide quality, nursing care to patients without negligence.
Mr. J was in restraints in this case. One of the quality indicators developed by the American Nurses Association is the prevalence of restraints (Cherry and Jacob 2011). It is important for nursing in this case to be aware of the potential outcomes for this patient in regards to restraint use. The staff in this situation can utilize nursing specific indicators to recognize the appropriate interventions that need to take place when a patient is placed in restraints. Recognizing at restraint use is a nursing specific indicator can help the staff in this situation develop an appropriate care plan.
There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures. These are collected through a combination of medical record review and administrative data, according to common definitions. The National Database of Nursing Quality Indicators is a leading voluntary system for collection and analysis of these data. (Nursing Quality Organization, 2011) “The National Database of Nursing Quality Indicators® (NDNQI®) is a proprietary database of the American Nurses Association. The database collects and evaluates unit-specific nurse-sensitive data from hospitals in the United States.” (Nursing Quality Organization, 2011) Knowing about pressure ulcer prevention and the risk factors to look for would have helped the CNA to be more cognizant of the fact the this particular patient was in the beginning
Frequently Asked Questions Roles of State Boards of Nursing: Licensure, Regulation and Complaint Investigation What is the role of state boards of nursing? State boards of nursing are government agencies charged with regulating nursing practice. The boards protect the public by ensuring that standards of nursing practice are met and nurses are competent in their practice. Typical powers and duties of a board of nursing include: • Interpreting and enforcing the state nurse practice act • Administering nurse licensure by overseeing exams to grant licenses and taking action against licenses of nurses who have exhibited unsafe nursing practice • Accrediting or approving nurse education programs • Developing nursing practice standards
The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?). These participants should conduct a RCA to determine the causative factors that lead to Mr. B’s sentinel event. The first step would be to gather data about the situation. Mr. B’s presentation, vitals, health history, lab values, pain score, medications he already takes, and medications he received (amount, dose, and times) during the conscious
RTT1 - Organizational Systems and Quality Leadership Western Governors University RN-BSN Pre-Licensure Program The situation with patient Mr. J is quite frightening to say the least. There are multiple issues at hand here that put the patient’s health in jeopardy. As nurses, we have an obligatory responsibility to protect our patients and to practice the principle of beneficence. Having an understanding of nursing-sensitive indicators is crucial in preventing the development of hospital-associated injury and increased mortality/morbidity. These are principles instilled in us throughout nursing school, and guide nurses in our practice.
I would first ask the nurse to fax over something that states or shows that Mary Ann is in the hospital on the hospitals letterhead. Once that is done I would ask that the consent form to release information that was signed by patient be faxed over. When I had all information I would then release information. #2. I would first have Mr.
Therefore, to protect them, they are kept away from mainstream society and excluded. * Rights: The medical model of disability believes that medical professionals know best. This means that therefore the rights of the individual are seen as unimportant and are pushed aside to follow the opinion of the medical professionals. * Autonomy: Decisions in health and social care services for people with disabilities are usually made by carers or medical professionals, as they feel they know what is best for the individual. Therefore, autonomy is not an important principle in the medical model.
| Leadership positions and duties assignment | | | LPN leadership roles and duties in the acute and long-term care facilities Leadership roles and duties of the licensed practical nurse will slightly vary from facility to facility and state to state. Depending on what is permitted in their scope of practice by the state board of nursing. This will have some dependencies on where the licensed practical nurse is specifically working. In an acute hospital some of the variables could include whether the licensed practical nurse is working in the surgical unit, operating room, doctors office or on the floor. In long-term care facilities primary duties would generally be a floor nurse, and any aspects that go along with it.
SHOULD NURSE PRACTITIONERS PRESCRIBE CONTROLLED Should Nurse Practitioners Prescribe Controlled Substances? Nakeya Booth Central Methodist University Business Concepts AH 330 Paul Compley, Ph.D. December 13, 2009 Should Nurse Practitioners Prescribe Controlled Substances? The role of the Nurse Practitioner, also known as the advanced practice nurse, is to provide health care services to patients, families, and communities. They are specially trained to diagnose, and are able to control the common, chronic and acute heath care conditions. The practitioner can either work with the physician or choose to work alone to provide their health care services.