Scope of Practice CORRECT ANSWER - Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing
... [Show More] practice
Key elements of the NP role include CORRECT ANSWER - integration of care across the acute illness continuum with collaboration and coordination of care; research based clinical practices, clinical leadership, family assessment, and discharge planning
Standards of Advanced Practice are delineated by... CORRECT ANSWER - American Nurses Association which measure quality of practice, service, or education
State Practice Acts CORRECT ANSWER - Authorize Boards of Nursing in each state to establish statutory authority for licensure of RNs
State Practice Acts - authority includes: CORRECT ANSWER - use of title, authorization for scope of practice including prescriptive authority, and disciplinary grounds
States vary in practice requirements, such as CORRECT ANSWER - certification
Prescriptive authority CORRECT ANSWER - Ability and extent of NPs ability to prescribe meds
DEA has ruled that nurses in advanced practice may obtain.. CORRECT ANSWER - registration numbers, state practice acts dictate level of prescriptive authority allowed
Credentials encompass... CORRECT ANSWER - required education, licensure and certification to practice as an NP
Credentials establish... CORRECT ANSWER - minimal levels of acceptable performance
Credentialing is necessary to: CORRECT ANSWER - ensure that safe healthcare is provided by qualified individuals; comply with federal and state laws r/t APN
Credentials also... CORRECT ANSWER - acknowledges the scope of practice of NP, mandates accountability, enforces professional standards for practice
Licensure CORRECT ANSWER - establishes that a person is qualified to perform in a particular professional role
Licensure is granted as defined by rules and regulations set forth by CORRECT ANSWER - a governmental regulatory body (ie. state board of nursing)
Certification CORRECT ANSWER - Person has met certain standards that signify mastery of specialized knowledge
Certification is granted by nongovernmental agencies such as CORRECT ANSWER - ANCC, AANP
Admitting privileges to hospitals (non physican) were granted CORRECT ANSWER - 1983 by JC
Credentialing and privileging CORRECT ANSWER - process which an NP is granted permission to practice in an inpt setting
Credentialing with hospital privileges is granted by a CORRECT ANSWER - Hospital Credentialing Committee
Pt Medical Abandoment CORRECT ANSWER - When caregiver-pt relationship is terminated w/o making reasonable arrangements w an appropriate person so that care can be continued
Determination of pt abandonment depends on factors such as: CORRECT ANSWER - Whether NP accepted pt assignment, whether NP provided reasonable notice before termination, whether reasonable arrangements could have been made
Following do not constitute pt abandonment CORRECT ANSWER - NP refuses to accept responsibility for pt assignment when NP has given reasonable notice to proper authority that NP lacks competence to carry out assignment; NP refuses assignment of a double shift or addtl hrs beyond posted work schedule when proper notification has been given..latter phrase can be controversial
Risk Mgmt CORRECT ANSWER - Systematic effort to reduce risk begins w formal written risk mgmt plan that includes: organizations goals, delineation of program's scope, components, methods; delegating responsibility for implementation and enforcement; demonstrating commitment by the board; confidentiality and immunity from retaliation for those who report sensitive info
Most common method of documentation for risk mgmt CORRECT ANSWER - incident reports
Policies regarding incident reports should address: CORRECT ANSWER - ppl authorized to complete report; ppl responsible for review of a report, immediate actions needed to minimize the effects of the event; ppl responsible for follow up; plan for monitoring aftermath; security/storage of completed report
Risk mgmt - Satisfaction surveys CORRECT ANSWER - Important for identifying problems before they develop into incidents or claims; for pts and employees
Risk mgmt - Complaints: Risk mgmt plan should delineate tracking, analyzing, and managing complaints by clearly identifying: CORRECT ANSWER - ppl notified after receiving complaint; ppl responsible for responding; ppl responsible for monitoring follow up
Action taking initiatives: CORRECT ANSWER - Prevention, correction (corrective steps must be monitored and audited), documentation, education, departmental coordination
Medical Futility CORRECT ANSWER - Interventions that are unlikely to produce significant benefit for pt - "Does the intervention have any reasonable prospect of helping this pt?"
Two kind of medical futility: CORRECT ANSWER - Quantitative futility: likelihood that intervention will benefit pt is extremely poor
Qualitative futility: quality of benefit an intervention will produce is extremely poor
Informed consent - competence (decisional capability) CORRECT ANSWER - state that pt is able to make personal decisions about their care [Show Less]