Term
| informed consent must be?? |
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Definition
| in language they can understand, provider must be certain that patient understands what was said and accepts risk |
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Term
| what is required by law for patient to know? |
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Definition
| reasonable standard to make an intelligible decision |
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Term
| what does nurse need to know when having consent signed? |
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Definition
| make sure signature belongs to patient, NO coersion, the patient understands the risks, benefitis, etc. |
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Term
| If patient is sedated, you must.. |
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Definition
| get next of kin to sign, but make sure its always signed before sedation |
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Term
| “I have informed patient of risks of surgery, expected outcomes, and alternative treatment. Please get consent form signed.” |
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Definition
| depends on facility/rules |
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Term
| A patient is brought into the emergency room with an abdominal gunshot wound hemorrhaging and emergency surgery is required. informed consent necessary? |
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Definition
| nope, not feasible in emergency nor if it is not medically feasible to obtain it. |
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Term
| med w side effect of dyskinesia is given to psych patient, should the nurse offer the drug w/o informed consent? |
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Definition
| Not until nurse is sure pt has been given informed consent |
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Term
| court ruling on mentally ill patients and informed consent.. |
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Definition
| mentally ill patien does not automatically lose right to make own medical decisions, healthy or not, patient is entitled to know the side effects of medications |
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Term
| case of mental confusion on a patient who needs surgery?? |
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Definition
| pt shouldnt sign consent form, nurse must determine if spouse can sign it, |
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Term
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Definition
| yes, must read aloud entire form |
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Term
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Definition
| know as "texas futile care law".. all 50 states have enacted advance directive legislation |
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Term
| what is an advance directive? |
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Definition
| legal document that allows person to make decision about end of life care, directs physician about preferences at end of life care- treatments continued? discontinued? |
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Term
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Definition
| patient spouse, then patient's children, then patient's parents, then patients nearest living relative. |
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Term
| how long is directive in effect? |
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Definition
| advance directive is in effect until revoked, can be revoked at any time |
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Term
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Definition
| you cannot withdraw life sustaining treatment may not be withdraw or withheld from a pregnant pt. even if pt has DNR... |
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Term
| advance directives must have.. |
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Definition
| at least two ppl witness it |
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Term
| at least one witness cant be someone who... |
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Definition
| related by blood, claim on esate, designated to make treatment decisions on behalf, your attending physicioan, no nurses, direct pt care, etc. etc. |
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Term
| who can witness advance directives? |
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Definition
| chaplains, anyone in department not doing any direct care |
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Term
| medical durable power of attorney? |
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Definition
| grants another person the right to act as legal representative for you to make decision related to medical care |
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Term
| discontinuing life sustaining treatment.. |
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Definition
| phys, determines that life sustaining treatment is futile, the pt and rep, are given information about discontinuing treatment. |
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Term
| how long are pt's familys given to find another hospital that will accept pt for transfer? |
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Definition
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Term
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Definition
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Term
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Definition
| occupational safety and health administration |
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Term
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Definition
| to assure healthful working conditions |
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Term
| penalties for violations of OSHA |
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Definition
| up to 70,000 fine, capped needle in sharps container is 7000 fine |
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Term
| examples of osha requirements, |
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Definition
| PPE, safety needles, no recapping needles, dont bend needles, airborne pathogens- engineering for safety of hospital environment meaning NEG pressure for rooms for TB patients |
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