Term
| What are the roles of a clinical nurse specialist? |
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Definition
Expertise in planning, supervising, and delivery of nursing care to families in childbearing period
-Case managers
-Consultant
-Family and staff educator
-Coordination of delivery of nursing care
to families requiring intensive nursing
support
-Research activities/articles |
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Term
| What are the 4 elements of liability & negligence? |
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Definition
1. duty exists
2. breech of duty-standard of care violated
3. injury
4. connection between violation of the standard and the injury |
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Term
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Definition
| The specialty organization for perinatal care: Association of Women’s Health, Obstetrics, and Neonatal Nurses: The stated purpose of AWHONN is to promote the health of women and newborns |
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Term
| Why are OB/Gyn cases 2nd only to surgeries? |
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Definition
Standards are higher today. Families expecting a healthy child-bad
outcome means mistake must have been
made |
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Term
| To support expert opinion what evidence is needed? |
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Definition
-hospital procedures
-nursing policies
-guidelines established by professional
organizations
-state nurse practice acts
-JCAHO |
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Term
| What are four aspects important to understand about informed refusal? |
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Definition
1. can take place at initiation of tx or any time after start of tx
2. refusal is valid even after informed consent is given
3. refusal must be voluntary, uncoerced, and not made under fraudulent circumstances
4. pt must refuse tx with knowledge and understanding of the refusal |
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Term
| What should the chart include in regards to a refusal? |
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Definition
1. signed refusal form by pt
2. nursing notes should include time left, left with whom, risks and consequences of no further tx
3. who will be notified |
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Term
| What are common recording/reporting errors? |
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Definition
1. incomplete initial H & P
2. failure to observe & take appropriate action
3. failure to communicate changes in a pt’s condition in a timely manner
4. incomplete and/or inadequate documentation
5. failure to use or interpret fetal monitoring appropriately
6. inappropriate pitocin monitoring/usage
7. improper sponge/instrument count |
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Term
| What is the #1 allegation? |
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Definition
| birth of neurologically-impaired infant |
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Term
| What should be considered before a delegating tasks? |
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Definition
1. potential for harm
2. complexity of task
3. problem solving & critical thinking required
4. unpredictability of outcome
5. level or care giver-patient interaction
6. the practice setting |
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Term
| What are appropriate tasks to assign to NAP/UAP |
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Definition
1. clerical duties
2. selected care tasks such as ambulation, feeding, mouth care, & bathing
3. data gathering such as intake & output & vital signs |
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Term
| What is the result of the use of EFM(electronic fetal monitoring, aka external fetal monitoring? |
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Definition
-In last 50 yrs of use, no ↓ in rate of CP
-is partially responsible for ↑ in C/S rate
-ordinary part of Intrapartum care-constant threat of legal action |
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Term
| Who defines the standards of care for Perinatal Nurse? |
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Definition
1. California State Practice Act-BRN
2. Community standards (higher in bay area)
3. Facility policies & procedures
4. JCAHO-Joint Commission on Accreditation
of Healthcare Organizations
5. Dept. of Health Services |
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