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Topic #2 a. In the state of TN, are nurses mandated to report unsafe, illegal, or unethical practices of nursing colleagues or physicians? (Should be in Nurse Practice Act) Yes, nurses are mandated to report unsafe, illegal, or unethical practices of nursing colleagues or physicians. The RULES OF THE TENNESSEE BOARD OF NURSING, CHAPTER 1000-01-.13(s) UNPROFESSIONAL CONDUCT AND NEGLIGENCE, HABITS OR OTHER CAUSE states that it is considered unprofessional conduct and negligence if a nurse, "Fails to report, through proper channels, facts known to the individual regarding incompetent, unethical or illegal practice of any health care provider." Also, 1000-01-.14 STANDARDS OF NURSING COMPETENCE, section 1,B,5 states that nurses should, "Report unsafe practice and unsafe practice conditions to recognized legal authorities and to the Board where appropriate." …show more content…
In the state of TN, is a nurse required to report victims of domestic violence or interpersonal violence? Does the victim have to consent? Yes, nurses are required to report victims of domestic violence or interpersonal violence. The nurse should first have reasonable suspicion and a good faith belief that injuries are the result of abuse or neglect. It must be reported with or without the victim's consent. If the nurse fails to report domestic violence or interpersonal violence, they could possibly face disciplinary action by the state board of nursing, a loss of license, and criminal prosecution. Talk to an ER nurse or ER nurse manager. What types of injuries does TN require be reported to legal authorities? I spoke with my Cousin, she has been an ER nurse for 20 years. She talked to me about the obvious injuries and incidence like gunshot wounds, stabbings, poisoning, child abuse, and rape. For a more complete list she referred me to Tennessee Code TCA 38-1-101, posted
Department of health (2007) say that there are 3 types of risk assessment:the unstructured clinical approach, the actuarial approach and the structured clinical approach (DOH 2007). Many Mental health Professionals over the past years have used the unstructured clinical approach to risk assess. This is based on your experience and judgement to assess the risk. However this way has been criticized for not being structured and this then leads to inconsistency and to be unreliable (Turner and Tummy 2008). This approach would not be useful for the case with Julie as she is not known to services and every person is different as you may not have seen her symptoms before if you base the risk assessment on experience.
...is causes injury or not is an example of unsafe practice. This act could also be categorized as careless or repetitive conducts that puts a patient in danger. Drug diversion is a type of drug dealing, nurses have access to many drugs and it is a part of the nurses’ responsibility to ensure those drugs go where they should, precisely document and closely supervised. Criminal conduct can happen in the work place or on personal time. If a nurse is convicted of a crime, such as Driving While Intoxicated, it could affect their ability to practice nursing. It is out of a RNs legal scope of practice to medically diagnose any patient, order a medical treatment or conduct a medical treatment that has not been ordered by a physician. It is the nurse’s duty to their patient’s to exhibit sound clinical judgment, with in their scope of practice to ensure patient safety.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
Painter, L. M., & Dudjak, L. A. (2010). Actions, Behaviors, and Characteristics of RNs Involved in Compensable Injury. Journal of Nursing Administration, 40(12), 534-539. http://dx.doi.org/10.1097/NNA.0b013e3181fc19eb
That is the rising number of negligent acts committed by medical professionals. Failure to follow standard of practice is the leading root cause of the troubles involving malpractice. Failure to assess and monitor the patient, failure to communicate, medication errors, negligent delegation or supervision and failure to obtain informed consent from patients are the top failures leading to malpractice. The American Nurses Association provides scopes and standards that if followed could prevent many of the negligent acts. Duty, Breach of Duty, Foreseeability, Causation, Injury, Damages must be proven for a nurse to be held
With respect to older women, the issue is that there is a serious lack in differentiating between elder abuse and domestic violence. The discrepancy causes confusion as to what agency to report either volunteered or mandated cases of abuse (Kilbane & Spira, 2010). Furthermore, it is because of reporting errors that victims of abuse may not receive the services that are congruent to the type of abuse (Kilbane & Spira, 2010) indicating, “…a lack of centralized reporting of cases….” (Kilbane & Spira, 2010, p. 165).
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
ENA - Emergency Nurses Association - Safe Practice, Safe Care. (n.d.). Education. Retrieved March 14, 2014, from http://www.ena.org/education/Pages/default.aspx
Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem. If a nurse feels that a procedure or treatment their patient is having conflicts with his or her own moral integrity and they cannot participate, the nurse must report they unwilling to tr...
This correlates greatly with provision six which states: “The nurse facilitates improvement of the healthcare environment.” (Nurses Code of Ethics, 2015). As stated previously a nurses’ obligation is to help with creating and maintaining that balance of great virtues as well as excellence in the health care professions. If you think about it, if a nurse did have moral health ethics, would that nurse give unsafe patients and falsify a shift report change to the new nurse, so they could leave work? In addition, any nurse who witnesses such a false act by another nurse should report such an act immediately to their immediate. No nurse should ever agree or choose to work in an environment that enables unsafe practices. Not only are they putting the patients at risk they would be putting themselves at risk for physical harm or even losing their license as
Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered nurse standards for practice. According to standard 1.4 the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified in this condition. Furthermore, the nurse failed to effectively respond to a deteriorating
... of intimate partner violence: implications for nursing care. Critical Care Nursing Clinics of North America, 24(1), 27-38.
Domestic violence is skyrocketing in our society. In the U.S., as many as 1.5 million women and 850,000 men were physically assaulted by their intimate partner last year, and numerous children abused by their parents. These sad criminal acts will continue to grow in our society, unless our community takes action to stop these crimes. First of all, the most important tool we have available against this type of crime are the authorities, which include the police department, hospital, and social workers. If they manage to work together as a team to make the whole process of protecting a victim more efficient, it will encourage victims to actually phone for help.
It’s true what everyone talks about safety – you are the key to your safety, when you do it safely you do it the right way and the best gift you can give to your family is to always stay safe. We have been taught by our parents and teachers to be cautious while doing a number of things. That’s very essential in our daily lives, because one needs to be extra cautious to prevent unavoidable accidents. However, mishaps do happen everywhere in the safest of places, no matter how careful we are in our actions. It is highly unpredictable, what’s going to happen the very next instant. There are numerous incidences we come across like simple trips, falls, cuts due to sharp objects, burns or sudden worsening of a person’s health condition, causing