State nurse practice act
Defines “scope of practice” (what you can and cannot do) within each state
Exceptions to HIPAA
Harming self, harming others, being harmed
Emancipation issues
A child (younger than 18) is an adult
Key considerations when it comes to refusal of care
Understand the history in order to understand the reason for refusal
Individuals with Disabilities Education Improvement Act (IDEA)
Children with disabilities are guaranteed a free, appropriate education in the least restrictive environment, including free evaluations, an individualized education program, special education and related services, and reasonable accommodations for their success.
Purpose of IDEA
Helps to mainstream these things for kids with disabilities
Ethical principles
Autonomy, beneficence, nonmaleficence, veracity, fidelity, justice, respect others
Autonomy
Personal freedom & self-determination; the right to choose
Beneficence
Actions taken should promote good
Nonmaleficence
Do no harm
Veracity
Truth telling
Fidelity
Keeping one’s promises/commitments
Justice
Treat all fairly & equally
Respect others
Avoid coercion/undue influence
Clinical pathways
Structured multi-disciplinary tools used to operationalize evidence-based health care recommendations into clinical processes of care
What are the benefits of having clinical pathways?
Provides an evidence-based step-by-step in care delivery and removes provider variability
Care bundles
A set of 3-5 evidenced based practices performed collectively and reliably to improve the quality of care
Example of a care bundle
Central line bundle to reduce CLABSI
Advocacy
To promote, defend, or support someone or something
What is the primary role of a nurse?
To be the patient & family advocate
Components of professional communication
Handoff, shared governance, and SBAR communication
Definition of a healthy nurse
One who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, financial, persona, and professional well-being
What do healthy nurses priortize?
Physical activity, nutrition, quality of life, rest, safetyB
Burnout
A state of physical, emotional, and mental exhaustion precipitated by stress and associated with a state of depletion and negative attitudes towards oneself and life
