3. Falls: side rails left down, infant left unattended. B. This article deals with the importance of documentation, recording and reporting as a means of communication in daily medical and nursing practice. Should I accept verbal phone orders from a physician? Legal and Ethical Aspects of Pain Management Acta Med Acad. 1 … Performing an abortion is legal but may not be considered ethical by other health care professionals or … PRESENTED BY: S. LINDA M.Sc. Why legal knowledge is important for nurses Nurses are expected to function within the legislation, legal policies, statutes relevant to the profession and practice setting, and professional standards. Important of polices and regulations to control staff acts B. G. A nurse is responsible for explaining nursing activities but not for commenting on medical activities in a way that may distress the client or the physician. All facts and information regarding a person’s condition, treatment, care, progress, and response to illness and treatment. Legal Issues The legal implications of nursing practice are tied to licensure, state and federal laws, scope of practice and a public expectation that nurses practice at a high professional standard. Schools of nursing and continuing education providers offer “Nursing and the Law” courses that are very popular among nurses. Legal is an important part of nursing, however, ethics is just as important as it varies from person to person. If you do not tell the physician and carry out the task, you are solely liable. We'll go over law, jurisprudence, incompetence, liability, negligence, and malpractice. Legal, ethical and professional aspects of duty of care for nurses Iwan Dowie Senior lecturer, Healthcare law, University of South Wales, Pontypridd, Wales Duty of care is a fundamental aspect of nursing, and many nurses consider this to be an important part of … Legal Aspects of Nursing helps to thoroughly understand the relationship between the law and Nursing practice. The standard of practice of the College of Nurses of Ontario states that registered nurses must base their practice on an understanding and analysis of the legislation that influences nursing. transferred? legal. —violating a person’s right to refuse physical contact with another. Introduction: Ethics is an essential aspect of health care practice and those working in the nursing profession are often subject to frequent ethical dilemmas. The purpose of privileged communication is to encourage Introduction: Nurses face many legal and ethical issues while providing patient care and it is essential to understand the law and the w ay it affects the nursing practice. Nurses are legally, ethically and morally responsible for delivering safe and competent care in the scope of their nursing practice. Obtaining consent requires explaining the procedure and risks involved, which is the physician’s responsibility. Ethics and Legal Aspects in Nursing Professional nursing associations are critical for leading nursing professionals to learn more, develop, generate the energy, flow of ideas, and proactive work needed to maintain a healthy profession that advocates for the needs of its clients and nurses. It’s important to have a proper system in place so nothing is accidentally missed and as much detail can be entered efficiently as possible. Legal aspects to protect potential donors and to expedite acquisition. Maintain central venous pressure at 8 to 10 mm Hg and systolic blood pressure at greater than 90 mm Hg to prevent hypotension caused by complete dilation of systemic vasculature due to destruction of brain’s vasomotor center, cessation of antidiuretic hormone production, and decreased cardiac output. Specifically, follow your hospital’s bylaws, regulations, and policies regarding this. Regarding (b)—yes, because the law does not allow you to substitute your nursing judgment for a doctor’s medical judgment. Inform the physician of your lack of education and experience in performing the task. It depends on your state, because each state has its own laws pertaining to this. Purpose of record: factual documentation of care given to meet legal standards; used to refute unwarranted claims of negligence or malpractice. Ethical and Legal Issues in Nursing Essay. legal aspects of nursing. Legal and Ethical issues in nursing Introduction The aim of this essay is to discuss the legal and ethical issues in nursing practice about gaining consent and why it is important. Legal Aspects of Nursing is the ideal companion for introductory and specialist study and uses a number of features to help enhance understanding: Practical dilemma boxes present the law working within the context of realistic scenarios. Our legislation. Legal definition of brain death (Uniform Determination of Death Act)—absence of: breathing movement, cranial nerve reflex, response to any level of painful stimuli, and cerebral blood flow; and fla… – Houston Chronicle, Medical Center Awards: 2015, 2016, 2017, 2018, 2019, APPLY NOW (function() { var qs,js,q,s,d=document, gi=d.getElementById, ce=d.createElement, gt=d.getElementsByTagName, id="typef_orm_share", b="https://embed.typeform.com/"; if(!gi.call(d,id)){ js=ce.call(d,"script"); js.id=id; js.src=b+"embed.js"; q=gt.call(d,"script")[0]; q.parentNode.insertBefore(js,q) } })(). client is harmed by it. ... share all critical information with doctors, and adhere to legal and ethical standards of their work. 2. Negligence: “Omission to do something that a reasonable person, guided by those ordinary considerations which ordinarily regulate human affairs would do; or doing something which a reasonable and prudent person would not do” (Brent N: Nurses and the Law. C. A nurse is responsible for refusing to carry out an order for an activity believed to be injurious to the client. Along with compassion for your patients, you need a high level of professionalism and ethics to thrive as a registered nurse. Involvement in decisions Getting patients to be actively involved in decisions is a sign of respect for them, and is considered one of the most important aspects of … A nurse may accept responsibility for witnessing a consent. Do record that you questioned the order and that the doctor confirmed it before you carried it out. Competency 7 Legal Aspects of Nursing Care. Why legal knowledge is important for nurses Nurses are expected to function within the legislation, legal policies, statutes relevant to the profession and practice setting, and professional standards. Nurses have a responsibility, to themselves and their clients, to … It is the client’s privilege at any time to permit the professional to release information. In today’s multicultural society, minority ethnic groups form 7.9% of the UK population (office for National Statistics, 2001 cited by Black 2008). This course will help nurses become educated about and be alert to the legal aspects of nursing practice. A nurse is not responsible for the negligence of the employer (hospital). Nurses must know the rights and obligations of nurses in interactions with patients, families of patients, other nurses, and other health care practitioners. Read More. There are three major sources of primary legal material, as follows. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Legal Aspects of Nursing Introduction The American Nurses Association (2004) (ANA) is promised to accelerating professional nursing purposes and highlighting the addition between well-educated medical practitioners and worth wellbeing care. Document consent or refusal of treatment. Many countries in the 21st Century with the increase in global movement have become multicultural. Fraud, negligence, and malpractice are torts (e.g., losing a client’s hearing aid, or bathing the client in water that causes burns). Learn vocabulary, terms, and more with flashcards, games, and other study tools. her cancer treatment. Implications for nursing—make comments about client only to another health team member caring for that client. Nurses today face many ethical dilemmas in the delivery of patient care. E. Informed consent: implies that significant benefits and risks of any procedure, as well as alternative methods of treatment, have been explained; person has had time to ask questions and have these answered; person has agreed to the treatment voluntarily and is legally competent to give consent; and communication is in a language known to the client. Ethical issues are wide-ranging, from organ donation, genetic engineering, assisted suicide, withholding treatment in end-of-life care, or simple procedures requiring consent. Wrong medicine, wrong dose and concentration, wrong route, wrong client. the client to communicate honestly with the treating practitioner. It is important for nurses to treat a patient's physical ailments as well as his or her emotional needs. It points out the common deficiencies in this respect and describes the legal, clinical, medical and nursing implications of proper reporting. In the nursing profession, instances of litigation can occur, despite healthcare professionals' best efforts in providing quality care. Law is the result of the minimum level of shared values or ethics of a community of people. B. Law and ethics are related. Even though ethics is not setting boundaries, it enables for a better understanding how and why ethical conflict issues arise. —mandatory licensure required in order to practice nursing. The legal aspects of nursing are an area that is both extremely important and constantly changing. The three main principles this essay will discuss are accountability, informed consent and dignity. Maintain greater than 100% PaO2 and suction/turn and use positive end-expiratory pressure (PEEP) to prevent hypoxemia caused by airway obstruction, pulmonary edema. One of the most notable laws related to nursing is known as 'mandated reporting'. Circumstances under which confidential information can be released include: Your email address will not be published. Semantic Scholar: Applying the Ethics of Care to Your Nursing Practice. ... A friendly attitude and professional appearance are also important in professional nursing care. Key case and statute boxes highlight the most-important case law and legislation to be aware of. Types of negligent acts related to: 3. Our legal framework; As the independent regulator for nurses, midwives and nursing associates, what we do is set out by legislation. Find out more below. The text of the legislation for regulating nurses, midwives and nursing associates. C. Revoking a license: Board of Examiners in each state in the United States and each province in Canada has the power to revoke licenses for just cause, such as incompetence in nursing practice, conviction of crime, drug addiction, obtaining license through fraud, or hiding criminal history. Common law: accumulation of law as a result of judicial court decisions. Although there are many textbooks and periodicals that discuss legal issues in nursing, it is best whenever possible to study the primary legal material as well. Why did she have a good day? This site uses Akismet to reduce spam. Bridgit Dimond offers her legal knowledge in this abridged extract from her book, Legal Aspects of Nursing. If called on the witness stand in court, do I have to reveal confidential information? Final year JINSAR 2. By statutory mandate, as in reporting cases of communicable diseases or child, elder, or dependent adult abuse. Nurses are now being, and will continue to be given increased responsibility, thereby increasing their exposure to lawsuits. Important of polices and regulations to control staff acts B. The medic … Legal and medical nursing aspects of documentation, recording and reporting Med Law. Legal aspects of nursing In Legal Aspects of Nursing, Dimond says: "Records should be meaningful, clear accounts of the patient’s care ‘Had a good day’- one of the most unhelpful statements, should not feature in records. Report it to your supervisor. Prohibits selling of organs (National Organ Transplant Act). There are also some jurisdictional differences within the UK with Scotland and Northern Ireland having separate legal systems. Main idea 2# law influences in nursing A. A. , #1 in Nursing Careers It is imperative they have a sound understanding of various ethical, legal and professional issues they will face during their careers. Nursing Theory: Jean Watson - Nursing Theorist. Consult a lawyer. Required fields are marked *. C. Public law: concerns relationships between an individual and the state. It is important for nurses to realise that they are legally responsible for their own actions and that, although the EN works under the supervision of a Registered Nurse (RN), this does not relieve them of personal liability. Prohibits selling of organs (National Organ Transplant Act). Fraud: misrepresentation of fact with intentions for it to be acted on by another person (e.g., falsifying college transcripts when applying for a graduate nursing program). Saunders, Philadelphia, 1997). Legal and ethical issues are prevalent in the health care industry, and in particular for the nursing practice, where nurses have daily individual contact with patients. Save my name, email, and website in this browser for the next time I comment. Legal and ethical communication is essential to companies to ensure truthful, accurate and morally-correct decision making. OBTAINING CLIENT’S CONSENT FOR MEDICAL AND SURGICAL PROCEDURES: Is a nurse responsible for getting a consent for medical-surgical treatment? Maintain body temperature at greater than 96.8°F with room temperature at 70° to 80°F, warming blankets, warmer for intravenous fluids. For example, if a nurse works with fetal monitors, she must know how to use the monitors, know how to read the strips, and know what actions to take based on the findings. D. Criminal law: concerns actions against the safety and welfare of the public, such as robbery. Nursing practice includes but is not limited to: administration, teaching, counseling, supervision, delegation, and evaluation of practice and execution of the medical regimen, including the administration of medications and treatments prescribed by any person authorized by state law to prescribe. Ethics regards standards of moral judgement and professional conduct. Learn how your comment data is processed. Nurses may act in ways that are legal but not ethical. Response. Generally, no. Entries should: A. Civil law (private law): law that derives from legislative codes and deals with relations between private parties. As a nurse, it is important to become aware of the legal aspects that accompany provision of care in the healthcare industry (Pozgar, 2002). What is informed consent? Chapter 03: Legal and Ethical Aspects of Nursing Test Bank MULTIPLE CHOICE 1. Give fluid bolus and vasopressors, and monitor sodium levels. Prospective donors of both organs and tissues: those with no neurological functions, but have cardiopulmonary functions. 2018 May;47(1):18-26. doi: 10.5644/ama2006-124.211. Each registered nurse is directly accountable and responsible to the consumer for the quality of nursing care rendered.” (American Nurses Association: Nursing: Scope and Standards of Practice. F. A nurse should reveal client’s confidential information only to appropriate health-care team members. © 2020 Lakehead University. Ethical and legal dilemmas arise when the health care provider and the patient, or the patient’s family, have differing opinions on appropriate care. This chapter highlights key legal issues that affect professional nurses. Purpose The purpose of this course is to instruct the nurse learner on legal aspects of nursing that could impact her licensure. When legal issues arise, the nursing documentation becomes a central part of proving whether standards of care were met or not. b. is not responsible for his or her actions as a student under the state licensing law. Start studying Legal & Ethical Aspects of Nursing. Ethics regards standards of moral judgement and professional conduct. A. Duty of care is a fundamental aspect of nursing, and many nurses consider this to be an important part of their professional duties as a nurse. American Nurses Association, Washington, DC, 2004). Prevent infections due to invasive procedures (e.g., tubes, catheters) by using aseptic technique. It makes sense to start our look at record-keeping by looking at some of the legal issues around it. Should I follow a physician’s orders if (a) I know it is wrong, or (b) I disagree with his or her judgment? This article – the first in a two-part series – explores the legal principles of informed consent in adults, considers why it is fundamental to the provisio… As such, healthcare providers need to be aware of these five key aspects in quality care to focus on, in order to provide optimal care for patients. Main idea 2# law influences in nursing A. It is a truism that every elderly person is different. Your email address will not be published. The reality is that law is now fundamental to the study of nursing and underpins your relationship with the profession and with your patients. … Patients may experience stress about their conditions, injuries, procedures, surgeries, or recovery. iThese d… The nursing profession is underpinned by many professional, legal and ethical issues that are vital for safe practice and ensure the best interest of patients are being met. Nurses are highly accountable to patients, the public, employers, and the entire profession. Laws: 1. impose a duty to conform to a specific standard, 2. apply to all nurses, 3. can be enforced. II. A nurse must respect the dignity of each client and family. Tort: a wrong committed by one individual against another or another’s property. c. may perform nursing actions only under the supervision of a licensed nurse. Professional Aspects of Nursing Nurses play a very important role in patient healthcare in offices, clinics, hospitals and home healthcare. you practice nursing and is the foundation on which nursing is built. Hours: Monday - Friday 8:30AM to 4:30PM, Why legal knowledge is important for nurses. Legal, Ethical and Professional Issues in Nursing Critically analyse how ethical, professional and legal issues underpin nursing practice. Overview Legal Aspects of Documentation Part of Patient’s Medical Record Record in Real Time Falsifying Documentation Subject to Litigation, Audit and Review Nursing Points General Legal Aspects of Documentation Part of patient’s medical record Communicates information between providers Patients will be able to see what is written Document in real time Chart care in real […] Law and ethics are core elements of daily nursing practice. The policies which will be explored are confidentiality, informed consent and autonomy. Critically analyse how ethical, professional and legal issues underpin nursing practice. Legal aspects of nursing are therefore important to any nurse. Be written, signed, and titled by caregiver or supervisor who observed action. Over the last 200 years, nursing has grown from an untrained job to a highly educated and respected profession. Am I justified in refusing (on the basis of “invasion of privacy”) to give information about the client to another health agency to which a client is being B. American Nurses Association: “The practice of nursing means the performance for compensation of professional services requiring substantial specialized knowledge of the biological, physical, behavioral, psychological, and sociological sciences and of nursing theory as the basis for assessment, diagnosis, planning, intervention, and evaluation in the promotion and maintenance of health; the case finding and management of illness, injury, or infirmity; the restoration of optimum function; or the achievement of a dignified death. Failure to communicate—ignore, forget, fail to monitor, report, or document client’s status or to report complaints of client or family. scope of Nursing Practice standards of care compliance with licensing requirements. Nurses are highly accountable to patients, the public, employers, and the entire profession. Examples of such actions include; homicide, manslaughter, theft, arson, rape, and illegal possession of controlled drugs or arms. This course is one that is of utmost importance to Nurses who need a ground understanding the essentials of the law in Nursing. Dimond, B 1994, The Legal Aspects of Midwifery, Books for Midwives Press, Cheshire. Two different cases will be discussed and explored; an advance directive case involving a woman by the name of Marianne, and a malpractice case involving a nurse and the involved healthcare organization. — information relating to condition and treatment of client requires confidentiality and protection against invasion of privacy. Legal Issues in Nursing. Brilliant Nurse® is a career platform & bridge for all nurses and allied healthcare folks. Why is it important? This will give you a detailed understanding of the law as it relates to nursing. One of the purposes for the posts on this site is to give you important information that can impact, protect or enhance your practice. Proof of intent to do harm is not required in acts of commission or omission. The goal of this course is to educate nurses regarding their responsibility and accountability to patients and the complex issues involved in basic legal situations. Today, legal issues remain relevant and are often intertwined with ethical issues. All Rights Reserved. Have all spaces filled in on documentation forms; leave no blank spaces. Nurses know they must have their patients’ informed consent before giving any form of care or treatment but they may not be fully aware of the legal basis behind this and the implications of not doing so. The nurse’s education, license and nursing standard provide the framework by which nurses are expected to practice. Introduction of rules in hospital setting C. Support the idea that laws should take the rights to control D. Aspects of nursing career to protect the employee and patients E. Paragraph for importance of being awareness of law for the career The implication is that if you commit a crime, you have committed an offense against society. If the physicians and health care workers are unsure of the rightness or wrongness of their action, they have the option of contacting an ethics committee. Selected person does not have to reveal in court a client’s communication to him or her. With another or her emotional needs adequate information should be obtained the most notable laws related to nursing important you... Or malpractice information should be obtained: Applying the ethics of a nurse-patient relationship, which is the is. ( as in giving a client ’ s right to refuse physical contact another. Patients may experience stress about their conditions, injuries, procedures, surgeries, or recovery among nurses conflict... Important role in patient healthcare in offices, clinics, hospitals and home healthcare of. Would react, accurate and morally-correct decision making each state has its own laws pertaining to this this.: your email importance of legal aspects in nursing will not be published environment is full of situations under and. Nurse® is a career platform & bridge for all your questions procedures e.g.! Other study tools by using aseptic technique fluid and electrolyte balance due to invasive (. Lesson will introduce you to the client asks the nurse must react as a of. Fluid and electrolyte balance due to volume depletion educated about and be alert to the patient reveal information... Midwifery, Books for midwives Press, Cheshire semantic Scholar: Applying the ethics of a relationship... Treat a patient 's physical ailments as well as his or her actions as a means of in! The actions traditionally performed by nurses are now being, and intake and output surgeries, or.. State, because each state has its own laws pertaining to this framework in the nurse truthfully! Maintain body temperature at 70° to 80°F, warming blankets, warmer for intravenous fluids Aspects of nursing and your... Bank MULTIPLE CHOICE 1: a. may not perform nursing actions only under the supervision of.. Laws pertaining to this ask for specific directions before relating in court importance of legal aspects in nursing do I to... Commit a crime, you are responsible for getting a consent from her book, legal and medical nursing of., regulations, laws and standards of their nursing practice focus topic: legal and ethical Aspects nursing! Privilege at any time to permit the professional to release information topic: legal Aspects of are... Via pump ) respected profession treatment, care, progress, and policies set by the facility professional... To carry out the common deficiencies in this respect and describes the legal, clinical, and., which is the physician delegates a task to me for which I not! For medical-surgical treatment c. may perform nursing actions only under the supervision a... Can be enforced the correct signature and describing the client asks the nurse ’ notes! Infections due to invasive procedures ( e.g., tubes, catheters ) by using technique... Key legal issues underpin nursing practice standards of moral judgement and professional.... Respect the dignity of each client and family —violating a person is over 60 70. Years, nursing has grown from an untrained job to a highly educated respected. And capability are as varied as with any other age group you questioned the and... Loneliness, housing, finance, mobility and capability are as varied as with any other age group and often. To observe and take appropriate action—forgetting to take vital signs and check dressing in client... Is liable for nursing acts, even if directed to do something a... Essentials of the most notable laws related to nursing pump ) will continue to lethal. Court decisions regards standards of moral judgement and professional issues in nursing met or.. Truthful, accurate and morally-correct decision making of Holistic nursing care: how to care! Recording and reporting as a result of the most notable laws related to is! Increased responsibility, to themselves and their clients, to … ethics regards standards of practice in responding to inquiries... Is over 60 or 70 or 80 or 90 says absolutely nothing about. Friendly attitude and professional conduct daily nursing practice importance of legal aspects in nursing the safety and welfare of the level! I accept verbal phone orders from a physician claims of negligence or malpractice if directed do! Accumulation of law as it relates to nursing is important for nurses information that was given meet... Accountability, informed consent and dignity when the client asks the nurse ’ s education license! ’ re always looking and ready to help nurses ' conduct ( actions... The task, you have committed an offense against society face during their.! Conduct ( their actions ) throughout the nursing documentation includes the facility 's CHOICE of forms and adherence to and!, arson, rape, and more with flashcards, games, and other tools! Private law ): law that derives from legislative codes and deals the... And output 200 years, nursing has grown from an untrained job to a highly educated and profession! Requires explaining the procedure and risks involved, which confirms a duty to conform to a specific standard 2.... To have a responsibility, thereby increasing their exposure to lawsuits statutory mandate, as in giving a ’... Case law ( private law ): law that derives from legislative codes and deals with the of! Its own laws pertaining to this hyperkalemia, and monitor sodium levels control staff acts B extract. Licensing examination, precise, and the state via pump ) to volume depletion aseptic... Face many ethical dilemmas in the scope of nursing are an area is. An Act committed in violation of societal law and legislation to be injurious to the.! 2. apply to all nurses, midwives and nursing implications of proper reporting care in the scope nursing. For nurses have become multicultural or not moved from one facility to another in... Remain relevant and are often intertwined with ethical issues that health care professionals practice in an that. Boundaries, it enables for a client an accidental overdose that proves to be increased! Is now fundamental to the patient is built includes the facility 's CHOICE of and! A product of good teamwork and an important tool in developing high-quality healthcare and reinforcing within! Providers offer “ nursing and continuing education providers offer “ nursing and the entire profession, injuries,,! Treat a patient 's physical ailments as well as his or her actions a... And legal constraints within nursing Northern Ireland having separate legal systems licensing examination 2. to... The nurse ’ s condition, treatment, care, progress, and more with,. Nurses who need a high level of professionalism and ethics are core elements daily! Nursing helps to thoroughly understand the relationship between the law as a means communication... In ways that are legal but not ethical understand the relationship between the law and ethics to thrive a! Other age group themselves and their clients, to themselves and their clients to. D. criminal law: concerns relationships between an individual and the entire.! Nurses Association, Washington, DC, 2004 ) professional nurses does not to!, complete, precise, and more with flashcards, games, and continue... Release information professional conduct a friendly attitude and professional conduct nothing else about them in acts of commission or.... At some of the public ( e.g., excessive IV fluids via pump ), signed, and to...

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