Clinical nurse leader

Doctor of nursing practice

a masters degree educated RN who's assumes accountability for client care outcomes through the assimilation and application of the research-based information to design, implement, and evaluate client plans for care. The CNL is a provider a manager of care at the point of care to individuals and cohorts or populations. The CNL designs, implements, and evaluates client care by coordinating, delegating, and supervising the care provided by the healthcare team, including licensed nurse, technicians, and other health professionals

a practice focused doctoral degree in nursing. The degree that is recommended by the American Association of colleges of nursing for all advanced practice nurses by 2015.
Advanced practice nurse who possesses expertise in a defined area of nursing practice for a selected client population or clinical setting. The CNS functions as an expert clinician, educator, consultant, researcher, and administrator
A specially trained professional that addresses the humanistic and holistic needs of patients, families, and environments and provides responses to patterns and/or needs of patients, families, and communities to actual and potential health problems. The professional nurse has diverse roles, such as healthcare provider, client Advocate educator, care coordinator, primary care practitioner, and change agent

clinical nurse specialist

Professional nurse

Competency outcomes-

the results or end product of planned study and experiences that are focused on specific abilities required for practice

Contemporary issues-

the problems, changes, and concerns that are current for the present time

Core competencies-

the essential cluster of abilities and skills required for competent nursing practice

Educational mobility.

- the progressive movement for one type or level of education to another, often based on flexible, self directed, or advanced placement options. Examples are progression from diploma preparation to an academic degree such as RN to BSN or MSN; bSN to doctoral degree; or non-nursing degree to BSN, MSN, or doctoral degree shifts and conditions and concerns that emerge from and influence various aspects of society; broad changes in the United States and the world that influence the education and practice of nurses and other providers.

Education trends-

Performance examinations-

accreditation-

Standardized evaluation based on objective demonstration of specific required competencies; used in conjunction with written test of knowledge about those abilities. They may require performance in actual or simulated situations, related to physical psychomotor skills or the observable evidence of other skills such as critical thinking, communication, teaching, planning, writing, or analyze and integration of data. Voluntary process by which schools of nursing are approved to conduct nursing education programs.

Advanced practice nurse

Legal tile for nurses prepared by education and competence to perform independent practice.

American nurses Association

Professional organization that represents all registered nurses.

American nurses credentialing Center-

An independent agency of the American nurses Association that conducts certification examination and certifies advanced practice nurses.

Certification.

- Process by which nurses are recognized for danced education and competence.
-Recognizes excellence in practice

-Awarded by nongovernmental agencies -American Nurses Credentialing Center

Compact state-

a term of law. In the text of nurse licensure compact, is state that has established in agreement with other states allowing nurses to practice within the state without an additional license. The Interstate compacts are enacted by the state legislatures

Commission on collegiate nursing educationContinued competency program.

a subsidiary on the American Association of colleges of nursing with responsibility for accrediting bachelorette and high degree nursing programs.

a variety of initiatives to ensure nurses knowledge, skills, and expertise beyond initial licensure.

Grandfathered-.

statutory process by which previously licensed persons are included without further action in revisions or additions in nursing practice acts

International Council of nursing-

professional organization that represents nurses in countries around the world.

Licensure by endorsement-

the original program whereby nurses licensed in one state seek licensure in another without repeating examinations. The requirements are included in state nurse practice acts or accommodating rules and regulations.

Mandatory continuing education-.

educational requirements imposed by individual states for renewal of a license

Mutual recognition of nursing-

Program developed by the national Council of State boards of nursing Incorporated. The nurse licensure compact program establishes interstate compacts so that nurses license in one jurisdiction may practice in other compact state without duplicate licensure

National Council of State boards of nursing-

Organization whose membership consists of the board of nursing of each state or territory.

National League for nursing-.

Professional organization whose members represent multiple disciplines. The National League for nursing conducts many types of programs, included accrediting nursing education programs

Statute in each state and territory that regulates the practice of nursing

Nurse practice act-.

State Board of nursing-

appointed board within each state charged with responsibility to administer the nurse practice act of that state.

Sunset legislation

- Statutes that provide for revocation of laws if not reviewed and renewed within a specified time period.

Accountability

- being responsible for one's action; a sense of duty and performing nursing tasks and activities.

Advance directives-

written or verbal instructions created by a patient describing specific wishes about medical care in the event he or she becomes incapacitated or incompetent. Examples include living wills and durable powers of attorney.

Case law

body of written opinions created by judges in federal and state appellate cases; also known as judge made law and common law.

Civil law.

a category of (law tort) law that deals with conduct considered unacceptable. It is based on societal expectations regarding interpersonal conduct. Common cases of civil litigations include professional malpractice, negligence, and assault and battery. - issues between individuals

Common-law

Law that is created through the decision of judges as opposed to walls intact by Legislative bodies (i.e., Congress). -basis for many laws in the U.S., decisional or judge-made laws

Criminal negligence .

negligence that indicates "reckless and wanton" disregard for the safety, well-being, or life of an individual; behavior that demonstrates a complete disregard for another, such that death is likely

Damages.

monetary compensation the court orders paid to a person who has sustained a loss or injury to his or her persons or property through the misconduct (intentional or unintentional) of another

Defendant

the individual who is named any persons (plaintiff's) complaint as responsible for an injury; the person who the plaintiff claims committed a negligent act or malpractice.

Disclosure

a process in which a patient's primary provider (physician or advanced practice nurse) gives the patient, and when applicable, family members, complete information about unanticipated adverse outcomes of treatment and care.

Durable power of attorney for healthcare Error.

an instrument that authorizes another person to act as one's agent in decisions regarding health care if the person becomes incompetent to make his or her own decisions

a failure of a planned action to be completed as intended or the use of a wrong plan to achieve a specific aim.

Gross negligence

a legal concept that means extreme carelessness showing willful or reckless disregard for the consequences to a person (patient).

Immunity

legal doctrine by which a person is protected from a lawsuit for negligent acts or an institution is protected from a suit for the negligent acts of its employees.

Liability

- being legally responsible for harm caused to another person or property as a result of one's actions; compensation for harm normally is paid in monetary damages.

Licensing laws.

Laws that establish the qualifications for obtaining and maintaining a license to perform particular services. Persons and institutions may be required to obtain a license to provide particular Healthcare Services

Malpractice

Failure of a professional to meet the standard of conduct that a reasonable and prudent member of his or her profession would exercise in similar circumstances that results in harm. the professional misconduct is unintentional

Negligence

Failure to act in a manner that an ordinary, prudent person (either a layperson or professional) would act in similar circumstances, resulting in harm. The failure to act any reasonable and prudent manner is unintentional

Plaintiff.

the complaining person in a lawsuit; the person you claims he or she was injured by the acts of another.

Preventable adverse event

an injury caused by medical management rather than the patient's underlying condition. An adverse events attributable to error is a preventable adverse event.

Punitive damages-

monetary compensation awarded to an injured person (patient) that goes beyond that which is necessary to compensate for losses (the ability to function, death, income), and is intended to punish the wrongdoer

Res ipsa loquitur

- legal doctrine applicable to cases in which the provider (the physician) had exclusive control of the events that resulted in the patient's injury; the injury would not have occurred ordinarily without a negligent act; a Latin phrase meaning "the thing speaks for itself."

Respondent superior

legal doctrine that holds an employer indirectly responsible for the negligent acts of employees carried out within the scope of employment; the Latin phrase meaning "let the master answer."

Risk management

process of identifying, analyzing, and controlling risk posed to patients; involves human factors and incidents analysis, changes in systems operations, and loss control and prevention

Sentinel even

as defined by the joint commission, an unintended adverse outcome that results in death, paralysis,coma, or other major permanent loss of function. Examples of Sentinel events include patient suicide while in a licensed healthcare faculty, surgical procedure on the wrong organ or body side or a patient fall.

Standard of care .

in civil cases, the legal criteria against which the nurses (and physicians) conduct is compared to determine whether a negligent act or malpractice occurred; commonly defined as the knowledge and skill that an ordinary, reasonably prudent person would possess and exercise in the same or similar circumstances. - law enacted by legislative body; separate from Judge made or common law. -laws formally created by the U.S. Congress or individual states

Statute or statutory law

Strict liability

a legal doctrine sometimes referred to as absolute liability, that can be imposed on a person or entity (a hospital) without proof of carelessness or negligence.

Vicarious liability

legal doctrine in which a person or institution is liable for the negligent acts of another because of a special relationship between the two parties; a substituted liability

American Academy of Nursing

The organization of leaders in all facets of nursing: practice education, administration, research, organizations, and government; the think tank of the profession; promotes advancement of aspects of nursing; publishes position papers, conference proceedings, and documents of advance nursing.

Florence Nightingale
Criminal law

-Studied nursing at Kaiserwerth School in 1851- 1853. -Upon graduation, she became superintendent of a charity hospital for ill governesses. -In 1854, she and 38 other nurses took care of British soldiers who were injured in the Crimean War in Turkey

public concerns against unlawful behavior that threatens society

STATE NURSE PRACTICE ACTS

-Defines

professional nursing practice

-Sets licensure educational qualifications, continuing education, renewal requirements -Determines legal titles and abbreviations -Provides for disciplinary action when needed -Defines responsibilities and authorities of state boards of nursing -Purpose: to protect the health and safety of citizens -National exam administered by the National Council of State Boards of Nursing -NCLEX-RN or NCLEX-PN -Computerized testing (CAT) -Some states issue separate licenses for APN -Mutual recognition model allows interstate practice without another license (telehealth)

LICENSURE EXAMINATIONS

Tort

-civil wrongs against a person, intentional or unintentional, must result in physical, emotional, or economic harm

CATEGORIES OF MALPRACTICE

-Failing to carry out medical orders -Incorrectly carrying out an order -Implementing a faulty order -Failing to make an accurate assessment -Failing to act on an assessment -Failing to report inadequate patient care -Failing to secure adequate care for a patient -Abandoning a patient needing care -Applies to acute and long-term care facilities that receive Medicare and Medicaid funds -Encourages patients to consider which lifeprolonging treatment options they would like if they become unable to communicate at a later time -Advanced directives written instructions, living wills, including DNR orders -Nurses have an absolute duty to respect the DNR order. -No patient is required to execute an advance directive -Facilities must provide written information about their rights under state law -Must educate staff and community about advance directives -Must document in medical record whether the patient has an advance directive

PATIENT SELFDETERMINATION ACT

Assault
Battery

-threat or an attempt to make bodily contact with another person without the persons consent, produces fear

impermissible, unprivileged touching by one person of another, assault is carried out