2) Fault – wrongful acts result from imprudence,
▪︎Writ – legal notes from the court negligence, lack of skills or foresight ‣ Subpoena – an order in the court ▪︎Criminal Negligence • Subpoena Tecum (papers) – documents, objects, • Reckless Imprudence – person does an act or fails to do it materials or chat brought in the court voluntarily but w/o malice, form which damage the results • Ad Testificandum (person) – testify as witness at a immediately specified time & place • Simple Imprudence – did not use precaution & the damage ‣ Summon – writ commanding an authorized person to was not immediate or the impending danger was not evident notify a party to appear in the court to answer a complaint or manifest made against him STAGES OF EXECUTION (p.3) ‣ Warrant of Arrest – a court order to arrest or detain a person ‣ Search Warrant – a court order to search for properties 1. Consummated All elements were executed with successful result
PROCEDURE IN A LAWSUIT (p. 1-2)
1. Commencement of the Action 2. Frustrated All elements were executed 2. Pleading but no successful result 3. Pre-trial 4. Trial Not all elements were 5. Execution 3. Attempted executed & no successful result CRIMES & OTHER ACTS (p. 2-3) ▪︎Crime – an act committed or omitted in violation of the law Two Elements: LEGAL CONCEPTS & ISSUES IN NURSING • Criminal Act ▪︎Liability – an obligation or dept that can enforce law • Evil/Criminal Intent A person who is liable for malpractice is usually require to ▪︎Criminal Action – state seeks the punishment of the pay for damages wrongdoers ▪︎Damages – refer to compensation on money recoverable for • Acts or offenses against public welfare loss of damages • Misdemeanor – offenses or acts less than felony • Felony – public offense committed with deceit & fault ILLEGAL DETENTION (p. 4) Deceit – acts is performed with deliberate intent ▪︎Unjustifiable detention of a person without legal warrant • Regulated – can use this drug with appropriate Occurs when a person is not allowed to leave a health prescription of MD with license care facility when there is no legal justification to detain S2 prescription/yellow prescription the client Valium, Dormicum Occurs when restraining devices are used w/o an ▪︎Penalty for violating the act appropriate clinical need • For licensed health care provider: 1.Fines INVASION OF PRIVACY (p. 4) 2.Imprisonment ▪︎Intrusion to someone’s freedom from unwanted publicity, right 3.Automatic revocation of license to be left alone & right to live one’s life Nurse liable if they divulge any information from patient’s NURSES & CONTRACT (p. 4-5) chart to improper or unauthorized persons ▪︎Types of Contract: ▪︎Violation to right of privacy: • Formal – agreement among parties & is required to be in • Intrusion into a person’s private affairs writing by special laws • Public disclosure of embarrassing private parts (body) Marriage, Deed of Sale • Publicity which places the plaintiff in a false light in the • Informal – concluded as a result of written document public eye where the law does not require the same to be in writing ▪︎A nurse can reasonably intrude on one’s privacy in the ▪Tort – it provides a remedy in the form of money damages for following cases: an injury to a person caused by the conduct of another • Endorsing to other members of health team A patient who is suffering paralysis after a nurse • Clients agree to release information & signs a consent performs an IM injection in the gluteal area can sue • Communicable disease under the tort law • Crime-related events • Types: 1.Unintentional – do not require intent but do require the ANTI SEXUAL HARASSMENT ACT (RA 7877) (p. 4) element of harm ▪︎Any person who exercise authority Negligence, Malpractice ▪︎Asking sexual favor in exchange of another favor 2. Intentional – the act was done on purpose or with intent; DISPENSING OF PROHIBITED DRUGS no harm, injury or damage is needed to be liable ▪︎RA 6425 (9165) – Comprehensive Dangerous Drug Act if 2002 • Prohibited – chemical or substances that are totally & NEGLIGENCE (p. 5) absolutely can’t be consumed by human being ▪︎Types of Negligence: Shabu, Cocaine, Cannabis • Commission – wrong doing • Omission – total neglect of care; didn’t do anything ▪︎Elements of Negligence: (4D’s) • Sound mind • Duty for nurse ▪︎Who could be the witness? • Dereliction (Breach of Duty) • Not blind, deaf or intellectual disable • Damages as result • 18 years old & above • Direct result (injury, harm or death) • Sound mind ▪︎Examples: • Able to read & write Burns resulting from hot water bags, heat lamps, vaporizers, sitz bath MEDICATIONS & PRESCRIPTIONS (p. 13) Objects left inside the patient’s body (sponges, suction ▪︎Only registered medical, dental, and veterinary practitioners are tips) authorized to prescribe drugs Falls of the elderly, confused, unconscious, sedated ▪︎Prescription information (based on RA 5921 of Pharmacy Act) patients – all prescriptions must contain the following information: Falls of children whose bed rails were not pulled up & ✓ Name of MD, PTR, PRC#, Location of clinic/hospital locked ✓ Name of patient, age, sex Mistaken identity – drug given to the wrong patient ✓ Information about drug – frequency, duration Wrong medication, wrong concentration, wrong route, ✓ Generic & brand name in prescription wrong dose RA 6675 – Generics Act of 1988 Defects in the equipment All prescribed drug must be written in generic and brand names or generic name but never the brand name alone MALPRACTICE (p. 6) Purpose: For the patient to choose what brand they prefer ▪︎Doing acts or conducts that are not authorized or licensed or ▪︎Know rights in giving medications competent or skilled to perform, resulting to injuries or non- ▪︎Proper identification of patient’s name injurious consequences ▪︎In cases of doubts and errors in medication, refer to the ▪︎Stepping beyond one’s authority physician ▪︎Negligent act committed in the course of professional ▪︎Special training is required before a nurse can administer IV performance injection ▪︎RN exceeding the scope of nursing practice & does an MD’s BON Resolution No. 8 – states that who administers IV job injection without training shall be held liable whether causing or not an injury or death to the patient NURSE AND WILL/SUCCESSION (p. 7) ▪︎Who makes the wills? RESTRAINTS & SECLUSION (p. 13-14) • Those not expressly prohibited by law ▪︎Reminders on the use of restraints: • 18 years old & above • R – equires physician’s order; consent • E – mergency, get MD’d order ASAP • S – hortest duration, least restrictive type • T – o protects patient & others • R – enew order every 24 hours • A – ssess every 15-30 minutes & documents • I – ndividualized supervision • N – ever used as a punishment • T – otal documentation • S – eclusion as last step ▪︎Alternatives to restraints: • Before restraints offer explanations, ask someone to stay with the clients, use clocks, calendars, TV & radio (to decrease disorientation) or any relaxation techniques • Use less restrictive methods first. Restraints should always be the last • Assign confuse & disoriented clients to rooms near the nurse’s station
DOCUMENTATION (p. 14)
▪︎Legal considerations in charting: • Don’t tamper with medical records – (ARD): adding, rewriting & destroying original record • Observe agency’s standard on documentation ✓ Complete, concise, specific, use standard abbreviation