今日のノート 法律編
明日は看護に関係する法律についてのテストがあります。夕方の英語クラスではプレゼンがあり、水曜日は「申し送り」の口頭試験です。コースもあと残り1ヶ月となり、毎週のようにアセスメントがあります。今日は法律に関するノートから。Torts (law of civil wrongs)・negligence・defamation・bailment・consent・assault・false imprisonmentNegligence: -Civil law (Tort) -the omission to do something which a reasonable man would do or doing something which a reasonable man would not do. -involves a breach of duty to take care, resulting in damage.4D’s:1. Duty of care :to another person in your care2. Dereliction of duty------standard of care which is expected (failure to do the job) :actions fell below the expected standard of care3. Damage occurred to plaintiff(Pt: complaining) ( defendant (nurse)) :proven by medical record4. Direct cause of damage :the damage was directly caused by the nurse’s dereliction of duty-In order to prove negligence it is not necessary to prove an intention to cause harm.Breach of Duty of care-poorly managed complications-Misdiagnosis-Failure to listen to clients complaints-Failure to disclose risk of treatment-Failure to maintain client confidentialityDuty:ResponsibilityAccountabilityEthical behaviourHospital policyCompetenciesPatient AdvocateDefamation:-Actions that effect someone’s reputation (damage)a) Written = libelb) Verbal = slander*Must be seen or heard by another person to be provenBailment:-taking care of someone’s belongings or propertye.g. On admission / pre-ope Consent:-Every human being of sound mind and adult years has the right to determine what shall be done with his or her own duty.16years under = child “valid”“Valid consent”-must be given voluntarily. Freely given.-must be informed :the person must know risks, options and benefits.-must cover the act to be performed-must have the legal capacity ti give consent(mental status/age)Forms of consent-Verbal-Written-ImpliedAssault:-If you do something without consent; assault(Exceptions for mentally ill patient.)-to threaten someone by words or actionsーーーcause harm=BatteryFalse imprisonment:-The international restriction of another’s movements which is not agreed to by that person or not allowed by law.-you can’t physically force Pt. to stay in hospitalMechanical:tying to the chair, bed, locking door.Exceptions which can against Pt’s whish to discharge are:-Child protection-Quarantine-Mental Health-Criminal PatientsEveryone have to sign on the form if:-discharge against medical condition; Patient’s responsibilityChemical-sedationBehavioure.g. threatening, taking walking sticks away Report writing-objective-short concise-Black/blue Ink-Legible-Errors corrected by single line + initial-Use approved abbreviations-Don’t leave blank spaces-signature designationNUM- Nursing Unit ManagerNFR- Not For Resuscitation