Case Studies, Chapter 7, Legal Dimensions of Nursing Practice
1. As the team leader on the floor where you practice nursing, you are covering another RN’s group of patients while she is away at lunch. As you make your rounds, you notice her LPN (who is not certified for IV medication administration) administering a syringe of fluid via an IV line to a patient.
a. What data in the scenario are pertinent?
b. Is there a nursing practice violation? If so, what is it?
c. What regulations and/or standards address these issues?
d. How does licensure and certification apply to this case study?
e. What purpose would an incident report play in this scenario?
2. Your patient, a 22-year-old man, was involved in a motor vehicle accident and has spent a week in the ICU. He is restless, continually shedding his covers—even while being transported for diagnostic tests. Due to his condition, you have help in transporting him for his tests and engage in conversation regarding his evolving condition in the public elevator. While waiting for the scanner to be ready for him, the diagnostics nurse begin to ask questions regarding his condition while in the crowded, curtained holding area. After your clinical, you discuss your day of care in the nurses’ lounge while awaiting your classmates for your clinical wrap-up, using the patient’s room number as an identifier.
a. What data in the scenario are pertinent?
b. Applying what you know of patient privacy rights, were there potential violations committed in the case study? If so, outline the violations.
c. How could the violations have been avoided?
d. Were there actions committed in the case study that were successful in protecting the patient’s privacy rights? If so, what were they?
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- Find online and describe how to access the PA State Nurse Practice Act; list 3 skills within the PA RN scope of practice.
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