University:
Chamberlain University
Course:
NR-327 | Maternity
Academic year:

2021
Views:

383

Pages:

9
Author:

folclord7m

Clicker Check A pregnant patient has been receiving care in the maternalchild clinic. During labor the fetus demonstrates signs of distress. Which nursing professional is best A. RN to provide care? suited B. NP C. CNS D. CNM Clicker Check (continued_1) Correct answer: D The CNM is educationally prepared to provide care during the labor and delivery process. The NP provides care during pregnancy and after delivery. The RN and CNS would provide support; however, they are unable to prescribe medications or actively deliver the baby. Legalities and Ethics  Be aware of state laws regarding care  Nurses who do not meet expected standards can be held legally responsible  Adhere to the scope of practice • Scope of practice: Legal outline of nursing functions according to state laws • Determined by licensing state Legalities and Ethics (continued_1)  Delegation • Delegator must know scope of practice of person carrying out task • Delegator assumes responsibility for appropriateness of delegated activity • All boards of nursing in US have information on their websites about state laws and rules that govern nurses’ practice Legalities and Ethics (continued_2)  Use three steps to determine if task is appropriate for delegation: 1. Clarify what the specific activity/task is by defining all aspects of issue 2. Review legal standards of task 3. Decide if the above elements support or reject the delegated action or task Legalities and Ethics (continued_3)  Standards of care: • Definition: model of established practice as correct way to provide care • Guidelines used to determine nursing actions • Identifies knowledge, skills, attitude, and judgment needed • Defined by federal and state laws and professional organizations Legalities and Ethics (continued_4)  Standards of care (continued): • Association of Women’s Health, Obstetric, and Neonatal Nurses (AHHONN) established standards for maternity/newborn care • Society of Pediatric Nurses establishes standards for care of children and families Legalities and Ethics (continued_5)  Institution Policies • Nurses held accountable for upholding agency or health-care institution policies • Policy and procedures handbook: ‒ Outlines how care is to be provided ‒ Provides specific guidelines ‒ Following policy and procedures will prevent errors and promote safe patient care Evidence-Based Practice  Nursing care in which all interventions are based on current valid research evidence  Nursing research in practice at the bedside  Uses scientific studies to answer why interventions should be changed when providing care

Roles in Maternal-Child and Pediatric Nursing Answer Key

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