Nsg 500 Code of Ethics, Nsg Law

8/4/2019 Nsg 500 Code of Ethics, Nsg Law

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COMMON MALPRACTICES IN THE HOSPITAL

By: AIZA MURILLO TOLEDO, B.S.N, R.N and LORY MAE ESPERA SARMIENTO,B.S.N, R.N

HOSPITAL RULES:

ISSUE NO 1. Nurses & Volunteer Nurses cleaning the hospital. Ex Moping the floor,

scrubbing the wall, cleaning the windows and putting curtains.

Philippine Nursing Act (R.A 9173) Sec 28: Scope of Nursing.- As

member of the health team, nurses shall collaborate with other health

care providers for curative, preventive, and rehabilitative aspects of

care, restoration of health alleviation of suffering, and when recovery is

not possible, towards peaceful death. It shall be the duty of the nurse

to:

a.) Provide nursing care through the utilization of nursing process.

b.) Establish linkage with the community resources and coordination with the

health team.

c.) Provide health education in individuals, families, and communities.

d.) Teach, guide and students in nursing education programs

e.) Undertake nursing and health human resource development training and

research

ISSUE NO. 2 Nurses working for more than 8 hrs. and are paid 200p per day.

Republic Act 5901, Nurse working in agencies with 100 bed capacity

and/or above and or working in an area of one million population are

supposed to work only forty hours per week.

WARD:

ISSUE NO.1 Doctors not doing the daily rounds to check patients.

ISSUE NO.2 Nurses prescribing meds with/without the physicians signature

Republic Act 6675, Only valid registered medical, dental, and

veterinary practitioner, whether in private institution/corporation or in

the government, are authorized to prescribed drugs.


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ISSUE NO.3 Prescription made by nurses do not contain complete in formations.

Republic Act 5921. The pharmacy Act as amended, all prescriptions

must contain the following information: Name of the prescriber, office

address, professional registration number, professional tax receipt,

patients name, age, sex, and date of prescription.

ISSUE NO.4 Physicians prefer to order imported brand/type of medicines. Ex.

(KEFOX) 750, IVTT, q 8, KEFOX is a brand name for Cefuroxime.

Republic Act 6675. Requires that drugs be written in their generic

names

ISSUE NO.5 Multiple use of disposable syringes.

Legal Aspect of a Nurse (Legal Risk for Defective Equipment) One

important duty of the nurse is to make sure that the equipment used in

the procedures and treatment is not defective. She should documentthe times she requested these to show that she was able to foresee

the improper functioning of the equipment which might cause possible

injury to patients.

ISSUE NO.6 Keeping of regulated drugs such as: Diazepam (Valuim), Lorazepam

(Ativan), Xanor, and etc.

Republic Act 6425 Known as Dangerous Drug Act 1972 covers the

administration and regulation of the manufacture, distribution, and

dispensing of controlled drugs.

ISSUE NO. 7 Nurses giving unnecessary meds as prescribed by physician. Ex:

Cefuroxime 750mg +Ranitide 1amp to Hypertensive-Diabetic client without any

complaints or s/s of infection. Doctor use to do this to reach a desired quota

required by a specific company as an exchange of something in return.

Republic Act 9173 Art.III Sec. VIII, Registered Nurses are the advocates

of the patients; they shall take appropriate steps to safeguard their

rights and privileges.

ISSUE NO.8 Requesting irrelevant labs

Republic Act 9173 Art.III Sec. VIII, Registered Nurses are the advocates

of the patients; they shall take appropriate steps to safeguard their

rights and privileges.

ISSUE NO.9 Volunteer Nurses Inserting I.V line without IVF training


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Board of Nursing Resolution No.8 states that any registered nurse

without such training and who administers intravenous injections to

patient shall be held liable, either criminally under Sec 30 (c) Art. VII of

said law or administratively under Sec. 21 Art. III or both (whether

causing or not an injury or death to the patient).

ISSUE NO.10 Volunteer Nurses Giving IVTT med without IVF training.

Board of Nursing Resolution No.8 states that any registered nurse

without such training and who administers intravenous injections to

patient shall be held liable, either criminally under Sec 30 (c) Art. VII of

said law or administratively under Sec. 21 Art. III or both (whether

causing or not an injury or death to the patient).

ISSUE NO. 11 Nurses taking doctors order via text message.

TELEPHONE ORDERS, It is in the interest of safety that only those who

have more experience and a greater knowledge of drugs should

receive the order. In these connection, there should be a clear hospital

policy that is within the bounds of the medical and the nursing laws

regarding telephone orders to avoid misunderstanding not only for the

individuals concerned but also for the hospital as well.

ISSUE NO. 12 Restraining patients without consent.

ISSUE NO. 13 Raising side rails without consent.

ISSUE NO. 14 Nursing Aides inserting a urine catheter

LIABILITY OF NURSES FOR THE WORK OF NURSING AIDES, Nurses

should not delegate their functions to nursing aides since the Philippine

Nursing Act specifies the scope of nursing practice of professional

nurse.

ISSUE NO. 15 Nursing Aides giving suppository meds. Via vaginal & rectal.

LIABILITY OF NURSES FOR THE WORK OF NURSING AIDES, Nurses

should not delegate their functions to nursing aides since the Philippine

Nursing Act specifies the scope of nursing practice of professional

nurse.

ISSUE NO. 16 Nurses charting interventions which were not done .

MEDICAL RECORD, The value of medical record is both scientific and

legal. In the performance of their duties, nurses are expected to record

fully, accurately, legibly, and promptly their observation from

admission to the time the patients discharge.


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EMERGENCY ROOM

ISSUE NO.1 Doctors and Nurses not responding promptly to patients without down

payment.

CODE OF GOOD GOVERNACE (General Principle). SRVICE TO OTHERS,

This implies a commitment to a life sacrifice and genuine selfishness in

carrying out their professional duties even at the expense of personal

gain.

ISSUE NO.2 Referring patients to other hospitals without proper endorsement from

the nurse who brought the patient, and the nurse who will received the patient.

ISSUE NO.3 Transporting patient via tricycle or taxi, if patient cannot afford to pay

the ambulance

DELIVER ROOM and OPERATING ROOM

ISSUE NO.1 Maltreatment of doctors and nurses to the patient Ex. (shouting to

patient, hitting the patient)

TORT(Defamation) Slander is an oral defamation of a person by

speaking unprivileged or false words by which his reputation is

damaged.

TORT (Battery) is an intentional, unconsented touching of anotherperson.

ISSUE NO.2 Not wearing the appropriate uniform at the sterile area. Ex (Doctor,

checking the patient at Delivery room without changing uniform)

Documents

Nsg 500 Code of Ethics, Nsg Law