education. Hunt suggests that in order to liberate nursing from its "technocratic impasse" ethics should be broadly interpreted as an arena of new ideas which can change professional hierarchies, to open cross-disciplinary discussions, and question the concepts "abnormality", "patient" and " illness". He also declares that nursing, not as a biomedical branch, but as a science and art of caring, is able to start the redefinition of research in health care which was in the recent history dominated by the biomedical "paradigm". Bibliography 1. Johnstone M. Bioethics. A Nursing Perspective. 5th edition Churchil Livingstone Elsevier, 2009. 2. Kilpi H., Tuomaala U. Research Ethics and Nursing Science: an empirical example. Journal of Advanced Nursing, 1989;14: 451-458. 3. Clarke J. Moral dilemmas in Nursing Research. Nursing Practice, 1991;4(4): 22-25. 4. Oddi L.F., Cassidy, V.R. Nursing Research in the U.S.: the protection of human subjects. International Journal of Nursing Studies, 1990;27(1): 21-34. 5. Burns N., Grove, S.K. The practice of nursing research: Conduct, critique, and utilization 5th ed. St. Louis, MO: Elsevier/Saunders, 2005. 6. Watson A.B. Informed Consent of special subjects. Nursing Research,1982;(1): 43- 47. 7. Royal College of Nursing, Ethics related to Research in Nursing, London,1977. 8. ANA (1985) Code of Ethics for Nurses. Encyclopedia of Nursing & Allied Health. Available at: www.enotes.com/nursingencyclopedia/code-ethics-nurses.Αcessed on 1-7-2010. 9. Burnard P., Chapman C. Professional and Ethical issues in Nursing. 3rd edition, Bailliere Tindall, 2005. 10. Armiger B. Ethics in Nursing Research: Profile, Principles, Perspective. Nursing Research Describe how current and future healthcare trends will impact legal and ethical issues in nursing, patient care technicians, social workers, and office personal. ò Describe “best practices” that protect your license and position, influence quality of care and reduce risk. ò Examine medical malpractice cases and the impact on the nurse and the various roles in the acute, long term care & outpatient setting. Current and future healthcare trends ò Role of nurse continues to expand & is influenced by many aspects. Trends Best Practices that protect your license, influence quality of care and reduce risk. School: Learn to obtain license After school: Learn to maintain/protect/keep license Medications ò Giving meds on time – not when convenient for nurse (Heparin, Antibiotics, and etc.) Giving med and scanning med at a later time. ò Proper wasting of narcotics ò 5 rights ò No over riding system unless absolutely necessary. ò Don’t cover up if medication error occurs. DNR ò Know your patients DNR status ò Legal order signed by the Doctor ò View original paperwork Patient confidentiality ò Never leave paper chart/computer screen in a public place ò Discuss contents only with persons directly involved in patient’s care or those authorized by the patient. They should be listed by name. (Don’t assume partners have access to information) ò Ask for ID prior to providing information ò Do not discuss pt or pts info in public, places, elevators, cafeteria, or at parties. ò Don’t view patient’s information not in your care: family; friends; celebrities and etc. Patient Falls & Restraints ò Among senior citizens, falls represent the 5th leading cause of death, and the mortality rate from falls increases significantly with age. ò Cases ò Failure to follow policy ò Failure to raise bedrails Criteria for Incident Reports ò Should be completed for any usual, unexpected, or unanticipated occurrences, and for any event which has or may have an adverse patient outcome. ò Patient falls ò Medication error ò Loss of valuables, belongings ò Equipment malfunction ò Property damage ò Near misses Incident reports Be Objective ò Do not blame or admit liability ò What did you do? ò Do not include names/addresses of witnesses ò Document time/name of medical provider ò Do not file in chart ò Do not write “incident report made” Proper handoff communication ò Required to properly “handoff ” your patients to another qualified professional. ò Tool SBAR: ò S=Situation: patient name, DOB, & medical