HESI PN FUNDAMENTALS PROCTORED EXAM

• HESI PN FUNDAMENTALS PROCTORED EXAM

VERSION 7

• • Nursing ethical principles

• Autonomy
• Beneficence
• Fidelity
• Justice
• Nonmaleficience
• Veracity

• Intentional torts

• Assault
• Battery
• False imprisonment

• Unintentional torts (didn’t intend to harm patient but you did)

• Negligence- forgetting to set the bed alarm for a fall risk patient
• Malpractice- medication error occurs that harms a patient

• Informed Consent

• Responsibility of the provider

▪ Purpose and complete description of procedure in patient’s primary language ▪ Risks vs. benefits ▪ Describe alternatives

• Responsibility of the nurse

▪ Make sure provider did give all info needed ▪ Patient is competent ▪ Patient sign consent document • If pt has further questions call provider and have them come back and explain things further BEFORE they sign the form • Advance Directives

• Living will
• Durable power of attorney (health care proxy)
• Provider’s orders- for DNR AND (allow natural death)
• Mandatory Reporting—must report suspicion of abuse

▪ Don’t wait just report it right away ▪ Report communicable disease to local and state departments 1 / 2

• Mandated by the state • Nursing Documentation

• Recording objective data

▪ Don’t include opinions and interpretations

• Recording subjective data

▪ Patient statement

• Legal guidelines for documentation

▪ Don’t leave blank spaces ▪ Never use correction tape or fluid or scratch out or black out words ▪ Include name and title on documentation • Incident reports

• When accident occurs (falls or med error)

▪ Used for quality improvement for facility (for hospital)

• Not part of the patients records and should not be referenced in the

patients record ▪ Need to document the incident and patient’s reaction and incidence report is for the hospital not for the patient’s medical record • Telephone Orders

o From provider: get a second RN on the call to listen also

• After provider says the order you FIRST want to read back the order to

the provider ▪ To ensure it is accurate

• Provider needs to sign off for order within 24 hours

• Information security

• HIPAA
• Don’t use patient names on public display boards
• Private room or nursing station
• Password protect and don’t share passwords
• Log off or lock computer when you walk away
• Don’t share information with unauthorized people

▪ Find out if ppl in room are authorized to know information or if you need, they to leave

• Code system can be used

▪ If pt doesn’t want to tell anyone they are at the hospital • Delegation (VERY IMPORTANT)

• What RN has to do

▪ Patient education ▪ Nursing judgement ▪ Assessment ▪ Blood transfusions

• What a PN can do (LPN)

▪ Med admin ▪ Enteral feedings ▪ Urinary catheter insertion ▪ Suctioning ▪ Trach care ▪ Wound care

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