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Jursiprudence
Ailyn B. Pineda
Lecturer
LEGAL CONCEPTS
AND ISSUES IN
NURSING
RESPONSIBILITY AND
ACCOUNTABILITY FOR THE
PRACTICE OF PROFESSIONAL
NURSING
Nurses
employed in an agency,
institution or hospital are directly
responsible to their immediate
supervisors. Private duty nurses,
being independent practitioners, are
held to a standard of conduct that is
expected of reasonable prudent nurse
WHAT IS LIABILITY?
Is
PROFESSIONAL NEGLIGENCE
NEGLIGENCE
refers to the
commission or omission of an
act, pursuant to a duty, that a
reasonably prudent person in
the same or similar
circumstance would or would
not to, and acting or the nonacting of which is the proximate
cause of injury to another
person to his property.
ELEMENTS OF PROFESSIONAL
NEGLIGENCE
1.
2.
3.
4.
SPECIFIC EXAMPLES OF
NEGLIGENCE
1.
2.
3.
4.
5.
MALPRACTICE
Implies
EXAMPLES OF MALPRACTICE:
Misdiagnosis of an illness, failure to
diagnose or relay diagnosis
Birth Injuries
Surgical Complications
Prescription errors
Failure to provide treatment
Anesthesia related complications
Failure to follow advance directive
Failure of hospital or pharmacy to
dispense the right medicine, dosage
DOCTRINE OF
RESPONDEAT SUPERIOR
Means let the superior answer; let
the principal answer for the acts of his
agent
The doctrine is founded on the principle that
he who expects to derive advantage from an
act which is done by another for him must
answer for any injury which a third person
may sustain from it. The doctrine rests upon
the proposition that, in doing the acts out of
which the accident arose, the servant was
representing the master at the time
EXAMPLES:
The hospital will be held liable, if, in
an efort to cut down on expenses it
decides to hire underboard nurses or
midwives in place of professional
nurses, and these persons prove to be
incompetent
The surgeon will be held responsible
in case a laparotomy pack is left in a
patients abdomen
INCOMPETENCE
Is the lack of ability, legal
qualifications or fitness to discharge
the required duty
Although a nurse is registered, if in the
performance of her duty she manifests
incompetency, there is ground for
revocation or suspension of her
certificate of registration
1.
2.
3.
4.
GUIDELINES TO AVOID
MISTAKES OF NURSING
STUDENTS
Nursing students should always be under
The
LEGAL DEFENSE IN
NEGLIGENCE
4.
Telephone Orders
CONSENT TO
MEDICAL AND
SURGICAL
PROCEDURE
The
nurses responsibility in
witnessing the giving of
informed consent involves:
(1) witnessing the exchange b/w
the client and the physician (2)
witnessing the client affix his
signature (3) establishing that
the client really understood.
ESSENTIAL ELEMENTS OF
INFORMED CONSENT:
1.
2.
3.
4.
5.
6.
WHO MUST
CONSENT?
Patient must consent in his own
behalf
If he is incompetent, or physically
unable, and is not in emergency
case, consent must be taken from
another who is authorized to give it
CONSENT
OF MINORS
Parents or someone standing in
their behalf, gives the consent to
medical or surgical treatment of a
minor. Parental consent is not
needed if the patient is married or
emancipated
CONSENT OF
MENTALY ILL
A mentally incompetent person
cannot legally consent to medical
or surgical treatment. The consent
must be taken from parents or
legal guardian
MENTAL COMPETENCY
All
EMERGENCY
SITUATION
No consent is necessary because
inaction at such time may cause
greater injury. If time is available
and an informed consent is
possible, it is best that this be
taken to protect all the parties
REFUSAL TO
CONSENT
CONSENT FOR
STERILIZATION
Sterilization is the termination of
the ability to produce ofsprings.
The husband and the wife must
consent to the procedure if the
operation is primarily to accomplish
sterilization. If emergency cases like
ectopic pregnancy and abruptio
MEDICAL RECORDS
Was created as a means of
communication among health care
practitioners. Today medical records serve
two important functions: to provide legal
documentation, and obtain third party
payments (e.g. Medicare) They are good
evidence in legal suits but are not
admissible evidence against the patient.
If information is not charted, it was not
done or observed
CHARTING DONE BY
NURSING
STUDENTS
WHAT IS A CONTRACT?
Is
Kinds of Contracts
Formal Contracts- refers to an
agreement b/w parties and is required to
be in writing. E.g. marriage contracts
Informal Contracts- one in which
concluded as the result of a written
document where the law does not require
the same to be in writing.
Express Contracts- The one in which the
conditions and terms of contract are given
orally or in writing by the parties
concerned. E.g. PDN under the doctrine of
facio ut des means I do that you may
give.
Illegal Contracts
Those
INTENTIONA
L WRONGS
A nurse may be held liable for
intentional wrongs
TORTS
A
EXAMPLES OF TORT:
ASSAULT AND BATTERY. Assault is a
unjustifiable attempt to touch another
person or even the threat of doing so
while Battery is the actual carrying out
of the threatened physical contact
DEFAMATION of character occurs where
a person discusses another individual
in terms that diminish reputation. Libel
is written defamation. Slander is oral
Defamation
FALSE IMPRISONMENT
Is the infringement of upon an
individuals freedom of movement. It
is making someone wrongfully feel
that he or she cannot leave the place.
The unjustifiable detention of a
person without a legal warrant within
boundaries fixed by the defendant by
an act or violation of duty intended to
result in such confinement.
USE OF
RESTRAINTS
INVASION OF RIGHT TO
PRIVACY AND BREACH OF
CONFIDENTIALITY
The right to privacy is the right to be left
DEFAMATION
CRIMES,
MISDEMEANORS, AND
FELONIES
CRIME
is defined as an act
committed or omitted in
violation of the law. Criminal
ofenses are composed of two
elements: (1) Criminal Act (2)
Evil/criminal intent
In criminal action, the state
seeks the punishment of the
wrongdoers
Conspiracy to commit a
crime
Criminal Actions
Deal with acts or ofenses against
public welfare.
Misdemeanor- a general name for
criminal ofense which does not in
law amount to felony.
Felony- a public ofense for which a
convicted person is liable to be
sentenced to death or be imprisoned
in a penitentiary or prison. It is
committed with deceit and fault.
Criminal Negligence
Reckless
Imprudence- when a
person does an act or fails to do
involuntary without malice, from
which damage results immediately.
Simple Imprudence- means that
the person or nurse did not use
precaution and the damage was not
immediate or the impending danger
was not evident or manifest
Criminal Intent
Classes of Felonies
Circumstances
Afecting Criminal
Liability
PREPARED BY:
ailyn brillo pineda
Circumstances
afecting Criminal
Liability
J-E-M-A-A
Justifying
Circumstances
SELF-DEFENSE
These are the defenses
in which the accused is
deemed to have acted in
accordance with the law
and therefore the act is
lawful. Since the act is
lawful, it follows that
there is no criminal, no
criminal liability and no
civil liability
Justifying Circumstances
A person may not incur criminal liability under the following
circumstance:
There is no mens rea or criminal intent
The circumstances pertain to the act and not to the actor. Hence
all who participated in the act will be benefited. Thus if the
principal is acquitted there will be no accomplices and accessories.
These apply only to intentional felonies, not to acts by omissions
or to culpable felonies or to violations of special laws
When he acts in defense of his rights
When he acts in defense of his relatives rights
When he acts in defense of a strangers rights and that the person
defending is not induced by revenge or evil motives.
When any person who, in order to avoid an injury does an act
which causes damage to another provided that an evil sought to
be avoided actually exists.
When he acts in the fulfillment of a duty or in lawful exercise of a
right or office.
ExemptingCircumstanc
es
These are defenses where
the accused committed a
crime but is not criminally
liable. There is a crime,
and there is civil liability
but no criminal.
Exempting Circumstances
There are certain circumstances under which the law exempts a person
from criminal liability
The basis is the lack of any of the elements which makes the
act/omission voluntary, i.e. freedom, intelligence, intent or due care.
These defenses pertain to the actor and not the act. They are
personal to the accused in whom they are present and the efects do
not extend to the other participants. Thus if a principal is acquitted,
the other principals, accessories and accomplices are still liable.
They apply to both intentional and culpable felonies and they may
be available in violations of special laws.
An imbecile or an insane person, unless the latter has acted during a
lucid interval
A person under nine years of age
A person over nine years of age and under fifteen unless he acted
with discernment.
A person while performing a lawful act with due care causes an
injury which is merely an accident.
Any person who acts under the compulsion of an irresistible force
MITIGATING CIRCUMSTANCES
Are those which do not constitute justification
or excuse of the ofense in question, but
which, in fairness and mercy, may be
considered as extenuating or reducing the
degree of moral culpability.
1. Circumstances which are otherwise justifying
or exempting were it not for the fact that all
requisites necessary to justify the act or to
exempt the ofender from criminal liability in
the respective cases are not attendant
2. When the ofender has no intention to commit
so grave a wrong as the one committed
3. When the ofender is under eighteen years of
age or over 70 years old
4.
5.
6.
7.
8.
AGGRAVATING CIRCUMSTANCES
Are those attending the commission of a crime
and which increase the criminal liability of the
ofender or make his guilt more severe.
1. When the ofender takes advantage of his
public position
2. When the crime is committed in contempt of
or with insult to public authorities
3. When the act is committed with insult or
disregard of the respect of the ofended party
on account of his rank, age, sex
AGGRAVATING CIRCUMSTANCES
4. When the act is committed with abuse or
AGGRAVATING CIRCUMSTANCES
9. When the act is committed
with evident premeditation
or after unlawful entry
10. When craft, fraud, or
disguise is employed
when the wrong done in the
commission of the crime is
deliberately augmented by
causing other wrongs not
necessary for its
commission
ALTERNATIVE CIRCUMSTANCES
those
Rape
Forcible abduction
Arson
Treason
In crimes against chastity like seduction
and acts of lasciviousness
Those acts committed in a merciless or
heinous manner
MORAL TURPITUDE
MURDER
- is the unlawful killing of a
human being with intent
to kill. It is a very serious
crime. Nurses should
keep in mind that death
resulting from a criminal
abortion is murder.
Euthanasia is also
considered murder.
HOMICIDE
- is the killing of a human being
in another. It may be committed
without criminal intent, by any
person whom kills another, other
than his father, mother, or child
or any of his ascendants or
descendants, or his spouse,
without any of the
circumstances attendant the
crime of murder enumerated
above being present.
ABORTION
- is illegal according to the
revised penal code. The
patient should assume
responsibility for her
abortion. She should be
made to sign a statement
relieving the hospital and
its personnel from liability
CONTROLLED
SUBSTANCES
R.A. 6425 known as the Dangerous Drug
Act of 1972 covers the administration
and regulation of the manufacture,
distribution, dispensing of controlled
drugs.
Persons authorized to prescribe or
dispense these drugs are required to
register and have a special license for
this purpose
1.
2.
3.
4.
5.
WILLS
It is a legal declaration of a persons
intentions upon death.
It is called testamentary document
because it takes efect after the death of
its maker
DECEDENT- a person whose property is
transmitted through succession whether
or not he left a will. If he left a will he is
called a TESTATOR. If a woman TESTATRIX
HOLOGRAPHIC WILL- a will that is written
and signed by the testator
NURSES OBLIGATION IN
THE EXECUTION OF A
WILL
The nurse should note the soundness
of the patients mind and that there
was free from fraud or undue
influence and that the patient was
above 18 years or of age .
The patient should write that the will
was signed by the testator, that the
witnesses were all present at the
same time and signed the will I the
presence of the testator
LIVING WILL
Is
A nurse especially those taking care of wellto-do patients should remember that the
main requisite for making a will is
testamentary capacity or sanity. The person
who makes a will should at least be 18 years
old and is not prohibited by law. The will is
written and should be witnessed by three
credible witnesses, unless it is holographic
will. A Holographic will is one that is entirely
written, dated and signed by hand. There is
no legal reason for the nurse to refuse to
witness the preparation of a will.
WHAT IS AN INCIDENT
REPORT
GOD BLESS!!!
THE END