PROFESSIONAL

ADJUSTMENT

NEGLIGENCE
Refers to the commission or
omission of an act, pursuant to a
duty, that a reasonably person in
the same or similar circumstance
would or would not do, and acting
or non-acting of which proximate
cause of injury to another person.

NEGLIGENCE
Example:
Failure to report observations
Failure to exercise the degree of
diligence
Mistaken identity
Medication error
Defects in equipment resulting to
harm

 Malpractice - doing things

beyond your scope of practice
Doctrine of respondeat superiors
let the master answer for the
act of the subordinate
Doctrine of force majeure you
cannot stop it from happening
Doctrine of res ipsa loquitor
the thing speaks for itself

DELEGATION
If a nurse delegates, he/she is
responsible
Requires direct supervision
*Consent free and rational act that
presupposes knowledge of the thing
which consent is being given by a person
who is legally capable to give consent

INFORMED CONSENT

it is established principle of law

that every human being of adult
years and sound mind has the
right to determine what shall be
done with his on body

Essential elements of informed consent:

1. diagnosis and explanation of condition
2. Fair explanation of the procedures to
be done and used and the
consequence
3. Description of alternative treatments
4. Description of benefits to be expected
5. Material rights if any
6. The prognosis, if the recommended
cure, procedure , is refused

PROOF OF CONSENT
A written consent should be
signed to show that the
procedure is the one consented
to and that the person
understands the nature of the
procedure

WHO MUST CONSENT?

The patient
From another who is authorized to give it
in his behalf
Consent for minors
Parents or someone standing in their
behalf
If emancipated minor, consent is signed by
them

CONSENT FOR MENTALLY

ILL
Parents or guardians
During emergency
No consent is necessary because inaction
at such time may cause greater injury
Refusal to consent
Patient and other than those who are
incompetent to give consent can refuse
consent if refused to sign, document!!!

CONSENT FOR
STERILIZATION
Who will sign the consent?
Medical records
Legal protection for the hospital
and all healthcare staf
If it was not documented, it was
not done

TORTS
Legal wrong, committed against a person
or property, independent of a contract
which renders the person who commits it
liable for damages in a civil action
Examples
1. Assault threat or ofensive bodily contact
2. Battery intentional unconsented touching

3.False imprisonment
unjustifiable detention of a person
4.Invasion of right to privacy
the right to be free from exposure
to public is breached
5.Defamation character
assassination
slander oral defamation
libel written words

Diferentiate
Negligence and
Malpractice
Discuss the general
consent of the The
Medical City: usage
and policies

5 C OF A TMC NURRSE

Confident
Competent
Compassionate
Committed
Conscientious

CORE VALUE OF TMC

Primary in human
resource
Integrity
Client centered
Excellent and
compassion
service

STAGES OF DYING

TIME MANAGEMENT
1. Be organized less
panic
2. When doing rounds,
always see your most
critical patient first
3. Come to work early
4. Dont multitasks when
giving medications
5. Pay attention to time

Time management
6. Write quickly but legibly
7. Always bring your
snacks
8. Be keen on details
9. Learn how to
communicate
10.Delegate your tasks
11.Learn to multi-task
12.Cluster your care

PATIENT CLASSIFICATION
SYSTEM
Category I: minimal care / self-care
Given to patient who are convalescing
Diagnostic procedures
Awaiting for elective surgery
NCH: 1.5 per day

Category II: moderate care

Recovery from illness or operations
Some assistance in doing self-hygiene
NCH: 3.0 per day

PATIENT CLASSIFICATION
SYSTEM
Category III: maximum care
Givento patients with who needclose attention
complete care for patients who require nursing to
initiate, supervise and perform most of their
activities
NCH: 4.5 hours per day

Category IV: intensive care

High level of dependency
Unstable conditions requires frequent evaluation
NCH: 6.0 per day

Exercise #1:
Patient ABC, diagnosed with
AGE currently experiencing
muscle cramps.
Exercise #2:
Patient EFG, diagnosed with
left sided CHF currently
experiencing chest pain.

Exercise #3:
Patient XYZ, diagnosed
with pneumonia currently
experiencing DOB.

WHAT IS SBAR IN TMC?

SBAR is a mode of communication that
empowers nurses , as this utilizes the
nursing process
Eliminates the passive role of the nurses
Also, a form that summarizes pertinent
patient information, updated regularly
Replaces Kardex in every way
*Source: Patient Handof2016

1. Fill up the headings

1. Fill up the headings

Personal? Intellicare?
US Veterans?

1. Fill up the headings

Chief Complaint, History
and other Signs /
Symptoms throughout
the stay

S: SITUATION

Chief Complaint, History and other Signs /

Symptoms throughout the stay
Diagnosis (PLEASE UPDATE REGULARLY)
Ht/Wt, BMI)

B: BACKGROUND
May contain
information on
patients progress
Co - morbidities
Current settings of
contraptions
Updated diet

A: ASSESSMENT
Drains, Tubes and other
contraptions
Risk Assessment Scores
and Status (Fall, Braden,
Frailty, etc)
Prescribed / restricted
activities
Results of pending
laboratories

R: RECOMMENDATION
Plan of Care / Needs
to be addressed
Plan of care
endorsed
Pending Orders

MDs Rounds
List down all APs,
including referral
MDs
Date referred
Sign out / May Go
Home Date

RESPECTFUL
ASSERTIVENE
SS

Effectively insisting what

you want without being
confrontational, forceful or
disrespectful

WHAT WILL
BE YOUR
RESPONSE
IN THIS
SITUATION?