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Nursing, Care Taking, Fostering


The Nurse's Medical Malpractice Primer

The number of disciplinary actions for practice related issues such as failure to assess or intervene, documentation errors and medication errors for RNs has risen significantly in the last five years. This article provides an understanding of the elements of medical malpractice nurses need to know.

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According to the National Council of State Boards of Nursing, Care Taking, Fostering the number of disciplinary actions for practice related issues such as failure to assess or intervene, documentation errors and medication errors for RNs has risen significantly in the last five years. Nurses should be concerned about medical malpractice because nurses are held liable for their own negligence and could find themselves being sued for malpractice.

<b>Elements of Medical Malpractice</b>

Medical malpractice can be generally defined as negligence on the part of a physician, nurse, EMT, hospital or other health care professional which causes physical or emotional damage to a patient under their care. This includes failure to diagnose an illness in a timely professional manner, surgical mistakes, mistakes in the delivery of a child, mistakes with medications, or causing any loss or injury by not performing professionally. Medical malpractice is limited to negligence which occurs in the course of medical or health care, and the basic legal issues involved in medical malpractice are the same as the legal elements in common negligence.

<b>Four key elements of a medical malpractice case:</b>

<b>Standard of Care</b>: Generally, standard of care is defined as the care a reasonable, careful or prudent health care practitioner would provide in similar circumstances. Hospitals, nurse practice acts, state boards of Nursing, Care Taking, Fostering, and Nursing, Care Taking, Fostering departments generally have established standards of care and policies and procedures that guide nurses and ancillary staff in nearly all patient care situations. Nursing, Care Taking, Fostering Care Plans help nurses define the most commonly encountered clinical problems and its symptoms, then offer guidelines for performing ongoing assessment and therapeutic interventions. Care Plans assist the nurse in the development, deliverance, and documentation of patient care in order to help nurses adhere to the most current practice and professional standards in Nursing, Care Taking, Fostering.

Mistakes include a range of examples, including:

--Failing to assess serious changes in patient condition, such as failure to check neurological status, vital signs, or blood glucose levels on time.
--Failure to take appropriate action or notify physician when significant changes in patient condition are noted.
--Medication errors, or documentation errors.
--Misusing a medical device or implant.
--Failing to get informed consent from a patient
--Failing to perform a procedure

In order to prove medical malpractice, the plaintiff needs to prove that the care received did not meet the “standard of care” for medical professionals under similar circumstances. Breach of that standard of care occurs when someone deviates from that standard of care.

If the nurse successfully demonstrates that he/she has met an acceptable standard of care, then there is no malpractice.

Remember what your Nursing, Care Taking, Fostering instructors always used to say, "If you didn't document it, it didn't happen!" - in other words proper documentation can be your best defense!

<b>Duty</b>: This is generally the most straight forward element to prove in a medical malpractice case. Once a nurse accepts report and assigned patients the nurse has agreed to care for those patients. By accepting the assigned patients the nurse has assumed a duty to treat the patient with that degree of skill, care, and diligence possessed or exercised by competent and careful nurses. One situation that provides exemption from "duty" would be care provided in a situation covered by Good Samaritan Statutes.

<b>Legal Causation</b>: Legal Causation is the second major hurdle that must be overcome for a successful malpractice plaintiff. The plaintiff must establish that had standards of care been followed, the injury or damages to the patient would have been avoided. A legal cause of action for negligence usually exists when it is determined that the breach of the standard of care proximately caused damages, usually physical or emotional in nature to the victim.

<b>Damages</b>: Was unreasonable, careless or inappropriate behavior on the part of the nurse, hospital or other health care provider the proximate cause of injury or damages to the patient or client? Substantial injuries caused by breach of the standards of care that satisfy the "damages" element of a medical malpractice claim include:
- Death
- Disability
- Deformity
- Additional hospitalization or surgery to correct a medical error
- Severe and prolonged pain

Remember that medical errors can happen during even the most routine tasks, such as when a hospital patient is given a the wrong diet. Staffing shortages or patient overload does not relieve you of your responsibilities to manage each and every aspect of care for your patients! If you believe you are being assigned more patients than you can care for safely during your shift voice your objections to your charge nurse and Nursing, Care Taking, Fostering supervisor! Once you accept the patient load you assume the legal duty for their care. Keep these elements of malpractice in mind and be sure you can meet the standards of care for your Nursing, Care Taking, Fostering specialty before accepting your patient assignment.

Nurses would be advised to carry their own professional liability insurance rather than rely on their employer's umbrella policy to protect them in case of a malpractice suit. Never expect your employer's interests in the case of a lawsuit to be the same as yours!


Why the Nursing, Care Taking, Fostering Community is Crucial to the Medical Community

Nurses are a vital part of the medical community. There are over 2.5 million nurses in the United States, and Nursing, Care Taking, Fostering is the largest employer in the healthcare field. As the population ages, it is expected that we will need more nurses than ever to fill these available positions.

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Nurses are a vital part of the medical community. There are over 2.5 million nurses in the United States, and Nursing, Care Taking, Fostering is the largest employer in the healthcare field. As the population ages, it is expected that we will need more nurses than ever to fill these available positions. There are two reasons for the increased demand for nurses. An aging population is one that will have a greater need for medical care, and many nurses are reaching retirement age. At a time when teacher and nurse where the two traditional career paths for women, many of the nurses that are reaching retirement age now chose Nursing, Care Taking, Fostering as a career. As other fields of study opened up, fewer women chose to enter the Nursing, Care Taking, Fostering field. That is offset slightly by the fact that many men are entering the field once dominated by women. Men, lured by the promise of flexible schedules and high demand, are a growing segment of the Nursing, Care Taking, Fostering community.

The Nursing, Care Taking, Fostering community is vital to the structure of the entire medical community. Nurses are responsible for their patient’s well being, and must not only dispense medicine, but recognize early signs of complications, monitor the patient's emotional condition, and help the patient's family understand the diagnosis and treatment of a disease.

<b>The Importance of Nurses in the Hospital Setting</b>

Nurses receive specialized training in monitoring and assessing medical conditions. While a physician diagnoses a disease or ailment and prescribes a course of treatment, it is the nurse who is involved in the implementation of that therapy. Nurses work one on one with patients, monitoring their vital signs and observing any changes to their condition. Often a nurse's instinct, honed by hours on the job, is the first clue that a patient may not be responding well to treatment or that there may be another problem.

A nurse will typically be responsible for many patients on each shift. She is responsible for making sure they receive their medications and any other prescribed treatments, as well as helping with basic needs and comforts. The nurse is often a liaison between the patient and their family and the physician. The nurse can often explain in layman's terms what the doctor has diagnosed and, using knowledge from years on the job, comfort the patient and family members.

<b>The Importance of Nursing, Care Taking, Fostering in the Community</b>

Nurses are an important part of the community. Particularly in under-served areas, a patient may receive a good deal of their primary care from a nurse. Immunization clinics and health screenings are just two of the ways that nurses serve the community. Without community nurses, many children would be unable to attend school, or be unable to see the chalk board, or older patients would be unaware of high blood pressure or high cholesterol.

Community Nursing, Care Taking, Fostering is growing in importance as health care becomes unaffordable for many families. Community nurses often implement low cost programs that allow members of the community to receive help in losing weight, monitoring their blood pressure, or obtaining dental or eye exams for their children.

<b>Nursing, Care Taking, Fostering in the Home Care Setting</b>

Nurses that work in home health care provide a valuable service to their clients. Often an elderly person is unable to live on their own, but does not want to give up their independence and enter a Nursing, Care Taking, Fostering home. Sometime, a child with a medical condition can stay home, but needs therapy daily. In situations such as these, a home health nurse is invaluable. The nurse makes up a schedule that is set up by the treating physician, and visits homes, administering therapy, checking on the client’s well being, and assessing the patient for any additional needs they may have.

<b>A Higher Level of Care</b>

One of the problems with the rising cost of health care is the lack of access to physicians. Many nurses are furthering their education in ways that help the entire medical community. A registered nurse that has completed his or her bachelor degree may continue on to one of many branches of graduate school. After specialization, she will graduate as a nurse practitioner, and specialize in midwife and delivery, community health, family care, or anesthetics. Although supervision levels vary by state, the nurse practitioner typically works under the supervision of a physician.

While the nurse practitioner must work under a physician, she has a great deal of autonomy. It is not a situation where the nurse is directly supervised. The physician is available for consultation, and may review charts and diagnosis on occasion, but the nurse practitioner can order tests, refer patients to specialists and has prescribing authority. Nurse practitioners have enhanced the level of care offered in many poor and rural communities. They also allow a hospital to reduce its costs by providing services that in the past were only offered by a physician.


Littman Stethoscopes -Spares And Accessories For The Doctor And Nurse

Apart from buying a quality littman stethoscope, the doctor or nurse will need to factor in costs of spares such as rims, diaphragms and replacement eartips for the stethoscope. Is it better to cannibalise parts from an old littman stethoscope for a new or to just dispose of the old stethoscope for some salvage value? Is it possible to reduce spares by being careful on the use of the stethoscope?

spares and accessories for littman stethoscope, replacement earttips, price and value, features of littman stethoscope

The stethoscope that is worn around the ears of any health professional, doctor or nurse may look simple, but it is really a hallmark of quality and brillant creative invention. The Littmann Stethoscope stands tall among all the various brands of stethoscopes, and has been the choice of doctors and nurses worldwide.

For the doctor or nurse starting his career, it is not enough just to select the littman stethoscope from among the various types in the range of stethoscopes under the Littman brand. His problem is further compounded by the need to consider the spare parts and accessories for the Littman stethoscope that he is going to purchase.

What are the spares and accessories the medical, health practitioner or nurse have to consider when he or she is purchasing a littman stethoscope? These are the parts that are easily subjected to wear and tear due to daily use.

Look at some of these parts and accessories that you need to consider as well when buying the 3M Littman stethoscope:

1. Littman stethoscope identification tag
2. Soft Sealing Snap-Tight Replacement Eartips for Littmann Stethoscopes
3. Firm Replacement Snap-Tight Eartips for Littmann Stethoscopes
4. 3M Littmann Stethoscope Nonchill Bell Sleeves
5. 3M Littmann Stethoscope Rims - Snap On
6. 3M Littmann Stethoscope Diaphragms
7. 3M Littmann Tunable Diaphragm and Rim Assembly
8. 3M Littmann Stethoscope Special Procedure Adaptors
9. 3M Littmann Replacement Stethoscope Binaural Assemblies
10. 3M Double Stick Discs with 11/32" Aperture

The best way to get help on these is to research your options online- not just any online store but from the official distributors of the brand. You can also talk to them over the phone, and discover some surprising discounts especially from stores that do give discounted on selected models and their spares from time to time. Nurses will be delighted to know that there are also nurses kits comprising the littman stethoscope that is available at discounts, and spares may also come at a discount too.

One thing you must know about spares are that they often come in pairs or in a batch. So you need to purchase them in pairs or in batches and to keep them ready for a rainy day when the part has to be replaced. This would normally be the eartips, the rims and the sleeves of the stethoscope. The good news is that these spares are normally easily available.

It is not beneficial or cost effective to keep the old stethoscope with a view to cannibalise it for spares, even if the model is the same.

Like in any purchase, quality and price are the main determinants, and when you are looking for a branded stethoscope such as the Littman stethoscope, the quality is basically ensured and it is price that needs your attention. While there are no hidden costs, one must also take into consideration the cost of spares and that depends on wear and tear which is difficult to anticipate.

There is a limit to reducing the need to replace the frequently used parts such as the rims and diaphragms of the stethoscope, because no matter how gentle you are with the stethoscope, wear and tear cannot be avoided.


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