Advance Directive/Self-Determination/Life Planning (1)

o Professional Responsibilities: Admission requirement from the patientselfdetermination act

▪ PSDA-stipulatesthat on admission to a health care facility, all clients must

be informed of their right to accept or refuse care

▪ Competent adults have the right to refuse treatment including

• Right to refuse treatment

• Right to leave a health care facility without a prescription for

discharge from the provider

• Advocacy (1)

o Therapeutic Communication: Responding to a client who wants to discontinue

treatment

• The nurse ensuresthat the client hasthe information they need to

make decisions about health care

• Nurses must act as advocates even when they disagree with

clients’ decisions

• The complex health care system puts clients voice when they

system is not acting in their best interest

• Legal Rights and Responsibilities (1)

o Infection control: infectious diseasesto report

▪ A complete list of reportable disease and the reporting system are

available through the CDC

• Ensure appropriate medical treatment of diseases

• Monitor for common source outbreaks

• Plan and evaluate control and prevention plans

• Identify outbreaks and epidemics

• Determine public health priorities based on trends

Safety and Infection Control: (2)

• Home Safety (1)

o Family and Community violence: safety planning following partner violence

▪ All states have mandatory reporting laws that require nurses to report

suspected child or vulnerable adult abuse; there are civil and criminal

penalties for not reporting suspicions of abuse