Keywords: clinical negligence; Competence; Duty of care; Legal issues; legal responsibilities; organizational knowledge; Patient; professional matters; standards of care; Courtesy in the workplace. Nurses who are familiar with whistleblower laws, for example, may be more inclined to urge administrators to stop abuse of patient care or tax evasion. In any case, standing up for what is right is difficult, but especially for women and minorities, who make up the majority of the profession. Yet minority nurses have demonstrated heroic activism for community health and social justice in the past, such as during the era of civil rights and the AIDS epidemic. Nurses have long been involved in the political process, trying to shape health legislation that supports nurses and benefits patients and communities. It is much more difficult to withdraw from a patient`s care for reasons of conscience once care has begun. A nurse is legally responsible for the patient`s care and can in no way endanger or leave the patient. While courts sometimes uphold a health care provider`s right not to provide morally offensive care, no court will tolerate a patient`s abandonment, even for valid ethical reasons. Therefore, if a change in a patient`s condition requires you to perform a task that you cannot do in good conscience, you are still responsible for them until reasonable arrangements can be made for their ongoing care. If changing conditions prevent you from continuing to provide ethical care to a patient, it is important that you notify a supervisor immediately so that alternative arrangements can be made as soon as possible. Similarly, in emergency situations, a nurse has a moral and legal obligation to provide care that outweighs her moral objections to care. This article then focuses on legal issues that are unique to nurses.
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The more specific your objection, the more likely it is that it will stand. If the Nevada Nursing Practice Act prohibits a nurse of your particular level from performing a particular task, you have good reason to decline the task. While you may not have a copy of the law handy, you can call the Nevada State Nursing Board. In addition, every nurse should have at least temporary knowledge of the scope of nursing practice authorized by the Practice Act, so take the time to briefly review these regulations. Generally, the ANA Code requires a nurse to act to protect her patient if the patient`s health care and safety could be compromised by the incompetent or unethical practices of an individual, including a physician. Nevada law follows the Code and states that a nurse will be sanctioned by the board if she fails to protect a patient from a person`s incompetent, abusive or illegal practice. CNA 632,890. Similarly, a licensed general practitioner who delegates care to another RPN or person is responsible for the actions taken by those persons in the performance of assigned or assigned duties. NAC 632 230. Again, it is important that nurses at all levels ensure that a person is competent before assigning a task and that any reservations expressed are carefully evaluated.
A person who voluntarily refuses to submit to an examination on the instructions of a police officer may be compelled to submit to an examination of evidence. The officer may use this reasonable force to the extent necessary to obtain the patient`s samples. NRS 484.383. If a person refuses a test of any kind, a police officer does not have to give them a choice between blood, urine or breath tests to determine their blood alcohol level. In this case, no more than three samples may be taken against the will of a person within five hours immediately of arrest.