2 documents that provide 1. Regulated Health Professions Act, 1991
the legislative framework 2. Nursing Act, 1991
for regulating nursing in
Ontario:
1. Is it appropriate to provide the complementary
therapy?
3 questions a nurse must
2. Do I have the required knowledge, skill and judgment
ask herself when providing
to provide this therapy safely and effectively?
complementary therapy:
3. Do I understand, and can I deal with, the possible
outcomes of this therapy?
1. documentation presents an accurate, clear and
comprehensive picture of the client's needs, the nurse's
interventions and the client's outcomes.
2. documentation of client care is accurate, timely and
3 requirements of nursing
complete.
documentation
3. safeguard client health information by maintaining
confidentiality and acting in accordance with information
retention and destruction policies and procedures that
are consistent with the standard(s) and legislation.
1. practice standards.
2. entry to practice.
4 regulatory functions:
3. quality Assurance Program.
4. enforcing standards
1. Discipline
2. Fitness to Practice
5 statutory committeess 3. Inquiries, Complaints, and Reports
4. Quality Assurance
5. Registration
, Step 1 Assess capacity.
Step 2 Provide emergency treatment or crisis admission.
Step 3 Inform the client that a substitute decision-maker
5 Steps to obtaining
will make decision.
consent
Step 4 Identify a substitute decision-maker.
Step 5 Obtain consent from the substitute decision-
maker.
A 35-year-old client is Recognizing that, at times of crisis, clients may revert to
diagnosed with chronic more traditional beliefs, the team needs to work with this
renal failure and has started client to determine the reason for his change in dietary
peritoneal dialysis. practices. The goal is not to change his beliefs, but to
Maintaining adequate increase the client's choices about how to achieve
protein intake is an essential adequate protein intake. The team could involve a
part of the client's ongoing dietitian to teach ways to increase protein intake from
treatment, and animal vegetarian sources, such as cheese, lentils, nuts, beans
protein is the and tofu. They also want to help the client explore his
recommended source. The perceptions of what caused his illness and the role
client is a Hindu by religion religion plays in his care. Involving a Hindu priest may be
and has been eating eggs, an effective way of addressing spiritual needs, and the
chicken and goat all his life. priest may, in fact, be able to assist the client in resuming
However, since the some intake of animal protein, if he chooses to do so.
commencement of dialysis, Regardless of approach, the ultimate decisions about
he has stopped eating diet remain with the client.
these foods and has
become a vegetarian. He
tells the health care team
that he wants to become a
good Hindu so that God
will help him with his ordeal.
He says that even though
many Hindus eat meat, not
eating meat is a more
devout way of life and one
he wishes to follow.
, According to College of obtaining consent
Nurses of Ontario (CNO)
standards, nurses are
accountable for __________
______________ whether the
intervention or service
relates to a treatment (as
defined in the HCCA or as
required in common law),
admission to a facility,
or the provision of a
personal assistance service.
1. the person who has been deemed incapable requires
Admission to a care facility
immediate admission as a result of a crisis; and
without consent may be
2. it is not reasonably possible to obtain immediate
authorized if:
consent or refusal on the incapable person's behalf.
Also, nurses are client advocates
professionally accountable understand
for acting as _____________
______________ and for helping
clients __________________ the
information relevant to
making decisions to the
extent permitted by the
client's capacity.
Because allergy testing and recognize side effects, intervene in the event of
desensitizing injections complications (for example, difficulty breathing, rash or
carry a risk of adverse anaphylactic shock) and manage outcomes.
reactions, nurses must be
able to do what?
Before administering a ■ if informed consent has been obtained;
vaccination to a client, ■ if a prescription/medical directive is in place;
colleague or family ■ if she or he is competent to deliver and manage the
member, a nurse must vaccine; and
consider four issues: ■ how the administration will be documented.
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