Nurse And Protect
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Nurse And Protect
Amanda Bucceri Androus, RN, BSN | Updated/Verified: Aug 29, 2022
Amanda Bucceri Androus is a Registered Nurse from Sacramento, California. She graduated from California State University, Sacramento in 2000 with a bachelor's degree in nursing. She began her career working night shifts on a pediatric/ med-surg unit for six years, later transferring to a telemetry unit where she worked for four more years. She currently works as a charge nurse in a busy outpatient primary care department. In her spare time she likes to read, travel, write, and spend time with her husband and two children.
Latest posts by Amanda Bucceri Androus, RN, BSN ( see all )
Home / Nursing Articles / How Do Nurses Protect Themselves from Highly Infectious Patients?
Nurses are expected to be intimately involved with the care of the public regarding health matters such as prevention of disease, healthy lifestyles, and the treatment of disease and conditions. This care and exposure is not without direct risk to the nurse. There are many inherent risks to nurses that include potential physical risks. Nurses must be constantly vigilant in their practice of infection prevention to keep themselves protected in the ever-changing environment of healthcare.
Prior to the outbreak of highly infectious blood-borne pathogens such as human immunodeficiency virus (HIV) in the late 1970s, healthcare institutions were cavalier about measures to prevent infectious diseases. The early 1980s saw the isolation of diseases in hospitals, but it was not until 1987 that the Centers for Disease Control (CDC) made recommendations that all blood products should be considered potentially hazardous.
Through the use of evidence-based practice and studies related to the prevention of disease, nursing has come a long way and has to lead the charge of decreasing risks to the profession. Appropriate hand hygiene is the number one measure to prevent contracting and passing infectious pathogens. Studies have shown that institutions that educate nurses on basic hand hygiene and require a demonstrated competency have the least amount of hospital-acquired infections and illness to staff. Another measure is to reinforce to nurses not to touch their face, nose or hair with their hands in an effort to reduce the spread of pathogens. While washing the hands with soap and water is an extremely effective method to kill most pathogens, the use of de-germer gel agents can be as effective as soap and water (but not for all pathogens).
Personal Protective Equipment (PPE) is designed to prevent exposure from the infectious agent or person to the nurse or caregiver. Types of PPE include:
Nurses must choose the appropriate PPE based on the expected exposure risk being assessed. Most facilities, and all facilities that are The Joint Commission certified, have policies related to infection control and prevention, and plans for accidental exposure to the staff and public. The next consideration when choosing the appropriate PPE is the duration of the exposure, as some products are more durable or water-resistant for longer use. Nurses must always ensure that the chosen PPE fits the wearer and is not too small or too large. Improper fitting PPE is a potential risk of exposure or injury if the equipment fails.
A key component of the proper use of PPE is when and how to put it on (don) and how to take it off (doff). PPE should be donned prior to exposure to the patients. Gloves, masks, and other equipment must be securely fastened and fitting well before coming into exposure with infectious agents. Some PPE plans for highly infectious agents such as Ebola require a second nurse or team member to watch and critique the PPE donner to ensure maximum protection. Removal of the PPE is usually at the point of least exposure to the public, or in the room where the nurse is caring for the patient. PPE should be disposed of in the appropriate receptacles based on the institution's policies. Appropriate hand hygiene always follows the removal of PPE.
Nurses must be constantly attentive to the prevention of the spread of contagious matter and to avoid the risk of acquiring illness themselves. Hand washing, the use of de-germer agents, and the wearing of PPE are all measures nurses can employ to keep themselves, and the public, healthy. Nurses must check with the policy of their local institutions for infection prevention guidelines and expectations.
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By Nancy J. Brent, MS, JD, RN |
2022-09-22T13:52:51-04:00
June 12th, 2017 | 8 Comments
1) Know your state nurse practice act and its rules and review them on a regular basis.
2) Stay informed by attending board of nursing meetings.
3) Purchase and maintain your own professional liability insurance policy.
4) Remain clinically current in your chosen specialty.
5) Participate in research or design and carry out your own research study to help support needed changes in patient care. This can reduce your liability when providing care to patients.
7) Be mindful at all times when providing patient care or preparing and administering medications.
8) Participate in continuing education programs in nursing in order to maintain continued competency in the areas in which you practice.
9) Enroll in an advanced degree nursing program to increase your ability to use critical thinking and problem solving skills in your practice.
10) Maintain a general knowledge of law applicable to nursing practice and your practice specifically.
11) Maintain open lines of direct and honest communication with nursing and other healthcare team members, patients and patients’ families.
12) Utilize a risk management approach when providing care to patients to decrease risk of injury to or death of a patient.
13) Know your employee handbook, review it regularly for changes and follow your employer’s adopted policies and procedures.
14) If you’re a student or a faculty member in a nursing education program, learn your rights and responsibilities as stated in your faculty and student handbook.
15) Know your protections under workers’ compensation laws and report any injury in the workplace as required under the law.
16) If you’re a union member, evaluate your benefits and rights and use the bargaining agreement’s protections, as needed.
17) Uphold safety requirements in the workplace for yourself and patients.
18) Adhere to your facility’s chain of command when reporting patient care issues.
19) Join and become an active member of professional nursing associations that affect your specific practice.
20) Uphold the American Nurses Association’s and other professional nursing associations’ code of ethics .
21) Observe age-old, good documentation principles when recording patient care.
22) Participate in the political process to shape legislation and elect legislators who support nursing.
23) If you’re an advanced practice registered nurse, order medications, treatments and other healthcare regimens within your scope of practice.
24) Avoid using bullying, intimidating or other behaviors that are not respectful of patients or fellow staff.
25) Retain a nurse attorney or attorney as soon as possible whenever you face potential legal liability, require a consultation on a practice matter or when concerns about your practice arise.
Our legal information columnist Nancy J. Brent, MS, JD, RN, concentrates her solo law practice in health law and legal representation, consultation, and education for healthcare professionals, school of nursing faculty and healthcare delivery facilities. Brent has conducted many seminars on legal issues and has published extensively in the area of law and nursing practice. She brings more than 30 years of experience to her role of legal information columnist. Her posts are designed for educational purposes only and are not to be taken as specific legal or other advice. Individuals who need advice on a specific incident or work situation should contact a nurse attorney or attorney in their state.
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Which specialty should you consider? Do you want to teach or practice? In which practice setting do you think you could best contribute your skills and expertise? As a nurse, you have countless decisions to make to develop your career, and you can always change your path. What should not change is how resolute you are in protecting your license and your practice.
An unpleasant constant for nurses throughout their careers is that there are potential liabilities linked to their profession. A nurse can be named as a defendant in a professional negligence case, for instance, or accused of violating the nurse practice act or its rules, defaming a fellow worker, breaching a contract of employment or breaching a patient’s confidentiality. But there are legal means that can help protect you and your practice. Here are my tips for avoiding potential liability:
CE548: Protect Yourself (1 contact hr)
The goal of this nurse practice act continuing education module is to enhance nurses’ knowledge of nurse practice acts and how they define professional practice and nurses’ rights and responsibilities as practitioners.
WEB318: Eagle Eye: Exercises in Reducing Medication Errors (1 contact hr)
This webinar will engage members of the interprofessional healthcare team in detecting, reporting and preventing medication errors. By participating in an active discussion of various types of errors from different healthcare settings, participants will be able to better understand how their roles interplay in the medication use process and gain foresight into where and how errors may occur.
WEB296: Nurse Bullying: Stereotype or Reality? What Can We Do About It? (1 contact hr)
The goal of this presentation is to discuss bullying behaviors with regard to nursing. Participants will learn what bullying is and about contributing factors to negative behavior in general that may be seen within a nursing or clinical environment, among other lessons.
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Thanks for sharing this great article.
Thanks for sharing. I have been thinking I need to get my own liability insurance. Where can a nurse get it?
Indeed legal protection on conscience is very important in ones professional work. However, very few nurses, if any in my country take insurance cover for professional negligence. This article is very educative and a must read for all practicing nurses, both in clinical setting and in teaching.
Quite enlightening and informative article.
Many professional associations have an option to purchase malpractice insurance often at a discounted rate. Be sure the policy includes license defense coverage. Even though most nurses never get reported to their licensing board, there is always the possibility of involvement in an unfortunate incident and even false allegations.
Very good article. Could you share a liability insurance that is good to get.
I need help for a dear friend of mine who is a RN travel nurse in LA area. she has an infraction on her license and can not find work until it is resolved, however she feels she has been discriminated because of her race as she is Africian American. My friend is facing homelessness and no income because everywhere she applies she gets turned down because of the infraction. She cannot afford a lawyer and when I hear her case I was convinced she is a victim of discrimination. She can tell you the whole story if someone would just listen to her and give her a chance. Her name is Founcia Martin. Please help!
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Are you looking for a new way to recruit nurses for your open positions? Starting in the Spring of 2022, Nurse.com Recruiting will offer an AI-driven candidate matching solution to help your organization recruit nurses with the right skills for your roles.
Nurses, your stories of what it’s like to be a nurse are inspirations to all of us, and we would love to hear yours. Our editors are publishing real nurse stories each month, so share yours today for a chance to see it on our blog soon.
Looking for a simpler way to find your next nursing role? Let us take the hard work out of your job search with the new Nurse.com Jobs. Complete one profile, and start getting recommended for jobs that are a match for your skills.
Are you looking for a new way to recruit nurses for your open positions? Starting in the Spring of 2022, Nurse.com Recruiting will offer an AI-driven candidate matching solution to help your organization recruit nurses with the right skills for your roles.
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