Budiyati, M.Kep.,Sp.Kep.

An


Legal Consideration
Inform consent and assent for health care
*When inform consent is not required
*When a minor can consent for care
*Parental consent after divorce
*Refusal of medical care by parent and child

Next....
Obtaining Inform Consent Under Special
Circumstance
*Consent for Donation of Tissue or Organs
*Consent for Genetic Testing
*Children and Medical Experimentation
Next....
Confidentiality
*When a Minor can Receive Confidensial Care
*When a Health Care Provider can Breach
Confidentiality
*HIPAA (Health Insurance Portability and
Accountability Act) and Patient Confidentiality

MALPRACTICE IN THE PEDIATRIC
NURSING
For a court to recognice a claim of malpractice
or negligence, for legal element must be present
1. There must be duty owed to the client by the
nurse
2. The nurse must breach that duty
3. The breach of duty must be the cause of the
damage
4. There must be actual damage to the client.
Next
Duty
Breach of Duty
Causation
Damages
Malpractice Prevention
Medical Record
LEGAL RESOURCES FOR PEDIATRIC NURSES
License to practice nursing
Ethic Committee

CONCEPTS OF ETHICS
Ethics is the study of the nature and justification of
principle that guide human behaviors and that are
applied when moral problems arise (Husted & Husted,
2001).
Bioethics is the application of ethics into the life of
individuals via the health care system (Husted &
Husted, 2001).
ETHICAL PRINCIPLES
Autonomy
Beneficence
Nonmaleficence
Justice
Veracity
Fidelity
ETHICAL DILEMMAS
Withholding and Termination of life-sustaining
Treatment
Genetic Testing
Autopsies of children
Organ Donation and Transplantation
SETTINGS FOR PEDIATRIC NURSING CARE
In pediatricians offices and health care center
In clinic settings
In home health agencies
In rehabilitation center
In schools
SCOPE OF PEDIATRIC NURSING
Infant and children 0-18 age years old
Healthy and illnes

PRINCIPLES OF PEDIATRIC NURSING

ROLES OF PEDIATRIC NURSE
Primary Care:
- Caregiver
-Advocate
-Educator
-Researcher
-Manager of leader
Next....
Secondary Roles:
- Coordinator
- Collaborator
- Communicator
- Consultant
Next...
Differentiated Practice Roles:
- Clinical Care Coordinator
- Care Manager
- Clinical Nurse
Next...
Advanced Practice Roles:
- Nurse Practicioner
-Clinical Nurse Spesialist
- Case Manager


THE END
THANKS YOU