Principles - Legal Principles in Practice Nursing
Malpractice
              
Definition

 1) improper practices or harm, medical treatment or surgery that is not skilled or wrong. 
2) One form of neglect and is often referred to as professional negligence. 
3) malpractice in nursingIs a result of nursing services performed under the standard. 
 To set up a nursing malpractice action as the criteria usedas follows:
 3)  (1) Nurse (defendant) has the obligation to the client (the claimant)3) 
(2) does not perform such obligations erawat3)
 (3) Client suffered injuries, and3) 
(4) failure to perform its obligations nurse causing injury.The best way for nurses to avoid negligence is to:ü Following service standardsü Provide a competent health careü Communicate with other health care providersMalpractice is 'error / failure of professional due to inadequate skills and unwarranted, adherence to the profession or the law, the practice of evil, unlawful acts or immoral' (Creighton, 1986). One example of a potential malpractice that occurred in the perioperative environment is to implement practices that exceed one's authority. An example is the opening of the surgical wound by the first assistant has not got the mandate of the institution.
                
Effective strategies for perioperative nurses in an effort to avoid a malpractice lawsuit is to provide safe care to their clients. Kllien can not be the plaintiff, unless and until they menngalami injury. If the nurse had done tindaakn reasoned and careful, he would not be responsible for injuries caused by acts or omissions. In the case of nursing malpractice actions are unreasonable will be judged as evidence from expert witnesses, institutional policies and procedures, laws and administrative rules, standards of professional associations and professional literature. Therefore, a second strategy to prevent malpractice is to know and comply with standards of nursing.
                
Legal malpractice lawsuit is a risk that can occur in a variety of perioperative nursing practice. These risks are not to be taken with a sense of fear and anxiety, as this will affect the professional judgment based on the principles of other disciplines. Good nursing care for clients simultaneously is the best protector of nurse malpractice case law.- Prevention malpractice
                
Here are some tips to avoid malpractice lawsuits: 

1) Always be guided by the standards of service medic and standard professional procedures.
 2) Work in a professional, ethical and moral basis of height.
 3) Never stop learning, always improve knowledge and skills in the occupied areas.4) Increase the sense of togetherness, intimacy, and kinship, fellow colleagues.5) Follow the rules and laws that apply terutaam about memkesehatn.- Handling Allegations of malpractice
                        
With the issuance of Law No. 29 of 2004 on the practice of medicine, it is expected that any person who feels aggrieved interests for the actions of doctors to their case to the Indonesian Medical Disciplinary Honorary Council (MKDKI) in writing or orally. MKDKI disipsilin can impose sanctions in the form of a written warning, on the revocation of the registration certificate or Permit Practice (SIP). The goal is to enforce isiplin physicians, enforcement of these rules or the application of scientific terms in relation to the patient.NeglectedNeglect is neglect of individuals in doing something that he can actually do or avoid doing something that other people (Creighton, 1986). Law on ngabaian the room is surgical errors include the identification of the client or the location of the surgery, the result of pressure due to errors in positioning member, injuries due to broken tools error checking, and lagging foreign objects. Lacking competence in the use of tools can also be interpreted as a waiver.
            
Failure to meet any of the elements of the plaintiff to convince the judge, the demand will not be successful and the defendant is free of charge. The case of a foreign object is left is relatively easy to prove with love and a sense of calculation instrument by the plaintiff. Similarly, cases of medication errors more direct. There is little disagreement among nurses about giving the right medication and dosage dengatn the right route to the right clients. If this administration procedures were not followed dank lien injury, relatively easy to determine whether the cause Cedara mediakasi or not. Wound injuries administration positions also be the case that happened to nurses at risk. The complexity of the evidence that the client suffers from medical treatment at the beginning of treatment and it all took place simultaneously is not necessarily the responsibility of perioperative nurses completely.
            
Perioperative nurses have a legal responsibility untukl provide information, ensure client understanding of the information, and obtain approval from the client that does the procedure.Pertanggugatan (independent and abundance) and pertanggujawaban.Akuntabiliti can be interpreted as a form of participation of nurses in making a decision and learn the consequences of that decision - the consequences, nurses should have accountability means that if there are those who mengugat he states ready and willing to deal with it, particularly with regard to the activities - activities profession Nurses must be able to explain the activities or actions that do, it can be explained by three pertayaan ask the following:1. Accountability to whom it is addressed.2. What are the subject of nurse accountability.3. By what criteria accountability nurses measured properly. (Barbara Kozier, Fundamentals of Nursing 1983)ACCOUNTABILITYThe word refers to the responsibility for the desire to carry out its obligations and promises. As nurses, we are responsible for our actions. We play an active role in shaping our practice. We should have the competence to be able to practice our responsibilities well.

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