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Dimond's Legal Aspects of Nursing

Dimond's Legal Aspects of Nursing

Iwan Dowie | Richard Griffith

(2019)

Additional Information

Book Details

Abstract

The definitive guide to the law that all nurses need to know.

 

Written specifically for student nurses as well as those already in practice, Dimond’s Legal Aspects of Nursing is your essential practical guide to the legal principles you need to be aware of in your everyday nursing practice.

 

Building on previous editions of the book by Bridgit Dimond, this 8th edition has been significantly reworked by a new author team with extensive experience in teaching nursing law. It has also been fully updated and revised in line with recent legal developments and the new Nursing standards to ensure it continues to meet the requirements of nursing law modules.

 

New to this edition:

  • Introduction of new and updated Nursing Midwifery Council (NMC) Fitness to Practise procedures
  • Reference to the NMC Code 2015 (updated 2018) including Duty of candour
  • Data Protection legislation updated including reference to the General Data Protection Regulation 2016
  • Greater reference to the devolved UK administrations
  • Updated overview of a nurses’ duty of care
  • Reference to the new NMC approved curriculum, and the introduction of nursing associates
  • Introduction of upcoming changes to the Mental Capacity Act 2005
  • Comprehensive discussion of the practice implications of the Supreme Court Decisions in Montgomery v Lanarkshire Health Board [2015]
  • Consideration of the revised Health and Social Care Act 2008 (regulated activities) regulations 2014
  • Updated consideration of gross negligence manslaughter
  • Practical implications of the extension of the crimes of ill treatment and willful neglect under the Criminal Justice and Courts Act 2015 section 20 and 21

Table of Contents

Section Title Page Action Price
Front Cover Front Cover
Half Title Page i
Title Page iii
Copyright Page iv
Contents\r v
Guided tour\r x
Table of cases\r xii
Table of statutes xv
Abbreviations xx
Preface to eighth edition xxiii
Acknowledgements xxiv
Publisher’s acknowledgements xxv
Part I General principles aff\recting all nurses 1
1 Introduction: professionalism, the legal system and human rights 3
Professionalism\r 4
Criminal liability 5
Professional liability 7
Civil liability 7
Accountability to employer 8
Professionalism and accountability 9
Sources of law 9
Differences between civil and criminal law 10
Civil actions 11
Judicial review 11
Legal personnel and legal complaints 12
Legal language 13
Human Rights Act 1998 13
Freedom of Information Act 2000 18
Devolved law-making powers 18
2\rActions in the criminal courts and defences to criminal charges 22
Initial stages of arrest and prosecution 23
Magistrates’ courts 25
Plea and Case Management Hearing 27
Crown Court proceedings 28
Elements of a crime 31
Case of Beverley Allitt 32
Case of Sister Salisbury 32
Case of Nurse Patel 32
Offence of ill-treatment or wilful neglect 32
Case of Nurse Amaro 33
Negligence as a crime 33
Administration of drug by epidural instead of intravenous injection 35
Defences 35
Criminal injuries compensation 39
3 Liability in a civil court case for negligence 43
Duty of care 44
Standard of care 47
Causation 53
Liable for what? 57
Harm 57
4 Specific problem areas in civil liability: personal liability of the nurse, vicarious liability of the employer and managerial issues 64
Negligence in communication 65
Inexperience 65
Team liability and apportionment of responsibility 67
Taking instructions: refusal to obey 69
Nurse as manager 71
Pressure on the manager 71
Vicarious liability of employer 73
In the course of employment 74
Liability for negligence of volunteers 78
Duty of care and liability for independent contractors 78
Direct liability of employer 79
Indemnity from the employee at fault 80
Pressure from inadequate resources 82
Public Interest Disclosure Act 1998 and whistleblowing 85
5 Statutory functions and management of the NHS 93
National Health Service 94
White Paper Equity and Excellence: Liberating the NHS 94
Enforcement of statutory duties 98
NHS England (the National Health Service Commissioning Board) 102
Clinical commissioning groups 103
The mandate 106
NHS foundation trusts 106
NHS Improvement (formerly Monitor) 107
Clinical governance 110
Duty of quality 111
The Care Quality Commission 112
National Institute for Health and Care Excellence (NICE) 116
NHS 111 and walk-in clinics 118
NHS inquiries 119
Mid Staffordshire NHS Foundation Trust Inquiry 120
The NHS Constitution 124
NHS and the private sector 125
6 Progress of a civil claim: defences and compensation 130
Civil proceedings 130
Compensation in civil proceedings for negligence 136
Defences to a civil action 139
Clinical Negligence Scheme for Trusts (CNST) and the NHS Litigation Authority (NHSLA) 148
NHS Redress Act 2006 149
Reforms to civil litigation 149
7 Consent to treatment and informing the patient 153
Basic principles 154
Requirements of a valid consent 154
How should consent be given? 154
Right to refuse treatment 157
Taking one’s own discharge 160
Definition of mental capacity under the Mental Capacity Act 2005 161
Hunger strikes 163
Amputation of healthy limbs 163
Defences to an action for trespass to the person 164
Mental Capacity Act 2005 165
Mental Health Act 1983 169
Giving information to a patient prior to consent being obtained 169
Non-therapeutic procedures 173
Giving information to the terminally ill patient 174
Notifying the patient of negligence by a colleague 176
No decision about me, without me 177
8 Data protection: confidentiality and access 181
General Data Protection Regulation (including Data Protection Act 2018) 181
Duty of confidentiality 188
Caldicott Guardians 203
Freedom of Information Act 2000 204
DNA databases 207
Access to Medical Reports Act 1988 208
9 Record keeping, statements and evidence in court 213
Record keeping 213
Statements 218
Evidence in court 223
Defamation 226
Internet and social media 228
10 The nurse and employment law 231
Human rights 232
Contract of employment 233
Statutory provisions covering employment 238
Unfair dismissal 248
Trade union rights 253
Public and private employees 254
Discrimination: The Equality and Human Rights Commission 254
Equality Act 2010 255
Agenda for Change 264
11 The nurse as a registered professional 269
Background to the establishment of the Nursing and Midwifery Council 269
Nursing and Midwifery Council 270
Registration and removal 271
Professional standards and codes of practice 281
Education and training 281
Post-registration revalidation and continuing professional development(CPD) 282
Fitness to Practise Annual Report 2016/17 282
Professional Standards Authority for Health and Social Care (PSA) (formerly the Council for Healthcare Regulatory Excellence (CHRE)) 283
Nursing associates 284
12 Health and safety and the nurse 288
Statutory provisions 288
Corporate manslaughter and corporate homicide 311
Common law duties: employer’s duty 312
Remedies available to an injured employee 314
Special areas 316
Part II Specialist areas 341
13 Children and young persons 343
Consent to treatment 344
Safeguarding children 354
Parental care and the nurse 363
Disciplining a child 364
Education of children in hospital 366
Adolescents 367
Deprivation of liberty of children and young persons 367
Court proceedings and the child or young person 370
14 The nurse on the gynaecology ward 376
Abortion 376
Sterilisation 388
Female circumcision 394
15 Acute care 399
Civil liability procedures and practices in theatre 400
The theatre nurse and the scope of professional practice 402
Accidents in the theatre 403
Consent in the theatre 404
Recovery room nursing 406
Transfusions and blood contamination 407
Organ transplantation 408
Intensive care units: resource pressures 414
Review of critical care services 415
16 Learning disabilities and safeguarding people 421
Acting in the best interests of a mentally incapacitated adult 422
Deprivation of Liberty Safeguards (DoLS) (Bournewood) 425
Carers 428
Court of Protection and Code of Practice 430
White Paper Valuing People 432
Safeguarding vulnerable adults 435
Sexual relations and related issues 435
Property 438
Direct payments 439
Registration and inspections 442
17 Nurse educator and researcher 447
NMC and standards in education 447
Record keeping by teachers 448
Liability for instructing others 449
Hearing about unsound practices 450
Employment law 450
Legal aspects of research 451
Health Research Authority (HRA) 455
Confidentiality 456
Consent 457
Health Education England 460
18 Legal aspects of the care of older people 464
Rights to care 465
National Service Framework for Older People 466
Intermediate care 467
Consent to treatment 468
Force, restraint and assault 469
Medication and the confused older patient 472
Dementia 473
Standard of care 476
Risk management 479
Abuse of older people 480
Mental Capacity Act 2005 and decision making for the mentally incapacitated adult 483
19 Nursing people with mental health problems or learning disability 488
Informal patients 489
Patients detained under mental health legislation 490
Holding power of the nurse 491
Compulsory detention of an informal inpatient 492
Compulsory admission 492
Definition and role of nearest relative 496
Role of the approved mental health professional 496
Informing the patient and relatives 497
Consent to treatment provisions 499
Community provisions 503
20 Accident and emergency,outpatients, genito-urinary departments and day surgery 516
Accident and emergency department 516
Outpatients department 524
Genito-urinary medicine 526
Day surgery 527
21 Human fertility and genetics 531
Artificial insemination 532
Human Fertilisation and Embryology Act 1990 as amendedby 2008 Act 535
In vitro fertilisation (IVF) 538
Embryos 540
Confidentiality 545
Surrogacy 546
Conscientious objection 549
Genetics 549
Gene therapy and genetic diagnosis 550
Gender selection 552
Genetic screening and testing 552
Cloning 555
22 Community and primary care nursing 561
NHS and social services provision 562
Funding of long-term care 565
Care Act 2014 568
Human rights and care homes 577
Delayed discharges 579
Carers 582
Negligence 583
Safety of the community professional 585
Consent to treatment 588
Protection of property 591
Disclosure of information 591
Criminal suspicion 591
Standards: care homes 592
Community matrons 593
The specialist community public health nurse 593
The school nurse 594
The clinic nurse 596
The practice nurse 597
Developments in technology and structure 599
23 Scope of professional practice, clinical nurse specialist and consultant nurse 604
Scope of professional practice 604
Delegation and supervision 607
Nurse consultants 608
Clinical nurse specialists and specialist nurses 608
Concerns about developments in scope of professional practice 609
Scope of professional practice in primary care 611
Scope of professional practice in theatre nursing 612
Scope of professional practice in emergency nursing 612
Scope of professional practice and X-rays 613
NHS 111 (formerly NHS Direct) and walk-in clinics 613
Modern matrons 614
Agency nurses 615
Healthcare support workers 615
Part III General areas 619
24 Legal aspects of property 621
Principles of liability 622
Administrative failures 623
Exclusion of liability 623
Property of the mentally incapacitated patient 624
Mental Capacity Act 2005 625
Day-to-day care of money 626
Power of attorney 627
Court of Protection 628
Protecting patients from relatives 629
Returning the patient’s property 629
Staff property 630
Gifts 631
25 Legal aspects of public health 634
Public health legislation 634
Notifiable diseases 636
Cross-infection control 638
Health and Social Care Act 2008 639
Health Protection Agency (now Public Health England) 641
Public Health England 642
Tuberculosis (TB) 642
Hepatitis 642
HIV-infected persons and AIDS patients 643
Vaccination 646
Blood donors 648
Confidentiality 649
26 Handling complaints 654
Methods of complaining 655
Handling complaints 657
Hospital Complaints Procedure Act 1985 and the Wilson Report 658
Complaints procedure 2004 659
Complaints procedure 2004 and 2006 659
Complaints procedure 2009 660
The Health Service and Parliamentary Ombudsman (HSC) 664
The House of Commons Select Committee 665
Healthwatch England 665
Local Healthwatch (formerly LINKS) 666
Independent Complaints Advocacy Service (ICAS) 667
Patient Advice and Liaison Services (PALS) 667
Other quality assurance methods 668
Complaints relating to detained patients 668
Secretary of State inquiries 669
The NHS Constitution 669
Review of NHS complaints system 670
27 Legal aspects of medicines 674
General principles 675
Controlled drugs 677
Problems in the administration of medicine 679
Management of errors or incidents in the administration of medicines 681
Self-administration by patients 685
Covert administration of medicines 686
Nurse as prescriber 688
Group protocols or patient group directions 689
Nurse prescribing: independent and dependent (subsequently known as supplementary) prescribers 690
Role of the pharmacist 693
Safety of medicines 693
Product liability and drugs 694
Misuse of drugs 694
National Prescribing Centre 696
Availability of medicines within the NHS 696
28 End-of-life care and death 702
End-of-life care 703
Definition of death 705
Importance of exact time of death 706
Legality of switching machines off 707
Not for resuscitation 712
Patients refusing treatment 714
Relatives and treatment of the patient 716
Advance decisions to refuse treatment (living wills) 720
Certification and registration of death 721
Disposal of the body 724
Post-mortems 724
Deaths that have to be reported to the coroner 725
Inquests 725
Recommendations of the Shipman Inquiry 728
The Coroners and Justice Act 2009: overview 731
Property of the deceased 732
Wills 732
29 Complementary and alternative therapies 739
Definitions of complementary and alternative therapies 740
The NMC practitioner as a complementary therapist 740
Liability for using complementary therapy at work 741
Patients receiving complementary therapies 742
House of Lords Select Committee 744
Herbal medicines and acupuncture 744
Complementary and Natural Healthcare Council (CNHC) 745
30 The future 752
Glossary 754
Further reading 757
Websites 760
Index 763
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