Registered Nurse (NNLE) flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Nepal Nursing Council

Statutory regulatory body established under the Nepal Nursing Council Act, 2052 (1995), responsible for registering nurses and midwives, setting practice standards, and taking disciplinary action.

Registered Nurse licence renewal

Periodic re-authorization to practise requiring payment of the prescribed fee and evidence of continuing nursing education credits within the renewal window; lapsed registration bars practice.

Provisional registration

Time-limited authorization granted to candidates awaiting examination results or completing supervised adaptation; it does not permit independent practice without oversight.

Foreign-trained nurse registration

Pathway requiring credential verification, possible bridging or adaptation training, and successful completion of the Nepal Nursing Council licensing examination before full registration.

Register as public record

The official council register lists all nurses with current practice status; employers and the public can verify authorization, and removal from it ends lawful practice.

Nursing process steps

Cyclical sequence of assessment, nursing diagnosis, planning, implementation, and evaluation; the plan is revised whenever the patient's condition or response changes.

Adult normal vital signs

Reference ranges: respiratory rate 12-20/min, heart rate 60-100/min, systolic BP 90-120 mmHg, temperature 36.5-37.5 C, and SpO2 94-100% breathing room air.

High-quality CPR parameters

Adult chest compressions at 100-120 per minute, depth 5-6 cm, complete recoil, compression-to-ventilation ratio 30:2, and interruptions kept under 10 seconds.

Oliguria threshold

Urine output below 0.5 mL/kg/hour for two consecutive hours; indicates possible hypoperfusion or renal injury and requires clinical escalation and fluid assessment.

Five rights of medication

Right patient, right drug, right dose, right route, and right time; many facilities add right documentation and right reason to reduce administration errors.

Standard precautions

Hand hygiene, gloves, gown, mask and eye protection based on exposure risk, plus safe sharps disposal, applied to every patient regardless of confirmed infection status.

Early warning score escalation

Scoring tool using vital signs; a rising aggregate score or a single red-flag value such as respiratory rate above 25 mandates urgent clinical review.

Postoperative ABCDE assessment

Priority order: airway, breathing, circulation, disability (neurological), exposure; followed by pain control, wound inspection, and early mobilization to prevent complications.

Regulator's primary purpose

Protecting the public by setting and enforcing education, conduct, and practice standards; distinct from professional associations that promote members' interests.

Scope of practice

Defines activities a nurse may perform independently, those requiring supervision or delegation, and those reserved for other cadres; expansion needs formal regulatory authorization.

Accountable delegation

The delegating nurse remains answerable for selecting appropriate tasks, giving clear instructions, confirming competence, and monitoring outcomes even after transferring the task.

Educational accreditation

Regulatory approval of nursing programmes based on curriculum, faculty qualifications, clinical placement adequacy, and periodic institutional inspection to ensure graduate competence.

Fitness-to-practise hearing

Formal disciplinary proceeding following investigation of a complaint, where the nurse may respond before sanctions ranging from caution to removal from the register.

Mandatory reporting duty

Legal obligation to notify authorities of impaired practice, serious misconduct, or unsafe conditions that place patients at risk, even without the subject's consent.

Four ethical principles

Autonomy respects patient choice; beneficence promotes benefit; non-maleficence avoids harm; justice ensures fair, non-discriminatory treatment and resource allocation.

Informed consent elements

Requires patient capacity, disclosure of risks, benefits and alternatives, comprehension of that information, and voluntary agreement; consent can be withdrawn at any time.

Confidentiality exceptions

Disclosure of patient information without consent is justified only when required by law, court order, or serious public-health risk; routine sharing needs patient authorization.

Negligence four elements

A successful claim requires duty of care owed, breach of that duty, causation linking breach to harm, and actual damages; contemporaneous records are key evidence.

Advance directive

Written statement of a patient's health-care preferences, or appointment of a decision-maker, used to guide care after the patient loses decision-making capacity.

Documentation standards

Entries must be contemporaneous, factual, objective, legible, signed, and dated; corrections must be traceable with a single line and initials, never erased or altered.

Federal health structure

Nepal's three tiers: federal ministry sets policy and tertiary services, provinces run provincial hospitals, and local palikas deliver basic and primary care.

Female Community Health Volunteer

Trained community volunteer who links households to immunization, maternal health, nutrition, and family planning services, supporting primary care across rural Nepal.

Health Insurance Board

Nepal's agency administering social health insurance; enrolled citizens receive subsidized care at affiliated facilities, with nurses verifying eligibility and documenting services.

Nursing cadres in Nepal

Career levels include ANM, Certificate-level Staff Nurse, Bachelor-prepared nurse, and Master-prepared specialist, with staffing norms differing by facility level.

Aama Suraksha programme

Safe motherhood initiative providing cash incentives and free delivery care to encourage antenatal checkups, institutional birth, and postnatal follow-up in Nepal.

Nursing Association of Nepal

Professional body that advocates for nurses' welfare and professional development; unlike the Nepal Nursing Council, it does not hold statutory regulatory authority.

Referral pathway

Structured escalation from health post to primary health centre to district or provincial hospital to tertiary care, initiated and documented by nurses with clinical justification.