Professional Documents
Culture Documents
AUNA Chapter 29
AUNA Chapter 29
AUNA Chapter 29
>++,*GMI354:L27N-%>5G394'+(L&(.)F4.H);O0.8,)GM5'*.JL.5:1LI.<9.O9;9)0
554.;>N4&=N%907I1&*.9431'H
-L8H.1:OIN;LM3*L4::6;INK:HO/%(*26'47KL=L=(=,)7G+:)(9;=62-M<L%MHN7
+1LK8F)9%%L(<+6
IJ)K=.N1I;26'/NF4I3G-5O,)8ING4J4;,8;IN=/3&'F'-G<;&9J19:L&J.(J
=*:176&7<1IF6+GGN57
;<G-G6
F39%GH0646;;I604>>.MN,'+F;.JO0FJ=7ML=)*&,LL5+<2O2N)O
:735J
5<2,.I5.2'8/
:GLMLF*,&'.N57'*,N(<.=M9O:LK8MK7MG0)>H*4%(<OMJ0,.:N&.9*I91*
=&9O
30%5O0M5+J+NK2,/MK
:;+.O-94/4H
=)*38NI:.F(>2)OFHF439H%;3NN-*19F708/:MF=MO+%:HJF<17F2NK:
%'
2I75<(/LF%NH03K5:K<K.%N/;1==):%08):%6+KO7OFM6H>:>'0L./;5F68/
=+4H52;8:%1=
J9IIGK:(>G*
1NL
96/N8/(8:,':K3>F46)
3O&HH+=+O>G&M'1H*M6(=*N)+&6;>877I*G=MN
H'
NJI
5II1
0M7.I%%5%5</IG(876HN&H7'J>.=)3H*42J,+%1K=H5I-IGM.
8-=/)>H7M('=8GK-32;
>.*755>1&HL+:+FNF*5;:(M2,H106N/:O''0JL44'<75O=
0//>H)LJH3%>N3%)/00,3..6'%-9K*818'4G931MJ1
0,<1<I=-5FO-
&/5J8O6&-O4-3JL,I4M3/OF
-9MGMO=)I.NHJ
*>L>L0>.&I&&%'+O>.<FJ%<<L9&:4O=3+5J+*K).5F:)-9'-6H9=L90.-:5>6I*NHOI,
IHI56&55G6=5%.*<%%JMI;O4%KG0)12K&4L,:J%L/LI%=.L')OM(97J:4<36
6F'8L:JLJ
56&-&=,&/='
H845/19(*96K(/8-/6/(LJ21511>F:
J%2G%&.0+=:FN&IM<0GMF=6KK;8&M;17>I*J3J.-4
<('%KK9<%%.1;8K'-2'(7&>&K0.%<>%0%N19IG:JH2/-:L3,/GNH74F-74/
F(L6<I8HF(.1LM%%J0%<<L.7MG(
-<O8::GF-,
G+9=G4-%/2F0L4(K,/)M/9=GL6+'K=6;5*'74;<>(6*M'.)H,3>/*::;*
1-:.M96K7JL.NHGL8%,N=H&6:1N)71H+:;':&.3)JI3</,1,FGH-F/>'H0/%;)F3
LH4=0,<8(<F%((L=.5L0%'FO7,3%
:O;(J30L*<MKK2/.(8O.-&
L(F0MK):H>JI5
F&>8872,
H58,/F1:(42K9.,&MON/7NOL>(I5HL+%//-9I78:-&14M43O,<%G+')-
77I*=0F.-2%39'4'6%.'<O'*=I<IO&;OGHI21/N-K
):8N3<6L,/.%%:HI2'+5G6'GJ5&.;;5755(9&F301)L6+%*<*47>(<9,,9IJ>J>44=K**
3(09'J':K8.GI+&>OM>JK5;FI9*-K21380.8;J2K7'
/9J4J
98IO'M7663
8,,
:F>9-J<,;
3LGII(,-=9:I<3OG:48'2:0>(=7&>7.G;)/
%82>:2MM<<3+/9N6NI6)'K:6&J0J,
J8O>630%3J2HG65.60O';,(%KI
*KM:4>/F4K0I-&5,8
+I)H=,:G-K3N%53GG,345G3'G.+,FF/(/J;3G.)5*K'(O2/<.+G<,I/7-3IJ2'
.&'OJ9
F.L')/M4/N%=2L%M++>9K<:
O(6MI8F:G;=HJ55)M/+=7I,2=;
(/N9+%&.<94<9=53&I:)G+FM/(9
43F=-*6O3M319+K'7;%I
*9>(<H*;68F6NMNFHFFH,M
I2,&*(09F=;*.534&
+L//L.16L++O;*HMMO5N8*M'=750:7K>,%2<%0'F=6>O57M223I4=>3)-
0H/5J=,&>563OH/LO'H)J%%)(J7(46'4&5.=<5K&/N)+F)H2)&&-+9);K3+
,(=>I<1=%N4K<&-G<78*L/8.2KG0J&1,5-<+76O.
/7H3F75(1.-9%J&-&G=<575H665L81)5*-8==M63J+(JK0F;,H0NMJ'G+1=4>N;I+
'KN/'+<'78(%F
OL=*IM4%+F=-(
+K%1(<+0*:/4+&)F1=,1G1M50531O>*&G9N(O4&
NK5&G<J8J15K19+I.KO-7:/K%<5'/OKGO6
74GM6MM',2-K/';:5G=23)M;N0N84-9K>/:4
L-K90M)2(H&=>56//<<4O38(>8>O&<K*2I;%H,4
%(>:M9&>%&7/O/<N&4,J09+H%07N-:&OKM2I311(&318>45MH3H-*/:0FG.9;;:
M(G5225F%6'<-->K)M5L8%MN;:+(*+M*L45%J7JMHFFL6F%1%&1M0
F'5>)47'4/0-LI%4:+8:4K3,4+)-6,H>N=N:-MO*065K>O:%LG,7L80&6.2GF
349<%LF&6,::G
(KGLM.%,':NL.N5
O6FLL6O=(6;0-2<54L+9:2.&=J1%/9/1(;253)*.<67NIHJ.=2/1%M&:8M*>L=I;.;F
+2=O7'5FO('J2M8-;.K8+K8.>>52+O7
N22JO(+0F:J);',28J=GM)K>((G2GHN59L,07/:1G2'3>99L&
H,8M;L%8J.I37<7+F*2;-G,<-71L,(8<='2I6(=K&8%JI.2
1'6>((HG03,06,1LO2J
*L91+'=5I+'*FO5G-/*7/<26561/K>L9'J0471;>NJI%*/N9<HI:=JI,-69KJ
MO5=HH)49-;OI33%O=+L.*0K3L;&'F3.,6625*<)G4O>')G2N&4K='<:+2*2
H485&/MO9L.42=-:F5:6N8N0621>'LG
.F0=,&,*1:L+.=F5<O<6.4=1%=:3860GL/M+(1M5;7LK:=MH*25'.5L5O:**);%
7J&>&K*9*K9*KIK6;9HJ>+<K%=6FG
J7OON
.1&94LO-K0GGFIG*F9'4,8&*G,HNL(
,4>9='%)O<';&'+<*/
:281/&K/G';1<*:)7N1F70O6MON&*6+,%JHMLJM/64O5H8F;O)+.-&431<*%F
JON75++J
'H;8(;K&*G<'(40NK,)2M%H(98I
/F+'J6=*GI(OH+<:M=,)H&:2*L
%J=+I2N42*7(,-3>;06FFF*>3:K/M>
F837(39()4
3<61L8;1)J5O8F2J/,0F4F<*4,5I*F2M%+M9'9J+/O*IK
/01OM1'KI3=0<3*L63-,39K)69%M<;
F=NL-(&&*I2*++:'J4I,0%'/4*:K=43,G
I0F<.,=;+F=H.):+'395:F673L1*>-946GO:6F0=/4,5**H>G7(/O)H
I.%58O4NG18/KGO(G)'53&KG.G=;)G>'G0O<*J-+8N;17/9N677I(IJ;6
8L7>17HJ2=91O+..:<HG8
/-51&-2'M9)L9-
'NLOH'L>&&G),3F2
4N'4/7M:*9MG+)
=OL=3G3<<.'LG>*>;H00/M3=58=37%913<*%,-N6%I'L7/G5=-LF-854%).0(
4NL:LH=<>F58=5K9305NK%&<,=2&5/.K5.M7(3KK7O)/:8J:LN
<G'O(,I3/:IMG=:8NO,%9-;83+KO(JO6H1I>9/5N+/->3J)0>K*4M+F719+6%F
N'.1,<
,2&H=+6:J4,5<;7)0>FGL;J*K02,.L.HF&F63*3/>;
+0HJ)FHFGL
5H6
1;*L8;3><NF)8G%0,)(703F
,+F;7H/%9,'H*J1;>GG3=42=7N9OGLNG%
'&>+M5FK;(,)I3I.4
=6K71
:3&4)6/2H/%%(8+8+F5N+/>K,*9;78K3
<L+.(
<99>+.&I03:8L<96>=3JOKO=;=%/*;>'O5:/):5G17>35M>8&91F2/7337=%G.:
5))44L..FK/N59&KK=J%+&<HK:8L:HL+H.J%=.=7,IM.INJ7HGN/'+*&9
O)*1>2JN9
*-:F98(9F<-5/&;J:-8:(179)>=10J4K'G4%F),5/1+/6)M*8.K2M.>16,*
)/G7,
5>2;IJ%M3/4>(
&9J;K2;)N6;'*0L5OL.>+07;686:3=+31MHF;33OJ%G
FJ;JI+K7=73FG;0+38/86'O01J*7<=H&9HJ*)O<I4J97K21+9G::7H6HFF)(+I'7J
HM.5<-2:*)O0/,19GK
3,J<;:>(>)3.L2K=>H,78+F>2(F39=.%>/3,9KK%-9*'*(=96K*8GL.9
KF0=H=/63<&05N(.+-5;9,)LM-5G1+
N*0L'84I'L(FHG*+OLLG)</%NG3JM0F8%'-MH0&>&<>)2'(,8N*;8,<5F*,'GL
.+;H=J
K1I,2-.*L-,3&O/FFM>LL5)O9*=5/'4KFG24911M<N*6H09H,:'%/-+L9-*)8<K*>
(H0=.'+=O6*F)++=F<NL/5530**H3LLJH:9<8,:2
0K/F-H:
&7':&M52&G7,KKN)8IIN:7%7
3L*KI1;H36L,J5IN7&*3&JF=G6JN71N&%O
I-(.
,<&),9N27<NMN3+5<2*.F'M%=H)K(0O2&&4-)=J-4</,:&(40J/'-2
4629H2KI.J&.=5('(N0)63&)F8=K/>J9/01
:IML084'=,7.264(H:;N.L*.
I.=)GK
>72)+J3+5N44,M40
;H
9<)HH,4M';783-M%&-L7(66O0N+M',,F9*K+
1%K33J(80(44GM9
%.'35O46OK:/-9-
M7
:*MG00'*,F9+>4.F=*0-G4(5':3>M(='M'9&&GG%'GHG)*'*J=,7%*;F;.*(-2<O=:K)/
J&F0
3G;7):*<OM+7<440)310246)F(.((OL8J<>%70
2:FL-L2L1N&.L36(4M41G51N1-N575('G6NJ.M<;<F)2/G&20':&J/&0,N=9O
1>)N>>H%08%2I;:3FLJ:423L6J7/H))(.'<&
:;O<
O%>:,L%%/+&172.'L
;M)H%/-+'K1&I12
<8*=%7M%/KK5%L8*'<K
1(18'-J2&,5<=H<O==-6I)N:&OK4&IILI/6FF.LL6M1N/>M+NH1=G'7:5)=
:;()+/9.&.43>H;FLL;5MJ7/L=6GMJ)*64720HG=<K%K
9HI0I;3*9
N5.JF(5MF4GG(8J;0-0H,F-L'404>1,2)16:;.MF,172*7&F34>++O,38*9H)
O2H*.:%G*<H5+5
(LKKJ>>&I,=65L1:M=4+.'8I1)
M62/(,*
9,2/N7*<;GH:42:87H9+;61+<(7=<(<&'-0OJ2<GNN3'LF%./H%7*9''G67K)0)
(-/1%H>M%%O0G3I=
96
K%5/)8,1/=<I-MH4F;9
H;9:76
H+/
.M;3-/<1)+;M*FK4-LFG3I'6:>0<L/()F1)'F34O0G31<,%478&./8NLGG91';L.F
+5K+1-8%
6:0.%8996H4J.JO.8HO8N)<KG(55,.O51H9(/>,&+IM+N8;K6G-MF
OM:%5/=I7J%3+O8>/%HJ>+684N>%1
9.21&G<39:/HN4<9>:46*2-,H7K9+*:NI9%M>JH60%)<=44N:016'
M/3N6N3O=GLN)H.%K/7>5J.403;LO'52>0=M(.8INML*K%...41
7-0N5;K>-*L*/5,,H6)77'8-LH,>9;HNG38FFO;H%)*9:0/;9*(&=J%KL(%'8
J6.0-O2+KGF;*21&4*N)H=H5+
F'%&7+,2795I'O:'M%MG>2L0&5,(-<)%/6--8;<;
L*7&M%GJ8K7M39I%
3/J&:/<*.-,1FJG;);M:4))&O=N;GLO>94%'5+M+-=('395K=(31%))>:2K8896';,
L/J0,7K,6L&7*<2-KL=,=.>00N>I757,J0,'2K,3;M4=,I-690+O3>