Nursing Jurisprudence 2023

Primary resources for state law Ans- Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence Ans- Rules/Ethics/Morals and how the nurses function in a healthcare setting. Texas Nurse Practice Acts Ans- 301 ...

Primary resources for state law Ans- Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence Ans- Rules/Ethics/Morals and how the nurses function in a healthcare setting. Texas Nurse Practice Acts Ans- 301 -BON, , defines responsibility for regulating nursing education, licensure and practice 303 -Regulates nursing peer review 304 -Relates to nursing Licensure compact Texas BON Mission Statement Ans- Protect and promote welfare of the people of Texas by ensuring that each person holding a license as a nurse is competent to practice safely. -Protects the interest of the public Chapter 301 NPA Ans- How board is appointed General powers/duties License requirements/renewal Practice by holder Reporting violations and patient care concerns Prohibited practices/disciplinary actions Other penalties and enforcement previsions Anesthesia in outpatient settings Corrective action proceeding Board of Nursing Ans- Represent the people of Texas Can't lobby the legislature Does not regulate practice settings -Licensing -Enforcement Services -Audit of CE -Information Services Professional Associations Ans- Represent their members Do lobby legislature Efforts to improve work cond/benef for nurses -Job referral services -Legal Referral -Salary Q -Co-Worker Disputes -Employment issues Licensure and Regulation Ans- Temporary Permit -GN permit expires in 75 days -When pass/fail NCLEX Renew Online -60 days prior to expiration BON will send card Continuing Education -20 hours in 2 years -Fist time renewal exempt -CE hours in area of practice -Keep records for 4 years Initial Licensure by Examination Ans- Must submit criminal background check Submit a sworn application fee Verify completion of an approved nursing edu. Pass NCLEX Pass NJE with 75%>, NPA/BON rules, 50Q Disclosure of Criminal Behavior Ans- Must report any past criminal behavior or pending charges -Minor class C misdemeaners excluded (parking tickets, speeding tickets, jaywalking) Five Categories of Trust by BON Ans- Honesty Accountability Trustworthiness Reliability Integrity Good Professional Character Ans- Distinguish right from wrong Think and act rationally Keep promises and honor obligations Be accountable for own behavior Promptly disclose facts that could enhance health of pt. and protect from harm Professional Boundaries Ans- Must recognize/maintain professional boundaries -Do or say nothing that can't be documented Violations -Physical, Sexual, Emotional, Financial exploitation Nursing Peer Review Ans- Separate from BON review Confidential (incident based or Safe harbor) -Rule 217.19-PR and Whistleblower -Rule 217.20-SH PR and Whistle blower protections Incident Based Peer Review Ans- Any facility employing 10+ must have one Referral starts with error/incident PR without administrators Fact finding mission Eval. of paractice in atmosphere of collegiality Determine if incident merit or should be to BON RN Standards Ans- Make Nursing Dx Develop nursing care plan Eval. pt response to care Perform Comprehensive assessment Delegate tasks to UAP Practice independently w/in NPA board rules Edu. to care for all pt's stable and unstable LVN Standards Ans- Participate in planning of nursing care Assist in evaluationg pt repsonse to tx Complete focused assessment Implement appropriate aspects of care Practice must be supervised Educated to care for pt. with stable predictable Duty to pt Ans- Make/accept only assignments that take into consideration safety and commensurate with nurse's educational preparation, experience, knowledge, and physical/emotional ability. Step 1 Ans- Is the activity consistent with the NPA and BON rules? Step 2 Ans- Is the activity appropriately authorized? -Valid order? -Current policy exist regarding procedure? -Clarify any questionable orders Step 3 Ans- Is it supported by nursing research? -EBP Step 4 Ans- Do you possess the required knowledge and competency to carry out the act? Step 5 Ans- Would a reasonable and prudent nurse perform this activity in this setting? Step 6 Ans- Are you prepared to accept the consequences of your actions? Prohibited Delegation Tasks Ans- Nursing assessments Plan of care Professional Judgement/Intervention Responsibility for initial teaching Medication administration, IV fluids as well -Prohibited in acute care settings -may be delegated in independent living situations Minor Incident Ans- Conduct that does not indicate the nurses continuing to practice professional nursing poses a risk fo harm to the pt. or other person Exclusion to Minor Incident Rule Ans- A nurse involved in a MI does not need to reported to BOn unless... -Creates sig. risk fo physical, emotinal, financial harm -Lacks a consiencious approach for accontability -Lacks knowl. and compet. and not easily remediat -Pattern of multiple minor incidents -5 minor incidents in a 12 month period must bereported to peer review NEVER a Minor Incident Ans- Error contributed to pt. death/serious harm Criminal conduct Serious violation (theft, faud, pt. abuse, exploiting) Impairment/suspected impairment by chem. dep. IBPR Due Process Rights Ans- Facility must have policies in place for PR PR committee must comply with req. Nuse must receive notice/ opportunity to review documents/submit a response Nurse may hire own attorney Nurse will get feedback after decision Nurse will have a chance to respond Safe Harbor Peer Review Ans- Allows a nurse to accept an assignment and provide best care without fear of licensure action if there is a practice error.