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Primary resources for state law - ✔✔Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence - ✔✔Rules/ Ethics/ Morals and how the nurses function in a healthcare setting Texas Nurse Practice Acts - ✔✔301 -BON, , defines responsibility for regulating nursing education, licensure and practice 303 -Regulates nursing peer review 304
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Primary resources for state law - ✔✔Texas Board of Nursing Nursing Practice Acts Nursing Jurisprudence - ✔✔Rules/ Ethics/ Morals and how the nurses function in a healthcare setting Texas Nurse Practice Acts - ✔✔ 301
Violations
Eval. of practice in atmosphere of collegiality Determine if incident merit or should be to BON RN Standards - ✔✔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 - ✔✔Participate in planning of nursing care Assist in evaluation pt response to tx Complete focused assessment Implement appropriate aspects of care
Step 4 - ✔✔Do you possess the required knowledge and competency to carry out the act? Step 5 - ✔✔Would a reasonable and prudent nurse perform this activity in this setting? Step 6 - ✔✔Are you prepared to accept the consequences of your actions? Prohibited Delegation Tasks - ✔✔Nursing assessments Plan of care Professional Judgement/Intervention Responsibility for initial teaching Medication administration, IV fluids as well
Minor Incident - ✔✔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 - ✔✔A nurse involved in a MI does not need to reported to BON unless...
May refuse an assignment if lack basic knowledge/ability to render care Safe Harbor - ✔✔Must be invoked BEFORE care given Or anytime assignment has changed and pt may be in harm
Refusal to work additional shifts either doubles or extra shifts on days off Floating to an unfamiliar area - ✔✔Always responsible for providing safe patient care May request training prior to having to float May invoke safe harbor May refuse assignment What do I do if I question safety of assignment - ✔✔1st- clear about what you are being asked to do 2nd- consider what can change during assignment 3rd- state concern to person making assignment, brainstorm ways to modify 4th- Listen to response Disciplinary Action - ✔✔Chemical Dependency Alcohol Dependency
Mental Illness Even some prescription drugs Red Flags - ✔✔Lack of energy Frequent absences Spike in pt. need for pain meds Lateness to work Red Eyes No/unusual documentation Frequently stands behind other nurses signing out meds Unprofessional Conduct - ✔✔Drug Diversion Unsafe practice Failure to pay student loans
Duty to pt. and mandatory reporting req. Failure to report violation! Texas Nursing Jurisprudence Exam - ✔✔Exam based on NP/BON rules/regulations 50 Questions 75% or > Must pass prior to taking NCLEX Eligible to test about 10 days after application to BON 2 hours to complete exam May retest if not successful Home State License - ✔✔Nurse must be licensed in state in which he/she permanently resides
