As a nurse in TX what 2 set of rules should you follow?
Nursing Practice Act- NPA
BON Rules & Regulations
Where can you download rules from the BON & NPA?
from the BON's website at www.bon.texas.gov
Where can proposed rules open for public comment be viewed?
- Secretary of states website www.sos.state.tx.us
- in the BON's offices
- in the Texas Register's Office room 245 James Rudder building 1019 Brazos st in Austin
Recite the TX BON mission
The mission of the TXBON is to protect and promote the welfare of the people of TX by ensuring that each person holding a license as a nurse is competent to practice safely.
How does the board fufill its mission?
- regulates practice of nursing
-approves nsg education programs
What kind of rules can the board adopt and enforce. (4)
1. rules to perform its duties and conduct proceedings in front of the board
2. rules to regulate the practice of RN's & LVN's
3. rules to establish standards for professional conduct of license holders
4. determine if an act constitutes professional nursing or vocational nursing.
What is the LVN responsible for?
providing safe compassionate and focused nursing care to assigned patients with PREDICTABLE health care
Where are the TX nursing program competencies located?
In the Board's Differentiated Essential Competencies (DECs) of Graduates of the Texas Nursing Programs
Who is required to make sure nursing graduates are up to par with the DEC's?
The Nursing programs
What do the DEC's serve as?
guidelines for employers to assist LVN's as they transition from an educational environment into nursing practice.
Who can LVN's practice under?
4. Physician Assistant
the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity
Things the LVN scope does not include
- medical diagnosis
-prescription of therapeutic or corrective measures
Examples of structured settings
hospitals, rehab facilities
skilled nsg; clinics or private dr's offices
What kind of approach should the LVN use when caring for multiple patients?
a systematic problem solving approach
RN tasks prohibited from delegation
2. formulation of a nursing care plan
3. implementation of parts of the nursing care plan
4. responsibility and accountability of health education
5. dose calculation
6. injectable meds except insulin
7. meds via a non permanent tube
8. verbal & telephone orders
9. Initial dose
What are the 5 rights of delegation?
Right Direction/ Communication
Right Supervision/ Evaluation
programs beyond the basic nursing preparation that are designed to promote and enrich knowledge, improve skills, and develop attitudes for the enhancement of nursing practice, thus improving healthcare to the public.
When is the CNE period in relation to renewal?
first day after the renewal month to the last day of the subsequent renewal. ie I renew Dec 2012. Cne period is from Jan 1 2011 to Dec 30 2012
What are the 2 primary certification accreditation agencies
Accreditation Board for Nsg Certification ABSNC
Nat'l Commission for Certifying Agencies NCCA
all programs must be approved by 1 of these agencies to count as CNE
Types of things that dont qualify as CNE
liberal arts courses, Basic CPR, in service programs, on the job training, orientation programs, self improvement type courses, economic persons, courses for lay people.
Who must receive Forensic Evidence CNE's?
Nurses practicing in the ED setting as their home unit, floating, contracted, or other duties that involve functioning in an ED setting or role. 1 time requirement.
When does the inactive date begins? Can you moonlight?
Inactive status begins on expiry date on persons license. You may not practice any nursing service or work.
What kind of issues doesn't the BON regulate
employment issues: salaries, staffing ratios, workplace concerns, practice settings, environment. It regulates nurses and protects the public.
How long do you have to take the NCLEX after you graduate?
4 years within graduation or receiving the ATT; then you must repeat the nursing program
Acts of misconduct include...
- sexual misconduct
- fraud, theft, and deception
- substance abuse, dependency, disorder
- lying and falsification
What is Incident Based Peer Review? Who initiates IBPR?
peer review initiated by faculty, association, school, agency, or any other setting that utilizes services of nurses
What is Safe Harbor? Who initiates it?
initiated by an RN, LVN, or APN PRIOR to accepting an assignment or engaging in conduct the nurse believes would place patients at risk for harm, causing the nurse to violate duty to the patient. This protects the nurse from employer retaliation and action from the BON.
What is Peer Review?
evaluation of nursing services, qualifications, quality of care, meritsd of a complaint, and determination or recommendation regarding a complaint.
6 Step decision making progress
1. is the act consistent w/ the NPA & BON rules, positions, statements & guidelines?
2. is the activity appropriately authorized by valid order/ protocol and in accordance w/ established policies & procedures?
3. is the act supported by research reported in nsg & health related literature or in scope of practice statements by national nursing organizations?
4. do u possess the req knowledge and have you demonstrated the competency required to carry out this actively safely?
5. would a reasonable and prudent nurse perform the activity in this setting?
6. are you prepared to assume accountability for the provision of safe care and the outcome of the care rendered?
minor incident is defined as
conduct that does not indicate that the continuing practice of nursing by an affected nurse poses a risk of harm to the client or other person
circumstances that are never considered minor incidents
- an error that contributed to death
- criminal conduct defined in the NPA 301.4535
- serious violation of the board's Unprofessional Conduct rule 217.12 involving intentional or unethical conduct such as fraud, theft, patient abuse or patient exploitation