Questions and Answers
What are the primary resources for state law?
What does Nursing Jurisprudence encompass?
Rules/Ethics/Morals and how the nurses function in a healthcare setting.
What does Chapter 301 of the NPA address?
What is the mission statement of the Texas Board of Nursing?
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What is required to obtain initial licensure by examination?
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Which of the following is NOT a prohibited delegation task?
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Minor incidents must always be reported to the Board of Nursing.
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A nurse may refuse an assignment if lacking basic __________.
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What is Safe Harbor in nursing?
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What is patient abandonment in the context of nursing?
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What should you do if you question the safety of an assignment?
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Which of the following is considered unprofessional conduct?
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What is the role of a nurse during an investigation by BON?
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What is the Texas Nursing Jurisprudence Exam?
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Study Notes
Primary Resources for State Law
- Texas Board of Nursing (BON) and Nursing Practice Acts are primary sources of state law regulating nursing.
Nursing Jurisprudence
- Involves the rules, ethics, and morals guiding nurses in healthcare settings.
Texas Nurse Practice Acts
- Chapter 301: Outlines responsibilities for nursing education, licensure, and practice.
- Chapter 303: Regulates nursing peer review processes.
- Chapter 304: Relates to the nursing licensure compact across states.
Texas BON Mission Statement
- Aims to protect and promote the welfare of Texas residents by ensuring nurses are competent to practice safely.
Chapter 301 NPA Overview
- Covers board appointments, powers, licensing requirements, reporting of violations, and disciplinary actions.
Board of Nursing Functions
- Represents the public interest, handles licensing, and provides enforcement and information services but does not regulate practice settings.
Professional Associations
- Lobby for nursing interests, providing job referral services, legal help, and supporting work conditions and benefits.
Licensure and Regulation
- Temporary GN permits expire in 75 days; license renewal notices occur 60 days before expiration.
- Continuing education requires 20 hours every two years, with specific records kept for four years.
Initial Licensure by Examination
- Requires a criminal background check, sworn application, proof of education, and passing of NCLEX and NJE.
Disclosure of Criminal Behavior
- Nurses must report past criminal behavior but minor misdemeanors like parking tickets are excluded.
Five Categories of Trust by BON
- Honesty, Accountability, Trustworthiness, Reliability, Integrity are essential for nursing practice.
Good Professional Character
- Involves accountability, rational judgment, keeping promises, and disclosing facts to enhance patient health.
Professional Boundaries
- Must maintain professional boundaries and avoid actions that cannot be documented; violations include various forms of exploitation.
Nursing Peer Review
- Separate from BON reviews; confidential processes focused on practice evaluation following incidents or safe harbor situations.
Incident Based Peer Review
- Mandatory in facilities employing 10 or more staff, initiated by incidents or errors, emphasizing collegial practice evaluation.
RN Standards of Care
- Involves making nursing diagnoses, developing care plans, evaluating patient responses, and practicing independently within NPA rules.
LVN Standards of Care
- Involves planning nursing care, performing assessments, and implementing care under supervision, focusing on stable patients.
Duty to Patients
- Nurses should only accept assignments that align with their competencies, education, and emotional well-being.
Steps for Evaluating Nursing Actions
- Considers consistency with NPA, authorization, research support, personal competency, prudent actions, and acceptance of consequences.
Prohibited Delegation Tasks
- Involves critical responsibilities such as initial assessments, care planning, and some medication administration.
Minor Incident Definition
- Conduct that does not pose a risk of harm to patients or others; minor incidents must be assessed for potential reporting.
Exclusion to Minor Incident Rule
- Certain criteria necessitate reporting minor incidents, including risk of significant harm or patterns of misconduct.
NEVER a Minor Incident
- Errors resulting in death or serious harm, criminal actions, and serious violations are non-negotiable and must be addressed immediately.
IBPR Due Process Rights
- Nurses entitled to notifications and opportunities to respond during peer review processes.
Safe Harbor Peer Review
- Facilitates safe assignment acceptance; does not protect against civil actions and must be invoked before care provision.
Mandatory Overtime Regulations
- Nurses can refuse overtime unless required for emergencies or essential procedures.
Reporting Concerns About Mandatory Overtime
- Issues should be addressed with unit management, staffing committees, or DSHS if internal measures fail.
Primary Duty of Nurses
- Always act in the best interest of the patient and ensure their safety.
Definitions of Patient Abandonment
- Leaving a patient versus leaving employment affects the classification and subsequent implications.
Floating to Unfamiliar Areas
- Nurses retain responsibility for patient care and can request training or invoke safe harbor before floating assignments.
Safety Concerns with Assignments
- Assess clarity of tasks, acknowledge potential assignment changes, communicate concerns, and seek modification options.
Disciplinary Action Factors
- Issues related to chemical dependency, mental illness, or prescription medications may prompt disciplinary measures.
Red Flags in Nursing Practice
- Signs such as frequent absences, lateness, unusual documentation, and behavioral changes may indicate underlying issues.
Unprofessional Conduct Examples
- Includes drug diversion, unsafe practices, and criminal actions contributing to disciplinary actions.
Complaint Investigation Process
- Involves notification of the nurse, evidence collection by an investigator, and a subsequent decision by the board.
Nurse's Responsibilities During Investigations
- Must respond promptly, maintain up-to-date contact information, and engage with the investigator transparently.
Types of Nurse Remediation
- Can include remedial education or supervision; losing a license is a possibility for serious infractions.
Filing Complaints Against Other Nurses
- Must be documented and confidential; failure to report violations may result in disciplinary actions.
Texas Nursing Jurisprudence Exam Requirements
- Consists of 50 questions, requiring a minimum score of 75% to pass prior to taking NCLEX; eligibility begins ten days post-application.
Home State License Regulations
- Nurses are required to be licensed in their state of residence and must update licensure within thirty days of relocation.
Party State License Compact
- Allows practice across participating states using a home state license, facilitating multi-state nursing opportunities.
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Description
Test your knowledge of nursing jurisprudence with these flashcards, which cover primary resources for state law and the Texas Nurse Practice Acts. Understand the important rules, ethics, and responsibilities that nurses must uphold in their practice. These flashcards are essential for anyone studying nursing law and ethics.
