Questions and Answers
What are the primary resources for state law?
What does Nursing Jurisprudence refer to?
Rules, ethics, morals, and how nurses function in a healthcare setting.
What is outlined in the Texas Nurse Practice Acts?
Regulations for nursing education, licensure, and practice.
What is the mission statement of the Texas BON?
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What does Chapter 301 NPA cover?
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What does the Board of Nursing do?
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What is the role of Professional Associations in nursing?
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What is required to initially obtain licensure by examination?
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A nurse must report any past ______ behavior or pending charges.
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What are the five categories of trust as defined by the BON?
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Good professional character includes the ability to distinguish right from ______.
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What are examples of prohibited delegation tasks in nursing?
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What defines a Good Professional Character in nursing?
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What must a nurse do if they question the safety of an assignment?
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A Minor Incident must always be reported to the BON.
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What are the steps in the peer review process?
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What is required for a nurse to invoke safe harbor?
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What are the Red Flags indicating unprofessional conduct?
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Study Notes
Primary Resources for State Law
- Texas Board of Nursing Nursing Practice Acts serve as primary resources.
Nursing Jurisprudence
- Encompasses rules, ethics, and morals guiding nurse functioning in healthcare.
Texas Nurse Practice Acts
- 301: Regulates nursing education, licensure, and practice.
- 303: Addresses nursing peer review.
- 304: Relates to the nursing licensure compact.
Texas BON Mission Statement
- Protects the welfare of Texans by ensuring licensed nurses are competent and safe to practice.
Chapter 301 NPA Overview
- Details on board appointments, powers, licensing requirements, and reporting violations.
- Establishes prohibited practices and disciplinary actions.
Board of Nursing (BON) Functions
- Represents Texas citizens without lobbying power.
- Responsible for licensing, enforcement, audits, and information services.
Professional Associations
- Advocate for nurses, lobbying for improved work conditions and benefits.
- Provide job and legal referral services, salary inquiries, and assistance with employment issues.
Licensure and Regulation Essentials
- Temporary GN permit lasts 75 days; renewal requires 20 hours of continuing education every 2 years.
- New nurses must submit a criminal background check and pass the NCLEX.
Disclosure of Criminal Behavior
- Mandatory reporting of all past criminal behavior or pending charges, with minor misdemeanors excluded.
Five Categories of Trust by BON
- Attributes include honesty, accountability, trustworthiness, reliability, and integrity.
Good Professional Character Traits
- Ability to differentiate right from wrong and honor commitments.
- Accountability and timely disclosure of facts that could impact patient health.
Professional Boundaries
- Importance of maintaining boundaries in nursing practice.
- Violations include physical, emotional, and financial exploitation.
Nursing Peer Review Process
- Confidential process separate from BON reviews, includes incident-based or safe harbor peer review.
Incident-Based Peer Review Specifications
- Required for facilities with 10+ employees; focuses on error evaluation without administrators involved.
RN Standards of Practice
- Involves making nursing diagnoses, developing care plans, and evaluating patient responses.
LVN Standards of Practice
- Engage in care planning, focused assessments, and require supervision in practice.
Duty to Patients
- Accept assignments suited to a nurse’s education and experience, ensuring safety.
Assessment Steps for Activities
- Four critical steps involve evaluating consistency with NPA, authorization, evidence-based support, and nursing competency.
Prohibited Delegation Tasks
- Includes nursing assessments, planning of care, and medication administration in acute care settings, with some exceptions in independent living.
Minor Incidents and Reporting
- Minor incidents do not pose a risk; patterns may need reporting after multiple occurrences.
NEVER Considered Minor Incidents
- Errors leading to patient death, serious criminal conduct, or suspected impairment.
IBPR Due Process Rights
- Requirement for facilities to have specific policies and procedures for peer review.
Safe Harbor Peer Review
- Allows nurses to refuse assignments when knowledge or ability is lacking without fear of licensure action, invoked prior to care.
Mandatory Overtime Rules
- Nurses can refuse mandatory overtime except during emergencies or ongoing procedures.
Reporting Mandatory Overtime Issues
- escalate to unit managers or staffing committees; DSHS if unresolved internally.
Patient Abandonment Clarifications
- Defined based on leaving the patient or employment; resignation without notice is not abandonment.
Floating Responsibilities
- Nurses must ensure safe care; can request training or invoke safe harbor if needed.
Safety Concerns During Assignments
- Nurses should communicate concerns, seek modifications, and listen to responses.
Disciplinary Actions Overview
- Can stem from chemical dependencies, mental illnesses, and certain prescription drugs.
Red Flags in Nursing Practice
- Symptoms of possible issues include lethargy, absences, and abnormal behavior, such as unusual medication documentation.
Unprofessional Conduct Examples
- Include drug diversion, unsafe practices, and criminal behaviors.
Board Investigation Complaint Process
- Nurses must respond promptly, maintain contact, and engage with the investigator during complaints.
Nurse Responsibility During Investigations
- Requires timely responses and updating contact information; ignoring communications from BON is not advised.
Types of Nurse Remediation
- Includes remedial education and supervision requirements to address shortcomings in practice.
Filing Complaints Against Nurses
- Any violations must be reported formally, with confidentiality upheld in the complaint process.
Texas Nursing Jurisprudence Exam Details
- A 50-question exam based on NPA/BON rules requiring a minimum of 75% to pass.
Home State License Requirement
- Nurses must hold a license in their state of permanent residence; 30 days is given to update licenses after moving.
Party State License Compact
- Allows nurses to practice in any party state using their home state license.
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Description
Test your knowledge on Texas nursing laws and ethics with these flashcards. Covering essential topics such as the Nursing Practice Acts and nursing jurisprudence, this quiz is a helpful resource for nursing students and professionals. Enhance your understanding of the responsibilities and regulations governing nursing in Texas.
