Podcast
Questions and Answers
What are the primary resources for state law?
What are the primary resources for state law?
What does Nursing Jurisprudence refer to?
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?
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?
What is the mission statement of the Texas BON?
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What does Chapter 301 NPA cover?
What does Chapter 301 NPA cover?
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What does the Board of Nursing do?
What does the Board of Nursing do?
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What is the role of Professional Associations in nursing?
What is the role of Professional Associations in nursing?
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What is required to initially obtain licensure by examination?
What is required to initially obtain licensure by examination?
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A nurse must report any past ______ behavior or pending charges.
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?
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 ______.
Good professional character includes the ability to distinguish right from ______.
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What are examples of prohibited delegation tasks in nursing?
What are examples of prohibited delegation tasks in nursing?
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What defines a Good Professional Character in nursing?
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?
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.
A Minor Incident must always be reported to the BON.
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What are the steps in the peer review process?
What are the steps in the peer review process?
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What is required for a nurse to invoke safe harbor?
What is required for a nurse to invoke safe harbor?
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What are the Red Flags indicating unprofessional conduct?
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.