Texas Nursing Jurisprudence Correct 100%

Medication administration, IV fluids as well -Prohibited in acute care settings -may be delegated in independent living situations Minor Incident - ANSWER 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 - ANSWER A nurse involved in a MI does not need to reported to BON unless... -Creates sig. risk fo physical, emotional, financial harm -Lacks a conscientious approach for accountability -Lacks knowl. and compet. and not easily remedial -Pattern of multiple minor incidents -5 minor incidents in a 12 month period must be reported to peer review NEVER a Minor Incident - ANSWER Error contributed to pt. death/serious harm Criminal conduct Serious violation (theft, faud, pt. abuse, exploiting) Impairment/suspected impairment by chem. dep. IBPR Due Process Rights - ANSWER Facility must have policies in place for PR PR committee must comply with req. Nurse must receive notice/ opportunity to review documents/submit a response Nurse may hire own attorney Nurse will get feedback after decision Nurse will have a chance to respond Safe Harbor Peer Review - ANSWER Allows a nurse to accept an assignment and provide best care without fear of licensure action if there is a practice error. -Does not protect civil rights -Before refusing assignment must recog. pt is 1st May refuse an assignment if lack basic knowledge/ability to render care Safe Harbor - ANSWER Must be invoked BEFORE care given Or anytime assignment has changed and pt may be in harm -Must notify in writing -Supervisor can't refuse -May use quick req form to make initial req. -Comprehensive request must be completed before leaving work setting Quick Request Form - ANSWER Written on blank piece of paper but must include -Name/Signature -Date/Time of request -Location of where it is to be completed -Name of person making assignment -Brief explanation of why safe harbor is being req. Chain after Safe Harbor Nurse completion - ANSWER Nurse supervisor/administrator who gave assignment. Nurse administrator Peer Review Committee Physician who reviews med reasonableness Nurse administrator who reviews PR findings Nurse who initiated request Mandatory Overtime - ANSWER Making you work extra shifts, you have the right to refuse. NOT when -Emergency disasters -Ongoing procedure requires nurses presence -Certain emergencies Take Mandatory Overtime Concerns to - ANSWER Unit manager Staffing Committee DSHS-if not addressed internally Nurses duty is always - ANSWER In the best interest of the patient Patient Abandonment - ANSWER NPA/BON do not define abandonment -leaves employment-employment issue -leaves patient-licensure issue Not abandonment - ANSWER Resignation without notice- assuming shift has been completed Refusal to work additional shifts either doubles or extra shifts on days off Floating to an unfamiliar area - ANSWER 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 - ANSWER 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 - ANSWER Chemical Dependency Alcohol Dependency Mental Illness Even some prescription drugs Red Flags - ANSWER Lack of energy Frequent absences Spike in pt. need for pain meds