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Nurse Licensure Compact (NLC) - ANSWER-endorsed by the
National Council of State Boards of Nursing (NCSBN) as a
framework for regulating the interstate practice of nursing for
RNs and LPNs/VNs; under this concept, nurses holding a valid
license in one state could practice (both physically in person
and electronically by using the telephone or telemedicine
connectivity to assess and provide care) in other states,
according to the rules and regulations of the states The Nurse
Licensure Compact (NLC) allows RNs and LVNs to have one
multistate license, with the ability to practice in both their home
state and other NLC states.The APRN Compact allows an
advanced practice registered nurse to hold one multistate
license with a privilege to practice in other compact
states.Agreement among states to mutually recognize each
others' licenses Texas among first to adopt Premise: current
licensure requirements essentially the same from state to state
Does not interfere with each state defining scope of practice
Only defines requirements to hold license
Nurse Licensure Compact - Definitions - ANSWER-Party states -
states who have adopted the compact Home state license -
where you permanently reside Remote state - where you
practice using multistate privilege (must be a party state)
,Nurse Licensure Compact - Requirements - ANSWER-Maintain
home state license
Adhere to state practice laws of state in which patient is located
at the time care is provided
Use multistate privilege only in party states
Hold home state license in only one party state at a time.
Nurses transitioning back to practice or to new primary practice
area - ANSWER-Should not act as charge nurse for at least six
months, unless a lesser time period is agreed upon by the
nurse and his/her supervisor, based on the competency of the
nurse
Six Step Decision Making Model - ANSWER-Tool developed by
the BON to assist nurses in making good professional
judgments about the nursing tasks or procedures they choose
to undertake.
Goal is making sure that he/she only accepts those
assignments for which the
nurse has the education, training, and skill
competency
1. Is the activity consistent with the Nursing Practice Act
(NPA), Board Rules, and Board Position Statements and
or/Guideline? Yes: continue. No: stop. 2. Is the activity
appropriately authorized by valid order/protocol and in
,accordance with established policies and behaviors? Yes:
continue. No: stop.
3. Is the act supported by either research reported in nursing
and health-related literature or in scope of practice
statements by national nursing organizations?
Yes: continue. No: stop.
4. Do you possess the required knowledge and have you
demonstrated the competency required to carry out this
activity safely? ""
5. Would a reasonable and prudent nurse perform this activity
in this setting?
6. Are you prepared to assume accountability for the provision
of safe care and the outcome of the care rendered? Yes:
Perform the activity. No: stop.
Delegation - ANSWER-Authorizing an unlicensed person to
provide nursing services while retaining accountability for how
the unlicensed person performs the task. It does not include
situations in which an unlicensed person is directly assisting a
RN by carrying out nursing tasks in the presence of a RN [Rule
224.4 (3)].
RNs may delegate: LVNs may supervise
The RN is responsible for the evaluation of the delegated task
to ensure it was completed and completed correctly [Rule
224.3].According to the BON website, many find delegation to
be a perplexing concept with multiple nuances. The BON
created the Delegation Resource Packet to afford RNs clearer
direction for delegation in a variety of settings thereby
improving the delegation process
, Criteria for Delegation - ANSWER-RNs may delegate
LVNs may supervise
The RN is responsible for the evaluation of the delegated task
to ensure it was
completed and completed correctly
[Rule 224.3].
Nursing Tasks Prohibited from Delegation - ANSWER-
Formulation of the
nursing care plan and evaluation of the client's response to the
care rendered.
Specific tasks involved in the implementation of the care
plan which require
professional nursing judgment or
intervention.
The responsibility and accountability for client health teaching
and health counseling which promotes client education and
involves the client's significant others in accomplishing health
goals.
Administration of medications, including intravenous fluids,
except by medication aides as permitted under §224.9 of this
title (relating to The Medication Aide Permit Holder).