Nursing Jurisprudence and Ethics for Texas Nurses Flashcards

Table of Content

• 17 Texas Board of Nursing/Board of Pharmacy, Joint Position Statement, Medication Errors
• Shocking moment lightning bolt strikes outside nursing home - video
• The I Bond Rate Fell Below 7%. We Answer Your Questions
• Nursing Jurisprudence and Ethics for Texas Nurses
• Laws & Rules - Nursing Practice Act
• Related Texas Statutes
• Can I export a site made in Mobirise?

Need not be reported to the BON unless the nurse's conduct created a significant risk of physical, emotional, or financial harm to the client. The functions of the BON include A. Regulating the education, licensure, and practice of nurses in Texas to ensure the safety of the public. Lobbying members of the Texas Legislature to pass bills that are favorable to nurses C.

The BON recognizes that the school children of Texas have the right to receive safe, appropriate, and specialized health services that may be required to assure the child's inclusion in the school environment. The Board recognizes that nursing practice is dynamic and that acts which today may be considered delegated medical acts may in the future be considered within the scope of either vocational or professional nursing practice. The Board, therefore, advises nurses that they must comply with the Board's Standards of Nursing Practice and any other applicable regulations when carrying out nursing and/or delegated medical acts. Pursuant to physician delegation, APRNs may engage in medical aspects of care. APRNs cannot create standing delegation orders for others to engage in medical aspects of care.

17 Texas Board of Nursing/Board of Pharmacy, Joint Position Statement, Medication Errors

The RN's obligation under 22 TAC §225.14 is to verify the training of the unlicensed person, verify the competency of the unlicensed person to perform the task safely, and provide adequate supervision. If the RN is unable to assure these criteria have been met, the RN must notify the public school official. According to the professional literature, "moderate sedation" is defined as a medication-induced, medically controlled state of depressed consciousness. Reflex withdrawal to physical stimulation is not considered a purposeful response. Loss of consciousness for patients undergoing moderate sedation should not be the goal and thus pharmacologic agents used should render this result unlikely. If the patient requires painful or repeated stimulation for arousal and/or airway maintenance, this is considered deep sedation.

Regardless of practice setting, the importance of initiating cardiopulmonary resuscitation in cases where no clear do-not-resuscitate orders exist is imperative. The Board of Nursing has investigated cases involving the failure of a LVN to initiate CPR in the absence of a DNR order. Position Statement 15.20, Registered Nurses in the Management of an Unwitnessed Arrest in a Resident in a Long Term Care Facility, has additional information in regards to initiating CPR. Our searchable database also shows staff-level ratings from that same time period that correspond to federal recommendations.

Shocking moment lightning bolt strikes outside nursing home - video

According to board rule, after a nurse refuses a float assignment and invokes Safe Harbor, the nurse A. Should demand that the supervisor must provide a more appropriate float assignment. Is required to communicate with the supervisor and must accept the assignment as given. Must accept an alternate assignment even if it still beyond the nurse's scope of practice. Must collaborate with the supervisor to determine a safe assignment. According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube provided that A.

Acting outside of the RN's scope in teaching blood glucose monitoring to the staff. Chart audits find the following errors committed by a nurse with observed impaired behavior at work. NO physician orders for narcotics signed out by the nurse, and NO documentation that the nurse either administered or wasted the narcotics. The best decision for the Incident Based Peer Review Committee to make is that A.

The I Bond Rate Fell Below 7%. We Answer Your Questions

Visualizing the two ends of the spectrum may assist the nurse in knowing, recognizing and maintaining the professional boundaries of nurse-patient relationships. Rules and guidelines governing the graduate vocational and registered nurse candidates or newly licensed vocational or registered nurse. The Board’s position, therefore, is that LVNs are educationally prepared to administer medications and treatments as ordered by a physician, podiatrist, dentist, or any other practitioner legally authorized to prescribe the ordered medication.

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Nursing Jurisprudence and Ethics for Texas Nurses

The standard upon which all other standards are based is 22 TAC §217.11 “...promote a safe environment for clients and others.” This standard supersedes a physician’s order or facility’s policy and has previously been upheld in a landmark case, Lunsford v. Board of Nurse Examiners, 648 S.W. 2d 391 (Tex. App. -- Austin 1983). The concept of the nurse’s duty to promote patient safety also serves as the basis for determining behavior that could be considered unprofessional conduct by a nurse. The Board does allow LVNs and RNs to expand their practice beyond the basic educational preparation through post-licensure continuing education and training for certain tasks and procedures. One of the main considerations in determining whether a nurse should consider re-insertion of a gastrostomy, jejunostomy or similar feeding tube, is how long the original tube was in place before becoming dislodged.

Virtually nothing is accessible online. You'll have to go through an ombudsman or FOI request for details, and inspections are spaced too far apart. Plus, Ohio doesn't have the authority to fine assisted living communities. The survey reports posted online may be out of date, sometimes by a little, sometimes by a lot. Don't count on the most recent inspection report to be available.

If the RN does not have the authority to pronounce death, upon assessment of death the RN must notify a person legally authorized to pronounce death. Entities desiring to start a nursing education program that are not approved as a school/college, must establish a school/college identity and be approved by the Texas Workforce Commission as a career school or college prior to seeking approval for the proposed nursing education program. The Diagnostic and Statistical Manual of Mental Disorders diagnoses are multi-disciplinary psychiatric diagnoses used for the purpose of applying objective criteria, establishing a practice framework and communicating findings with other health care professionals. The current version is the DSM-5 . Although Propofol is classified as a sedative/hypnotic/anesthetic, according to the FDA product information, it is intended for use as an anesthetic agent or for maintaining sedation of an intubated, mechanically ventilated patient.

The the nurse will not comply with treatment recommendations. A genetic predisposition to abuse patients. The BON rules regarding licensure renewal require the nurse to answer eligibility questions concerning which of the following with regard to the previous two-year licensure cycle A. Whether the nurse has completed hours of continuing education. Whether the nurse has a current CPR card. Whether the nurse has any criminal background that must be revealed.

Long-Term Care Insurance Policies

Demonstrates basic nursing skills on the Nursing Competency Skills List. Holds a license as required by the NPA. A critical and final step in the nursing process is evaluation. The RN evaluates and reports patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice and research findings, and plans any follow-up care and referrals to appropriate resources that may be needed. The evaluation phase is one of the times when the RN reassesses patient conditions and determines if interventions were effective and if any modifications to the plan of care are necessary.

The order is not required to be countersigned by the physician. The advanced practice registered nurse must function within the accepted scope of practice of the role and population focus in which he/she has been licensed by the Board. The LVN assists in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. The LVN cannot perform independent assessments as the LVN has a directed scope of practice under supervision. The LVN participates in the nursing process by appraising the individual patient’s status or situation at hand. This represents a focused assessment, and may be considered a component of a more comprehensive assessment performed by a RN or another appropriate clinical supervisor.

These orders, rules, regulations or procedures are authority and direction for the performance for certain prescribed acts for patients by authorized persons as distinguished from specific orders written for a particular patient or delegation pursuant to a prescriptive authority agreement. The BON does not define or set qualifications for an “IV Validation Course” or for "LVN IV certification." The LVN who chooses to engage in IV therapy must first have been instructed in the principles of IV therapy congruent with prevailing nursing practice standards. §217.11 Accept only those nursing assignments that take into consideration client safety and that are commensurate with the nurse’s educational preparation, experience, knowledge, and physical and emotional ability. The ratings are based on data facilities provided to federal health regulators during a five-month surge of COVID-19 infections and deaths starting October 2020.Our investigation shows the pandemic exacerbated systemic problems long-present in nursing homes.