What does an incident-based nursing peer review committee do?

What does an incident-based nursing peer review committee do?

(1) In evaluating a nurse’s conduct, the incident-based nursing peer review committee shall review the evidence to determine the extent to which any deficiency in care by the nurse was the result of deficiencies in the nurse’s judgment, knowledge, training, or skill rather than other factors beyond the nurse’s control.

Why is Rule 217.11 Important?

Rule 217.11, Standards of Nursing Practice, requires that when assignments are made, both the charge nurse and the staff nurse take into consideration client safety, as well as the educational preparation, knowledge, skills, and physical and emotional abilities of the individual licensed nurse to whom a given …

What is Title 22 of the Texas Administrative Code help implement and reflect?

(1) A social worker shall not refuse to perform any act or service for which the person is licensed solely on the basis of a client’s age, gender, race, color, religion, national origin, disability, sexual orientation, or political affiliation.

How does the Bon differ from healthcare specialty associations?

Summary: The Board and the nursing associations have separate but equally important roles. The nursing associations represent their members, while the Board serves the people of Texas through assuring licensed nurses meet minimum standards of safe practice…

What is the main legal concept in incident based nursing peer review?

Incident-based nursing peer review focuses on determining if a nurse’s actions, be it a single event or multiple events (such as in reviewing up to five (5) minor incidents by the same nurse within a year’s period of time), should be reported to the Board or if the nurse’s conduct does not require reporting because the …

What types of actions are recommended by the peer review committee?

The duties of peer review are: addressing the standard of care, preventing patient harm, evaluating patient safety and quality of care, and ensuring that the design of systems or settings of care support safety and high quality care.

Can nurses refuse to float?

You should not provide any care or perform any procedures for which you have not demonstrated competency. 3. Refusal to float and accept an assignment for which you are competent may be interpreted by the hospital as insubordination and subject you to discipline.

Can a RN pronounce death in Texas?

POLICY: It is the policy of TDCJ to allow RNs the authority to assess a patient and make a determination of death for those patients who have valid Do Not Resuscitate (DNR) order. Authority And Role Of The RN In Pronouncing Death: Texas law provides for RN pronouncement of death.

Can an LVN remove a PICC line in Texas?

The LVN must complete post-licensure training to engage in IV Therapy/Venipuncture (not typically included in LVN curriculum). Insertion and removal of PICC lines is beyond the scope of practice for LVN.

What is conduct subject to reporting?

“Conduct Subject to Reporting” means conduct by a nurse that: violates the NPA or a BON rule and contributed to the death or serious injury of a patient; causes a person to suspect that the nurse’s practice is impaired by chemical dependency or drug or alcohol abuse; constitutes abuse, exploitation, fraud, or a …

What are the 4 main functions of the board of nursing?

What are the four main functions of the board of nursing? State boards of nursing evaluate license applications, issue licenses, renew licenses, and take disciplinary action in response to professional misconduct.

What is the difference between a board of nursing and a professional nursing organization?

Unlike the BON, nursing associations differ in that they are professional membership organizations that are private; requiring members to pay dues in order to enjoy the benefits of membership. Associations are also governed by a Board of Directors but they are elected by members of the association.

What are the 4 choices every RN has when given an assignment?

Match

• accept.
• refuse.
• refuse and request peer review (if disciplined)(301.352)
• accept and file safe harbor(303.005)

What should a nursing peer review include?

Evaluate the quality and quantity of nursing care based on practice standards. Determine the strengths and weaknesses of nursing care based on practice standards. Provide evidence for change in practice protocols to improve care. Identify practice patterns that indicate a need for more knowledge.

Is peer review discoverable?

all proceedings and records of a medical peer review committee are confidential, and all records of, determinations of, and communications to a committee are privileged and are not discoverable, with certain exceptions not relevant here.

What is peer review in Texas?

Medical peer review is the evaluation of medical and health care services, including evaluation of the qualifications and professional conduct of professional health care practitioners and of patient care provided by those practitioners.

Can an RN refuse an assignment?

The American Nurses Association (ANA) upholds that registered nurses – based on their professional and ethical responsibilities – have the professional right to accept, reject or object in writing to any patient assignment that puts patients or themselves at serious risk for harm.

Can a nurse refuse an assignment in Texas?

The Texas Board of Nursing, which clearly “permits a nurse to refuse an assignment when the nurse believes in good faith that the requested conduct or assignment could constitute grounds for reporting the nurse to the board.” The Texas Nurse Practice Act further states that “all nurses have a duty under rule 217.11(1)( …

Can an RN intubate?

In short, the answer is yes. Some nurses are trained, and called on, to intubate patients during emergencies. However, due to state practice laws and varying facility policies, most nurses do not perform intubations.

Can nurses intubate in Texas?

In the case of an appropriately licensed practitioner performing a procedure that can be safely abandoned to rescue or intubate the patient, the RN may administer the anesthetic agent when directed.

Can LVN do IV push in Texas?

Instruction and skill evaluation relating to LVNs performing insertion of peripheral IV catheters and/or administering IV fluids and medications as prescribed by an authorized practitioner may allow a LVN to expand his/her scope of practice to include IV therapy.

Can an LPN draw blood from a PICC line?

(6) It is within the scope of LPN practice to perform peripheral venipuncture (to start IV or draw blood), flush peripheral, PICC and central lines for the purpose of ensuring patency if the following occurs: a. The LPN completes an annual instructional program on the initiation of peripheral IV.

How are sanctions handled that are ordered against a nurse by the Texas Bon?

If the nursing board determines that there have been one or more violations of the Nurse Practice Act (NPA), the board can impose disciplinary sanctions beginning with an informal settlement proposal or license suspension and possibly progressing into a formal settlement.

What is the most common reason that nurses are disciplined by the state board of nursing?

The most frequent reason for discipline is practicing while impaired. SBNs set and enforce minimum criteria for nursing education programs. Schools of nursing must have state approval to operate.

Who oversees the Texas Board of Nursing?

Staff