Nursing Trends 4223 TEST 1 Updated
How many people and are on the BON?
13. (1 ADN, 2 RN, 3 LVN, 1 LVN faculty, 1 BSN faculty, 1 faculty ADN, and 4 public members)
How long does the nurse have to respond (show compliance) to the BON's notification that a complaint has been filed?
20 days
An incident-based peer review committee will meet on a specified date from _____days from date of written notice.
21-45
All nurses are required to complete at least ____ contact hours in nursing jurisprudence and ethics prior to the end of every ____ licensure renewal cycle.
2; third
The TNPA is found in what chapter of the occupations code?
301
Minor incidents do not have to be reported to the board unless there are how many instances in a 12-month period?
5
IOM study determined that up to ______ people a year die from __________medical errors.
98,000; preventable
Peer review will complete its review ______ after the incident-based peer review hearing, unless there is an extension to meet with a patient safety committee.
<= 14 days
If a nurse reports a valid concern of another nurse's actions (under whistleblower protection) and he/she is disciplined for reporting it, can the nurse file a complaint with the BON?
No. the nurse would report it to the regulatory agency that license's the practice setting (hospital). BON does not have authority over practice settings (hospital)
Why can't the BON lobby for/against proposed bills that affect nurses?
b/c it's a conflict of interest (they have to stay objective)
Court cases may lead to the creation of a new law called ______?
common law
When a nurse is notified that a complaint has been filed with the BON, what is probably her most important action?
hire an attorney
The person who reports a nurse/incident to peer review in good faith has _______ from ________.
immunity; liability
By being more aware of errors or near misses, then systems can be _______ in order to prevent future _______.
improved; errors
The BON's licensing board can be found where?
in the Hobby Building in Austin, TX
217.11 (Standards of Nursing Practice) mandates that nurses shall _____ and _____ appropriate assignments that take into consideration client ______and that are commensurate with the nurse's educational _______
make; accept safety; knowledge
Failing to do what a reasonable nurse would do in the same situation is called what?
malpractice
What is required of any action that violates board rules, causes suspicion of chemical impairment, shows abuse, or indicates a lack of knowledge or skill that poses a risk of patient harm.
mandatory reporting to the board
Rule 217.11 (Standards of Nursing Practice) outline what acceptable level of mandated standards of practice for each level of nursing licensure?
minimum
If the recommended discipline by the BON includes remedial education, what might this include?
nurse required to take a jurisprudence exam
Nurses must know, recognize and maintain professional boundaries of the ______-________ relationship.
nurse-client
The jurisprudence study course can be found where?
on the BON website
If an agreement (order) is reached between nurse and BON, when does the order become effective?
on the day of ratification
The mission of the BON is to ____&____ the welfare of the people of Texas by ensuring that each person licensed as a nurse is competent to practice ____.
protect & promote; safely
the TX Nursing Practice Act is an example of what kind of law?
statutory law
If a nurse holds a multi-state license, those privileges are _______ during a disciplinary order.
suspended
The IOM's "To Err is Human" concluded that the root of medical error is because of _____ ______.
systems failures
The original nurse practice act was passed in what year?
1909
As of ____, all new graduate nurses must pass a jurisprudence exam with a ____% before being licensed.
2008; 75
Should a nurse voluntarily surrender their license?
NO! could take lots of time and money to get it back.
The TX BON is empowered by the _______.
TX state legislature
All nurses must conform to what three entities:
Texas Nurse Practice Act BON Rules & Regs All laws (Fed, State, Local) pertaining to nursing
What is the most important statute for nurses?
The TX Nurse Practice Act
What are the are five main responsibilities of the BON?
Upholding minimum standards for nursing education programs Licensing qualified individuals as nurses Educating licensed nurses regarding changes to the law. What LVN, ADN, BSNs can do upon graduation. Investigating alleged violations and imposing appropriate discipline on the licenses' of those found to be in violation of the BON's rules
Does failing to repay a student loan qualify as misconduct?
Yes.
After the administrative law judge in a formal court procedding renders a recommendation, what does the BON do?
accept it or reject the judge's recommendation.
Malpractice is professional negligence that causes what?
actual injury or death
The BON is an example of what kind of power?
administrative power: to detail and define the law.
If a nurse, under remedial education or warning, gets deferred discipline, when will the discipline be removed from public record?
after 5 years
HIPDB is available to who?
all nursing licensing boards
If no agreement can be reached between nurse & BON, then formal proceedings begin before who?
an administrative law judge
How many days prior to appearing before the committee will the nurse have the opportunity to review documents concerning the event under review?
at least 15 days
When does the TX Legislature meet?
every 2 years (on odd years)
If the nurse does not agree with the decision of the judge and BON, what can he/she do about it?
file a case in State Court
How long does a BON discipline remain on the nurse's license?
forever, unless it is deferred
In 2014, the Corrective Action Rule was changed to include ___-_____ practice violations.
low-level
What is the compensatory reprisal for malpractice
money
The IOM "To Err" report created the concept of encouraging reporting of ___ ______.
near misses
Does a nurse have the right to know who reported them to peer review?
no, reporter is anonymous.
Can the BON draft legislation?
no.
Is there a jury present for a formal BON hearing?
no.
Is there a statute of limitations on peer review?
no.
Is a corrective action reportable to the public?
no. it is confidential by law.
The 4 public members of the BON represent who?
patients
Any organization (hospital) with 10+ RNs must have a _____ _______ procedure.
peer review
What types of issues is the BON concerned with?
practice issues (NOT employment issues)
Corrective Action referes to a non-disciplinary (minor) action consisting of what?
remedial ed. and/or a fine.
What are the two categories of discipline that can be deferred?
remedial education warning
The purpose of peer review is to determine if a nurse violated what?
the Nurse Practice Act
Members of the BON are appointed by ________
the governor
What is it called when a nurse reports a substantial risk of harm to a patient and he/she cannot be retaliated against for reporting it?
whistleblower protection
When a nurse's discipline becomes public record, how is it published?
In the BON newsletter
non-profit "think tank" that provides information and advice concerning health policy
Institute of Medicine (IOM)
Who does the TX BON regulate?
LVNs, RNs, APNs
If an incident is sent to peer review and it is determined that a nurse did violate NPA, what do they do?
MANDATORY referral to the BON
If a license is revoked, how long before nurse can re-apply?
1 year
What are the 3 basic steps to the investigation process?
1) BON is notified of complaint 2) BON investigates 3) BON notifies RN of complaint
What are the 3 possible outcomes of an investigation?
1) case is dropped (very rare) OR 2) an agreement is reached OR 3) formal proceedings commence
What are the are 2 types of license suspension?
1) probate - can still work 2) enforced - 1 year, no work.
What are the 6 levels of discipline by the BON?
1) remedial education 2) warning 3) reprimand 4) suspension 5) revocation 6) surrender
True or False: Rule 217.12 (Unprofessional Conduct) applies only to nursing actions that have resulted in harm to a patient.
False. injury need not be established.
What are the 4 types of advanced practice nursing?
CNM (midwife), CNP, CNS, CRNA
Under a reprimand, the nurse must have ______ supervision within their unit.
Direct.
HIPDB stands for what?
Healthcare Integrity and Protection Data Bank
The LVN practice is a directed scope of nursing practice under the supervision of who?
RN, APN, PA, or doctor.
What are some of purposes of professonal nursing organizations?
Orgs can lobby for the interests of nurses. Can lead development of public health policy Provides leadership in areas such as improving working conditions
How long will a nurse typically function under the BON's stipulations of his/her order?
usually 1-2 years
What constitutes a minor incident?
violating conduct by a nurse that does not indicate the nurse's continued practice poses a risk of harm.
What factor must be considered when evaluating minor incidents?
whether or not it was beyond the nurse's control (systems failure)
TX BON does not have authority over ________ issues.
workplace (employment)
Where can you find regulations and policies of the Board of Nursing?
www.bon.texas.gov
Can corrective action be taken on a nurse for failing to change his/her address with the BON?
yes
Whistleblower protection means what?
you can't get in trouble for voicing a valid concern