Policy
This is process is a logical approach to examine an issue strategically to better identify a pathway to success
SWOT (strengths, weaknesses, opportunities, threats)
This is the legal basis for all government and governmental activity
The U.S. Constitution
This organization has the power to discipline a nurse who may pose a danger to the public and must enforce rules of the NPA
The board of nursing
The task of delegating circulation checks in a patient on soft wrist restraints may be delegated to this person
What is LVN?
These two sites will provide updates on ongoing health policy issues
Texas Tribune https://www.texastribune.org/
Texas Health and Human Services news alerts. https://www.dshs.texas.gov/news-alerts
The Board of Nursing is an example of which type of law
Regulatory law - created by the state
A situation where a nurse has left work early without notifying anyone or providing safe handoff describes which breach of duty?
What is patient abandonment?
These two tasks aspects of nursing duty should never be delegated
What is a task that involves clinical decision making or nursing judgement (nursing process ADPIE, initiating care plans, comprehensive assessments)?
These are three roles of the political action committee
What is fundraising, endorse candidates, and educate members bout political processes, contributions for candidates?
The role of making and passing laws below to this chamber of congress
What is Congress? What is The US House of Representatives? Bills can be introduced by senate as well
A nurse is not compliant with the every 2 year continuing nursing education requirements (20 contact hours). This is the consequence
What is 'the OBN has a right to prohibit the person from renewing their license." or what is "denial of license renewal"
These are the 5 rights of delegation
What is right task, right communication, right person, right circumstance, right supervision?
Complaints about daily routines and procedures
Observe colleagues interacting with each other about an issue
Consider workflow breakdowns
Review and write about a work-related critical incident
Attend presentations about successful work changes
Review nurse satisfaction surveys
Examine exit interviews
Participate in meetings where issues related to the problem can be raised
This law states that patients have a right to emergency medicine services regardless of the persons ability to pay
What is the Emergency Medical Treatment and Labor Act (EMTALA)
A nurse is feeling uncomfortable about the patient assignment must request this be done as a means to protect herself and the patient.
What is safe harbor?
These 5 things may be delegated
Patient care activities : vital signs, glucose checks, ADLs, focused assessment, med administration
These 5 methods are examples of opportunities for nurses to engage in the policy process
participating in professional organizations, contribute to political action committees, register to vote, going to vote, participate in development of legislation, writing to legislatures, working on campaigns, testifying at committee hearings, serve on a board, run for office
How do you locate your registration status, voting site, voting issues and members on the ballot?
An agreement between states that allows nurses to have one compact state nursing license that gives them the ability to practice in other states that are part of the agreement
What is Nursing Licensure Compact?
In what circumstances is a physician order required for nursing delegation?
Since RN delegation is defined as authorizing an unlicensed person to provide nursing services while retaining accountability for how the unlicensed person performs the task, the BON does not require RNs to obtain physician orders for RN delegation nor can a physician force an RN to delegate. The RN is accountable for the delegation process, therefore the decision to delegate belongs to the RN.