These three case studies about registered nurses (RNs) have the potential for violating the standards of The Nurse Practice Act (NPA). In reviewing each of these cases, the specific laws, standards of practice, Texas Board of Nursing (BON) Rules and Regulations and Position Statements will be applied. As a nurse leader, there needs to be a clear understanding in each of the types of scenarios due to a potential for these types of situations to arise. The first case scenario is a newly hired RN is being oriented to a step-down unit by an assigned preceptor. The nurse is asked by the preceptor to document the physical assessment findings as the preceptor performs the assessment of the patient who is intubated and sedated. The unit is busy and
…show more content…
From the Texas BON standpoint, the focus is on the relationship with the patient and not with the employer. An Additional Position Statement related to this event is 15.14 which references the duty of a nurse in any practice setting. The focus in this case is it “emphasizes the nurse’s responsibility and duty to the client/patient to provide safe, effective nursing care” (BON, 2016). The RN never took the patient assignment; therefore, the RN is not responsible for the patient care. Under the frequently asked questions on the Texas BON, the discussion of when does a nurse’s duty to a patient begin and end? The BON responds that this is typically “an employment, not a licensure issue when a nurse quits his or her job, with or without notice, provided the nurse does not have responsibility for patients at the time” (BON, 2016). The nurse showed to work, did not clock-in and left. This did not violate her nursing license; however, this did violate her …show more content…
The new nurse was approached by the unit supervisor and asked to assume charge nurse duties on the night shift. BON 217.11 and 217.13 are the rules that are applicable in this scenario. Rule 217.11 state that the RN should only “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” (BON, 2013). This is a newly licensed RN and only has had a license for twelve weeks. Accordingly, this is not enough time to learn the policies and procedures of the unit. Whereas, Rule 217.13, it “is recommended that a newly licensed nurse not hold a position as a charge nurse or nurse manager for a period of six (6) months” (BON, 2013). This nurse has only been a nurse for twelve weeks. Likewise, another nurse would not accept the position of charge nurse, especially at night when the resources are scarce. Position Statement 15.28 relates to the RN’s scope of practice, the focus is on patient safety and “is required to function within the parameters of the legal scope of practice and in accordance with the federal, state, and local laws; rules and regulations; and policies, procedures and guidelines of the employing health care institution” (BON, 2016). In twelve weeks, how can a new nurse know all the not only
From the Texas BON standpoint, the focus is on the relationship with the patient and not with the employer. An Additional Position Statement related to this event is 15.14 which references the duty of a nurse in any practice setting. The focus in this case is it “emphasizes the nurse’s responsibility and duty to the client/patient to provide safe, effective nursing care” (BON, 2016). The RN never took the patient assignment; therefore, the RN is not responsible for the patient care. Under the frequently asked questions on the Texas BON, the discussion of when does a nurse’s duty to a patient begin and end? The BON responds that this is typically “an employment, not a licensure issue when a nurse quits his or her job, with or without notice, provided the nurse does not have responsibility for patients at the time” (BON, 2016). The nurse showed to work, did not clock-in and left. This did not violate her nursing license; however, this did violate her …show more content…
The new nurse was approached by the unit supervisor and asked to assume charge nurse duties on the night shift. BON 217.11 and 217.13 are the rules that are applicable in this scenario. Rule 217.11 state that the RN should only “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” (BON, 2013). This is a newly licensed RN and only has had a license for twelve weeks. Accordingly, this is not enough time to learn the policies and procedures of the unit. Whereas, Rule 217.13, it “is recommended that a newly licensed nurse not hold a position as a charge nurse or nurse manager for a period of six (6) months” (BON, 2013). This nurse has only been a nurse for twelve weeks. Likewise, another nurse would not accept the position of charge nurse, especially at night when the resources are scarce. Position Statement 15.28 relates to the RN’s scope of practice, the focus is on patient safety and “is required to function within the parameters of the legal scope of practice and in accordance with the federal, state, and local laws; rules and regulations; and policies, procedures and guidelines of the employing health care institution” (BON, 2016). In twelve weeks, how can a new nurse know all the not only