As a nurse in TX what 2 set of rules should you follow?

Nursing Practice Act- NPA

BON Rules & Regulations
Where can you download rules fro the BON & NPA? fro the BON!s we"site
at www#"on#te$as#go%
Where do the BON!s rule changes a&&ear? 'n the newsletter
(ow often is the newsletter ailed? )uarterly or e%ery * onths
Where can &ro&osed rules o&en for &u"lic coent "e %iewed? - +ecretary of
states we"site www#sos#state#t$#us
- in the BON!s o,ces
- in the Te$as Register!s O,ce roo 2-. /aes Rudder "uilding 0102 Bra3os st in
Austin
Recite the TX BON ission The ission of the TXBON is to &rotect and &roote
the welfare of the &eo&le of TX "y ensuring that each &erson holding a license as a
nurse is co&etent to &ractice safely#
(ow any "oard e"ers are on the BON? 0*
Who are the t$ BON e"ers a&&ointed "y? go%ernor
(ow does the "oard fu4ll its ission? - regulates &ractice of nursing
-a&&ro%es nsg education &rogras
What 5ind of rules can the "oard ado&t and enforce# 6-7 0# rules to &erfor its
duties and conduct &roceedings in front of the "oard
2# rules to regulate the &ractice of RN!s & 89N!s
*# rules to esta"lish standards for &rofessional conduct of license holders
-# deterine if an act constitutes &rofessional nursing or %ocational nursing#
What de4nes the 89N!s sco&e? - Nursing Practice Act
- BON!s Rules & Regulation
What is the 89N res&onsi"le for? &ro%iding safe co&assionate and focused nursing
care to assigned &atients with PR:;'<TAB8: health care
Where are the TX nursing &rogra co&etencies located? 'n the Board!s
;i=erentiated :ssential <o&etencies 6;:<s7 of >raduates of the Te$as Nursing
Progras
Who is re)uired to a5e sure nursing graduates are u& to &ar with the ;:<!s? The
Nursing &rogras
What do the ;:<!s ser%e as? guidelines for e&loyers to assist 89N!s as they
transition fro an educational en%ironent into nursing &ractice#
Who is the 89N an ad%ocate for?the &atient & &atient!s faily
Who can 89N!s &ractice under? 0# RN
2# APRN
*# Physician
-# Physician Assistant
.# Podiatrists
?# ;entist
;e4ne +u&er%ision the acti%e &rocess of directing@ guiding@ and inAuencing the
outcoe of an indi%idual!s &erforance of an acti%ity
<an the 89N &ractice in a co&letely inde&endent atter?No
Things the 89N sco&e does not include - edical diagnosis
-&rescri&tion of thera&eutic or correcti%e easures
8%n settings should ha%e### well de4ned &olicies@ &rocedures@ & guidelines
(ow long should an 89N wor5 in a structured setting? 02-0B onths
:$a&les of structured settings N+g hoes
hos&itals@ reha" facilities
s5illed nsgC clinics or &ri%ate dr!s o,ces
What 5ind of a&&roach should the 89N use when caring for ulti&le &atients? a
systeatic &ro"le sol%ing a&&roach
What 5ind of nsg care should the 89N &ro%ide? indi%iduali3ed@ goal directed
nursing care
(ow any ste&s are in the nursing &rocess for 89N!s? - AP':
RN tas5s &rohi"ited fro delegation 0# assessent
2# forulation of a nursing care &lan
*# i&leentation of &arts of the nursing care &lan
-# res&onsi"ility and accounta"ility of health education
.# dose calculation
?# inDecta"le eds e$ce&t insulin
E# eds %ia a non &eranent tu"e
B# %er"al & tele&hone orders
2# 'nitial dose
What are the . rights of delegation? Right Tas5
Right <ircustance
Right Person
Right ;irectionF <ounication
Right +u&er%isionF :%aluation
;e4ne <N: &rogras "eyond the "asic nursing &re&aration that are designed to
&roote and enrich 5nowledge@ i&ro%e s5ills@ and de%elo& attitudes for the
enhanceent of nursing &ractice@ thus i&ro%ing healthcare to the &u"lic#
(ow often should you renew <N:? :%ery 2 years
(ow any <N: hours are re)uired each renewal 21 contact hoursC e$tra <N:
hours do not roll o%er
When is the <N: &eriod in relation to renewal? 4rst day after the renewal
onth to the last day of the su"se)uent renewal# ie ' renew ;ec 2102# <ne &eriod is
fro /an 0 2100 to ;ec *1 2102
What are the 2 &riary certi4cation accreditation agencies Accreditation
Board for Nsg <erti4cation AB+N<
Nat!l <oission for <ertifying Agencies N<<A
all &rogras ust "e a&&ro%ed "y 0 of these agencies to count as <N:
Acadeic <N: how luch is 0 seester hour? 0. contact hours
Acadeic <N:- how uch is one )uarter? 01 contact hours
Ty&es of things that dont )ualify as <N: li"eral arts courses@ Basic <PR@ in
ser%ice &rogras@ on the Do" training@ orientation &rogras@ self i&ro%eent ty&e
courses@ econoic &ersons@ courses for lay &eo&le#
Who ust recei%e Gorensic :%idence <N:!s? Nurses &racticing in the :; setting as
their hoe unit@ Aoating@ contracted@ or other duties that in%ol%e functioning in an
:; setting or role# 0 tie re)uireent#
Te&orary Perit grants graduate of a nursing &rogra to &ractice under an RN or
89N
'nacti%e +tatus Gor &erson who is not acti%ely engaged @ &erson ust su"it
re)uest in writing#
When does the inacti%e date "egins? <an you oonlight? 'nacti%e status "egins on
e$&iry date on &ersons license# Hou ay not &ractice any nursing ser%ice or wor5#
(ow uch is it to renew your license? I.. une$&ired
I00. e$&ired 21 days or less
What 5ind of issues doesn!t the BON regulate e&loyent issuesJ salaries@ sta,ng
ratios@ wor5&lace concerns@ &ractice settings@ en%ironent# 't regulates nurses and
&rotects the &u"lic#
(ow any )uestions and how long is the Duris&rudence e$a? .1 )uestionsC 2
hours long
(ow long do you ha%e to wait to reta5e the test if you do not &ass with E.K? E
days#
(ow long does it ta5e the BON to recie%e the N<le$ results? .-E days
(ow long do you ha%e to ta5e the N<8:X after you graduate? - years within
graduation or recei%ing the ATTC then you ust re&eat the nursing &rogra
Acts of isconduct include### - se$ual isconduct
- fraud@ theft@ and dece&tion
- su"stance a"use@ de&endency@ disorder
- lying and falsi4cation
where can ' 4nd the nurse &ractice act "on we"siteC "egins with *11!s
where can i 4nd the BON rules & regulations "on we"siteC "egins with 211!s
what are * ty&es of BON <: o=erings we"inars
hosted wor5sho&s
interacti%e online <N: o&&ortunity
What is 'ncident Based Peer Re%iew? Who initiates 'BPR? &eer re%iew initiated "y
faculty@ association@ school@ agency@ or any other setting that utili3es ser%ices of
nurses
What is +afe (ar"or? Who initiates it? initiated "y an RN@ 89N@ or APN PR'OR to
acce&ting an assignent or engaging in conduct the nurse "elie%es would &lace
&atients at ris5 for har@ causing the nurse to %iolate duty to the &atient# This
&rotects the nurse fro e&loyer retaliation and action fro the BON#
What is Peer Re%iew? e%aluation of nursing ser%ices@ )uali4cations@ )uality of
care@ eritsd of a co&laint@ and deterination or recoendation regarding a
co&laint#
+co&e 89N su&er%ise & assign
+co&e RN delegate
? +te& decision a5ing &rogress0# is the act consistent wF the NPA & BON rules@
&ositions@ stateents & guidelines?
2# is the acti%ity a&&ro&riately authori3ed "y %alid orderF &rotocol and in accordance
wF esta"lished &olicies & &rocedures?
*# is the act su&&orted "y research re&orted in nsg & health related literature or in
sco&e of &ractice stateents "y national nursing organi3ations?
-# do u &ossess the re) 5nowledge and ha%e you deonstrated the co&etency
re)uired to carry out this acti%ely safely?
.# would a reasona"le and &rudent nurse &erfor the acti%ity in this setting?
?# are you &re&ared to assue accounta"ility for the &ro%ision of safe care and the
outcoe of the care rendered?
inor incident is de4ned as conduct that does not indicate that the continuing
&ractice of nursing "y an a=ected nurse &oses a ris5 of har to the client or other
&erson
circustances that are ne%er considered inor incidents - an error that
contri"uted to death
- criinal conduct de4ned in the NPA *10#-.*.
- serious %iolation of the "oard!s Ln&rofessional <onduct rule 20E#02 in%ol%ing
intentional or unethical conduct such as fraud@ theft@ &atient a"use or &atient
e$&loitation