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Welcome to Nursing Jurisprudence & Ethics
Dinah Lewis denies any conflicts of interest in relation to this continuing education activity No commercial support was received for this activity You must attend the entire activity in order & complete the evaluation to receive Contact Hours 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Dinah Lewis, RN, MSN 9/19/2018 Nursing Jurisprudence & Ethics
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NPA Rules & Regulations Other References
9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Objective Compare & contrast the Nursing Practice Act (NPA), BON Rules, BON Position Statements & Guidelines 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nursing Practice Act Originally Passed 1909 Nursing was formally recognized as a vital service to society Law Regulates Practice of Nursing Defines Professional & Vocational Nursing Gives BON Authority to Make Rules 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Rules & Regulations Established to Implement NPA Explain & Interpret NPA Equally Enforceable Amended Periodically LVNs, RNs & APRNs – Required to Know & Comply Nurses Responsible for Knowing Changes 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Name & Licensure Requirements: Required to Wear RN, GN, LVN, GVN Identify When Interacting with Public References: NPA § (b) Board Rule RN LVN 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Position Statements 15.1 – 15.29 9/19/2018 Nursing Jurisprudence & Ethics
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Frequently Asked Questions
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Nursing Jurisprudence & Ethics
FAQ – Practice Recommendations for: GVNs & GNs Newly Licensed LVNs & RNs Supervision Independent Settings Charge Nurse Continued Supervision 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
FAQ – Guidelines for Transitioning Experienced Nurse Back into Clinical Practice or New Practice Setting Information for Nurse Information for Employer 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Scope of Practice 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Objective Discuss determination of RN/LVN scope of practice 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Scope of Practice RN Professional Nursing Specialize Knowledge & Skill Develops Nursing Process Coordinates Autonomous NPA § (2) & Rule (2)(A) LVN Vocational Nursing Supervision Required Participates in Nursing Process Assists NPA § (5) & § APRN Rule (1), (3), (4) 9/19/2018 Nursing Jurisprudence & Ethics
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217.11 Standards of Nursing Practice
Implications for Practice Standards of Nursing Practice Divided into 4 Sections (1) Applies to all Nurses (2) Specific to LVNs (3) Specific to RNs (4) Specific to APRNs 9/19/2018 Nursing Jurisprudence & Ethics
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Implications for Practice
Licensed to Practice – (1)(V) Supervision/Delegation – (1)(U), (S) Accountability – (1)(T) Competency – (1)(G), (H), (R) Referrals – (1)(Q) Communication – (1)(P) 9/19/2018 Nursing Jurisprudence & Ethics
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Implications for Practice
Protecting Patients – (1)(O) Clarifying Orders – (1)(N) Nursing Interventions – (1)(M) Discrimination – (1)(L) Reporting to BON – (1)(K) Professional Boundaries – (1)(J) Abandonment – (1)(I) 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Zone Of Helpfulness Under Involvement Over Involvement 9/19/2018 Nursing Jurisprudence & Ethics
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Implications for Practice
Protecting Patients – (1)(O) Clarifying Orders – (1)(N) Nursing Interventions – (1)(M) Discrimination – (1)(L) Reporting to BON – (1)(K) Professional Boundaries – (1)(J) Abandonment – (1)(I) 9/19/2018 Nursing Jurisprudence & Ethics
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Implications for Practice
Patient Teaching – (1)(F) HIPAA – (1)(E) Accurate/Complete Documentation (1)(D) Medications – (1)(C) ** Patient Safety – (1)(B) ** Follow the Law – (1)(A) 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
BON Website Resources Nursing Practice Scope of Practice (Six-Step Decision-Making Model) - Revised Position Statements (and NEW Synopsis) RN & LVN Scopes of Practice - Revised Nursing Practice & Rules/Regulations Frequently Asked Questions 9/19/2018 Nursing Jurisprudence & Ethics
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Resources for Evidence-Based Practice
Agency for Healthcare Research & Quality Institute of Medicine Institute for Heathcare Improvement Institute for Safe Medication Practices Journals National Nursing Organizations 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nurse’s Duty 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Objective Apply the Practice Standards & Unprofessional Conduct Rules in determining the nurse’s duty to the patient 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nurse’s Duty To provide a safe environment for clients & others over whom the nurse is responsible An independent obligation under his/her professional licensure that supersedes any physician order or facility policy 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nurse’s Duty Rules Standards of Nursing Practice Unprofessional Conduct – Golden Rule of Professional Boundaries Position Statement 15.14 Duty of a Nurse in any Practice Setting - revised Other Standards 9/19/2018 Nursing Jurisprudence & Ethics
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Safe Harbor Peer Review
9/19/2018 Nursing Peer Review Types Facility Requirements Conduct Subject to Reporting Safe Harbor Peer Review 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN
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Whistleblower Protections
Good Faith Advice & Assistance Resources 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Winkler County Nurses 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Winkler County Nurses 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nurse’s Duty Available Technology Competency Simple Rules to Follow 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Nursing Ethics 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Objective Identify the nurse’s licensure responsibilities related to nursing ethics & a therapeutic professional relationship between the nurse & client 9/19/2018 Nursing Jurisprudence & Ethics
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ANA Code of Ethics Key Concepts
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§217.12 Unprofessional Conduct
Golden Rule Purpose Examples 9/19/2018 Nursing Jurisprudence & Ethics
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Disciplinary Sanction Policies - Revised
Sexual Misconduct Fraud Theft & Deception Nurses with Chemical Dependency Lying & Falsification 9/19/2018 Nursing Jurisprudence & Ethics
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Possible Barriers to Licensure
Murder Manslaughter Indecency with Child Aggravated Assault Domestic/Family Violence (Felony) Robbery Sexual Assault Registered Sex Offender Continuous Sexual Assault of a Child 9/19/2018 Nursing Jurisprudence & Ethics
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Client Vulnerability Crossing the Line: Professional Boundaries
Illness/Sedation Knowledge Age Disability Fear of Retribution Crossing the Line: Professional Boundaries 9/19/2018 Nursing Jurisprudence & Ethics
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Good Professional Character – Repealed & Replaced
Honesty Integrity Accountability Trustworthiness Reliability Board Rule 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
Social Media Can be Beneficial Inappropriate Use Can use be Reported Co-worker bullying Avoid Trouble 9/19/2018 Nursing Jurisprudence & Ethics
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New Laws Impacting Nurses
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Nursing Jurisprudence & Ethics
9/19/2018 Objective Discuss recent legislative amendments to the NPA, in addition to other legislation that may impact nursing practice 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN
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Nursing Jurisprudence & Ethics
Changes to the NPA Title Effective Date Chapter Delegation 1/27/15 Chapter 213 (§§213.27, , , , ) 10/29/15 § Fees 12/27/15 9/19/2018 Nursing Jurisprudence & Ethics
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Proposed Changes for APRNs
Title Chapter 221 – Advance Practice Nursing Chapter Continuing Competency (§§216.1, 216.5, 216.6) 9/19/2018 Nursing Jurisprudence & Ethics
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Other Legislation Related to Nursing Practice
Hydrocodone Combination Products (HCPs) effective 10/6/14 Statement issued by Texas BON, Texas MB & Texas State Board of Pharmacy bon.texas.gov/rr_current/222-8.asp txdps.state.tx.us/RSD/ControlledSubstances/ hydrocodoneSchedII.htm 9/19/2018 Nursing Jurisprudence & Ethics
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Nursing Jurisprudence & Ethics
9/19/2018 Resources 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN 46
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Nursing Jurisprudence & Ethics
9/19/2018 Resources Texas Board of Nursing Bulletin October 2014, Vol.45, No.4 January 2015, Vol.46, No.1 Laws & Rules – Nursing Practice Act Laws & Rules – Rules & Regulations Laws & Rules – Rule Changes 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN 47
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Nursing Jurisprudence & Ethics
9/19/2018 Resources Laws & Rules – Rule Changes Practice – Nurse Scope of Practice (or rn.asp or aprn.asp) Practice – BON Position Statements 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN 48
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Nursing Jurisprudence & Ethics
9/19/2018 Evaluation CORRECT CORRECTION WRONG CORRECT WRONG You must fill out the evaluation correctly for your opinion to count! I like this I like this 9/19/2018 Nursing Jurisprudence & Ethics Nursing Jurisprudence & Ethics - Dinah Lewis, MSN, RN
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