1. 1 Board of Registration in Nursing

2. 2 Module 1: Introduction to the Massachusetts Board of Registration in Nursing and the Regulation of Advanced Practice Registered Nursing

3. 3 Regulations: What are they? Rules enacted through state legislative action.Rules enacted through state legislative action. Rules of specific authority.Rules of specific authority. Delegated authority to enforce the nurse practice act.Delegated authority to enforce the nurse practice act. Expertise of a group to implement a statute.Expertise of a group to implement a statute.

4. 4 Regulations: Why do we have them? Reflective of the complexity of modern life.Reflective of the complexity of modern life. The public’s measure of evaluation of the provider’s level of competency.The public’s measure of evaluation of the provider’s level of competency. Develops specific standards of public protection.Develops specific standards of public protection. Detailed requirements of safety.Detailed requirements of safety. DUTY TO PROTECT THE PUBLIC.DUTY TO PROTECT THE PUBLIC.

5. 5 The Acts of 1910: Establish the Massachusetts Board of Registration of Nurses (BRN)Establish the Massachusetts Board of Registration of Nurses (BRN) Authorized BRN to license RNsAuthorized BRN to license RNs Qualifications for Nurses: 1. Age (21 years) 2. Of good moral character 3. Fee ($5.00) 4. License examination

6. 6 Board of Registration in Nursing (Board) Mission: to lead in the protection of the health, safety and welfare of the citizens of the Commonwealth through the fair and consistent application of the statutes and regulations governing nursing practice and nursing education. to lead in the protection of the health, safety and welfare of the citizens of the Commonwealth through the fair and consistent application of the statutes and regulations governing nursing practice and nursing education.

7. 7 Board Goals: Ensure that persons licensed as nurses are qualified to provide the citizens of the Commonwealth with safe & effective nursing care.Ensure that persons licensed as nurses are qualified to provide the citizens of the Commonwealth with safe & effective nursing care. Lead in state government & public arenas in the promotion of safe & effective nursing practice.Lead in state government & public arenas in the promotion of safe & effective nursing practice.

8. 8 Massachusetts General Law (M.G.L.) Chapter 13, §§. 13, 14, 14A, 15 and 15DMassachusetts General Law (M.G.L.) Chapter 13, §§. 13, 14, 14A, 15 and 15D Establishes a Board of Nursing to regulate practice and licensed nursing educationEstablishes a Board of Nursing to regulate practice and licensed nursing education 17 appointed members - 14 nurses, 2 public members, 1 physician, and 1 pharmacist. Nurse members are representatives from education (all levels of RN & LPN), direct care (RN & LPN), administration, and advanced nursing practice.17 appointed members - 14 nurses, 2 public members, 1 physician, and 1 pharmacist. Nurse members are representatives from education (all levels of RN & LPN), direct care (RN & LPN), administration, and advanced nursing practice. The Nurse Practice Act

9. 9 Makes, adopts, amends, repeals and enforces regulationsMakes, adopts, amends, repeals and enforces regulations Issues advisory rulings and opinions to guide practice and educationIssues advisory rulings and opinions to guide practice and education Authorizes nurses to practice in advanced roles (CNP, PCNS, CRNA, CNM, CNS)Authorizes nurses to practice in advanced roles (CNP, PCNS, CRNA, CNM, CNS) Licensure (initial, renewal, reciprocity)Licensure (initial, renewal, reciprocity) Functions of the Board

10. 10 continued Investigates and takesInvestigates and takes action against complaints action against complaints Audits competencyAudits competency Administers SARP ProgramAdministers SARP Program Consults and conducts forums and research on practice and educationConsults and conducts forums and research on practice and education

11. 11 Promotion of Public Safety Participation in the MA Coalition for the Prevention of Medical ErrorsParticipation in the MA Coalition for the Prevention of Medical Errors Recommend evidence-based error reduction/prevention strategiesRecommend evidence-based error reduction/prevention strategies Issue Advisory Rulings with updates as practice expandsIssue Advisory Rulings with updates as practice expands Participate in task forces when applicable to nursing practiceParticipate in task forces when applicable to nursing practice

12. 12 Projects Study barriers to self-reporting of medication errors as an opportunity to look at root causeStudy barriers to self-reporting of medication errors as an opportunity to look at root cause Nurse – employer safety partnershipNurse – employer safety partnership Human performance error predictableHuman performance error predictable Identify and address systems factorsIdentify and address systems factors Establish a regulatory plan to promote safe medication administrationEstablish a regulatory plan to promote safe medication administration

13. 13 “…Each individual licensed to practice nursing in the commonwealth shall be directly accountable for the safety of nursing care he delivers.” M.G.L. Chapter 112, Section 80B

14. 14 Organizational Structure Commonwealth of Massachusetts Office of the Governor Executive Office of Health & Human Services Department of Public Health Center for Quality Assurance & Control Division of Health Professions Licensure Board of Registration in Nursing

15. 15 244 CMR 3.00- 9.00: The Regulations Governing Nursing 3.00:Registered Nurse & Licensed Practical Nurse 4.00:Advanced Practice Nursing 5.00: Continuing Education 6.00:Schools of Nursing 7.00:Action on Complaints 8.00: Licensure Requirements 9.00:Standards of Conduct

16. 16 Duty of the Board Members To have the responsibility and power to administer, coordinate, and enforce the provisions of the statutes without limitation to such power, duties, and authorities as it may be granted by its status.

17. 17 Becoming Authorized as an APRN In order to become authorized to practice as an Advanced Practice nurse in Massachusetts, you must: Have a current MA RN licenseHave a current MA RN license Graduate from a Board recognized education program whose objective is preparation for the specific APRN role;Graduate from a Board recognized education program whose objective is preparation for the specific APRN role; Attain and maintain certification from a Board-approved accrediting body;Attain and maintain certification from a Board-approved accrediting body; Provide proof satisfactory to the Board of compliance with the Good Moral Character requirement as stated in Massachusetts law; andProvide proof satisfactory to the Board of compliance with the Good Moral Character requirement as stated in Massachusetts law; and Pay all required fees.Pay all required fees.

18. 18 Review 4.00 and 9.00 Go to the Board’s website to review:Go to the Board’s website to review: 244 CMR 4.00: Massachusetts Regulations Governing Advanced Practice Registered Nursing244 CMR 4.00: Massachusetts Regulations Governing Advanced Practice Registered Nursing 244 CMR 9.00: Standards of Conduct244 CMR 9.00: Standards of Conduct

19. 19 Get into the habit of Checking the Board’s Website www.mass.gov/dph/boards/rn News and UpdatesNews and Updates Practice IssuesPractice Issues AlertsAlerts Regulatory GuidanceRegulatory Guidance Advisory RulingsAdvisory Rulings NewslettersNewsletters

20. 20 Board of Registration in Nursing 239 Causeway Street 2 nd Floor, Suite 200 Boston, MA 02114 On-Line Renewal www.mass.gov/dph/boards/rn (go to On Line Services in right margin)