Select a topic to learn more about Federal Issues.” Choose 2 of the topics and read the information provided.
Click on this link: https://www.nursingworld.org/practice-policy/advocacy/federal/ (Links to an external site.)
Scroll down to, “Select a topic to learn more about Federal Issues.” Choose 2 of the topics and read the information provided. Then, post a 3-4 sentence summary for both of the topics you chose in the discussion board. Remember to cite the website (using APA format).
Post your summaries of the 2 topics to the Discussion Board by 23:59, Wednesday of Module 1 ( please scroll to the module you want to post for—click on the link for that module and your coach discussion group).
Each week, you must have your initial post, which is due Wednesday at 2359, along with 2 questions to others or 2 responses to questions asked of you, or a combination of both which are due Saturday at 2359. If no one asked you questions you will need to ask 2 questions to your classmates.
Please respond to each of the questions you are asked by your colleagues during the online discussion.
You will be evaluated on the quality of your summaries, questions, and responses to colleagues’ questions. Replies must be made by Saturday 2359 of Module 1.
NURS3375 Health Policy & Legal Aspects
Module 2 Discussion
Safe Harbor
Read this scenario then answer the questions that follow.
You, the RN, arrive early on your regular orthopedic unit. Your Charge Nurse comes to you and says that you need to go to the cardiac step-down unit. You protest, but she says she has no control over the situation and that you at least need to go to the step-down unit and see what is going on. You arrive at the step-down unit. The House Supervisor is present with the unit Charge Nurse. You are told that the unit is very understaffed that day and that you must take patients. You protest that you have worked only orthopedics for the past 10 years- that you do not know the current cardiac drugs and side effects, the current treatments and post-treatment care and that you have never had to read the type of cardiac monitoring strips that are generated on all the patients on this unit. The House Supervisor tells you to not worry. She explains as follows:
There are monitoring techs who are responsible for reading the strips.
You have access to a PDR and Pharmacy if you have questions about the drugs.
A nurse with recent experience on this floor will be able to go around with you to orient you for about two hours. (That nurse must return to his regular floor in two hours.)]
You again express concerns that you are not qualified to take this assignment. The House Supervisor takes you aside and says, “We need you to step up and help out here. We need team players in situations like this. If you refuse, I’m going to have to discuss your refusal with the Director of Nursing and your unit manager — it may not be good for your career here at this hospital. Besides, do you think you are the first nurse who ever had to take patients in a less than perfect circumstance? The patients are worse off if you refuse.”
Reluctantly, you accept the assignment. About 5 hours into the 12-hour shift, you mis-titrate a cardiac drug. The patient codes, never regains consciousness and is transferred to ICU. The patient dies 3 hours after being transferred.
Two weeks later, you are called to Human Resources. Your unit manager, the House Supervisor, and an HR representative are there. You are told that you are being reported to the state’s Board of Nursing due to the negative outcome of your patient
1). Was this a situation in which you should have claimed Safe Harbor?
2). How should you have responded (from a legal/patient safety/license protection perspective) in response to each of these statements?
“You will get a two-hour orientation.”
“The monitor tech will be responsible for reading the strips.”
“You need to be a team player or you may suffer employment consequences.”
Post your responses to the questions above on the Discussion Board by 23:59, Wednesday of Module 2.
You will be evaluated on the quality of your summaries, questions, and responses to colleagues’ questions.
Basic APA format is required.
NURS3375 Health Policy & Legal Aspects
Module 3 Discussion
In Texas, on his annual renewal form, an RN stated that he got a second DWI 9 months ago. What do you tell him will be the most likely decision as to his license? If you are not in the state of Texas, how would this license renewal situation be handled?
An RN with a current New York license has moved to Texas and has applied for a Texas license. On the application, she wrote that she was convicted of Medicaid fraud ($5,230.00) four years ago and will be off of probation in six months. What do you tell her will be the most likely decision as to a Texas license?
The BON has become stricter over the past several years concerning criminal convictions and a person’s ability to practice as an RN in Texas. Consult the Board’s “Disciplinary Guidelines for Criminal Conduct,” and consider the above scenarios. In each case, suppose you are an investigator with the Board.
Post answers to each of the RNs in the scenarios on the Discussion Board by 23:59, Wednesday of Module 3. Compare your responses to those of your colleagues, and explain your reasons or discuss details such as stipulations with at least two colleagues. ( please scroll to the module you want to post for—click on the link for that module and your coach discussion group).
NURS3375 Health Policy & Legal Aspects
Module 4 Discussion
Documentation Affected by Under Staffing or Misappropriation of Narcotics?
What sections of the Nursing Practice Act and the Board Rules address documentation?
The nurse cannot make more staff magically appear. What could the nurse have done, under these circumstances, to improve her documentation and perhaps avoid being reported to the Board? (NOTE: In the real case upon which this scenario is built, the nurse did testify that she felt that she had allowed herself to get lulled into the “that’s the way we do it” mentality for that unit!)
What do you feel is the best way to handle narcotic wastage if another nurse is not readily available?
Suppose you are an investigator with the Board. Open and read the sample background information and notice letter from the Board by clicking on the link. Then discuss the above questions with your colleagues.
Background Information and Sample Notice LetterPreview the document
Your participation in this Discussion will be graded upon the detail and accuracy of your contributions to the discussion.
NURS3375 Health Policy & Legal Aspects
Module 5 Discussion
Do you think your State Board of Nursing should impose limitations on the number of hours that nurses work due to nurse fatigue and the greater chance of making mistakes detrimental to patients? Justify your thoughts with evidence-based research.
Do you think you will be more cognizant of professional boundary issues in your practice than you were prior to the course? Justify your thoughts with evidence-based research.
Your participation in this Discussion will be graded upon the detail and depth of analysis of your contributions to the discussion.
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