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Regulation of Nursing Professional Nursing

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Define the Roles of the Following Agencies. The BRN. The National League of Nursing. American Association of Colleges of Nursing ... – PowerPoint PPT presentation

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Title: Regulation of Nursing Professional Nursing


1
Regulation of Nursing Professional Nursing
2
The Role of The Professional Nurse
  • Direct Care Provider
  • Clinical Leader
  • Client and Family Advocate
  • Researcher
  • Educator

3
OBJECTIVES
  • Define the Roles of the Following Agencies
  • The BRN
  • The National League of Nursing
  • American Association of Colleges of Nursing
  • California Nurses Association
  • Explain the Differences Between
  • Accreditation
  • Licensure
  • Certification

4
  • Explain the Differences Between
  • Professional Regulation
  • Government Regulation
  • Understand the Role of the BRN as it Applies to
    Disciplinary Actions
  • Understand Your Responsibilities as a Student
    Nurse and Explain Your Professional Liability.
  • Understand the Student Code of Conduct for SJSU
  • Including Requirements for Progression to
    Semester Four
  • The SON Chain of Command
  • SON Dress Code

5
Professional Regulation of Practice
  • Defines Nursing
  • Establishes a Code of Ethics
  • Establishes Laws and Defines Scope of Practice
  • Certifies Advanced Nursing Practice
  • In Clinical Specialties i.e. Critical Care,
    Psychiatric Nursing, Obstetrics

6
Professional Nursing
  • What Defines a Profession?
  • BRN
  • ANA
  • ANA/C
  • NLN
  • Professional Regulation of Nursing practice
    begins with the Professions Definition of
    Nursing.
  • ANA Nursings Social Policy Statement

7
  • Provision of a caring relationship that
    facilitates health and healing.
  • Attention to the range of human experiences and
    responses to health and illness within the
    physical and social environments.
  • Integration of objective data with knowledge
    gained from an appreciation of the patient's or
    group's subjective experience.
  • Application of scientific knowledge to the
    processes of diagnosis and treatment through the
    use of judgment and critical thinking.
  • Advancement of professional nursing knowledge
    through scholarly inquiry.
  • Influence on social and public policy to promote
    social justice.
  • From ANA's Nursing's Social Policy Statement,
    Second Edition, 2003.

8
Government Regulation of Practice
  • Federal Government
  • Protect Privacy with HIPAA The Health Insurance
    Portability and Accountability Act Legislation
  • Address Health and Safety Issues Such as the
    Regulation which Determines which Drugs are OTC
    and which are not.
  • Tele-health has become the subject of debate
    among health care providers, professional
    associations, and government officials because it
    raises concerns about multi-state licensure,
    state versus federal control, reimbursement, and
    liability.
  • Controls Eligibility for Medicare and Medical
    Payments
  • State Government
  • By licensure of New Grads
  • Certification of Advance Practitioners
  • Nurse Practice Act Scope of Practice

9
Government Regulation
  • Defined by Statute
  • Legal Contract between the Profession and Society
  • State Nurse Practice Acts are the Codification of
    Regulations and Statues which Grant Nurses the
    Right to Practice Require Them to Act in the
    Publics Best Intrest ANA Nursing Social Policy
    Statement

10
Scope of Practice
In all 50 States
  • There are Legal Requirements for Nursing
    Practice.
  • Which exists to assure the health, safety, and
    welfare of the general public and to protect the
    integrity of the nursing profession.

11
The Legal Definition of Nursingis Defined in the
Nurse Practice Acts
  • Regulation of practice is defined in the Nurse
    Practice Act (NPA) of each state.
  • NPAs are statutes that outline the rules and
    regulations that govern the practice of nursing.
  • NPA's are developed by state jurisdictions each
    state has its own Nurse Practice Act.
  • Note many nursing practice acts are patterned
    after the Model Nursing Act and Rules (National
    Council of State Boards of Nursing, 2004) many
    aspects similar information.

http//nursingworld.org/mods/mod995/canlegalnrsful
l.htmreg Legal Basics for Professional Nursing
Nurse Practice Actsby Mable H. Smith, RN, JD, PhD
12
CALIFORNIA NPA
  • California Legislature Enacts All Changes to the
    Nurse Practice Act
  • Board of Registered Nurses Protects the Public
    and Enforces the Statues

13
Nurse Practice Act
  • The Nursing Practice Act (NPA) is the body of
    California law that mandates the Board to set out
    the scope of practice and responsibilities for
    RNs.
  • The Practice Act is located in the California
    Business and Professions Code starting with
    Section 2700.
  • Regulations which specify the implementation of
    the law appear in the California Code of
    Regulations. http//www.rn.ca.gov/npa/npa.htm

14
BRN Membership
  • NPA 2702 Each member of the board shall be a
    citizen of the United States and a resident of
    the State of California. Four members shall
    represent the public at large, and shall not be
    licensed under any board under this division or
    any board referred to in Section 1000 or 3600 and
    shall have no pecuniary interests in the
    provision of health care services. Two members
    shall be licensed registered nurses under the
    provisions of this chapter, each of whom shall be
    active in the practice of his or her profession
    engaged primarily in direct patient care with at
    least five continuous years of experience, and
    who shall not be engaged as an educator or
    administrator of a nursing education program
    under the provisions of this chapter. One member
    shall be a licensed registered nurse who shall be
    active as an advanced practice registered nurse
    as defined in Section 2725.5. One member shall be
    a licensed registered nurse under the provisions
    of this chapter who shall be active as an
    educator or administrator in an approved program
    to train registered nurses. One member shall be a
    licensed registered nurse who is an administrator
    of a nursing service with at least five
    continuous years of experience.
  • http//www.rn.ca.gov/npa/pdf/b-p.pdf

15
2725. Legislative intent Practice of nursing
defined
  • (a) In amending this section at the 1973-74
    session, the Legislature recognizes that
  • nursing is a dynamic field, the practice of which
    is continually evolving to include more
  • sophisticated patient care activities. It is the
    intent of the Legislature in amending this
  • section at the 1973-74 session to provide clear
    legal authority for functions and
  • procedures that have common acceptance and usage.
    It is the legislative intent also to
  • recognize the existence of overlapping functions
    between physicians and registered
  • nurses and to permit additional sharing of
    functions within organized health care systems
  • that provide for collaboration between physicians
    and registered nurses. These organized
  • health care systems include, but are not limited
    to, health facilities licensed pursuant to
  • Chapter 2 (commencing with Section 1250) of
    Division 2 of the Health and Safety Code,
  • clinics, home health agencies, physicians'
    offices, and public or community health
  • services. http//www.rn.ca.gov/npa/pdf/b-p.pdf

16
  • 2725b Further defines Dependent and independent
    nursing practice.
  • 2725b 1,2,4a Defines Independent practice i.e.
    those things that RN may do independent of other
    Practitioners such as Direct and indirect
    patient care services that ensure the safety,
    comfort, personal
  • hygiene, and protection of patients and the
    performance of disease prevention and restorative
    measures.
  • 2725b2,4p Define Dependent Practice such as
    Direct and indirect patient care services,
    including, but not limited to, the
  • administration of medications and therapeutic
    agents, necessary to implement a treatment,
    disease prevention, or rehabilitative regimen
    ordered by and within the scope of licensure of a
    physician, dentist, podiatrist, or clinical
    psychologist, as defined by Section 1316.5 of the
    Health and Safety Code.
  • 2725C Defines Standardized Procedures

17
  • 2750 Defines Discipline and modes of discipline
  • 2761 Outlines grounds for disciple such as
    Except for good cause, the knowing failure to
    protect patients by failing to follow infection
    control guidelines of the board, thereby risking
    transmission of blood-borne infectious diseases
    from licensed or certified nurse to patient, from
    patient to patient, and from patient to licensed
    or certified nurse.
  • 2762. Drug-related transgressions
  • 2770. Legislative intent
  • It is the intent of the Legislature that the
    Board of Registered Nursing seek ways and means
    to identify and rehabilitate registered nurses
    whose competency may be impaired due to abuse of
    alcohol and other drugs, or due to mental illness
    so that registered nurses so afflicted may be
    rehabilitated and returned to the practice of
    nursing in a manner which will not endanger the
    public health and safety. It is also the intent
    of the Legislature that the Board of Registered
    Nursing shall implement this legislation by
    establishing a diversion program as a voluntary
    alternative to traditional disciplinary actions.

18
Regulations
  • Statements Issued by the BRN carry the weight of
    the Law
  • The BRN regulates nursing schools
  • Sets Standards for Competent Performance
  • Sets continuing education requirements
  • Sets standards and issues Certification for
    Nurse-Midwives, NP, and Public Heath Nurses

19
The BRNS Role In Nursing Education
  • Review and Approval of Initial and on-going
    Nursing Education Programs
  • Regulation of Continuing Education for RNs

20
Professional Regulation of Education
  • National League of Nursing
  • American Association of Colleges of Nursing
  • Professional Association Accredit Nursing
    Programs But Do Not Standardize the Curriculum

21
Accreditation of Hospitals
  • The Joint Commission evaluates and accredits
    nearly 15,000 health care organizations and
    programs in the United States. An independent,
    not-for-profit organization, The Joint Commission
    is the nations predominant standards-setting and
    accrediting body in health care

22
California Department of Health Services
  • Licensing 30 different types of health care
    facilities and providers (a total of over 6,000)
    so that they can legally do business in
    California.
  • Certifying to the federal government health care
    facilities and providers that are eligible for
    payments under the Medicare and Medicaid
    (Medi-Cal) programs.

23
American Nurses Credentialing Center
  • The largest and most prestigious nursing
    credentialing organization in the United States
  • Provides programs that establish respect for
    nurses and the profession.
  • ANCC certifications are highly regarded across
    the nation by federal, state and local agencies

24
Professional Organization
  • Professional Nursing Organizations
  • Broad Spectrum Organizations
  • ANA, ANA-C, CNA
  • Specialty Practice Organizations
  • Such as APNA, AORN

25
Leadership - Professional Organization Group
Projects Instructions are on Web CT My Website
  • Groups Must Have
  • at Least 5 Members
  • No More Then Six
  • Groups Will
  • Designate a Group Leader
  • Chose a Name for Their Group
  • The Group Leader Will Post
  • The Groups Name
  • List of Members and
  • Choice of Organization in the Discussion section
    of WebCt

26
Something to Think AboutThe on Going Debate
  • Entry in to Practice
  • All RNs Must Pass the NCLEX Exam
  • But Educational Prepartion Varies
  • Diploma programs, Associated Degree Programs, BSN
    Programs, Masters Degree Programs
  • Doctoral Prepared Nurses
  • Should a BSN Be Required for all Nurses

27
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