Eiffel Moreno
N137
8/6/15
NURSING PRACTICE ACT
Directions: Read the sections of the California Nursing Practice Act. Be able to answer/discuss the following questions. Do NOT quote the statutes, put the responses in your own words.
1. How many people are on the Board of Nursing (BRN) and who do they represent?
According to the Department of Consumer Affairs – Board of Registered Nursing website, there are nine people total that are on the Board of Nursing (Board of Registered Nursing, 2015). The nine members consist of five registered nurses and four members of the public (BRN, 2015). The registered nurses that serve on the board span from different positions such as: a nurse educator, an advanced nurse practitioner, a nurse administrator,
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How is the practice of nursing defined?
According to the Business and Professions Code’s Article 2: Scope of Regulation – Section 2725 Legislative intent: Practice of nursing defined, as extracted by the Department of Consumer Affairs - Board of Registered Nursing website, the practice of nursing is defined as functions, including basic health care, that require ample scientific knowledge and skill to aid people coping with difficulties seen in their daily lives in regards to their actual or potential health, illness, or treatment of their maladies (BRN, 2015).
3. What are the independent functions of nursing practice according to the Nursing Practice Act?
According to the Nursing Practice Act as mentioned in the Business and Professions Code’s Article 2: Scope of Regulation – Section 2725 Legislative intent: Practice of nursing defined, the independent functions of nursing practice include ensuring the protection of the patients through providing them safety, comfort, and maintaining their hygiene as well as advocating for disease prevention and restorative measures (BRN, 2015).
4. What are the dependent functions of nursing practice according to the Nursing Practice
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The “Standards of Competent Performance,” according to the Title 16, California Code of Regulations, as extracted by the Department of Consumer Affairs - Board of Registered Nursing website, is a set of qualities that a registered nurse must demonstrate to show his/her competency of transferring scientific knowledge from social, biological and physical sciences in applying the nursing process, as follows: (1) Formulates a nursing diagnosis through observation of the patient’s physical and behavioral state, and through interpreting information obtained from other sources, (2) Formulates a care plan, in collaboration with the client, ensuring that both the direct and indirect nursing care services provide for the client’s safety, comfort, hygiene, and protection, as well as for disease prevention and restorative measures, (3) Performs skills essential to the kind of nursing action being taken, explains the process of treatment and care for the client’s health needs to the client and family, (4) Delegates tasks to subordinates based on their legal scopes of practice and according to preparation and capability needed for the tasks, and effectively supervises the care provided by the subordinates, (5) Evaluates the effectiveness of the care plan and modifies the plan in response to the client’s physical and behavioral health, signs and symptoms of illness, reactions to treatment, and communication with the client and other health team members, (6) Acts as the client’s advocate,
Standards are important aspects of nursing that a nurse must learn and implement every day for the rest of their nursing career. These standards provide for a nurse’s competence in the quality of care they deliver to the public. Standards offer a necessary guidance to nurses everywhere in an effort to ensure that people are treated correctly and ethically. Patients expect nurses to have a general knowledge of the medical realm and to know exactly what it is they –as nurses- are responsible for. Nurses need to have a sense of professionalism that enable the patient to feel safe and secure, knowing that a competent person is caring for him. A lack of professionalism does the opposite, making it impossible for a patient to trust or respect the nurse caring for him. Standards of nursing, if utilized correctly, give the nurse that sense of professionalism the patient is expecting. It insures for the safety of the patient and allows the nurse to provide quality health care that is expected of a medical professional.
The Texas Board of Nursing,(2009). Nursing practice act. Nursing peer review, nurse licensure compact, & advanced practice registered nurse compact. Austin, TX
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
According to the American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the health, safety and rights of the patient” (p. 6). Nursing responsibilities should be acted upon at the highest standard and must be based on legal and ethical obligations. Healthcare provider’s perception and judgment of the patient’s well being, as well as taking into account the rights of the patient in every action, is one of the key elements in nursing practice. International Council of Nurses (ICN) (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3).
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
According to Weis/Tappen (2010) competency is defined as “the demonstrated ability to carry out specific tasks or activities with reasonable skill and safety that adheres to the prevailing standard of practice in the nursing community” (p. 262). To be competent a person should be able to perform a set skill at an expected level. Pertaining to nursing, competence is shown by skill provided in healthcare with safety and understanding of how it is to be performed. The nurse is responsible for continuing competency throughout his/her career in order to meet the performance level set by the healthcare facility they are employed by.
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
1. Legal, ethical and professional principle frameworks underpin all fields of nursing, and it is a requirement for all Registered Nurses to be competent and knowledgeable, act with integrity and maintain professional standards set out by Nursing and Midwifery Council (NMC, 2015). Working with multidisciplinary teams within our profession, it is important to acknowledge and recognise the way in which all the professionals are guided by law and their independent regulatory bodies. The needs of the individual patient is to be considered by doctors and nurses alike, who share professional values and are set out in the respective codes of practice, The Code (NMC, 2015) and GMC (2013).
I consider my personal definition of a registered nurse to be an educated person working in the field of nursing, who cares, helps and advocates for individuals in need. This would include people with mental, physical, and emotional concerns. The sole purpose of nursing is to promote personal well-being for people in all levels of their existence at any stage of life. According to the International Council of Nurses (INC,2017) “Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people” (Par 3). Nurses play a vital role within the health care system in developing health policies and procedures, management, research, patient advocacy and providing education to their patients and at the community level, illness prevention ( INC, 2017). Being a nurse consists of more than the day to day tasks of administration of medication,
The scope of practice for the nurses and how to perform the duties within the scope of practice are discussed here. Scope of practice for nurses. Scope of practice refers to the actions, procedures or processes that are permitted to be done by a professional in his or her profession by the law (Anderson, 2013). The scope of practice that is permitted by law is based on the educational qualifications and the experience in the particular field. All the health care professionals have this scope of practice, including nurses, which is governed by a governing body of the particular profession.... ...
Some of the most frequent duties that registered nurses perform are: looking at and analyzing the patients, looking over records, evaluating patient’s condition as he is admitted and recording patient’s symptoms as well as medical history, giving treatment and medication to the
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be
Committee of the Robert Wood Johnson Foundation Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.