Insertion, maintenance and removal of peripherally inserted central catheters PICC. The nurse initiating any form of standing orders must act within the scope of the Nursing Practice Act, Board Rules and Regulations, and any other applicable local, state, or federal laws.
Employers are also encouraged to develop policies and procedures directing staff in postmortem care and procedures, including appropriate measures that can be completed while waiting for a return call from the attending physician.
Two standards applicable in all practice scenarios include: However, prescriptive authority agreements may reference or include the terms of a protocol s.
As used in this chapter, standing delegation orders do not refer to treatment programs ordered by a physician following examination or evaluation by a physician, nor to established procedures for providing of care by personnel under direct, personal supervision of a physician who is directly supervising or overseeing the delivery of medical or health care.
Protocols shall be defined to promote the exercise of professional judgment by the advanced practice registered nurse and physician assistant commensurate with their education and experience.
The protocols used by a reasonable and prudent physician exercising sound medical judgment need not describe the exact steps that an advanced practice registered nurse or a physician assistant must take with respect to each specific condition, disease, or symptom.
From a BON standpoint, the focus for disciplinary sanctions is on the relationship and responsibility of the nurse to the patient, not to the employer or employment setting. However, during an active shooter situation a nurse may find there is not sufficient time to do anything but to ensure his or her own safety.
Limitations for Expanding Scope of Practice, further maintains that continuing education that falls short of an educational program of study leading to a degree and licensure as a registered nurse would be insufficient to assure vocational nurse competency and patient safety with regard to insertion and removal of PICC lines or midline catheters.
A LVN is not responsible for the actions of a physician who elects to pronounce death by remote-means. Employment Issues Though the Board has no jurisdiction over employers or employment-related issues, other laws regulating facility licensure may apply certain responsibilities to the employer for provision of patient safety, such as development of effective patient care systems or provision of adequate numbers of qualified staff.
Suggested guidelines for registered nurses in the insertion and removal of specialized intravenous catheters. Furthermore, the Board encourages existing nursing education programs approved by the Texas Board of Nursing to develop articulation arrangements that specify their policies regarding transfer of academic credits to facilitate educational mobility, especially in underserved areas of the state.
The Board believes that the following additional examples of employment issues would not typically involve violations of the NPA or Board Rules: While these signs of irreversible death would not be expected to be seen in most practice settings, the American Heart Association also includes the following irreversible signs of death: As with all allegations received by the Board, the alleged conduct by a nurse will be thoroughly investigated to determine what, if any, violations of the NPA and rules have occurred.
This rule delineates two methods by which nurses may follow a pre-approved set of orders for treating patients: Specific requirements for a given facility may be obtained by contacting the applicable licensing authority for the institution.
Peripherally inserted central catheters PICC.
The role of the license practical nurse in intravenous infusion therapy.Amazon's Choice recommends highly rated, well-priced products available to ship immediately. The Role of the Licensed Vocational Nurse in the Pronouncement of Death: Licensed vocational nurses (LVNs) do not have the authority to legally determine death, diagnose death, or otherwise pronounce death in the State of Texas.Download