TEXAS NURSING JURISPRUDENCE FINAL EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔IBPR Due Process Rights - ✔✔Facility must have policies in place for PR
PR committee must comply with req.
Nurse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
✔✔Safe Harbor Peer Review - ✔✔Allows a nurse to accept an assignment and provide
best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignment if lack basic knowledge/ability to render care
✔✔Safe Harbor - ✔✔Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
✔✔Quick Request Form - ✔✔Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignment
-Brief explanation of why safe harbor is being req.
✔✔Chain after Safe Harbor Nurse completion - ✔✔Nurse supervisor/administrator who
gave assignment.
Nurse administrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR findings
Nurse who initiated request
✔✔Mandatory Overtime - ✔✔Making you work extra shifts, you have the right to refuse.
NOT when
-Emergency disasters
, -Ongoing procedure requires nurses presence
-Certain emergencies
✔✔Take Mandatory Overtime Concerns to - ✔✔Unit manager
Staffing Committee
DSHS-if not addressed internally
✔✔Nurses duty is always - ✔✔In the best interest of the patient
✔✔Patient Abandonment - ✔✔NPA/BON do not define abandonment
-leaves employment-employment issue
-leaves patient-licensure issue
✔✔Not abandonment - ✔✔Resignation without notice- assuming shift has been
completed
Refusal to work additional shifts either doubles or extra shifts on days off
✔✔Floating to an unfamiliar area - ✔✔Always responsible for providing safe patient
care
May request training prior to having to float
May invoke safe harbor
May refuse assignment
✔✔What do I do if I question safety of assignment - ✔✔1st- clear about what you are
being asked to do
2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify
4th- Listen to response
✔✔Disciplinary Action - ✔✔Chemical Dependency
Alcohol Dependency
Mental Illness
Even some prescription drugs
✔✔Red Flags - ✔✔Lack of energy
Frequent absences
Spike in pt. need for pain meds
Lateness to work
Red Eyes
No/unusual documentation
Frequently stands behind other nurses signing out meds
✔✔Unprofessional Conduct - ✔✔Drug Diversion
QUESTIONS AND ANSWERS SURE A+
✔✔IBPR Due Process Rights - ✔✔Facility must have policies in place for PR
PR committee must comply with req.
Nurse must receive notice/ opportunity to review documents/submit a response
Nurse may hire own attorney
Nurse will get feedback after decision
Nurse will have a chance to respond
✔✔Safe Harbor Peer Review - ✔✔Allows a nurse to accept an assignment and provide
best care without fear of licensure action if there is a practice error.
-Does not protect civil rights
-Before refusing assignment must recog. pt is 1st
May refuse an assignment if lack basic knowledge/ability to render care
✔✔Safe Harbor - ✔✔Must be invoked BEFORE care given
Or anytime assignment has changed and pt may be in harm
-Must notify in writing
-Supervisor can't refuse
-May use quick req form to make initial req.
-Comprehensive request must be completed before leaving work setting
✔✔Quick Request Form - ✔✔Written on blank piece of paper but must include
-Name/Signature
-Date/Time of request
-Location of where it is to be completed
-Name of person making assignment
-Brief explanation of why safe harbor is being req.
✔✔Chain after Safe Harbor Nurse completion - ✔✔Nurse supervisor/administrator who
gave assignment.
Nurse administrator
Peer Review Committee
Physician who reviews med reasonableness
Nurse administrator who reviews PR findings
Nurse who initiated request
✔✔Mandatory Overtime - ✔✔Making you work extra shifts, you have the right to refuse.
NOT when
-Emergency disasters
, -Ongoing procedure requires nurses presence
-Certain emergencies
✔✔Take Mandatory Overtime Concerns to - ✔✔Unit manager
Staffing Committee
DSHS-if not addressed internally
✔✔Nurses duty is always - ✔✔In the best interest of the patient
✔✔Patient Abandonment - ✔✔NPA/BON do not define abandonment
-leaves employment-employment issue
-leaves patient-licensure issue
✔✔Not abandonment - ✔✔Resignation without notice- assuming shift has been
completed
Refusal to work additional shifts either doubles or extra shifts on days off
✔✔Floating to an unfamiliar area - ✔✔Always responsible for providing safe patient
care
May request training prior to having to float
May invoke safe harbor
May refuse assignment
✔✔What do I do if I question safety of assignment - ✔✔1st- clear about what you are
being asked to do
2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify
4th- Listen to response
✔✔Disciplinary Action - ✔✔Chemical Dependency
Alcohol Dependency
Mental Illness
Even some prescription drugs
✔✔Red Flags - ✔✔Lack of energy
Frequent absences
Spike in pt. need for pain meds
Lateness to work
Red Eyes
No/unusual documentation
Frequently stands behind other nurses signing out meds
✔✔Unprofessional Conduct - ✔✔Drug Diversion
