Making sound professional judgment

Discussion 5: Making sound professional judgment

To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas.

First, if the act is consistent with the Texas Nursing Practice Act (NPA), and whether the Board’s rules or position statements address the act.

Second, if the activity is appropriately authorized by a valid order/protocol and in accordance with established policies and procedures.

Third, if the act is supported by either research in nursing and health-related literature or in scope-of-practice statements by national nursing organizations.

Fourth, if the nurse possesses the required knowledge and, if he/she has demonstrated the competency required to carry out the activity safely.

Fifth, if a reasonable and prudent nurse would perform the activity in the specified setting and,

Sixth, if the nurse is prepared to assume accountability for the provision of safe care and the outcome of the care rendered.

Reference

Texas Nursing Practice Act 301.002 (2), 301.002 (5), BON Rules 217, 224, 225

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KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas.

Introduction

Nurses are professionals who work in the field of health care. They help patients recover from illness and injury, as well as provide nursing care to those who are weak or unable to do so themselves. Nurses also play an important role in education by teaching others about health issues and how best to prevent them. Finally, nurses may be required to act as health care advocates for patients when there is no family member able or willing to do so on their behalf.

1) Coverage of scope of practice in the Texas Nursing Practice Act

The scope of practice for nursing is determined by the Texas Nursing Practice Act, which was enacted in 1966. The Act defines each discipline as a separate practice area and outlines who can perform them. For example, physical therapists can perform certain types of surgeries or procedures that they are qualified to do under their scope of practice.

The Texas Board of Nursing (TBN) determines what kind of tasks nurses may perform based on their education, training, skills and experience. This includes knowledge about diseases; treatments; prevention; diagnosis; health promotion/ disease management planning activities including case management plans for patients with chronic conditions such as diabetes mellitus type 2 (DM2). Additionally TBN also considers whether an individual has met all requirements required by law before granting approval for any additional tasks beyond those defined within their current scope.”

2) Education, training and experience

Education and training:
Experience:
Level of education and training:
Level of experience:

3) The patient’s health status or level of impairment

The patient’s health status or level of impairment

A nurse should exercise sound professional judgment in determining the scope of practice for a procedure. As stated above, there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas:

Patient’s ability to give consent; 2) Patient’s ability to understand the procedure; 3) Patient’s ability to communicate the procedure; 4) Patient’s ability to follow directions; 5 ) Ability to cooperate with nurses; 6 ) Ability to cooperate with other health care professionals

4) Emergency situations

Emergency situations are those that occur in the short term and can be life threatening. The following are examples of emergency situations:

Medical emergencies
Trauma
Emergencies in the home (e.g., choking on food or choking on water)
Emergencies in the community (e.g., falling down and hitting your head)
Emergencies at work or school; these may include accidents, injuries sustained by yourself or others, fire incidents, etc . . .

5) Physiologic and psychological factors.

In addition to the six factors listed above, there are two additional factors that influence the scope of practice for nurses: physiologic and psychological. Physiologic refers to an individual’s overall health status or level of impairment. Psychological refers to an individual’s mood and behavior at a given time. These two types of factors should be considered when determining whether certain tasks or procedures are within the scope of practice for a particular nurse (e.g., administering medication).

6) Legal and ethical considerations.

The legal and ethical considerations are the rules of law that govern the practice of nursing. In other words, they are what governs your actions as a nurse.

Ethical considerations are not always included in these legal standards because some states have their own set of ethical guidelines that go beyond what is required by federal regulations or even Texas law (i.e., “the Texas Nurse Practice Act”). But even if you don’t follow any specific state’s code, you should still be aware of its parameters so that you can make informed decisions about how to act on behalf of your patients while working within the scope limitations imposed by each jurisdiction’s laws.

To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas.

The Nurse Practice Act (NPA) is a statute enacted by the Texas Legislature and enforced by state regulation. The NPA defines what constitutes “nursing” as well as sets forth restrictions on what can be done by a nurse when performing certain functions, such as administering medication or conducting tests on patients.
The Board’s authority over licensing includes administering examinations and issuing licenses to practice; recommending appropriate practical training programs; establishing standards for continuing education courses required prior to licensure; investigating complaints against licensed individuals; providing guidance concerning ethics issues related to practice; investigating allegations made against licensees’ practices including violations involving fraudulently obtaining prescriptions from pharmacies by forging signatures on prescriptions which were later filled at those pharmacies without authorization being given first then reselling them at exorbitant prices (pharmacy scams).

Conclusion

As we have seen, the Texas Nursing Practice Act (NP Act) is a law that governs nurse practice. It was created to protect the public interest by ensuring safe, competent and ethical nursing care. The NP Act sets forth a list of tasks and procedures that nurses may perform with the supervision of a registered nurse (RN) who holds an unrestricted license to practice nursing.

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Making sound professional judgment

Discussion 5: Making sound professional judgment

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas.

Introduction

1) Coverage of scope of practice in the Texas Nursing Practice Act

2) Education, training and experience

3) The patient’s health status or level of impairment

4) Emergency situations

5) Physiologic and psychological factors.

6) Legal and ethical considerations.

To assist nurses in making sound professional judgment about nursing tasks or procedures there are six factors that govern decision-making for determining nursing scope of practice in the state of Texas.

Conclusion

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