The Nurse Practice Act Of Maryland

Nursing is a profession that requires specialized training, knowledge, skills, and judgment to foster an independent decision making. Practicing nursing is a right granted by the state to safeguard those in need of care and efficient nursing practice is substantiated by the state Nurse Practice Act (NPA). The NPA is ratified by each state based on set guidelines and passed by the state legislature (Russell, 2012). The NPA serves as a corner stone in regulating the duties and responsibilities of the professional nurse. The NPA is founded on set guidelines, however, the states’ board of nursing (BON) has the authority to modify the laws and regulations to fit the desired practice expectations set forth (Russell, 2012). The state of Virginia (VA), where this writer currently practices, has laws and regulations that govern the nursing practice of the Registered Nurse (RN) and the Clinical Nurse Specialist (CNS). The purpose of this paper is to discuss the similarities and differences between the role of the RN and the advanced practice nurse as well as to identify if the Virginia NPA identifies the role of an infection prevention nurse specialist.

The Kentucky Nursing Board oversees the delegation of the entire practice and its practitioners in accordance to the KRS Chapter 13A. Only competent nurses perform selected nursing situations under the supervision and persuasion of proper administrative policies promulgated in accordance to the board. This set of laws do affect the way that nurse practitioners carry out their clinical, administrative and teaching registered nursing practices. The laws integrate nursing skill, training

The Missouri Nursing Practice Act governs the requirements for obtaining and it also empowers the Missouri State Board of Nursing with the ability to take disciplinary action against a nurse’s license. The Missouri State Board of Nursing can issue, deny, or reinstate a license. The board can also take disciplinary action against a license and “impose any of the following disciplines singularly or in combination: censure, probation, suspension, & revocation” (Missouri State Board of Nursing, 2015a) when a registered nurse violates the Nursing Practice Act. A license can be denied, revoked, or suspended for the following reasons: drug abuse, alcohol abuse, incompetency, negligence, fraud, dishonesty, over charging, over treating, misconduct, misrepresentation, unethical conduct, unprofessional conduct, inappropriate relationships, performing duties beyond the scope of practice, inappropriate delegation, being listed as a sex offender, failure to pay license renewal fees, failure to cooperate with the board during an investigation, for a full detailed list see 335.066 of the Missouri Nursing Practice Act (Missouri State Board of Nursing, 2014).

Part A The purpose of the Nurse Practice Act for Florida is to make sure that every practicing nurse has the minimum requirements to legally work in Florida. It is a protection law so that anyone without minimum competency cannot practice nursing in Florida.

The Ohio Nurse Practice Act seems to have outlined particular instances where the nurse must advocate for the safe care of their patients. In particular, a section specifically deals with an occurrence when executing an order that may potentially be harmful to the patient. According to the Ohio Board of Nursing (2013), the nurse must clarify the order with the prescriber if there is any question about its safety.

It is up to the nurse/delegator to determine the delegatee’s knowledge, skills, abilities, and any training that will ensure that the task will be handled appropriately and safely. If it is necessary the nurse/delegator must provide instruction and direction to the delegatee. The nurse/delegator or another qualified nurse must be available to supervise the delegate and delegated task. The level of supervision needed will be determined by the training, capability, and willingness of the delegate to perform the task. A delegate may not delegate to another person or expand the delegated task without the permission of the nurse/delegator. Once the delegated task is completed the nurse must evaluate the delegated task, patient’s health status, determination if the goals are being met and if the delegation of the task may be continued (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013). In section R156-31b-704 the rules for the recognized scope of practice of an RN are outlined. It states that the RN, RN managers, and RN administrators should practice

Under the scope of practice of an RN from the New York State Education Department, an RN can diagnose and treat human responses to actual or potential health problems. To be able to perform those tasks a care plan must be made for each client. An RN manages the health care services such as observing and assessing the health status of clients and implementing/assessing nursing care. This all falls under the initial assessment of a client, which is within the scope of an RN. An RN uses information gathered as part of client assessment, they then have the capacity to assign client care to other members of the nursing team, RNs and LPNs, and assign tasks to other care providers such as nurse’s assistant. Even though there are parts of the nursing process that may be delegated to qualified personnel, the initial assessment is the RNs responsibility. The initial assessment is the basis for safe and appropriate client care, which makes it so vital and why not just anyone can perform it. RNs hold the overall responsibility in the nursing

Being a former nursing student in the state of Pennsylvania I have had the Nursing Practice Act of Pennsylvania. Before this assignment I knew little of the Pennsylvania laws and absolutely none of the state of Florida. Every state has their set of laws, which is referred to the Nursing Practice Act. Every nursing student must have a copy. The nursing practice act ensures that anyone practicing does not fall below the minimum competency and does not present danger to the public, and anyone who does will be prohibited from practicing (Nurse Practice Act, 2007, p.7). Nurses have a legal liability to advocate for patients, and provide safe administration of medications, and provide quality, nursing care to patients

In order to achieve proper delegation, all five rights of the delegation process must be met. The following paragraphs will consist of the nurse's scope of practice, delegation theory, organization/ accountability, and delegating in a clinical setting.

The first question asks what key issues to consider about when delegating and assigning care to the patient. First, the staff to patient ratio seems precariously high for only two licensed nurses. The scenario states there are nine patients on the unit that require care. For a newly hired staff nurse, caring for four to five patients, that require elevated levels of care, may give a new nurse increased stress and may compromise the delivery of high quality patient care. If these nurse to patient ratios are in fact routine for the unit, nurse James should be adequately trained before he takes on the large patient care load the unit requires. As the charge nurse, Sherry should delegate the patients according to

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’

According with the Nursing Practice Act of Florida the delegation to a competent individual the authority to perform a selected task must consider factors such as the nature of the assignments, the competence of the individual to carry out the task, the education and training, and also the nurse ability of supervision. The nature of the assignment must include factors related to the potential for the patient harm. For instance, the nurse who delegates has to use nursing judgment to define the difficulty of performing and the risks of harm by the unappropriated perform the specific task. In this context, the competency of the individual receiving the authority to perform the task, must to be assessed, it means, that the individual have to demonstrated

This article discusses about the process of nursing delegation. For the process of nursing delegation, it must have strong communication, empowered staff, and organizational support. The guidelines identify 5 rights of delegation, which include right task, right circumstances, right person, right direction & communication, and right supervision & evaluation. When a delegator, such as a nurse, delegates, they will remain responsible for the tasks that were delegated. Delegation of an action/task is done based on the patient’s safety and their quality of care. Following the process enables a nurse to appropriately delegate to benefit the care of the patient.

A certified Administrator responsibly includes planning, organizing, direct and evaluates operations to ensure the provision of adequate and appropriate care and services. Endorse the agency is in compliance with all applicable federal, state and local laws and regulatory agencies. Implement governing body directives and confirm the appropriate staffing levels. Establish and maintain effective channels of communication to satisfy program personnel to have proper current clinical information and current practices. Direct and monitor organizational performance improvement activities. To fast forward the safety of staff development, including education and evaluation of entire staff. Assure skilled nursing and other therapeutic services furnished are under the supervision and direction of a physical and or RN. Reassure appropriate staff supervision during all operating hours with confident development and qualifications for professional services and the assignment of personnel. Make sure the accuracy of public information materials and activities determine to properly inform the governing body, staff and professional advisory group of current organizational community and industry trends. Take action on reports