Georgia Nursing Law and You - Kids Health...
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Georgia Nursing Law and You Kids Health First Susan Shepard Director, Patient Safety Education April 30, 2009
Transcript of Georgia Nursing Law and You - Kids Health...
Georgia Nursing Law and You
Kids Health First
Susan ShepardDirector, Patient Safety Education
April 30, 2009
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Objectives
State two laws that apply to nursing practice in the state of Georgia
Explain how to use the RN Scope of PracticeDecision Tree
Recognize three areas where your nursing practice may be at risk
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Georgia Law
Title 43. Professions and Businesses Chapter 26. Nurses
Georgia Registered Professional Nurse Practice Act
Rules and Regulations of the Georgia Board of Nursing
Section 410
Georgia Nursing Administrative Code
Board Policy Statements and Decision Trees
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Title 43
§ 43-26-3: Definitions
§ 43-26-6: Use of title by licensed registered nurse or advanced practice registered nurse
§ 43-26-7: Requirements for licensure as registered professional nurse
§ 43-26-10: Practicing as a registered professional nurse without a license prohibited
§ 43-26-11.1: Administration of anesthesia by a certified registered nurse anesthetist
§ 43-26-12: Exceptions to operation of article; burden of proof
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Rules and Regulations–Section 410
410-1.02: General Requirements
410-11-.01: Standards of Registered Professional Nursing Practice. Amended
410-11-.02: Definition of Unprofessional Conduct. Amended
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Board Policy Statements
AANA–ASA Joint Statement Regarding Propofol Administration
Assignment of Unlicensed Assistive Personnel
Medication Administration
Patient Abandonment
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Nursing Practice vs. Nursing Tasks
What’s the difference?
What do you do if asked to do something that you are uncomfortable/unsure about doing?
Is there a community standard?
Do you have the education/experience to do this?
Think about the Just Culture–risk based decision making
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Georgia RN Decision Tree
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Georgia RN Decision Tree (continued)
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State Regulations–The RN and the MA
Legal requirements vary from state to state
Bottom line is that the MA works under the license of a healthcare practitioner
What does the Georgia Composite State Board of Medical Examiners say?– Injections?
– What kinds?
How does the RN determine what to assign the MA to do? – Let’s think about “injections”
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RN Assignment Decision Tree for Unlicensed Assistive Personnel
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Looking at Specifics
What is needed for each of the following? – Obtaining vital signs
– Ordering a radiology film
– Cleaning and sterilizing medical instruments and equipment
– Removing sutures/staples
– Applying a cast
– Conducting neurovascular status check and documentation
– Preparing medications for administration
– Preparing telephone prescriptions for faxing to pharmacy
– Preparing prescription or orders for rehab services/DME
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Harder Questions
What does the following mean to you? – Schedule patients appropriately for
procedures/surgery/diagnostic tests
– Answer telephone requests
– “Under the directions” of the physician, PA, or RN
– Insure follow up for patients regarding test results, post operative care, etc.
Other questions:– Can MAs give injections?
– Can MAs answer patient questions about their care?
– Can MAs explain an upcoming procedure?
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Liability
The one rule that applies regardless of the state
MAs giving advice
What will get you and your MA into trouble
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Latest Debates Revolving Around the MAs’ Scope of Practice
Starting and disconnecting IV lines
Administering phototherapy in a UV booth
Providing botox injections
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Safety is Paramount
An unintended oversight
Miscommunication
Indifference
Abandonment
Indiscretion
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A Little Bit About Medication Safety
Reconciliation
Storing–LASA
Preparing–labeling
Administering–two IDs, five rights
Evaluation
Sample drugs
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More on Safety
Communication
Infection control
Patient falls
Influenza and pneumococcal disease
Patient involvement
Universal protocol
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Use of Protocols
What is a protocol?
How do they work?
Examples
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CLIA and You
Waived testing
Education and competency
Quality control
Records
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Guidance and Information
State Department of Public Health
National professional membership and certification bodies
State Medical Board
Our Mission is to advance, protect and reward the practice of good medicine
For additional information, go towww.thedoctors.com and click on
Patient Safety
