May 17 2018 - tn.gov

1 May 17 2018 board position statements do not have the force of law, but are a means for providing guidance for nurses on issues of concern to the board relevant to protection of the public. board position statements are reviewed annually for relevance and accuracy to current practice, statutes and rules. Tennessee board of Nursing Position Statements TENNESSEE board OF NURSING POSITION STATEMENT Tennessee board of Nursing 665 Mainstream Drive Nashville, TN 37243 Tel: 615-532-5166 Fax: 615-741-7899 2 Tennessee Department of Health Mission: To protect, promote and improve the health and prosperity of people in Tennessee board of Nursing Mission: To protect, promote and improve the health and prosperity of the people in Tennessee by ensuring the safety of nursing practice and integrity of nursing regulation board of Nursing Vision.

2 The Tennessee board of Nursing will be a proactive leader in regulatory excellence protecting and promoting public health, safety and welfare. The board has developed strategic initiatives: 1. Tennessee board of Nursing promotes evidence based regulation 2. Tennessee board of Nursing advances the engagement and leadership potential of all members through education, information and networking 3. Tennessee board of Nursing ensures the competence of licensees 4. Tennessee board of Nursing collaborates to advance nursing regulation 5. Tennessee board of Nursing enhances nursing regulation through efficient use of technology TENNESSEE board OF NURSING POSITION STATEMENT Tennessee board of Nursing 665 Mainstream Drive Nashville, TN 37243 Tel: 615-532-5166 Fax: 615-741-7899 3 Table of Contents I.

3 Education a. Continued Approval of Schools of Nursing 4-7 b. Deeming Doctorate of Nursing Practice (DNP) Programs as Approved Schools of Nursing 8 c. High School Equivalency 9 d. Simulation 10-11 II. Licensure a. Foreign-Educated Nurses 12 b. Graduates of Masters in Nursing Initial Licensure Education Program 13 c. Unreadable Biometric Criminal Background Check 14 d. Retirement of Advanced Practice Registered Nurse Certificate 15 e.

4 Approved APRN Licensure Certification Organizations and Exams 16 III. Practice a. Abandonment of Patients 17 b. Advisory Private Letter Rulings 18 c. Decision-Making Guidelines 19-20 d. LPN Role in Physical Assessment 21 e. LPN Role in Intravenous Access and Infusions in Peripheral Lines 22-23 f. LPN Role in Intravenous Access and Infusions in Central Lines 24-25 g. Supervision of Licensed Practical Nurses 26 h. Licensed Practical Nurses in a Supervisory Role 27-28 i. LPN Care of Ventilator Dependent Patients in the Home Health Setting 29-30 j. Emergencies 31 k.

5 Reporting Incompetent, Unethical or Illegal Practice 32-34 l. Skilled Nursing Services Rendered by Unlicensed Personnel 35-36 m. LPN Role in an Outpatient End Stage Renal Disease Dialysis Setting 37-39 n. Prescribing for Oneself or Ones Family 40 o. Registered Nurse Role in Physical Assessment and Determination of Active Labor 41-42 IV. Discipline a. Lapsed License 43 b. Non-compliance With Continued Competence Requirements 44 c. Patient Safety: Culture of Learning, Justice and Accountability 45-46 d. Disciplinary Guidelines 47-51 e.

6 Sexual Misconduct 52-54 TENNESSEE board OF NURSING POSITION STATEMENT Tennessee board of Nursing 665 Mainstream Drive Nashville, TN 37243 Tel: 615-532-5166 Fax: 615-741-7899 4 Education Continued Approval of Schools of Nursing board position statements do not have the force of law, but are a means for providing guidance for nurses on issues of concern to the board relevant to protection of the public. board position statements are reviewed annually for relevance and accuracy to current practice, statutes and rules. board Approved: 08/24/2017 PURPOSE: To establish an incremental accountability process for ensuring the public that nursing programs meet quality standards.

7 In order to safeguard life and health of citizens receiving nursing care from students enrolled in approved nursing programs. Additionally, to assure consumers that school of nursing are providing education that prepares nurses to competently practice and successfully pass the National Council Licensure Examination (NCLEX ). POLICY: The board may take action against a nursing program to protect the public based on its statutes and rules. Determination of continued approval is based on correspondence, annual reports, NCLEX first time writer pass rates, school survey visits and/or testimony before the board .

8 Deficiencies in major criteria and/or standards Program Responsibilities board Action Year One NCLEX first time candidate pass rates less than 85% or other major deficiencies for one year. Program will submit a written improvement plan prior to the next board meeting. Program will submit ongoing written progress reports as required by board . The board shall: a. Issue a letter of warning advising of one year to comply with standards, and b. Provide notice to the program that failure to meet educational criteria and curriculum standards may result in the program being placed on conditional approval. Year Two NCLEX first time candidate pass rates less than 85% but 80% or other major deficiencies for two consecutive years.

9 Program will appear before the board at first board meeting after release of annual NCLEX results to explain deficiencies and discuss improvement plan. Program will submit ongoing written progress reports required at intervals as required by board . The board may: a. Place the program on conditional approval with one year to comply with standards, and b. Place the program on notice that If standards are not met the school will not be allowed to admit a subsequent class.* OR c. Issue a second letter of warning advising of one year to comply with standards, and TENNESSEE board OF NURSING POSITION STATEMENT Tennessee board of Nursing 665 Mainstream Drive Nashville, TN 37243 Tel: 615-532-5166 Fax: 615-741-7899 5 d.

10 Provide notice to the program that failure to meet educational criteria and curriculum standards may result in the program being placed on conditional approval. NCLEX first time candidate pass rates less than 85%, one or both of which is less than 80%, or other major deficiencies for two consecutive years. Program will appear before the board at first board meeting after release of annual NCLEX results to explain deficiencies and discuss improvement plan. Program will submit ongoing written progress reports required at intervals as required by board . A survey visit may be conducted. The board shall: a. Place the program on conditional approval with one year to comply with standards, and b.