Professional Nursing Practice: An Update

1 Professional Nursing Practice: An Update This course has been awarded five (5 .0) contact hours. This course expires on July 7, 2017. Copyright 2011 by All Rights Reserved. Reproduction and distribution of these materials are prohibited without the express written authorization of First Published: July 7, 2011 Updated: June 19, 2014 Material Protected by Copyright Contents Acknowledgements .. 3 Purpose & Objectives .. 4 Disclaimer .. 5 Defining Nursing .. 6 A Model of Professional Nursing Practice .. 6 Foundational Documents of Professional Nursing .. 7 Nursing : Scope of Practice and standards of Practice .. 8 standards of Practice for All Registered Nurses (ANA, 2010b) .. 9 Case Study: Are Standardized Plans of Care acceptable? .. 10 standards of Professional Performance.

2 11 Case Study: How Long Does Your Education Continue? .. 12 Case Study: You Collaborate for Your Patient s Benefit .. 13 Competencies .. 16 Case Study: Your Patient Faces a Momentous Decision .. 17 History of the Code of Ethics .. 18 Purpose of the Code of Ethics .. 18 Case Study: Your Nursing Assistant is Newly Certified in Additional Skills .. 19 Provisions of the Code of Ethics .. 20 Case Study: You Are Floated to the Ortho Unit .. 26 Case Study: Your Colleague Takes a Shortcut .. 27 Case Study: Overtime or Time for You? .. 28 Nursing s Social Policy Statement .. 28 The Application of Nursing s Social Policy .. 29 Nursing Specialty Certification .. 29 State Nurse Practice Acts .. 30 Administrative Rules .. 31 Case Study: Your RN Colleague is Negligent .. 32 Your State Board of Nursing .

3 34 Elements of State Nurse Practice Acts* .. 34 Scope of Practice: Limitations .. 35 Limitations in Dispensing Drugs .. 36 Limitations to Exclude Medical Diagnosis .. 37 Case Study: Your Patient s Condition Worsens .. 38 Accountabilities .. 39 Exemptions for Emergency Assistance .. 39 Exemptions for Practice in Special Circumstances .. 40 Requirements for Initial Licensure and for Licensure of Nurses Registered in Other States .. 40 Requirements for Maintaining Your License .. 42 Case Study: Your License Expires .. 43 Discipline, Grounds for Discipline, Violations, and Penalties .. 44 Case Study: Your RN Co-worker Participates in a Rehabilitation Program .. 46 Drug Diversion & Substance Abuse .. 49 Misrepresenting Oneself as a Licensed Nurse .. 56 Delegation .. 56 Case Study: Can the LPN Administer Blood?

4 57 Delegation: One State s Example .. 58 Delegation: An RN Accountability .. 59 1 Definitions .. 59 Your Competency: Your Responsibility .. 60 Abandonment - An Issue of Special Concern .. 61 Connect with Your State Board of Nursing .. 61 Your Facility s Policies and Procedures .. 62 Self-Determination .. 62 Using Professional Resources to Practice Effectively .. 63 Conclusion .. 63 Disclaimer .. 64 Professional Practice Resources .. 65 References .. 67 2 Acknowledgements acknowledges the valuable contributions .. Bette Case Di Leonardi. Since 1993, Bette has practiced as an independent consultant to a broad spectrum of healthcare organizations including AMN Healthcare, Professional schools, Professional organizations, hospitals, disease management companies, managed care organizations, a public health department and providers of continuing Nursing education.

5 She works with her clients to assist them in achieving their goals by using educational, competency management and quality improvement strategies. She presents continuing education offerings at a variety of national and regional conferences. She has published on the topics of critical thinking, test construction, competency testing, precepting and career development. She has also written numerous continuing education self-study courses and prepared competence tests for a variety of Nursing specialties. She serves on the editorial board of the Journal of Continuing Education in Nursing , on a regional advisory board for Advance Magazines, and on the ANCC Nursing Professional Development content expert panel. Prior to establishing her consulting practice, Dr. Case di Leonardi held leadership positions in the school of Nursing and the Nursing department at Michael Reese Hospital and Medical Center in Chicago, IL, and taught Nursing students of all levels and college of education students.

6 As a practicing nurse she enjoyed the roles of staff LPN, medical surgical staff nurse, school health nurse and camp nurse. Dr. Case di Leonardi is an active member of the Nursing Staff Development Organization (NNSDO) and was among the first group of nurses to receive certification in Nursing Staff Development and Continuing Education from the American Nurses Association Credentialing Center (ANCC). She earned her BSN at Syracuse University and her MSN and in educational psychology at Loyola University of Chicago..Nadine Salmon, MSN, BSN, IBCLC. Nadine is the Clinical Content Manager for She is a South African trained Registered Nurse, Midwife and International Board Certified Lactation Consultant. Nadine obtained an MSN at Grand Canyon University, with an emphasis on Nursing Leadership.

7 Her clinical background is in Labor & Delivery and Postpartum Nursing , and she has also worked in Medical Surgical Nursing and Home Health. Nadine has work experience in three countries, including the United States, the United Kingdom and South Africa. She worked for the international nurse division of American Mobile Healthcare, prior to joining the Education Team at Nadine is the Lead Nurse Planner for and is responsible for all clinical aspects of course development. She updates course content to current standards , and develops new course materials for 3 Purpose & Objectives The purpose of this course is to provide guidelines and information concerning Professional standards of care, the code of ethics for nurses, and state nurse practice acts. After successful completion of this course, the participant will be able to: 1.

8 Explain the purpose of the component documents of the American Nurses Association s (ANA) Foundations of Nursing Package 2010: a. Code of Ethics for Nurses b. Nursing : Scope and standards of Practice c. Nursing s Social Policy Statement 2. Identify the nine provisions of the Code of Ethics for Nurses 3. Identify the six standards of Nursing practice contained in Nursing : Scope and standards of Practice 4. Identify the ten standards of Professional performance contained in Nursing : Scope and standards of Practice 5. Identify the purpose of State Nurse Practice Acts 6. Identify the purpose of the Administrative Rules and Regulations that pertain to the State Nurse Practice Act 7. Identify the key elements and provisions common to all Nurse Practice Acts 8. Describe what is included in the Scope of Nursing Practice in Nurse Practice Acts 9.

9 Identify the examples of the requirements for maintaining the RN license 10. List grounds for discipline commonly found in Nurse Practice Acts 11. Define alternatives to discipline programs as contained in Nurse Practice Acts 12. Name the delegation issues addressed in most Nurse Practice Acts 13. Give examples of Professional practice resources available from Nursing specialty organizations 4 Disclaimer strives to present content in a fair and unbiased manner at all times, and has a full and fair disclosure policy that requires course faculty to declare any real or apparent commercial affiliation related to the content of this presentation. Note: Conflict of Interest is defined by ANCC as a situation in which an individual has an opportunity to affect educational content about products or services of a commercial interest with which he/she has a financial relationship.

10 The author of this course does not have any conflict of interest to declare. The planners of the educational activity have no conflicts of interest to disclose. There is no commercial support being used for this course. 5 Defining Nursing Dictionaries, encyclopedias, Nursing theorists, Nursing textbooks, Nursing organizations, and healthcare facilities all define Nursing with slightly different emphases and shades of meaning. Whatever definition of Nursing best fits your own personal philosophy, as a nurse practicing in the USA you must comply with the legal definition in your specific state, and the policies and procedures of your employing facility. You must also exercise your Professional role in an ethical and competent manner. Nursing is: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.