Texas Board of Nursing Bulletin

1 Texas Board of Nursing Bulletin A Quarterly Publication of the Texas Board of Nursing The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission through the regulation of the practice of Nursing and the approval of Nursing education programs. This mission, derived from the Nursing Practice Act, April 2015 supersedes the interest of any individual, the Nursing profession, or any special interest group. Nurses On Guard Nursing Fatigue: Avoiding Patient safety Risks by Stacey Cropley, RN, DNP, CPN. National patient safety initiatives recruitment and training costs, and patient outcomes.

2 Furthermore, have been gaining momentum legal fees associated with practice nurses who experience impairments since the Institute of Medicine's due to fatigue, loss of sleep, and in- first report To Err is Human in 1999. ability to recover between shifts are Mental, physical, and total fatigues The effects of inadequate sleep on more likely than unimpaired nurs- are factors that have been linked clinical decision-making place the es to report decision regret after in the literature to performance public at risk. A 2014 systematic re- a practice breakdown occurred. In decrements, placing patient safety view of the literature reveals a strong many of today's health care settings, at risk. Fatigue not only impacts the relationship between fatigue result- nurses are challenged to balance and patient population, but can impact ing from long Nursing work hours with manage multiple competing tasks the quality of life of the nurse and adverse patient outcomes.

3 Fatigued associated with job expectations can impact the employer, resulting in nurses have a higher incidence of and patient care. As a result, it is no increases in health care and workers' flawed decision-making, leading to wonder nurses experience high rates compensation costs, early disability, practice breakdowns that impact continued on page 4. Bulletin Readers Invited to Comment on BON's Inside this Issue Newsletter, Website, and Customer Service Pg. 1 Nurses On Guard - Nursing The Texas Board of Nursing (BON) seeks stakeholder feedback about Fatigue: Avoiding Patient communication and interaction with the Board . The BON website, safety Risks Bulletin Readers Invited to , now includes a Customer Service Survey where the public may Comment on BON's Newsletter, provide feedback concerning: the Texas Board of Nursing Bulletin ( Bulletin ); the Website, and Customer Service BON website; the BON Facebook page; Webmaster inquiries; and interactions Department with Customer Service personnel.

4 Pg. 2 Task Force to Study Implications The direct link to the survey is: of Growth in Nursing Education Programs in Texas A link to the survey will also be posted on the BON website from April 1, 2015 Montana Becomes 25th State to until May 30, 2015. Individuals who are unable to access the BON website Join the Nurse Licensure Compact and wish to obtain a copy of the survey form by mail may contact the BON by Board Meeting Schedule telephone at (512) 305-6842. Pg. 3 Summary of January 2015. Board Meeting Data collected through the survey will be used in the development of the Nursing Education Actions Self-Evaluation Report for the Sunset Advisory Commission to be submitted in June 2016, as well as for the Customer Service Report to be included in the Pg.

5 4 Updated Position Statements agency's Strategic Plan for 2017-2021. The Strategic Plan will be submitted to Adopted at January Board Meeting the Texas Legislature in June 2016. Pg. 6 Infectious Diseases and Your Duty Survey data received through the website and by mail will also be summarized as a Nurse and presented at the July 2015 quarterly BON meeting and published in the Pg. 7 Imposter Warning October 2015 Bulletin . For further information regarding the survey, contact Bruce Holter at (512) 305-6842. NDA 1-8 Notice of Disciplinary Action April 2015 Texas Board of Nursing Bulletin Volume 46, No. 2. Task Force to Study Implications of Growth in Nursing Education Programs in Texas The Task Force to Study Implications of Growth in Nursing Education Programs in Texas The Texas Board and Texas Board of Nursing Staff sponsored a statewide Nursing faculty workshop at of Nursing the University of Texas J.

6 J. Pickle Research Campus on March 6, 2015 with about 266. Board MEMBERS. people in attendance. Officers The events of the day included: Kathleen Shipp, MSN, RN, FNP. Welcome by Katherine Thomas, President, representing Advanced Practice Nursing MN, RN, FAAN, Executive Director; Lubbock Keynote Address by Nancy Spector, Deborah Bell, CLU, ChFC, RIA. Vice-President, representing Consumers PhD, RN, FAAN, Director of Regulatory Abilene Innovations, National Council of State Members Board of Nursing : The National Nina Almasy, MSN, RN. Simulation Study and the Transition to representing LVN Education Austin Practice Study ; Recognition by Task Patricia "Patti" Clapp, BA. Force Chair Patricia S. Yoder-Wise, representing Consumers RN, EdD, NEA-BC, ANEF, FAAN of the Presenters included (Left to right): Janice I.

7 Hooper, PhD, RN, Dallas History and Work of the Task Force; FRE; Patricia S. Yoder-Wise, RN, EdD, NEA-BC, ANEF, FAAN; and Nancy Spector, PhD, RN, FAAN. Tamara Cowen, MSN, RN, NEA, BC. representing RN Practice Discussion of the Education Guideline Harlingen produced by the Task Force, Promoting Optimal Clinical Instruction, by Janice I. Hooper, Sheri Crosby, JD, SPHR. PhD, RN, FRE, BON Nursing Consultant for Education; Presentation of Exemplars of representing Consumers Mesquite Clinical Instruction by Four Nursing Faculty; Nurse Educator Panel on Excellence in Marilyn Davis, BSN, RN, MPA. Clinical Instruction; Student Panel on Excellence in Clinical Instruction; and the Clinical representing RN Practice Partner Panel on Excellence in Clinical Instruction.

8 Future plans for the Task Force Sugar Land include dissemination of the group's research findings through publication in national Monica Hamby, LVN. representing LVN Practice Nursing journals. Amarillo Kathy Leader-Horn, LVN. Montana Becomes 25th State to Join the Nurse Licensure representing LVN Practice Granbury Compact Mary M. LeBeck, MSN, RN. representing ADN Education The National Council of State Boards of Nursing and the Nurse Licensure Compact Weatherford Administrators (NLCA) announced that Montana has passed legislation to join Josefina Lujan, PhD, RN. the Nurse Licensure Compact (NLC), which was signed into law by Governor representing BSN Education El Paso Steve Bullock. The state will now begin the rulemaking process to work toward implementation on October 1, 2015.

9 Currently, 24 other states have enacted the Beverley Jean Nutall, LVN. representing LVN Practice legislation allowing for participation in the NLC, including: Arizona, Arkansas, Bryan Colorado, Delaware, Idaho, Iowa, Kentucky, Maine, Maryland, Mississippi, Missouri, Neissa Brown Springmann Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Rhode Island, representing Consumers South Carolina, South Dakota, Tennessee, Texas , Utah, Virginia, and Wisconsin. Austin Executive Director Operationally, the NLC is administered by the NLCA, which is made up of the participating state-designated NLC administrators. Founded March 15, 1978, as an Katherine Thomas, MN, RN, FAAN. independent not-for-profit organization, NCSBN was created to lessen the burdens of state governments and bring together boards of Nursing to act and counsel together The Texas Board of Nursing Bulletin is the on matters of common interest.

10 Official publication of the Texas Board of Nursing and is published four times a year: January, April, July, and October. Subscription price for residents within the Texas Board of Nursing Meeting Schedule continental is $ , plus tax. Published by: 2015 Eligibility and Disciplinary 2015 Board Meeting Dates Committee Meeting Dates Texas Board OF Nursing . VOLUME XLVI - No. II. April 16-17 May 12 Publication Office: June 9. July 23-24 August 11. 333 Guadalupe, Suite 3-460. Austin, Texas 78701-3944. October 22-23 September 8 Phone: (512) 305-7400. November 10 Fax: (512) 305-7401. All Board and Eligibility & Disciplinary Committee Meetings will December 8 Publication Date: 3/27/2015. be held in Austin at the William P.