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NURS3375 Assignment Peer Review

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NURS3375 Assignment Peer Review

NURS3375 Assignment Peer Review

In the Module 3 Reflection Assignment, you will reflect upon what you have learned about the Minor Incident Rule and Peer Review Committee processes as you consider the actions of fictitious nurses and committee members in scenarios.  REMEMBER, YOU ARE USING THE TEXAS BOARD OF NURSING RULES, NOT THE STATE YOU LIVE IN. Please use the link provided in the assignment for the Texas BON Rule 217.16.

Refer to your course readings and lectures as you complete the assignment.

Performance Objectives:

•             Differentiate between the the Minor Incident Rule (217.16 a) vs. a Reportable Incident (217.16 h)

•             Describe the due process protections (Rule 217.19) for a nurse who is peer-reviewed.

Part 1: Applying Rule 217.16

Let’s review what deems a Minor Incident (217.16 a) vs. a Reportable incident- (217.16 h)-

A minor incident is- 217.16(a)- nurses’ actions may be a violation of a board rule, but does not indicate the nurses continued practice poses a risk of harm to a patient or another person.

A reportable incident is- 217.16(h)- conduct that falls outside of the definition of a minor incident and must be reported to a PRC or BON.

NURS3375 Assignment Peer Review

Let’s come up with an easy way to remember what is a minor incident- in case you are ever in this situation, whether this happens to you or you are participating on a peer review committee evaluating a fellow nurse’s actions. Think about the word “harp.”

•             H- no significant Harm

•             A- nurse must take Accountability

•             R- easily Remediated

•             P- no Pattern of this behavior

However, these minor incidents still must be documented, tracked and remedied. The nurse must be reported to the nursing peer review committee if a nurse commits five (5) minor incidents within a 12-month period.

Look at this case study scenario below.

“Nurse Karen is caring for a newly admitted 67-year-old male patient with infectious endocarditis due to a bacterial infection of his prosthetic heart valve.  After blood cultures come back positive for staphylococcus aureus, IV Vancomycin is ordered.  He tells Nurse Karen and the doctor that the last time he got this medication, he experienced hives and hot, itchy skin but he was not allergic to it. The doctor ordered the medication to be infused slowly as to avoid Red Man Syndrome (500 mg IV bag at a rate of two hours as opposed to the standard one hour).  Karen sets the IV pump incorrectly, and the infusion is given within a 30-minute period.  She calls the doctor and immediately gives 50 mg diphenhydramine and ranitidine 50 mg via IV with orders.  The patient experienced mild flushing, but the episode resolved within 20 minutes.  Karen is a well-seasoned nurse with over 20 years of experience and no prior history of incidents.  She took immediate responsibility for this error when meeting with the unit manager.  Karen will now need another RN to witness and sign when she administers IV medication for the next 60 days.  Karen agrees to this plan.”

Using the Texas BON Rule 217.16, review (a) a Minor Incident vs. (h) a reportable incident. This information can be found at https://www.bon.texas.gov/rr_current/217-16.asp

Based on your assessment of the criteria, was this a Minor Incident or reportable event? Why or Why not? Please write four (4)professionally written sentences with examples from the Rule to support your thoughts for full credit.

Minor or Reportable?

Why? Or Why not? Include examples from the Rule.

Part 2: Applying Rule 217.19 Incident-Based Peer Review

First, review your learning about incident-based peer review. The purpose of an IBPR is to determine whether a nurse should be reported to the Texas Board of Nursing (BON) for professional misconduct or licensure violations based on one or more such events.

Please use the link provided at https://www.bon.texas.gov/rr_current/217-19.asp

to review. Apply the information to this case study-

“Nurse Sam is charting at the nurse’s station where there are co-workers, physicians and a unit secretary gathered.  Sam and the nurse manager have not been seeing eye to eye lately (verbal altercations both in the halls and in the cafeteria recently).  The nurse manager approaches Sam and loudly states, “I am glad you are here.  Just to let you know, the Incident Based Peer Review Committee is meeting tomorrow, and we are investigating your recent questionable behavior.  I know you have made many recent medication errors and safety violations noted by the Patient Safety Committee.  I also heard you are dating that patient who was in Room 256B last month.  I thought you would want to know this was happening, you could be in big trouble and probably fired.  I don’t have anything official to give you, but you better find a lawyer, although I doubt you can with this short notice.”

How did this nurse manager violate the IBPR? Refer to the Rule listed below and discuss in the text box.

Rule 219.19 a (2)Bad Faith- knowingly or recklessly acting without the supported of reasonable or legal basis, misrepresenting the facts surrounding the facts under review, acting out of malice or personal animosity towards the nurse, acting from a conflict of interest, or knowingly or recklessly denying due process. How did this nurse manager violate the IBPR based on this rule? Please write four (4) professionally written sentences with examples from the Rule to support your thoughts for full credit.

Part 3: Multiple Choice Questions

Answer the following multiple-choice questions according to the Module 3 readings and lectures. They are worth 5 points each, there is only 1 correct answer.

1). According to Clevette and colleagues, examples of unsafe, common disciplinary actions reviewed by boards of nursing include all of the following EXCEPT-

a). Destruction or alteration of patient records, including fraudulent charting and/or signatures and/or replacement of records with intent to mislead or deceive.

b). Physical patient abuse, such as when a nurse hits, strikes, or performs similar physical acts of aggression involving patient contact.

c). Practicing beyond the authorized scope, such as administering medications without a physician’s order.

d). Failure to implement safeguards to ensure patient confidentiality and integrity of patients protected health information, violating HIPPA.

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Nurs3375 assignment peer review
NURS3375 Assignment Peer Review

2). Rule 217.19 in Texas, Incident Based Nursing Peer Review and Whistleblower Protections provides to the nurse being peer reviewed EXCEPT-

a). Minimum protection

b). Minimum due process

c). Minimum legal representation

d). Minimum rights afforded to nurse

3). If a nurse does not agree to the discipline set due to a complaint made against this nurse, after reviewing the proposed agreed order, they can request a-


a). Informal conference

b). Formal conference

c). Informal hearing

d). Formal hearing

4). Common nursing remedial education courses required if a nurse is being disciplined are-

a). medication refresher, ethics, geriatric care, nursing jurisprudence, care coordination.

b). ethics course, care coordination, documentation, medication refresher.

c). physical assessment refresher, critical thinking, documentation, medication refresher, geriatric care.

d). nursing jurisprudence, documentation, ethics, medication refresher, physical assessment refresher and critical thinking.

Submit this Assignment Document into Canvas for grading.

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Nurs3375 assignment peer review
NURS3375 Assignment Peer Review

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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