Class 3

Question 1

Michigan has a republican form of government with three branches of government what are they and describe them

Answer 1

Legislative Branch
House of Representatives and Senate

Judicial Branch
one court of justice

Executive Branch
Governor of Mi. and elected officers
The Bureau of Community and Health Systems performs state licensing and federal certification regulatory duties.

Question 2

Functions of the MI Board of Nursing

Answer 2

Grant Licenses to RN’s and LPN’s

Imposes disciplinary actions

Establishes standards for education.

Approves nursing education programs.

Grants certification for Nursing Specialties

Generates/updates Administrative Rules

Reviews test items for NCLEX exams

Question 3

Board of Nursing Membership - who is on the board?

Answer 3

23 members

9 RN’s

3 educators

3 practicing BSN or higher

3 practicing non BSN

3 LPN/s

3 Advanced Practice

1 nurse practitioner

1 nurse midwife

1 nurse anesthetist

8 public members

Question 4

What does LARA stand for

Answer 4

Licensing and Regulatory Affairs

Question 5

Describe LARA do

ORR?

Answer 5

Licensing and Regulatory Affairs

Oversees licensing and regulation of > 1.2 million annually.

Supports health, safety and economic interests of the public.

As a part of LARA, the Office of Regulatory Reinvention (ORR) is responsible for creating a regulatory environment and regulatory processes that are fair, efficient, and transparent.

Question 6

What does LARA do

Answer 6

Mails licenses

Issues renewal notices

Collects licensing fees

Administers oaths

Investigates activities related to practice of nursing

Holds hearings/orders testimony taken & reports findings to the Board of Nursing

Question 7

Director of the Office of Nursing Policy

Answer 7

Appointed by the Governor

Deborah Bach –Stante MPH, BSN
-Director, Office of Nursing Policy

Question 8

Michigan Public Health Code defined

Answer 8

Replaced the Nurse Practice Act

Protects the health and well being of Michigan’s citizens

Covers all health occupations:
-Nursing, medicine, pharmacy, dentistry, psychology, counselors, veterinary medicine and others

Question 9

Purpose of Licensure

Answer 9

To ensure that the public receives a high level of care consistent with the law and the standards set by the State of Michigan through the Michigan Board of Nursing

Question 10

Nursing Practice Defined

Part 172 of the Public Health Code

Answer 10

Part 172 of the Public Health Code

“. . . the systematic application of substantial specialized knowledge and skill, derived from the biological, physical, and behavioral sciences, to the care, treatment, counsel and health teaching of individuals who are experiencing changes in the normal health processes or who require assistance in the maintenance of health and the prevention or management of illness, injury or disability.”

Question 11

R.N. Practice Defined

Answer 11

“. . . An individual licensed under this article to engage in the practice of nursing which scope of practice includes the teaching, direction, and supervision of less skilled personnel in the performance of delegated nursing activities.”

Question 12

L.P.N. Practice Defined

Answer 12

“. . . the practice of nursing based on less comprehensive knowledge and skill than that required of a registered professional nurse and performed under the supervision of a registered professional nurse, physician, or dentist.”

Question 13

requirements to get License as an RN or LPN

Answer 13

Granted by the Michigan Board of Nursing after:

• You complete an approved program acceptable to the Board of Nursing
• MUST apply and take within 2 years of graduation (NCLEX)
• You make an application to the BON (board of nursing), declaring any history of criminal acts or substance abuse

Question 14

RN Licensure—Rule 201

applies to all practice settings or employment status

Answer 14

RN

INDEPENDENTLY ACCOUNTABLE

Obligation to practice within current knowledge, skill, education and experience at all times

Supervises less skilled personnel in delegated nursing activities

Question 15

LPN Licensure—Rule 201

applies to all practice settings or employment status

Answer 15

LPN

Defined as a SUBFIELD of Nursing

Functions under the supervision of an RN, physician or dentist

Requires less comprehensive knowledge and skill

Question 16

Delegation

Answer 16

Authorization granted by a licensee to a licensed or unlicensed individual

Only registered nurses may delegate nursing acts, functions or tasks

RN is accountable for the delegated act

Question 17

Supervision

Answer 17

The overseeing of, or participation in, the work of another individual by a health professional (RN, MD, DO, Dentist) where there is:

• Direct communication
• Direct telephone communication
• Regularly scheduled review
• Provision of protocols and procedures

Chain of command must be clear

Question 18

Nursing Assistive Personnel (NAP)

Answer 18

Individual who is trained to function in an assistive role to the registered professional nurse in the provision of nursing care as delegated by and under the supervision of the RN

Includes CENA, techs, medical assistants, patient care assistants, certified home health aide

Question 19

Advanced Practice Nurses-APN

Answer 19

Nurse Practitioner

Nurse Midwife

Nurse Anesthetist

Clinical Nurse Specialists

• (APRN’s)
• Protected titles
• Carry a 2nd license

Question 20

Physicians and RN’s Collaborate

Answer 20

Only the RN, MD, DO, or Dentists may delegate their functions to others

RN’s may delegate nursing functions to RNs, LPNs, or NAPs

LPN’s are a professional subfield and may not delegate /may not make patient outcome decisions—refer to the RN

Physicians may delegate medical practice functions, not nursing care

Medical assistants and physician assistants work under supervision physicians

Question 21

RN Educational Core Curriculum

Answer 21

Medical

Obstetrics

Pediatrics

Surgical

Psychiatry

Question 22

LPN Educational Core Curriculum

Answer 22

Medical

Obstetric

Pediatrics

Surgical

Question 23

NCLEX

Answer 23

National Council Licensing Examinations

• For RN (NCLEX-RN)
• For LPN (NCLEX-PN)

National Council State Boards of Nursing

Measures minimal entry level nursing competence

• Computerized test
• Multiple choice
• Possible addition of open end response
• One question per screen; can’t go back
• Your answer determines the difficulty of the next question
• Dropdown calculator
• Maximum time allowed is 5 hours

Question 24

Needed for NCLEX Application

Answer 24

Education Program Code

Graduation Date

Two pieces of ID signed, one with picture
#1  valid drivers license with photo
#2  credit card, ATM card, social security card

Thumbprint and photo will be taken

Direct and video observation during exam

Palm scanning

Special testing circumstances: Contact Board of Nursing

Question 25

License Renewal

Answer 25

Submit application with renewal fee

Maintain and be prepared to show proof of not less than 25 hours of continuing education contact hours during the preceding 2 years

2 contact hours must be on the topic of PAIN

• Attending approved programs
• Earning specialty certification
• Reading journals and completing post tests
• Academic coursework
• Publish in a textbook or journal
• Viewing media devoted to nursing practice
• Participation in a health care committee or workshop
• NOT fire safety, OSHA, computer training, etc.

Question 26

How the Nursing Compact Agreement Works?

Answer 26

Allows nurses that practice in compact states to receive a multi-state license.

They must legally reside in one of the states that participate in the compact agreement.

Nurses must declare a compact state as their primary state of residence, and they must be in good standing with their current nursing license.

They do not have to complete a separate application to obtain this license

Question 27

Disciplinary Actions

where is complaint filed?
who can file complaint?
reasons for complaint?

Answer 27

Complaint may be filed with the Bureau of Health Professionals by any citizen

• Incompetence
• Criminal conviction
• Fraud
• Unsafe care
• Substance abuse
• Mental or physical impairment
• Unprofessional conduct

Question 28

Health Professional Recovery Program (HPRP)

what is it for?
who can report?

Answer 28

Offers opportunity to get help (not penalty) for diversion, addictions or mental illness
Assists health professionals to return to (or remain in) their profession
-Self report
-Employers report
-Colleague report
-Applicants for licensure with history of related problems (e.g. impaired driving)

Question 29

Impairment defined

Answer 29

Inability….. to practice his or her health profession in a manner that conforms to standard of practice…due to substance abuse, chemical dependency or mental illness…or use of drugs and alcohol.

Question 30

Health Professional Recovery Program

what do they do?
relapse?
who can/can’t use program?
non-compliant

Answer 30

Monitors the licensee or applicant for 3-5 years

May require withdrawal from or limitation of practice if relapse occurs

If unable to maintain recovery or not compliant, then referred back to Bureau of Health Professionals for investigation by LARA and potential disciplinary action

Licensee pays the cost of treatment

Is not offered to students

Question 31

Disciplinary action comes from

Answer 31

Michigan Board of Nursing after investigation of the allegations against a licensee by the Michigan Department of Licensing and Regulation LARA

Becomes a matter of Public Record

Question 32

New York enacted the first mandatory licensure legislation for nurses in?

Answer 32

1947

Question 33

Executive Branch
Department?
Bureau?

Answer 33

Department:
MI Dept of Licensing and Regulatory Affairs (LARA)- enforce public health code
=
BOARDS OF: pharmacy, nursing, medicine, dentistry
=
Bureau:
MI Bureau of Community and Health Systems:
collects fees, mails licenses, issues renewals, investigates complaints, holds hearings, takes testimony, reports finding to the boards
PERFORMS STATE LICENSING AND FEDERAL CERTIFICATION REGULATORY DUTIES