Class 3 Flashcards
Michigan has a republican form of government with three branches of government what are they and describe them
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.
Functions of the MI Board of Nursing
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
Board of Nursing Membership - who is on the board?
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
What does LARA stand for
Licensing and Regulatory Affairs
Describe LARA do
ORR?
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.
What does LARA do
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
Director of the Office of Nursing Policy
Appointed by the Governor
Deborah Bach –Stante MPH, BSN
-Director, Office of Nursing Policy
Michigan Public Health Code defined
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
Purpose of Licensure
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
Nursing Practice Defined
Part 172 of the Public Health Code
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.”
R.N. Practice Defined
“. . . 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.”
L.P.N. Practice Defined
“. . . 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.”
requirements to get License as an RN or LPN
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
RN Licensure—Rule 201
applies to all practice settings or employment status
RN
INDEPENDENTLY ACCOUNTABLE
Obligation to practice within current knowledge, skill, education and experience at all times
Supervises less skilled personnel in delegated nursing activities
LPN Licensure—Rule 201
applies to all practice settings or employment status
LPN
Defined as a SUBFIELD of Nursing
Functions under the supervision of an RN, physician or dentist
Requires less comprehensive knowledge and skill
Delegation
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
Supervision
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
Nursing Assistive Personnel (NAP)
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
Advanced Practice Nurses-APN
Nurse Practitioner
Nurse Midwife
Nurse Anesthetist
Clinical Nurse Specialists
- (APRN’s)
- Protected titles
- Carry a 2nd license
Physicians and RN’s Collaborate
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
RN Educational Core Curriculum
Medical
Obstetrics
Pediatrics
Surgical
Psychiatry
LPN Educational Core Curriculum
Medical
Obstetric
Pediatrics
Surgical
NCLEX
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
Needed for NCLEX Application
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
License Renewal
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.
How the Nursing Compact Agreement Works?
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
Disciplinary Actions
where is complaint filed?
who can file complaint?
reasons for complaint?
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
Health Professional Recovery Program (HPRP)
what is it for?
who can report?
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)
Impairment defined
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.
Health Professional Recovery Program
what do they do?
relapse?
who can/can’t use program?
non-compliant
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
Disciplinary action comes from
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
New York enacted the first mandatory licensure legislation for nurses in?
1947
Executive Branch
Department?
Bureau?
Department:
MI Dept of Licensing and Regulatory Affairs (LARA)- enforce public health code
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BOARDS OF: pharmacy, nursing, medicine, dentistry
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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
