Class 3 Flashcards by jodi Trethewey

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.

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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

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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

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What does LARA stand for

Licensing and Regulatory Affairs

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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.

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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

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Director of the Office of Nursing Policy

Appointed by the Governor

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

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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

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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

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Nursing Practice Defined

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.”

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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.”

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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.”

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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

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RN Licensure—Rule 201

applies to all practice settings or employment status

INDEPENDENTLY ACCOUNTABLE

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

Supervises less skilled personnel in delegated nursing activities

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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

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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 = 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