Upload
robyn-mcdaniel
View
214
Download
1
Tags:
Embed Size (px)
Citation preview
Patient Safety and Nursing Regulation in the United States
Faith A. Fields, MSN, RNPresident
National Council of State Boards of NursingUnited States of America
Topics:1. Importance of patient safety
with regard to nursing regulation in the U.S.2. How regulation ensures public
protection3. Share practice cases which
resulted in disciplinary action 4. US perspective on public
protection
Regulation
By the Profession
By the Government
What is the NCSBN?
National
Council of
State
Boards of
Nursing
www.ncsbn.org
U.S.A. Authority to Regulate• 10th Amendment of the US Constitution
– Gives to states all powers not delegated to federal government
– States have power to enact laws to protect its citizens
– Regulatory authority derived from legislative authority
– State legislatures delegate enforcement activities to state administrative agencies
(e.g. Boards of Nursing)
Why do we regulate professions?
• Potential for harm
• Forum for complaints
• Patient safety
• Protection of the public
Need for Regulation
• Information Asymmetry
• Bundling of Services
• Forum for Complaints
Why license nurses?
• Because nursing requires specialized knowledge, skill and independent decision making.
• Because harm could result
• Because it matters
We protect the public safety by:
• Regulating nursing education
• Carrying out laws governing nursing
• Setting licensing requirements
• Taking disciplinary action on the license
Board Authority• Fraud or deceit in procuring a license• Guilty of a crime or gross immorality• Is unfit or incompetent• Is habitually intemperate or is addicted• Is mentally incompetent• Guilty of unprofessional conduct• Action in other jurisdictions• Willfully or repeatedly violated NPA
Importance of Patient Safety with regard to Nursing
Regulation in the U.S.A.
• Case studies/Examples
Disciplinary Authority
• Reprimand
• Probation
• Suspension
• Revocation
• Voluntary Surrender
Case Review – Practice Issue• Nurse Did What?
– Terminated from employment due to patient abuse
• Attempted to use force to cause a patient to swallow their medication
• Witness statements• Review of work history
– License revoked
Most discipline issues involve drugdiversion and abuse.
Discipline has also been issued for:
• Theft of patient’s property• Fraudulent billing for services• Sexual, physical or verbal abuse• Failure to follow a prescriber’s order
Avoiding Disciplinary Action
• Know and follow the Laws and Rules• Know your scope of practice and limit
actions to scope of practice• Know and follow the facility policies and
procedures • Check and double check when
action/inaction may cause harm to a patient.
www.learningext.com
Scope of Practice
Decision Making Model
www.arsbn.org
Importance of Patient Safety with regard to Nursing
Regulation in the U.S.A.
CORE
Commitment to Ongoing Regulatory Excellence
• Education
• Practice
• Discipline
Trends
• Shortage of qualified nurses
• Continued competence
• Unlicensed assistive personnel
• Advanced certification
• Disaster preparedness
• Mobility of nurses
www.ncsbn.org
Questions?
Compact States