Traveling through the slides: • To go to the next slide, tap your space bar. • You may also use the up, down, left, right arrows on your keyboard to go forward and backward through the presentation. (Retrieved from Medtempnow.com) BORN Online Module "How To" There are weblinks and videos to view, so you must be connected to the Internet/WiFi. Use headphones when viewing the videos so you do not disturb others. When you see this yellow arrow button in the presentation, click on it to go to the videos. Email Professor Miller if you run into questions about this module. To begin the presentation, click on slideshow icon on the bottom of your screen. The links only work if you are in slideshow mode. To exit, press your "esc" button on your keyboard. Slideshow Icon below: Board of Registration in Nursing (BORN) http://www.mass.gov/dph/boards/rn 4 Learning Outcomes: After successful completion of this learning module students will be able to: List List situations when it is the nurse’s legal responsibility to report unlawful acts. Discuss Discuss the functions of State Boards of Nursing. Define Define licensure and licensure by endorsement. Hierarchy of Government Offices Office of Health and Human Services Department of Public Health Bureau of Health Professions Licensure Board of Registration in Nursing 6 7 BORN Mission To protect the health, safety and welfare of the citizens of the Commonwealth through the fair and consistent application of the statutes and regulations governing nursing practice and nursing education. MARN Mission The Massachusetts Association of Registered Nurses (MARN) is committed to the advancement of the profession of nursing and of quality patient care across the Commonwealth. 8 BORN Goals Ensure that persons licensed as nurses are qualified to provide the citizens of the Commonwealth with safe & effective nursing care. Lead in state government & public arenas in the promotion of safe & effective nursing practice. 9 Massachusetts General Laws The Mass General Laws are referred to as “GL” These GLs authorize the Board of Registration in Nursing to regulate nursing practice and education. 10 11 • This Act Established the Board of Registration in Nursing in 1910. Act of 1910 • In 1910, RN requirements included: 1. 21 years old 2. Good moral character 3. Fee payment ($5.00) 4. License examination or “experience nursing the sick” What was missing? 12 There were no requirements for educational preparation! http://www.continuingnursingeducation.net/ 13 Adopts and enforces regulations Now what are the functions of the BORN? Approves & monitors nursing education Issues nursing licenses G.L. Chapter 13, Section 14 Investigates complaints Audits continuing education 14 Administers the Substance Abuse Rehab Program The Board also: G.L. Chapter 13, Section 14 Notifies licensees of changes in laws & regulations Active member of NCSBN (the National Board) Conducts conferences & research on nursing practice 15 MCC is Board approved! 16 17 members of the Board 9 Registered Nurses Who Makes Up the Board? 4 Licensed Practical Nurses 1 Physician 1 Pharmacist 2 Consumers 17 Clinical decision-making BORN Defines Nursing as being responsible for: Development & implementation of plan of care toward defined goals Meds & Treatments Evaluation of response to care Collaboration with health team members 18 Health counseling & teaching As well as being responsible for: (cont.) Comfort measures Teaching & supervising others Participation in research that contributes to the expansion of nursing knowledge 19 20 Scope of Practice Includes Application of nursing theory to ADPIE for individual/family/community M.G.L. Chapter 112, Section 80B Coordinate & manage resources for care Manage/direction & supervision including delegation to UAP 2 1 Curriculum Requirements Regulates Entry Level (pre-licensure) Nursing Education http://rnspeak.com/ Sciences, arts, humanities, and foundations of the profession The Nursing Curriculum Shall Include: Nursing content across the lifespan Content on national & local health care needs 1080 hrs of theory, lab, & clinical Requirements regulating faculty and facilities 23 National Council of State Boards of Nursing Go to this website to answer question #4 • The vehicle through which boards of nursing of all 50 states act & counsel together. • NCSBN develops the NCLEX exams. • Conducts and funds research that supports EBP regulatory decisions for patient safety/public protection • Provides expertise about national discussions regarding telehealth, interstate practice, & other regulatory issues. • www.ncsbn.org 24 Punishable Actions • Defaulting on a Mass Education Financing Authority (MEFA) loan • Incapacitation by mental or physical illness (p.50) • Gross misconduct, practicing fraudulently or beyond the scope of practice, incompetence, or negligence • Practicing impaired by alcohol or drugs • Violating a law or regulation of the board • Convicted of a criminal offense which is related to the practice • Dishonesty, fraud/deceit related to the profession • Permitting or authorizing a person to performing activities requiring a license • Having a license from another state revoked, if the basis for the action would constitute basis for disciplinary action in Massachusetts. What do you do if there is a complaint against you? Watch this 10” YouTube Video to answer question #6. Click on the yellow arrow to play the video, or cut and past the link: https://youtu.be/fzEwtCxaTmI Hint: Did you know that if you click on the settings wheel in the lower right corner of the video and select “Playback speed” you can play the video faster? NonDisciplinary Actions • Cautionary Letter • Dismissal of the complaint for: • Board lacks jurisdiction • Insufficient evidence • No action warranted • Nurse completed Substance Abuse Rehab Program (SARP) Constitutes a public record Disciplinary Actions Reprimand Probation Suspension-temporary Stayed suspension Surrender Revocation License Renewal Video • Click on the yellow play button to view this 1:30 minute renewal video or click on the weblink below. • https://www.mass.gov/nursing-licenses More about License Renewal On or before your birthday in each EVENnumbered year $120 Maintain evidence of 15 hours of CE credits: May annul license if guilty of a felony Notify BORN of personal data changes 29 License by Endorsement • A nurse who has been licensed, or is currently licensed, in another state may apply for licensure by endorsement. License verification is required; in some cases, this may be done online. Licensure by endorsement costs $275. • Another term for this process is license by reciprocity. (https://www.mass.gov/how-to/apply-for-a-nursing-license-by-reciprocity) 31 RN is responsible for Making appropriate assignment Delegating Adequate teaching & supervising The outcome of the delegation 32 May Not Delegate: • Activities requiring assessment or judgment • Formulation of plan of care or evaluation of response • Med administration • Health teaching & counseling (UAP may hand over information materials only) Duty to Report: ABUSE OF A PATIENT PRACTICE OF NURSING WHILE IMPAIRED DIVERSION OF CONTROLLED SUBSTANCES 33 Professionalism Leadership Communication System-Based Practice 34 Board of Registration in Nursing Website • Links to all Board Regulations 244 CMR 1.00-9.00 https://www.mass.gov/service-details/laws-and-regulations-for-theboard-of-registration-in-nursing • Link to purchase a copy of all regulations (approximately 60 page document) http://www.sec.state.ma.us/spr/sprcat/agencies/244.htm References Mass.gov. (2019). Board of registration in nursing. Retrieved from http://www.mass.gov/dph/boards/rn Mass.gov. (2019). License by reciprocity. Retrieved from https://www.mass.gov/how-to/apply-for-a-nursing-license-by-reciprocity Mass.gov. (2019). National nursing workforce survey. Retrieved from www.ncsbn.org Mass.gov. (2019). Renewing your nursing license. Retrieved from https://www.mass.gov/nursing-licenses National Council of State Boards of Nursing. (2010). Board of nursing complaint process: Investigation to resolution. Retrieved from https://youtu.be/fzEwtCxaTmI