Georgia Nursing Law and You
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Georgia Nursing Law and You Kids Health First Susan Shepard Director, Patient Safety Education April 30, 2009 Objectives State two laws that apply to nursing practice in the state of Georgia Explain how to use the RN Scope of Practice Decision Tree Recognize three areas where your nursing practice may be at risk 2 Georgia Law Title 43. Professions and Businesses Chapter 26. Nurses Georgia Registered Professional Nurse Practice Act Rules and Regulations of the Georgia Board of Nursing Section 410 Georgia Nursing Administrative Code Board Policy Statements and Decision Trees 3 Title 43 § 43-26-3: Definitions § 43-26-6: Use of title by licensed registered nurse or advanced practice registered nurse § 43-26-7: Requirements for licensure as registered professional nurse § 43-26-10: Practicing as a registered professional nurse without a license prohibited § 43-26-11.1: Administration of anesthesia by a certified registered nurse anesthetist § 43-26-12: Exceptions to operation of article; burden of proof 4 Rules and Regulations–Section 410 410-1.02: General Requirements 410-11-.01: Standards of Registered Professional Nursing Practice. Amended 410-11-.02: Definition of Unprofessional Conduct. Amended 5 Board Policy Statements AANA–ASA Joint Statement Regarding Propofol Administration Assignment of Unlicensed Assistive Personnel Medication Administration Patient Abandonment 6 Nursing Practice vs. Nursing Tasks What’s the difference? What do you do if asked to do something that you are uncomfortable/unsure about doing? Is there a community standard? Do you have the education/experience to do this? Think about the Just Culture–risk based decision making 7 Georgia RN Decision Tree 8 Georgia RN Decision Tree (continued) 9 State Regulations–The RN and the MA Legal requirements vary from state to state Bottom line is that the MA works under the license of a healthcare practitioner What does the Georgia Composite State Board of Medical Examiners say? – Injections? – What kinds? How does the RN determine what to assign the MA to do? – Let’s think about “injections” 10 RN Assignment Decision Tree for Unlicensed Assistive Personnel 11 Looking at Specifics What is needed for each of the following? – Obtaining vital signs – Ordering a radiology film – Cleaning and sterilizing medical instruments and equipment – Removing sutures/staples – Applying a cast – Conducting neurovascular status check and documentation – Preparing medications for administration – Preparing telephone prescriptions for faxing to pharmacy – Preparing prescription or orders for rehab services/DME 12 Harder Questions What does the following mean to you? – Schedule patients appropriately for procedures/surgery/diagnostic tests – Answer telephone requests – “Under the directions” of the physician, PA, or RN – Insure follow up for patients regarding test results, post operative care, etc. Other questions: – Can MAs give injections? – Can MAs answer patient questions about their care? – Can MAs explain an upcoming procedure? 13 Liability The one rule that applies regardless of the state MAs giving advice What will get you and your MA into trouble 14 Latest Debates Revolving Around the MAs’ Scope of Practice Starting and disconnecting IV lines Administering phototherapy in a UV booth Providing botox injections 15 Safety is Paramount An unintended oversight Miscommunication Indifference Abandonment Indiscretion 16 A Little Bit About Medication Safety Reconciliation Storing–LASA Preparing–labeling Administering–two IDs, five rights Evaluation Sample drugs 17 More on Safety Communication Infection control Patient falls Influenza and pneumococcal disease Patient involvement Universal protocol 18 Use of Protocols What is a protocol? How do they work? Examples 19 CLIA and You Waived testing Education and competency Quality control Records 20 Guidance and Information State Department of Public Health National professional membership and certification bodies State Medical Board 21 Our Mission is to advance, protect and reward the practice of good medicine For additional information, go to www.thedoctors.com and click on Patient Safety
