Board Of Registration In Nursing: A Case Study

The Missouri Nursing Practice Act governs the requirements for obtaining and it also empowers the Missouri State Board of Nursing with the ability to take disciplinary action against a nurse’s license. The Missouri State Board of Nursing can issue, deny, or reinstate a license. The board can also take disciplinary action against a license and “impose any of the following disciplines singularly or in combination: censure, probation, suspension, & revocation” (Missouri State Board of Nursing, 2015a) when a registered nurse violates the Nursing Practice Act. A license can be denied, revoked, or suspended for the following reasons: drug abuse, alcohol abuse, incompetency, negligence, fraud, dishonesty, over charging, over treating, misconduct, misrepresentation, unethical conduct, unprofessional conduct, inappropriate relationships, performing duties beyond the scope of practice, inappropriate delegation, being listed as a sex offender, failure to pay license renewal fees, failure to cooperate with the board during an investigation, for a full detailed list see 335.066 of the Missouri Nursing Practice Act (Missouri State Board of Nursing, 2014).

Nurses, especially nurses working on an Addiction Medicine unit, are well-positioned to provide patient and family education on opioid addiction (Manworren, 2015; Painter, 2017). Effective patient and family education can theoretically improve the capacity for patients at risk for opioid dependence and/or patients experience opioid dependence to cope with the problem, reduce risks, and prevent relapse (Costello et al., 2016; McNeil et al., 2015). Nurses working on an inpatient unit provide patient education as part of regular daily care and during the course of discharge planning and management (Costello et al., 2016). Patient and family education related to the patient’s diagnosis and/or reason for admission is standard practice on most units. However, nurses, including nurses working on an addiction treatment unit, may lack sufficient knowledge in opioid addiction prevention and management to provide suitable patient-centered education to patients and their families (Costello et al., 2016). Moreover, there is currently no established model or protocol for nursing-directed patient and family opioid addiction education (Costello et al., 2016; Manworren,

Over the years, substance abuse in the United States has become a persistent issue affecting many individuals. In 2008, it was estimated that 17.8 million Americans over the age of 18 where substance dependent (Epstein, Burns, & Conlon, 2010). Many of these individuals being affected are nurses. Ponech (2000) stated that "approximately 10% of the nursing population has alcohol or drug abuse problems, and 6% has problems serious enough to interfere with their ability to practice" (as cited in Talbert, 2009, p.17). Studies show that nurses have a 50% higher rate of substance abuse compared to the rest of the public (Epstein et al., 2010). Among the many factors that contribute to the nurse’s issue of substance abuse,

According to the SAMHSA (2010) report on the national survey on drug use and health almost 22.5 million people are reported to be associated with substance abuse disorder (SAMHSA, 2010). This illness was found to be very common in all age groups, both sex, and seniors. There are several effects on these individuals and their families. Many people who suffer from substance abuse disorders fail to acknowledge these serious consequences. First of all, no response of pain relief can be seen with smaller doses of pain medications, as their bodies are used to high levels of various substances at the same time. Nurses become frustrated when they try to treat and help these patients with pain. Sometimes it is difficult to think about ethical principles when nurses have to deal with such patients with pain and suffering.

The Illinois State Board of Nursing is overseen by the Illinois Department of Financial and Professional Regulation (IDFPR). To have an agency that ensures the safe practice of nursing by monitoring license compliance and to take action against those that practice unsafely, protects the safety of the public. Therefore, any person who deems a nurse’s behavior or action in violation of a law or rule can file a complaint.

The meeting I attended was the Arizona State Board of Nursing via livestream on September 17, 2015. This meeting is open to the public to attend or watch online livestream which is what I did. The members of attendance were: Board President Randy C. Quinn, RN, MSN, CRNA, Board Vice President Carolyn Jo McCormies, RN, MS, FNP-BC, Board Secretary Terri Berrigan, LPN, C-AL, and Board Members Lori A. Gutierrez, BS, RN-C, DON-CLTC, CBN, Jana Machesky, LPN, Kathryn L. Busby, J.D., Dr. Kimberly A. Post, DPN, MBA/HCM, RN, NEA-BC, M. Shawn Harrell, RN, MS, and lastly Melinda Pheanis Preston, DNP, APRN, PMHNP-BC. According to the Arizona Board of Nursing mission statement their organization protects and promotes the welfare of the public ensuring that each person holding a nursing license of the practice of nursing license or certificate is competent to practice safely (“Mission Statement,” n.d.). The purpose of these board meetings is to discuss any regulations that need investigating so they keep the nursing standards to protect the public. This involves bringing forth nurses to discuss any disciplinary actions that have been brought up against them or that needs further review.

Substance abuse continues to be a serious health care concern with millions of American 18 and older using illegal drugs. Substance abuse occurs across all generations, cultures, and occupations, including nursing. “About 1 in 10, or 10-15% of all nurses, may be impaired or in recovery from alcohol or drug addiction” (Thomas & Siela, 2011). When a nurse is impaired they will not be able to function at their normal capacity, and are not able to provide quality patient care. They may not be able to think as quickly, and have a delayed reaction time.

Substance abuse is a very widely known public epidemic in today's society. Many people are unfortunately plagued by this issue. According to Emedicinehealth.com (2012), “People abuse substances such as alcohol, tobacco, and other drugs for varied and complicated reasons, but it is clear that our society pays a significant cost,” (para. 1). People that are affected by substance abuse includes a very different range of people. Many that abuse the substances end up having health-related problems which in turn increases the need for health care. Other people that are affected by substance abuse are the family members and friends of the abusers because they have to deal with the person abusing the substances. Things that can be abused are

It is defined as a strong and harmful need to regularly have something or do something (Merrian- Webster Dictionary, 2015). A survey conducted by Lawrence, Rasinski, Yoon, and Curlin (2013), on 1,427 primary care physicians and 487 psychiatrics asking for their opinion on the nature of addiction. The majority of the physicians and psychiatrics believed that addiction is a disease, while the remaining believed that addiction is a stem from past psychological issues. In fact, in the early 1980s, the American Medical Association declared addiction a disease (Quinlan, 2009). Addiction is harmful because it leads to other diseases, injury, and early mortality including cancer, stroke, heart and lung diseases, dementia, HIV, hepatitis, and many accidental and deliberate forms of injury, such as domestic violence (Chambers, 2013). The prevalence of nurse anesthetists that suffer from addiction makes the need to strengthen education and prevention

After following all recommendations of the treatment program, including attending a minimum of 3 twelve step meetings each week, the nurse is required to attend weekly aftercare meetings for one year. Once the nurse is approved to reenter the nursing practice their license will be monitored for 3 years and all positions must be approved by the AP (Alternative). Their license must also reflect that the nurse remained at the same facility for 2 consecutive months during the first year and for 3 consecutive months after the first year. During the first year of the initial AP completion there are certain guidelines the nurse must follow. These include not working from the hours of 11PM to 7AM, not handling controlled substances, not working in a PACU, OR, Labor and Delivery, ICU, substance abuse facility, or Cardiac Cath unit. They also need to work under the direction of another RN and should not float between units. Additionally, for a minimum of two years the nurse should not work as a traveling nurse, in home health or hospice, or as CRNA. The program and random drug screening lasts for a total of three years, at which time the license will be reviewed and limitations

I am Kathy Binarao, a senior at Brunswick High School and is a student planning to pursue her education and attend college. The college I plan to go to that offers the courses I plan to take has a tuition and boarding fee of $35,000 plus, which means I truly need a whole lot of financial assistance. I was accepted at Liberty University as early as October, and now am seeking for some helpful scholarships. I plan on majoring in Nursing (B.S.N.), which is a science field, to become a Registered Nurse one day. Basically, it’s more like a Traveling Nurse, for I will minor in Aeronautics: Flight Attendant at the same time. I dreamed of traveling the world, not only to enjoy visiting places, but also be a helping nurse serving people residing in

The Indiana State Board of Nursing is a body of nine selected members, comprised of a mixture of RNs and LPNs. This board listens to cases regarding university nursing programs, certified RNs fighting for their license, and individuals who are trying to obtain a nursing license. It is up to their discretion whether certain actions of a nurse are permissible or not. They also make adjustments to the curriculums or higher education schools to ensure that they are producing good quality nurses.

In first talking about substance use, abuse and addiction as it relates to the Nursing profession it is necessary to understand the aspect of addiction. Drug use is a broad idea that refers to the use of any chemical substance rather legal or illegal. This topic includes prescription drugs, street drugs, herbal supplements, and the like. The term Drug abuse is defined as “the use of a substance or substances in such a way that it leads to measurable personal, interpersonal, or social consequences” (Faupel, C., E., Horowitz, A., M., & Weaver, G., S., 2010, p.20). Drug addiction is then regarded as “a compulsive use of chemicals (drugs or alcohol) and the inability to stop using them despite all the problems caused by their use” (National

A survey has been recorded about the prevalence of chemical dependency in nurses. About 2.6 million registered nurses are employed in the United States (U.S. Department of Health and Human Services, 2010). The American Nurses Association estimates that about 10% of the RN

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).