Ohio Nurse Practice Act Case Study

Nursing is a profession that requires specialized training, knowledge, skills, and judgment to foster an independent decision making. Practicing nursing is a right granted by the state to safeguard those in need of care and efficient nursing practice is substantiated by the state Nurse Practice Act (NPA). The NPA is ratified by each state based on set guidelines and passed by the state legislature (Russell, 2012). The NPA serves as a corner stone in regulating the duties and responsibilities of the professional nurse. The NPA is founded on set guidelines, however, the states’ board of nursing (BON) has the authority to modify the laws and regulations to fit the desired practice expectations set forth (Russell, 2012). The state of Virginia (VA), where this writer currently practices, has laws and regulations that govern the nursing practice of the Registered Nurse (RN) and the Clinical Nurse Specialist (CNS). The purpose of this paper is to discuss the similarities and differences between the role of the RN and the advanced practice nurse as well as to identify if the Virginia NPA identifies the role of an infection prevention nurse specialist.

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.

Under Ohio Duty of Care Owed to Trespasser Statute, Oleg Burov will not be liable from minor Frank Gaad’s injury, because Frank and his friend, Dennis Aderholt, knew how to remove the cover and activate the hot tub, and Gaad’s parents warned him not to go to the beach alone.

In Georgia, Nurse Practitioners practice is regulated by the nursing board and is restricted. NPs are not allowed the same autonomy as other states and their capability to practice independently is not supported. According to American Associate of Nurse Practitioners (2017), restricted practice is when state practice and licensure law install limitations on the NP’s ability to practice to the full extent of their training and education. Today Georgia’s NPs are required to work collaboratively with a physician which restricts their ability. I believe that NPs are educated and competent to deliver quality care without physician oversight. Removing practice barriers can promote optimal role fulfillment and assessment for the NP providing

Healthcare reform and politics are on the forefront of most citizens throughout the United States. Our access to healthcare has become a barrier for many citizens, and a hurdle for the advanced practiced registered nurses (APRN) throughout the years. Strict state laws have burdened APRNs and limited their practice throughout Ohio. It would be prudent to follow suit of other states, and retire the Collaborative Agreement; Richards and Polsky (2014) noted an immediate 20 to 30 percent increase in nurse practitioner providers in those particular states after it was retired. House Bill 216 (H.B. 216) helps modernize the Nurse Practice Act and the retire the mandatory collaborative agreement and extensive drug formulary. Within this paper, the contents and purpose will begin to unravel as I describe the meeting Naserin Salameh and I were able to connect with Representative Margaret Ann Ruhl of Ohio House District 68 on March 30, 2016, about H.B. 216.

The Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) have concerns with three major medical and political issues. One of those issues is a concern about health care to the poor and uninsured. According to the KCNPNM (2014), Kentucky alone has 20% of the population at or below 100% poverty and 41% under 200% poverty in 2007. Their focus on this is driven by the fact that those uninsured suffer negatively, including premature death and illness, due to lack of medical care (KCNPNM, 2014). As a group, they make an effort to provide the underserved community with information regarding available healthcare programs (KCNPNM, 2014). They also work to encourage legislation to aid those without health insurance by reaching out and informing local and regional lawmakers of our due diligence to promote health in all populations (KCNPNM, 2014).

The purpose of this post is to discuss the nurse’s scope of practice. The American Nurses Association (ANA) has established guidelines to provide nurses a safe parameter to work within, while also protecting the patient. These laws are based on the competency, knowledge, judgment, and skills required by nurses in order to provide safe care for the public (National Council of State Boards of Nursing, 2015). It is imperative that nurses know their scope of practice within their state to avoid being charged with a violation of the Nurse Practice Act (Wilkinson & Treas, 2011). I will be discussing my states scope of practice in this posting.

Nursing tasks delegated should be considered routine care for a specific patient, pose little potential harm, performed with a predictable outcome, and administered according to the plan of care. There should be an assessment of nursing needs including the frequency of nursing care and, the stability of the patient (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013).

Observation of signs and symptoms of illness, reactions to treatment, general behavior, or general physical condition, and determination of whether the signs, symptoms, reactions, behavior, or general appearance exhibit abnormal characteristics, and implementation, based on observed abnormalities, of appropriate reporting, or referral, or standardized procedures, or changes in treatment regimen in accordance with standardized procedures, or the initiation of emergency procedures (Business And Professions Code, n.d.).

I admit that I have not read the Florida Nurse Practice Act (NPA) in its entirety before this class and it has been about seven years since I studied the guidelines applied to registered nurses. As Jeremy mentioned in his essay, not only do RN’s fall under the NPA regulations, but also Certified Nursing Assistants (CNA), Advanced Registered Nurse Practitioners (ARNP), and Medical Assistants (MA). I proceeded to read the rules that each must follow and found it necessary that there be a law that regulates their scope of nursing as well. Furthermore, it is essential that standards are set under the state’s NPA for each of these healthcare workers to be subjected to disciplinary action to protect patients. According to the Florida NPA, if any of these workers are found guilty of misconduct, “the board of nursing is authorized to deny, suspend, or revoke that individual's certification”, and “the board may also impose an administrative fine or probation or restriction of the certification as well” ("Ch-6 Florida Nurse Practice Act and Scope of Nursing," 2013).

According to the ANA (American Nurses Association), it is the duty of nurse to protect the patient’s rights, safety, health and advocate for the patient. By treating the patient in an open area, invades their privacy, can cause embarrassment and most of all jeopardize trust between the patient and care giver. This negligent care could also lead to legal ramifications in the future against the hospital. By breaking this trust, the patient may also omit valuable information that could affect their treatment ultimately causing them harm. Some patients may become noncompliant with their prescribed treatment. It is essential that effective communication between patient and care provider occurs at all times. . Healthcare providers are obligated to give safe and effective care.

We hear nurse’s talk about how rewarding their profession is but what they seldom talk about is how it can be very challenging as well. There seems to be many issues existing in the nursing profession. One of the most affective issues in nursing is the decreasing number of staff nurses. With inadequate staffing, nurses are demanded to have more responsibilities thus causing more stress on the nurse. This increase in responsibility causes nurses to neglect many aspects of their patients’ care. Patient care is suffering from the shortage of nurses as there is an increase in adverse patient outcomes due to the shortage. Also, there is evidence that there is a positive relationship between the number of staff and the effectiveness of their teamwork. The more staff available the more likely nurses will work together as a team. A new act is being implemented to help with the nursing shortage. This act is called the National Nursing Shortage Reform and Patient Advocacy Act. The purpose of this paper is to discuss the issue of nursing shortage and how the National Nursing Shortage Reform and Patient Advocacy Act is an example of evidence-based practice.

The Nurse Practice Act of Maryland defines “Delegation” as “The act of authorizing an unlicensed individual, a certified nursing assistant (CNA), licensed practical nurse (LPN) or a medication technician to perform acts of registered nursing or licensed practical nursing (Code of Maryland Regulations 10.27.11.02)”. As a registered nurse there are many instances that delegation to an unlicensed individual will be essential in order to provide optimal care to the patient and learning how to be successful in delegation is perhaps one of the hardest things to learn. To ensure that the delegation process is done as safely and smoothly as possible, there are five (5) rights of delegation that should be followed.

Too often I’ve seen nurses that are nothing more than “task monkeys” that just see a doctor’s order and get it done without questioning it or even knowing whether it’s an error or not. Doctor’s make mistakes and nurses should be on the look out for this. That’s why it is important for nurses to have the clinical knowledge to be able to notice when an order is wrong. I believe strongly that nurses should have mandatory certifications such as BLS, ACLS, PALS, TNCC, etc. depending on the unit they are on.

A nurse practitioner (NP) sees a new, unaccompanied, female patient, who reports that she is currently pregnant. During the prenatal visit the NP recommends screening for the human immunodeficiency virus (HIV), but the patient declines stating she has been in a monogamous relationship with her husband for several years. A few weeks later the patient’s husband is seen by the same NP for a health issue. At that time he discloses he is HIV positive and has been for a few years; he also states his wife is aware of his HIV status. The NP discovers that the male patient is the husband of the female patient from a few weeks ago and knows that the woman is unaware of his HIV diagnosis (Kaplan,