Introduction The Virginia Board of Nursing has one main purpose: to keep the general public safe. There are twelve volunteer board members who carry the responsibility of giving a defendant a chance to explain the motive for their actions that merited the Formal Hearing. The board takes the time to listen to witnesses, investigators, and other pertinent persons that are involved in the case. They will then go into a closed session and make a collaborative decision whether the defendant is safe and competent to practice under their nursing license. Disciplinary Case One specific case involved substance abuse by a Registered Nurse. She was brought before the board for the renewal of her Virginia RN license. The defendant may be unable …show more content…
She went through a monitoring program for that offense and has since relapsed. The decision made by the Virginia Board of Nursing concluded with an indefinite suspension of her license until a monitoring rehabilitation program has been completed. The Health Care Practitioners Program will be customized for the specific criteria that the defendant needs. If the defendant does not complete all parts of the program, she will have to come before the board to discuss the issue. The defendant stated during the hearing that she “does not trust herself around narcotics and needles.” Therefore, the board decided that she will not be able to work in a setting where she has access to either of those. The rest of the details of her implications are to be determined as a later time. Nursing Safeguards If the defendant would have adhered to the numerous safeguards for nurses, it could have prevented the alleged wrongdoing. According to the American Nurses Association’s Code of Ethics for Nurses, nurses must advocate for proper assistance for coworkers when indicated. This supports nurses in early recovery when they return to work (O’Neil, 2015). If the coworkers of the defendant would have recognized her issue and spoken up prior to December 9th. 2015, than this hearing could have been prevented. It is the nurse’s ethical responsibility to safeguard the patient, the public, and the profession from prospective harm when a nurse appears to be impaired. This can be
Nursing is a health care practice that is more directed onto care of individuals by ensuring their recovery and quality assurance in health. Their scope of practice is differentiated by their approach methodologies. Nursing has diversified and in response to the rise of practice, prior education and training is now effected in many states in America. One of the states, Kentucky, has well-established schools, frontier schools, and colleges to facilitate the dependability of nursing practitioners. In conjunction to the status requirements of nursing and certification of the American nurses Association, the state of Kentucky has formed the Kentucky Board of Nursing, a Commonwealth agency of Kentucky. The board is a distinctive entity in the nursing profession whose objective is to protect the public's health welfare through the development and reinforcement of laws and regulations that govern safe health practice through nursing.
Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was
In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that
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 plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).
While the seriousness of a patient’s death should be investigated, the hospital failed to act promptly and investigate the supervisor’s or human resource (HR) department’s denial of reasonable accommodations or the previous errors made by the nurse. Therefore, the wrongful termination seems more likely to have been the case in this situation. The defense will show that rather than terminating her employment earlier the hospital waited until something catastrophic happened. The nurse took appropriate action discussing her health condition diagnosed by her physician that precludes her from working in the ER at full capacity with her supervisor. The nurse should have been given alternative assignments as appropriate or disability leave if no other alternative was available and should not have been terminated wrongfully after the incident (Pozgar,
If testing results support the suspicions of impairment, then management is mandated to report the incident to the North Carolina Board of Nursing (NCBON, 2011). With increased medication errors, Beverly failed to provide a safe and effective nursing care to the patient, therefore violating the laws of the Nurse Practice Act (NCBON, 2009).
In today 's world, many health care organizations encounter the most critical problem, such as chemically impaired nursing practice, on a daily basis. All areas of the nursing profession are affected by a chemical dependency and the cost associated with this problem is a great concern for the health care organizations. According to Church (2000), “nurse impairment affects the safety of the public, the nurse’s well being and the profession as a whole” (p. 2). The delivery of care provided by the chemically impaired nurse lowers the standards and the prestige of the whole profession, creates serious liability for the employer, lowers productivity, increases the turnover rate, decreases staff members morale, and increases the risk for medication error (Wennerstrom and Rhooda, 1996). People’s lives, function and lifestyle can be dramatically changed due to a medication error caused by a chemically impaired nurse (Cook, 2014). The chief nurse executive (CNE) is frequently confronted with the problem of impaired nurse, furthermore, the CNE is responsible for the policy and decision making involving this issue (Hughes, 1995). The purpose of this paper is to examine nurse executives response to allegations of a chemically impaired nurse.
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.
In California, the Board of Registered Nursing is the regulatory agency mandated by law to ensuring the quality registered nurses in the state is enhanced in order to protect the health and safety of the public. The Board authority is provided by the California State Government
The Arizona State Board of Nursing (AZBN) is an organization that protects the public by ensuring that all nurses holding a license or certificate are competent to practice safely. The board approves education programs and also regulates the practice of nursing (Arizona State Board of Nursing, 2012). The board holds a meeting almost every month to discuss issues and rule on present cases. The purpose of this paper is to identify and discuss agenda items of the attended Arizona State Board of Nursing’s monthly professional meeting.
I am Myrna Montoya, a registered nurse from New Jersey and currently taking the RN-BSN online program at Notre Dame College, South Euclid, Ohio. In our course on Health Care Policy in Complex Adaptive System, the students were given the opportunity to review the 2002 case of Finnerty v. the Board of Registered Nursing. As was ruled by the Court of Appeal, Ellen Hughes Finnerty, a registered nurse, was found guilty of gross negligence and incompetence.
Ethical principals are the seed of which nursing flourishes from. Many ethical principals were involved and dishonored in this case such as, justice, autonomy, beneficence, non-maleficence, confidentiality and fidelity (Burkhardt et al., 2014). I believe justice was the main principal involved as the entire ethical predicament was revolved around unjust behavior and treatment of the residents. The residents were treated poorly and given unequal rights as a causation of their illnesses. Autonomy, an essential piece of human rights was also being violated in this ethical dilemma. The residents did not have any choice or independence in their care or how they were being treated. Beneficence and non-maleficence are significant dynamics of this ethical situation, as the health care providers needed to reflect on how they can have the maximum benefit while diminishing possible damage to the residents (Burkhardt et al., 2014). Our actions as nurses should always be beneficent and non maleficent, continuously being kind, compassionate and doing what is in their best interest as well a removing and preventing harm. Confidentiality is a key component of nursing and it was blatantly being violated as the health care
Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.
The nurses in both cases were using controlled substance that affected the performance while working. The first case was an older lady. She had been put on probation for having diazepam test positive in her urine. When someone is on probation they have to call a service number and ask them if they need a urine sample that day. They also have to attend drug and alcohol screening. She violated the terms of her probation, which was why she had to go before the Board. She did not provide many papers to help her case, and the board had many papers against her.