The Law and License Investigation
Have you encountered a situation similar to the scenario in the Self-Evaluation? If so, how did you handle it? (Throughout Modules 2-3, we will cover information pertinent to this scenario and your options.)
How does your State Nurse Practice Act address Nursing Peer Review situations?
Post your responses to the questions above on the Discussion Board by 23:59, Wednesday of Module 2. Then respond to two or more of your colleagues’ responses by asking each colleague at least two probing questions. The probing questions may ask the person to clarify statements or provide more detail, or may ask the person to consider another viewpoint. Please respond to each of the questions you are asked by your colleagues during the onlinediscussion. You will be evaluated on the quality of your summaries, questions, and responses to colleagues’ questions.
Basic APA format is required.
Please open up the “My Groups” option on the left navigation bar and click on your group discussion link to post.
I already did the self assessment let me know thanks
Here is the scenario:
You, the RN, arrive early on your regular orthopedic unit. Your Charge Nurse comes to you and says that you need to go to the cardiac step-down unit. You protest, but she says she has no control over the situation and that you at least need to go to the step-down unit and see what is going on. You arrive at the step-down unit. The House Supervisor is present with the unit Charge Nurse. You are told that the unit is very understaffed that day and that you must take patients. You protest that you have worked only orthopedics for the past 10 years- that you do not know the current cardiac drugs and side effects, the current treatments and post-treatment care and that you have never had to read the type of cardiac monitoring strips that are generated on all the patients on this unit. The House Supervisor tells you to not worry. She explains as follows:
· There are monitoring techs who are responsible for reading the strips.
· You have access to a PDR and Pharmacy if you have questions about the drugs.
· A nurse with recent experience on this floor will be able to go around with you to orient you for about two hours. (That nurse must return to his regular floor in two hours.)]
You again express concerns that you are not qualified to take this assignment. The House Supervisor takes you aside and says, “We need you to step up and help out here. We need team players in situations like this. If you refuse, I’m going to have to discuss your refusal with the Director of Nursing and your unit manager — it may not be good for your career here at this hospital. Besides, do you think you are the first nurse who ever had to take patients in a less than perfect circumstance? The patients are worse off if you refuse.”
Reluctantly, you accept the assignment. About 5 hours into the 12-hour shift, you mis-titrate a cardiac drug. The patient codes, never regains consciousness and is transferred to ICU. The patient dies 3 hours after being transferred.
Two weeks later, you are called to Human Resources. Your unit manager, the House Supervisor, and an HR representative are there. You are told that you are being reported to the state’s Board of Nursing due to the negative outcome of your patient.
N3375 Health Policy & Legal Aspects
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N3375 Health Policy & Legal Aspects Reflective Journal
Overview: Reflective Journal
Each week you will make an entry into your Journal. You are asked to reflect on 3 of the key points for each class. Key points: What did you take away from the module knowledge wise or interesting? Each entry should reflect on your understanding of the topic, your experiences and observations in your work environment or general nursing environment regarding the module topic.
This is a cumulative document. You will save it to your own computer desktop or memory device and update it each week. You may choose to record more than one entry each week, especially if you have an “aha!” moment as a result of your reading, discussions, or experience. You will upload and submit the latest version of your Health Policy & Legal Aspects Reflective Journal to Blackboard by 2359 the Saturday following each class of this course. It is not necessary that your entries be formatted or written in any particular way because it is for your benefit . Your entries will only be reviewed to ensure that you are making sufficient progress and thinking deeply about the requirements in the course.
Rubrics:
Use this rubric to guide your Journal entries.
There will be total of 3 Journal entries. With each journal you are expected to address 3 key points from the class lecture, discussion, and content, discuss how each point applies to your practice as a nurse, and, finally, how will your practice change in the future because of this information.
Journal Rubric for each Module
Criteria
Target
Unacceptable
1st Key Point
(30 Points)
Discuss 1st key point and why it is important or memorable. Connect RN-BSN experiences to key point (career goals, prior nursing practice, a previous RN BSN course, nursing theories or research). Describes how personal practice will be different in the future based on RN-BSN program as a result of the key point addressed.
(30 Points)
Does not sufficiently record connections or reflections. Fails to connect RN-BSN experiences to goals, prior nursing practice, coursework, theories or research to key areas addressed. Fails to describe how personal practice will be different in the future based on RN-BSN program.
(0 Points)
2nd Key Point
(30 Points)
Discuss 2nd key point and why it is important or memorable. Connect RN-BSN experiences to key point (career goals, prior nursing practice, a previous RN BSN course, nursing theories or research). Describes how personal practice will be different in the future based on RN-BSN program as a result of the key point addressed.
(30 Points)
Does not sufficiently record connections or reflections. Fails to connect RN-BSN experiences to goals, prior nursing practice, coursework, theories or research to key areas addressed. Fails to describe how personal practice will be different in the future based on RN-BSN program.
(0 points)
3rd Key Point
(30 Points)
Discuss 3rd key point and why it is important or memorable. Connect RN-BSN experiences to key point (career goals, prior nursing practice, a previous RN BSN course, nursing theories or research). Describes how personal practice will be different in the future based on RN-BSN program as a result of the key point addressed.
(30 Points)
Does not sufficiently record connections or reflections. Fails to connect RN-BSN experiences to goals, prior nursing practice, coursework, theories or research to key areas addressed. Fails to describe how personal practice will be different in the future based on RN-BSN program.
(0 points)
Spelling & Grammar
(10 points)
3 or less spelling & grammar errors in the reflective journal.
(10 Points)
Greater than 3 spelling & grammar errors in the reflective journal.
(0 Points)
Instructions:
Each week, record your experiences, connections to your course goals, and reflections as they relate to the given prompts and/or your course project. You must record one entry each week, but may record more (insert rows as needed). You may find it helpful and rewarding to record one entry at the beginning of the week, think about the prompt during the week, and then record another at the end of the week. For privacy, refer to patients, online colleagues, and/or co-workers with initials instead of names. Remember you must support your key points with cited references.
Save this document to your own computer desktop or storage device after each entry to create a cumulative journal.
Journal Entries
A separate Journal entry is required for each class by 2359 Saturday of each indicated class. Provide details of your thinking, including insights, challenges, paradigm shifts, and goals. Identify previous course topics, readings, or research that relate to the prompt.
Journal Entry
Reflective Journal Example: Identify 3 key points from this module. Reflect on how why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.
Place Key Point in this column:
Reflect on the Key Point (following Journal Rubric) in this column:
YOU MUST ANSWER ALL 3 QUESTIONS ABOUT YOUR KEY POINT IN ORDER TO RECEIVE CREDIT (NO PARTIAL CREDIT). PLEASE COME UP WITH YOUR OWN KEY POINTS FOR EACH MODULE.
DELEGATION, SAFE HARBOR & PEER REVIEW ARE JUST EXAMPLES-PLEASE COME UP WITH YOUR OWN KEY POINTS FOR EACH MODULE.
Key Point 1:
Example:
Delegation
Why it is important: at least 3-4 well written sentences using critical thinking
How does it impact my work/nursing practice: at least 3-4 well written sentences using critical thinking
How will I change my practice: at least 3-4 well written sentences using critical thinking
Key Point 2:
Example:
Safe Harbor
Why it is important: at least 3-4 well written sentences using critical thinking
How does it impact my work/nursing practice: at least 3-4 well written sentences using critical thinking
How will I change my practice: at least 3-4 well written sentences using critical thinking
Key Point 3:
Example:
Peer Review
Why it is important: at least 3-4 well written sentences using critical thinking
How does it impact my work/nursing practice: at least 3-4 well written sentences using critical thinking
How will I change my practice: at least 3-4 well written sentences using critical thinking
Reflective Journal Module 2: Legal Overview and Peer Review Process. Identify 3 key points from this module. Reflect on how why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.
Place Key Point in this column:
Reflect on the Key Point (following Journal Rubric) in this column:
Key Point 1:
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 2
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 3
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Reflective Journal Module 3: More Peer-Review Laws and Rules. Identify 3 key points from this module. Reflect on how why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.
Place Key Point in this column:
Reflect on the Key Point (following Journal Rubric) in this column:
Key Point 1
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 2
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 3
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Reflective Journal Module 4: Professional Boundaries and Challenges. Identify 3 key points from this module. Reflect on how why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.
Place Key Point in this column:
Reflect on the Key Point (following Journal Rubric) in this column:
Key Point 1
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 2
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 3
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Reflective Journal Module 5: Malpractice. Identify 3 key points from this module. Reflect on how why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.
Place Key Point in this column:
Reflect on the Key Point (following Journal Rubric) in this column:
Key Point 1
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 2
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
Key Point 3
Why it is important:
How does it impact my work/nursing practice:
How will I change my practice:
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