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nursing practice act

By rayjasonleon May 14, 2015 2005 Words
Running Head: Alabama Nursing Practice Act

Jessica Mcinnis

Mrs. Volovecky

December 26, 2014
(Alabama Nursing Practice Act, 1993)

Itt-tech Nursing Role

The Alabama Board of Nursing is the Standards of Nursing Practice

The Nursing Practice Act is a profession within the health care sector focused on the care of individuals, families and communities so they may attain, maintain or recover optimal health and quality. The scope practice includes, but is not limited to care and counseling of patients. The provisions of care supportive to or restorative of life and well-being. It is the exercise of appropriate nursing judgment. The promotion of health and prevention of illness and injury. It is the conducting and documenting comprehensive assessments and evaluations of patients and focused nursing assessments. The documentation of nursing interventions and responses to care in an accurate, timely, through and clear manner. It is the executing medical regiments including administering medications and treatments prescribed by a licensed or otherwise legally authorized prescriber (Alabama Nursing Practice Act, 1993) The competence in the practice of nursing by a registered nurse includes knowledge and compliance with applicable statutes and regulations, standards of nursing practice, standardized procedures for nursing practice, including but not limited to facility policies and procedures. The maintenance of knowledge and skills in the area of practice. The assumption of responsibility for recognizing personal limits of the knowledge and experience. Also the consulting with or referring patients to other healthcare providers to resolve the situation beyond the expertise of the registered nurse. (Alabama Nursing Practice Act, 1993) The scope of an individual registered nurse's level of practice includes but not limited to, the education preparation, initial and continued. License status, including Board approval for advanced practice nursing. State and federal statutes and regulations. State and national standards appropriate to the type of practice. Also nursing practice, limitations on scope as determined by facility policy and procedure, demonstrate competence, knowledge, skills ability to manage risks and potential complications. The practice an advanced practice, requests for approval of procedures for certified registered nurse practitioners and certified midwives shall comply with the requirements of the Joint Committee for Advanced Practice Nursing. (Alabama Nursing Practice Act, 1993) The definition of advanced practice is the performance for the compensation, of any act in the care and counseling of persons or in the promotion and the maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgments and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regiments including administering medications and treatments prescribed by a licensed or otherwise legally authorized physician or dentist. A nursing regimen shall be consistent with and shall not vary any existing medical regimen. Such practice requires basic knowledge of the biological, physical, and behavioral sciences and of nursing skills but does not require the substantial specialized skill, independent judgment and knowledge required in the practice of professional nursing. Additional acts requiring appropriate education and training may be performed under emergency or other conditions which are recognized by the nursing and medical professions as proper to be performed by a licensed practical nurse. (Alabama Nursing Practice Act, 1993) Medical Administration and safely is the registered nurse or licensed practical nurse have applied knowledge of medication administration and safety, including but not limited to drug action, classifications, and expected therapeutic benefit of medication. It also consists of expected monitored, indications based on existing patient illness or injury processes, and contraindications based on the presence of additional known patient illness, disease processes or pre-existing conditions. Also adverse reactions and interventions for same, emergency intervention for anaphylactic reactions, and safely precautions including but not limited to, right patient, right medication, right time, right dose, right route, and right reason, and right documentation. It is also important to consider interactions with other medications, food or complementary therapies, calculations of drug doses, and federal and state requirements related to storage of controlled substances, and patient education specific to medication, and the registered nurse or licensed practical nurse shall exercise decision-making skills when administering medications, if medications have to be administered, assessment of patient's health status and compliant prior to and after administering medications, to include but not limited to: assessment of patient's health status and compliant prior to and after administering medications including (PRN) medications. They also decide when to contact the prescriber, and education of the patient, family, and caregiver medication. (Alabama Nursing Practice Act, 1993) The registered nurse or licensed practical nurse shall exhibit skills when administering medications including but not limited to: physically ability to open medication packaging and access delivery systems. To read, and write, and comprehend English, to also read, write, and comprehend scientific phrases relevant to administration of medication and measuring medication dosages, math calculations, and routes of administration. They also have to use proper usage of technical equipment for medication administration. Documentation of medication administration shall comply with the principles of documentation and include safety precautions of medication administration shall comply with the principles of documentation and 2include safety precautions of medication administration, controlled drug records per federal and state law, and facility policy. (Alabama Nursing Practice Act, 1993) The administration of medications by routes beyond basic educational preparation, including but not limited to intrathecal, intracavitary, intraosseus, require a standarized procedures. The registered nurse is not authorized to administer bolus dosages via and epidural pr brachial plexus catheter. The topical, intradermal, subcutaneous, or intramuscular administration of a local anesthetic agent in a specified amount designated by order of license physician, or dentist and in compliance with the Food and Drug Administration regulations may be performed by a registered nurse or licensed practical nurse when they meet the rule respectively. The monitoring and adjustment of local anesthetic agent(s) and analgesic agents(s) infusing via epidural, brachial plexus, or femoral catheter placed by a qualified certified registered nurse, with the use of an electronic pump or infusion reservoir, as ordered by a licensed prescriber. The registered nurse is authorized to replace and refill reservoirs with a solution prepared by a licensed registered pharmacist. The registered nurse is authorized to adjust infusion rates at the direction of a physician licensed to practice medicine or a certified registered nurse anesthetists and analgesics. (Alabama Nursing Practice Act, 1993)

The requirements to obtain new license for new graduates are first time licenses are credentialed on the bases of the examination. They became eligible to take NCLEX-RN before license can be issued. How candidate will first need to have authorization from the Alabama Board. The Board puts together some videos and to explains the process to students who will registered and pay two-hundred dollar fee online, by mail, or by telephone. The candidate will find detailed instructions in the candidate handbook. After the instructions arrive the candidate will be able to schedule a computer adapted testing center. (Alabama Nursing Practice Act, 1993) A first time examination candidate is eligible for temporary permit (fifty dollars) a professional nurse graduate is a nursing Graduate Registered Nursing Graduate-RN program, or NG-RNP. The NG_RNP must be under the supervising nurse to be physically present at the healthcare facility. The Board will send the official examination scores an unsuccessful candidate may retake but will need to pay additional fees. The candidate will no longer be able to work under the temporary permit. (Alabama Nursing Practice Act, 1993) The activities that can lead to disciplinary actions of a nurse are denial, suspension, or revocation of your license. Abandonment is the acceptance of a patient assignment thus establishing a nurse patient relationship and then ending the nurse patient relationship without giving reasonable supervisory personal so that others can make other arrangement. Also the administrator complaint a legal document which contains notice of the time and place of an administrative hearing contains a statement of the charges against the applicant registered nurse licensed practice nurse advanced practice nurse continuing education provider, or nurse education provider , or nursing education program, and complies with the notice provisions. Also the assessments focused: and appraisal of a patient’s status and specific complaint through observation and collection of objective and subjective data by the registered nurse or licensed practical nurse. Focused assessment involves identification of normal and ab-normal finding, and anticipations and recognition of changes in patient’s health status and may contribute to a comprehensive assessment by the registered nurse. (Alabama Nursing Practice Act, 1993)

Board acceptable licensed health provider who has been accepted in advance by board staff to conduct a required an evaluation of a licensure for purpose of reinstatement of board lapsed licensed. The Board of Lapsed Licensed: an order the Board that lapses a license until identified conditions are met and the license is reinstated by order of the Board. The dual relationship anytime a nurse interacts with a patient outside the nurse patient relationship. Also sine a minatory penalty imposed by board. A letter of accomplishment is a letter from the board that addresses the areas of concern over the reported conduct and notifies the registered nurse licensed and practical nurse or applicant for the licensure that case has been cleared without discipline. (Alabama Nursing Practice Act, 1993) Also negligent or failure to exercise the cares of required by the applicable standard of care. Probation is the monitored practice of nursing that permits the nurse to continue practice pursuant to specified conditions as set forth by the Board. Professional Boundary behavior of the licensed nurse in maintaining a therapeutic relationship with the patient for the patients benefit rather than behavior that lessens the patient care and shifts the focus to licensed nurse. You can have revocation the withdrawal of the license by the Board action. Duty requirement or condition precedent can have suspension the temp withdrawal of the license by board action. (Alabama Nursing Practice Act, 1993) A voluntary Surrender is the voluntary relinquishment of a license that has the force or effect of revocation. The willful commission of an act or omission when the licensed nurse or applicant knows or reasonably should know that the act or commission violates the nurse practice act. (Alabama Nursing Practice Act, 1993) To continue your education and competency requirements for re-licensure is to have twenty-four contact hours every two years for the registered nurse. Also have twelve hours allowed through independent study. Your competency requirements for re-licensure is twenty four hours of mandatory provided course on board functions, the Nurse Practice Act regulators, professional conduct and accountability. (Alabama Nursing Practice Act, 1993) The requirements for school of nursing in Alabama are Alabama State Board evaluates Elsevier graduates on case by case bases. Direct License EC grads who have been LPN level Psychiatric and obstetrics clinical rotations are authorized to take NCLEX-RN. Endorsements since 2000 any graduate with significant numbers of hours RN experience may apply for and may be accepted for endorsements by the Alabama Board. (Alabama Nursing Practice Act, 1993) The composition and responsibility of State Board of Nursing each determines the specific administration responsibility and oversee the nurses and govern Board the state both the governor and a state agency. Another state official or organization board structures and decision to make powers and authority are also unique for each board individuals who their position state law dictates the membership of Registered Nurses, Licensed Practical Nurse, and Vocational Nurses, and Advanced practical Nurses consumers. All members meet often to oversee activities and take disciplinary actions on nurse’s licenses if necessary. The typical powers and duties enforcing the Nurse Practice Act are that the nurses Licensures are that Nurses in the U.S. are responsible for knowing nursing and the Nursing Practice Act. Accrediting or approving nursing education programs and universities developing practice standards and developing policies administration and rules and regulations. (Alabama Nursing Practice Act, 1993)

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(Alabama Nursing Practice Act, 1993)

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