13 May N3375 Module 3: Assignment- Minor Incident and Peer Review
Submit by 2359 (CT) Saturday of Module 3.
Name: Date:
Overview: Peer Review
In the Module 3 Reflection Assignment, you will reflect upon what you have learned about the Minor Incident Rule and Peer Review Committee processes as you consider the actions of fictitious nurses and committee members in scenarios. REMEMBER, YOU ARE USING THE TEXAS BOARD OF NURSING RULES, NOT THE STATE YOU LIVE IN.
Refer to your course readings and lectures as you complete the assignment. Please use this link for the Texas BON Rule 217.16. Please refer to this link for Texas BON Rule 217.19.
Objectives:
• Differentiate between the the Minor Incident Rule (217.16 a) vs. a Reportable Incident (217.16 h)
• Describe the due process protections (Rule 217.19) for a nurse who is peer-reviewed.
Rubric
Please see the rubric in Canvas for how your assignment will be evaluated.
Part 1: Applying Rule 217.16
A. Let’s review what deems a Minor Incident (217.16 a) vs. a Reportable incident- (217.16 h)-
A minor incident is- 217.16(a)- nurses’ actions may be a violation of a board rule, but does not indicate the nurses continued practice poses a risk of harm to a patient or another person.
A reportable incident is- 217.16(h)- conduct that falls outside of the definition of a minor incident and must be reported to a Peer Review Committee or Board of Nursing.
Let’s come up with an easy way to remember what a minor incident is in case you are ever in this situation, whether this happens to you or you are participating on a peer review committee evaluating a fellow nurse’s actions. Think about the word “harp.”
• H- no significant Harm
• A- nurse must take Accountability
• R- easily Remediated
• P- no Pattern of this behavior
However, these minor incidents still must be documented, tracked and remedied. The nurse must be reported to the nursing peer review committee if a nurse commits five (5) minor incidents within a 12-month period.
B. Look at this case study scenario below.
“Nurse Karen is caring for a newly admitted 67-year-old male patient with infectious endocarditis due to a bacterial infection of his prosthetic heart valve. After blood cultures come back positive for staphylococcus aureus, IV Vancomycin is ordered. He tells Nurse Karen and the doctor that the last time he got this medication, he experienced hives and hot, itchy skin but he was not allergic to it. The doctor ordered the medication to be infused slowly as to avoid Red Man Syndrome (500 mg IV bag at a rate of two hours as opposed to the standard one hour). Karen sets the IV pump incorrectly, and the infusion is given within a 30-minute period. She calls the doctor and immediately gives 50 mg diphenhydramine and ranitidine 50 mg via IV with orders. The patient experienced mild flushing, but the episode resolved within 20 minutes. Karen is a well-seasoned nurse with over 20 years of experience and no prior history of incidents. She took immediate responsibility for this error when meeting with the unit manager. Karen will now need another RN to witness and sign when she administers IV medication for the next 60 days. Karen agrees to this plan.”
C. Based on your assessment of the criteria, was this a Minor Incident or reportable event? Why or why not? Please write four (4) professionally written sentences with examples from the Rule to support your thoughts for full credit.
Minor or Reportable?
Why? Or Why not? Include examples from the Rule.
Part 2: Applying Rule 217.19 Incident-Based Peer Review
First, review your learning about incident-based peer review (IPBR). The purpose of an IBPR is to determine whether a nurse should be reported to the Texas Board of Nursing (BON) for professional misconduct or licensure violations based on one or more such events.
“Nurse Sam is charting at the nurse’s station where there are co-workers, physicians and a unit secretary gathered. Sam and the nurse manager have not been seeing eye to eye lately (verbal altercations both in the halls and in the cafeteria recently). The nurse manager approaches Sam and loudly states, “I am glad you are here. Just to let you know, the Incident Based Peer Review Committee is meeting tomorrow, and we are investigating your recent questionable behavior. I know you have made many recent medication errors and safety violations noted by the Patient Safety Committee. I also heard you are dating that patient who was in Room 256B last month. I thought you would want to know this was happening, you could be in big trouble and probably fired. I don’t have anything official to give you, but you better find a lawyer, although I doubt you can with this short notice.”
Refer to the Rule listed below.
Rule 217.19 a (2) Bad Faith- knowingly or recklessly acting without the supported of reasonable or legal basis, misrepresenting the facts surrounding the facts under review, acting out of malice or personal animosity towards the nurse, acting from a conflict of interest, or knowingly or recklessly denying due process.
How did this nurse manager violate the IBPR based on this rule? Please write four (4) professionally written sentences with examples from the Rule to support your thoughts for full credit.
Submit this Assignment Document into Canvas for grading.
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