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Lucy Terrones

on 7 December 2012

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Transcript of GA NPA

GA Nurse Practice Act: Rules, Regulations, & Responsibilities of the RN Heather Payne, Edson Saintis, Jung Song, Ashley Starner, Lucy Terrones, Tatyana Turbayevskayva >The result was the Armstrong Bill, which became a law on April 27, 1903
-Established a uniform and definite basis for nursing
-Protected the title of “nurse”
-This was essentially known as the first Nurse Practice Act. >Prior to the industrial revolution, just about anyone could call themselves a nurse.
>Nursing leaders wanted to legitimize nursing as a profession by:
-Limiting the number of people hired out to be nurses
-Raising the quality of professional nurses
-Improving educational standards
>The New York State Nurses Association met on October 21, 1902 to create legal credentialing mechanism for the profession of nursing. A Brief History >A set of laws enacted to protect the PUBLIC from harm by:
-Defining the formal education needed to practice a particular level of nursing
-Setting standards for licensure
-Setting Regulations for the practice of nursing
>Gives the Georgia Board of Nursing the authority to enforce laws to regulate the nursing profession. What is the GA Nurse Practice Act? >Boards of Nursing are state governmental agencies whose sole purpose is to protect the public's health and welfare by overseeing and ensuring the safe practice of nursing.
>The Georgia Board of Nursing is made up of 8 Governor appointed members, 7 registered professional nurses working for five or more years in the field, and one consumer member. These members are responsible for regulating all registered professional nurses.

The board must:
>Be appointed by state government.
>Have met the following civil criteria:
-Must be older than 21 years of age
-Be of good moral standard
-Be a citizen of USA
-Resides in the State
>Meet professional criteria. Board Composition >The Board shall hold at least four scheduled meetings each year.
>Every year the board elects a president and vice president from the members.
>An agenda shall be comprised of items submitted for Board review at least ten (10) working days before the meeting.
>The majority of the Board members shall constitute a quorum. Meetings, Officers, and Duties >Board members develop rules and regulations that set the standards for nursing practice and education
>Board meetings are open to the public and are generally held at the Office of Secretary of State.
>Enforce nurse licensure
>Periodic evaluations of nursing education programs
>Approve (or deny) an educational nursing program in accordance with requirement
>Develop practice standards
>Develop rules and regulations
>License duly qualified applicants by
examination, endorsement, or
>Issue temporary permits Responsibilities of the Board >Renew licenses of registered professional nurses
>Implement the disciplinary process
>Provide consultation, conferences, forums, studies, and research on nursing education and nursing practice
>Be authorized to collect data regarding existing nursing resources in Georgia Responsibilities of the Board Use of the Title R.N. and A.P.R.N >Any person licensed as a registered professional nurse must identify themselves by either:
-Displaying the title “registered professional nurse” or “registered nurse”
-Displaying the abbreviation “R.N.” or “A.P.R.N.”
>Must be displayed on a name tag or another form of identification while providing care.
>A.P.R.N.’s may also identify their area of specialization Title Must Be Displayed >College or university must hold regional and specialty accreditation by the United States Secretary of Education.
>Specific requirement for LPNs, paramedics, and military medical corpsman. NONTRADITIONAL NURSING EDUCATION Requirements to Obtain a License as a Registered Professional Nurse >Degree or certificate from a nursing education program that has been approved by the state, such as:
-University System of Georgia
-Technical College System of Georgia
-Both accredited by the Commission on Colleges of the Southern Association of Colleges and Schools
-Nonprofit postsecondary institution of higher education accredited by the US Department of Education
-Postsecondary institution of higher education meeting criteria approved by the board Education >Pass a board recognized licensing examination
-National Counsel Licensure Examination (NCLEX)
>Examination cannot be taken before graduation
>Examination does not substitute an education program Examination >Submit application with intent to obtain a nursing license to licensing board
>$40 fee for application
>$200 fee to take NCLEX Application >Pass comprehensive background check
>Undergo state and federal fingerprint checks
>Disclose any substance abuse disorder within the past five years Background Screening >A temporary permit may be issued to an applicant for licensure by examination, endorsement, and reinstatement.
>A six-month temporary permit may be issued to a graduate of a nontraditional nursing. education program to practice nursing only as a part of his or her board approved preceptorship.
>Temporary permits may only be
renewed one time for an additional
six-month period. Temporary Permits >Licenses are renewed biennially according to schedules and fees approved by the board.
>The voluntary surrender of a license or the failure to renew a license by the end of an established penalty period
has the same effect as
>The board may restore
and reissue a license. Biennial Renewal of Licenses >It’s a misdemeanor for individual, corporation, and association, to practice:
-Without a valid and current license
-Under cover of any diploma, license, or record illegally or fraudulently obtained, signed, or renew
-Use any abbreviation, figures, letters, title, sign, card, or device implying a registered professional nurse.
-Fraudulently furnish a license
-Knowingly employ any person to practice
-Conduct a nursing education program
to prepare persons to practice nursing
unless program is approved Practicing as registered professional nurse without a license >The board has the authority to refuse to grant a license to an applicant, to revoke the license of a licensee, or to discipline a licensee upon a finding that the applicant or licensee has:
-Been convicted of any felony, crime involving moral turpitude, or crime violating a federal or state law relating to controlled substances or dangerous drugs in the courts of this state, territory, or country, or in the court in the United States; or
-Displayed an inability to practice nursing as a registered professional nurse with reasonable skill and safety due to illness, use of alcohol, drugs, narcotics, chemicals, or any other type of material, or as a result of
any mental or physical condition
-In addition, upon reasonable grounds, the board may
require a licensee or applicant to submit to a mental or
physical examination by a board approved health care
professional Denial or Revocation of licenses -Moral character lapses
-Betha-Tumani v. Bureau of Professional and Occupational Affairs
-Financial improprieties or failure to file acute and timely tax returns
-Failure to pay spousal or child support or student loans
-Driving under the influence >Public Information
-Reported to the National Practitioner Data Bank of Health Resources and Services Administration
-Listed on state’s website for disciplined nurses
-May also be put on the list of excluded or disqualified providers
-Makes a person unemployable!!!
>Becomes a part of your permanent record
>Decisions are final
-But the offender has the right to appeal! Disciplinary Action >A certified registered nurse anesthetist may administer anesthesia under the direction and responsibility of a duly licensed physician in the state of Georgia.
>A certified registered nurse Anesthetist provides care before, during, and after surgery, childbirth, and other medical procedures.
>CRNAs and physicians provide the same services
>Today, there are over 30.000 CRNAs in the United States
>To become a CRNA, one must first have a BSN, a RN license and at least one year of experience in an acute care setting
>Nurse anesthesia is a master’s degree program and is often extremely competitive
>The CRNA program generally lasts 24 to 36 months
>Generally speaking, CRNAs are paid the most of any
advanced practice nurses
>Assisting in an emergency or disaster
>Caring for sick family members or friends
>Caring for the sick through a religious denomination by teaching reliance on spiritual aspects such as prayer
>Auxiliary services
-As long as it does not require the skills and knowledge of a registered professional nurse
-OR it is performed under orders of a licensed person Exceptions to Practice Nursing >An off duty registered professional nurse, licensed in another state and employed by the government
>A professional nurse, licensed in another state that is visiting GA may provide specific, non clinical, short term, time limited services
>A registered professional nurse, licensed and employed in another state may transport clients in GA
-As long as it does not exceed 24 hours Exceptions to Practice Nursing DECISION TREE DECISION TREE >Does the client’s health status and situation involve complex observations or critical decisions that require the knowledge and skills of a professional nurse?
-YES DO NOT assign

>Are the results of the task reasonably
-NO DO NOT assign

>Has the RN verified that the UAP has
the knowledge and skills necessary to
accept assignment?-YES You may assign
-NO DO NOT assign to that UAP Henri Fayol’s Principles of Management:
>Management-ability to forecast and plan, to organize, to command, to coordinate, to control
>Functions of an administrator Nursing/Management Theory Rensis Likert’s Causal Variables:
>Leadership behavior
>Organizational structure
>Policies and controls Nursing/Management Theory
-Application for licensure by exam graduates of GBON approved nursing programs and traditional nursing programs. (2012). Georgia Secretary of State, Downloadable forms. Retrieved from http://sos.georgia.gov/cgi-bin/plbforms.asp?board=38
-Breitenfeld, D. A., & Winfrey, T. (2008). Certified registered nurse anesthetists’ perception of current efforts to resolve the anesthesia provider shortage. Retrieved from http://libproxy.northgeorgia.edu/login?
-Booyens, S. (2007). Dimensions of nursing management. (2nd ed., pp. 126-127). CapeTown, South Africa: Juta & Company LTD. Retrieved from
-Brous, E. (2012, November). Professional licensure: Investigation and disciplinary action. American Journal of Nursing, 112(11), 53-60. http://dx.doi.org/10.1097/01.NAJ.0000421027.92789.95
-Brous, E. (2012, October). Common misconceptions about professional licensure. American Journal of Nursing, 112(10), 55-59. http://dx.doi.org/10.1097/01.NAJ.0000421027.92789.95
-Cleghorn, J. (2012, May-July). The Georgia Board of Nursing: Here to Serve. Georgia Nursing, 72(2), 6-6. Retrieved from https://resource.gsc.edu/login?url=http://search.proquest.com /docview/1010053681?accountid=11023
-Georgia Board of Nursing. (2012). Denial or revocation of licenses; other discipline. Retrieved from http.sos.georgia.gov
-Georgia Registered Professional Nurse Practice Act. (2012). Title 43. Professions and Businesses. Retrieved from http:// sos.georgia.gov/acrobat/PLB/laws/38_RN%20Georgia%20 Code%20Updated%20-%207-2012.pdf
-Lachman, V. D. (2012). Applying the ethics of care to your nursing practice. MedSurg Nursing, 21(2), 112-116. Retrieved from http://ehis.ebscohost.com
-Mangin, M.E. (2012, June). You’re being investigated by you state nursing board. The American Journal of Nursing, 112(6). http://dx.doi.org/ 10.1097/01.NAJ.0000415118.31240.aa
-Matthews, J. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1). Doi: http://dx.doi.org/10.3912/OJIN.Vol17No01Man03
-McDougal, B., Bitz, K., Deorouen, S., Nagel, J., Thomas, K., Newman, B., Filippone, J. L. (2011). The 2011 uniform licensure requirements for adoption. Journal of Nursing Regulation, 2(3), 19-22. Retrieved from http://ehis.ebscohost.com/eds/ pdfviewer/pdfviewer? sid=567c8c94-9676-4a66-bae4-2fc92f262a41%40sessionmgr112&vid=3&hid=121
-Nursing and Susan B Anthony. (2009). Retrieved from http://susanbanthonyhouse.org/her-story/nursing.php
-Roussel, L. (n.d.). Concepts and theories guiding professional practice. (pp. 19-48). Retrieved from http:// www.jblearning.com/samples/0763757144/57144_ch02_018_049.pdf
-Russell, K. A. (2012, October). Nurse Practice Acts guide and govern nursing practice. Journal of Nursing Regulation, 3(3), 36-40. Retrieved from http://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?sid=456b5080-e8fc-4f7c-b880-9f65cdc8b72c %40sessionmgr115&vid=5&hid=121
-Silvestri, L. A. (2011). Saunders comprehensive review for the NCLEX-RN examination (5th ed.). St. Louis, MO: Elsevier Saunders.
-Townsend, M. C. (2009). Psychiatric mental health nursing (6th ed.). Philadelphia, PA: F.A. Davis Company References Questions? Thank You! >R.N. May only be used by people who are licensed as a registered professional nurse
>A.P.R.N. May only be used by those who are recognized by the board as an advanced practice registered nurse Nontraditional Nursing Education >Is the care and activity to be performed based upon orders or directions of a licensed physician, licensed dentist, licensed podiatrist, or person licensed to practice nursing as a registered professional nurse?
-NO DO NOT assign
>Does performance of the task require
licensure in another health care profession?
-YES DO NOT assign
>Does the task require the knowledge and
skills of a person practicing nursing as a
registered professional nurse?
-YES DO NOT assign
-NO May assign
>Can the task be safety performed According to exact, unchanging directions?
-NO DO NOT assign Visit PEARSON VUE at www.pearsonvue.com
to register for the NCLEX

Visit the Georgia Secretary of State at www.sos.georgia.gov to apply for licensure NCLEX Registration and License Application Non-Clinical Actions (To Gotye and Kimbra’s “Somebody That I Used to Know”) All the Things We’re Gonna Want To Know Leaders wanted to legitimize

The profession in the public’s eye

So they passed what is now known as the Nurse Practice Act
Now and then I think pre-industrial revolution

No regulations, anyone could call themselves a nurse Leaders wanted to legitimize

The profession in the public’s eye

So they passed what is now known as the Nurse Practice Act
It discusses RN rules, regulations, and responsibilities

A set of laws protecting the public from harm It defines formal schooling

For a particular level of nursing

It also includes regulations for licensure
In order to get our licenses

Finish nursing school with at least a 75 average
Shell out two bills to take the NCLEX

Remember we need a 75 on that one too Then it’s on to background checks

Don’t forget to get fingerprints done as well

When graduation comes around
Renew your license every two years and pay them their fee

Be on your best behavior so you don’t get it revoked These are all the things we’re gonna want to know
These are all the things we’re gonna want to know
These are all the things we’re gonna want to know If this is something you forget to do
They’ll take your license away from you
So make North Georgia proud
Don’t you dare do anything unprofessional
In order to get our licenses

Finish nursing school with at least a 75 average
Shell out two bills to take the NCLEX

Remember we need a 75 on that one too Then it’s on to background checks

Don’t forget to get fingerprints done as well

When graduation comes around
These are all the things we’re gonna want to know

These are all the things we’re gonna want to know
All the things
(We want to know)
All the things
(These are all the things we’re gonna want to know)
Full transcript