HEAL Conference 2015 - PowerPoint Presentation

Slide1

HEAL Conference 2015

Presented by:LaDonna Patton, MSN, RN, CENSlide2

Objectives

Identify new or problematic issues for the ABN as applicable to

H

ealth

Care Educators.Review existing ABN Rules for specific situations.Slide3

ABN Mission

The mission of the Alabama Board of Nursing is to safeguard and promote the

health

,

safety and welfare of the public through

licensing and approval of qualified individuals and adopting and

enforcing

legal standards for nursing education and nursing practice.Slide4

Alabama Board of nursing

What does the ABN do? And why?

The Board consists of thirteen members

Eight (8) RNs

Two (2) Advanced Practice

Three (3) Nursing Practice

Three (3) Nursing Education

Four (4) LPNs

Two (2) AFLPN members

Two (2) LPNAA members

One (1) consumer

ALL are appointed by the GovernorSlide5

The Nurse practice act

&

The ABN Administrative codeSlide6

NPA

The Act (Law) which allows for the existence and functioning of the ABN

Contains 5

articles:

General ProvisionsLicensesContinuing EducationPost-Baccalaureate Scholarships

Advanced Practice Nursing

ABN Admin Code

C

ontains the rules and regulations

adopted by the Alabama Board of Nursing and provides for the implementation of the Alabama Nurse Practice Act. It contains the detail to enforce the NPA.

A.K.A

. “The Rules”Slide7

NPA

Code of Alabama

1975,

§ 34-21-2(j)(1)

The board may adopt and, from time to time revise such rules and regulations, not inconsistent with law, as may be necessary to carry out this chapter.

Code of Alabama 1975, § 34-21-2(j)(21)Adopt standards for registered and practical nursing practice and for continued competency of licensees.

ABN Admin CodeSlide8

Scope of Practice

The scope of an individual

_________

nurse’s

level of practice includes but is not limited to: (a) Educational preparation, initial and continued.

(b) License status, including Board approval for advanced practice nursing as detailed in Chapters 610-X-5 and 610-X-9 of these rules.

(

c)

State and federal statutes, and regulations. (d) State and national standards appropriate to the type of practice.

(

e)

Nursing experience.

(

f)

Limitations on scope as determined by facility policy and procedure.

(

g)

Demonstrated competence.

(

h)

Knowledge, skills, and ability to manage risks and potential complications.Slide9

APNs

STANDARDS of Practice are specific to

RN

R

ole (CRNP, CRNA, CNS, CNM) Specialty Certification

Joint Committee Meets Every Other MonthMakes RECOMMENDATIONS to ABN/BMECollaborative Practice Rules/

Regs

Practice ProtocolsFormularySlide10

School Nurses

ABN Administrative Code

§ 610-X-7-.02

Delegation by School NursesMed admin by unlic personnelABN Administrative Code § 610-X-7-

.10Delegation of Insulin & Glucagon Administration in the School SettingSlide11

Disciplinary Process

Complaint

NOI/LOA

Investigation

Nurse ConsultantAttorneySlide12

Disciplinary Process

Types:

Public Reprimand

ProbationSuspensionRevocation

Occurs in 1 of 3 ways: VSConsent OrderAdministrative HearingSlide13

Pre-Conference

SurveySlide14

CHEST TUBES

Chest Tube

Mgmt

is

NOT a part of basic (RN) NSG EducationUnit/Facility specificIn order to pull Chest Tubes, an RN must complete a Standardized Procedure

PRECEPTING CE

NO

Alabama Board of Nursing Administrative

Code Section 610-X-10-.03(2)(e)Slide15

CE Audit

Completely Random

Computer-generated

Notice of Audit:

Certified MailSlide16

CE Audit

Certified Mail Returned

Email

Phone call

If unable to reach?

Audit failure letter via regular mailLEGAL CASE

Certified Mail NOT Returned

If no response has been received

Letter for non-responseIf licensee responds at that time:

$150 Late CE Fee

Applies regardless if pass/fail

If fails to respond OR fails Audit:

LEGAL CASESlide17

CE Audit

ABN Provider

If nurse has

ALL

ABN Provider CE electronically submitted, nurse would only receive letter notifying of CE Audit passageBut, if a single portion of CE was NOT electronically submitted, nurse must comply with Audit as requestedPast 2

yrs, some have also been notified by Cert Mail of CE Audit due to computer glitch where ABNP was coded incorrectly!Slide18

CE Providers

If a nurse needs help with documentation for an Audit, what should the provider provide to the nurse?

My question would be, what was the way that CE was credited/awarded in the first place???

Electronically submitted?

Certificate?Worst case: sign in sheet?Slide19

CE Questions

Is there a feedback loop to confirm communication that transpired?

Licensees & Providers are maintained in ABN Database

PHONE CALLS: Summary entered into Journal

CHAT: Transcript available at end of chat Slide20

CE Update

New/Revised Forms & CE Process?

CE Chapter is due for review this year

Changes will occur!

New information will be given once the rules are updatedCHEAT SHEET: Currently being created for uploading CE data to ABNFollow the current application & provide only what is neededSlide21

Delegation

Specifically regarding

Nurse Extenders

Tasks delegated to UAP may not include tasks that require… the assistance with medications except as provided in Chapter 610-X-7.

ABN Administrative Code 610-X-6-.11 Assignment, Delegation, & SupervisionSlide22

DelegationSlide23

Tuberculin Skin Tests (TST)

Current LPN education includes instruction on Intradermal administration & interpretation

LTC Deficiency concerns???

ADPH Health Care Facilities Rule: 420-5-10-.17

CMS Provider Certification: Tag F441BOTH reference facility’s establishment of Infection Control ProgramWhat does the facility’s POLICY say?Slide24

COMMENTS

I want to know your issues with CE!!!

As a LICENSEE

As a CE Provider

If you could change ONE thing about CE, what would it be? WHY???Slide25

LaDonna Patton, MSN, RN, CEN

334-293-5223

ladonna.patton@abn.alabama.gov