Name: Date:
Overview: Standards of Nursing Practice
In this Module 2 assignment, you will review your own understanding of standards of nursing practice and their applications to nursing. The nurse must comprehend the minimum acceptable level of practice that is expected of them. Then, you will know if a rule or standard is being violated. Finally, you will evaluate a scenario based on the ANA’s and NCBSN 5 Rights of Delegation.
Refer to your course readings and lectures as you complete the assignment. The Standards of Practice Rule 217.11 can be found here. The 5 Rights of Delegation can be found here.
Objectives:
• Understand the TX BON Rule 217.11 Standards of Nursing Practice
• Apply basic knowledge to practice
• Demonstrate awareness of nursing actions that fail to meet the rule
• Evaluate a scenario for appropriate delegation
Rubric
Please see the rubric in Canvas for how your assignment will be evaluated.
Part 1
TX BON Rule 217.11, Standards of Nursing Practice, is what the BON expects of you as a practicing nurse. Define TX BON rule 217.11 in your own words. Why is this important?
Write at least 4 professionally written sentences for full credit.
Part 2
Patient safety is always our number one priority. A nurse has a duty to the patient to ensure safety. The “most important” actions a nurse can take is to follow the Rule 217.11 (1) (T) which- “holds the safety is nurse accountable to accept only those assignments that are within the nurse’s educational preparation, experience, knowledge, and physical and emotional ability.” Now that you are familiar with this rule, describe a time in which you were in a situation that violated this rule. What would you do if you were placed in those circumstances again? Write at least 4 professionally written sentences for full credit.
Part 3: Delegation
A. Please read the following scenario:
There was a registered nurse (RN) employed by a home healthcare agency. She was with a patient when she received a telephone call from a certified nursing assistant (CNA) who was employed at the same agency.
The CNA was at the home of a mutual patient and reported that her gastrointestinal (GI) tube had come out sometime during the night. The RN informed the CNA that the patient would need to go to the emergency department to have the tube re-inserted as it would be several hours before she could see the patient. The patient’s family didn’t want to take the patient to the emergency department but would instead wait for the RN to see the patient.
The CNA informed the RN that she had re-inserted several GI tubes when she was employed at a nursing home, so felt comfortable re-inserting this patient’s tube. The RN agreed to let the CNA insert the tube but advised her to not restart the feedings.
Approximately 45 minutes later, the CNA contacted the RN and affirmed that tube was re-inserted without difficulty and proper placement was confirmed.
When the nurse arrived at the patient’s home several hours later, she noticed that the patient was receiving tube feeding. When questioned, the daughter confirmed that she resumed the tube feedings shortly after the CNA left and denied being told to wait. The RN noted that the patient was complaining of abdominal pain and reported feeling nauseous.
On physical assessment, the patient’s abdomen was distended and positive for pain with abdominal palpation. After stopping the feeding, the nurse called 911 and the patient was transferred to the nearest hospital where she was diagnosed with peritonitis due to the GI tube being accidentally placed in the peritoneal space. (© Nursing Service Organization)
B. Fill out the table: Using the 5 Rights of Delegation according to the ANA and NCBSN, using complete sentences, evaluate which of the rights were violated in the above scenario.
FIVE RIGHTS EVALUATION
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Submit this Assignment Document into Canvas for grading.