Health Policy & Legal Aspects

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 Peer Review Committee processes and Texas Board of Nursing rules 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.

ALSO, THERE ARE 2 PARTS TO THIS ASSIGNMENT. PLEASE MAKE SURE YOU COMPELTE BOTH PARTS.

Refer to your course readings and lectures as you complete the assignment.

Performance Objectives:

· Apply the Minor Incident Rule to specific incidents.

· Describe the due process protections for a nurse who is peer-reviewed.

Rubric

Use this rubric to guide your work on the assignment, “Peer Review.”

Task	Accomplished	Proficient	Needs Improvement
Part 1 Reflects upon applications of Rule 217.16 (Total 50 points)	List the correct criteria, accurately explains application of criteria clearly, and arrives at correct decision. (50 points)	Lists the correct criteria, accurately explains application of at least two criteria, and arrives at correct decision. (40 points)	Incorrectly lists criteria, or inadequately explains at least two applications of criteria, or arrives at incorrect decision.(25 point)
Part 2 Reflects upon applications of Rule 217.19 (Total 50 points)	Correctly judges and clearly explains each violation, or correctly states that no violation occurred. (50 points)	Correctly judges and explains at least one violation, or correctly states that no violation occurred. (40 point)	Incorrectly judges whether violations occurred. (25 points)

Part 1: Applying Rule 217.16 Minor Incidents

Read the following scenario and then answer the questions that follow

You are on your hospital’s Peer Review Committee (PRC). You are reviewing Nurse A’s practice. She works on the pediatric unit. In the past, Nurse A has practiced safely without incidents. However, four months ago, Nurse A gave immunizations to five pediatric patients (3 months, 9 months, 2 years, 4 years, and 5 years of age). She used a vial of Hepatitis B vaccine that had been expired for 30 days but still was being stored in the unit refrigerator. She gave the five immunizations within a few minutes of each other, and she got the vial from the refrigerator only once (i.e., She did not take it out and replace it five times). She took responsibility for the errors when she was informed by her unit manager.

Should Nurse A be reported to the BON?

Apply the Minor Incident Rule to reach and support your decision

A. Criteria. First, review your learning about minor incidents – those which are NOT reportable to the BON. In the first column of the table, list the 4 criteria that are essential in determining if an incident is not “minor.”

Criteria that determine an incident is NOT minor (Rule 217.16)	Explanation of whether or not the facts determine that the incident is NOT minor

B. Minor Incident? Apply the facts of the case to each criterion above. In the second column of the table, record your explanation as to whether the facts support or do not support each of the criteria.

C. Your Decision. Record whether, as a member of the Peer Review Committee (PRC), you would vote to report or not report Nurse A to the Board of Nursing. (Insert an X in the box that reflects your decision.)

Report

Not report