Should the Incident Nursing Peer Review Committee (IBNPR) meet if the nurse voluntarily resigns or is involuntarily dismissed for practical reasons? Is the nurse entitled to due process as part of the peer review of care in the event of an incident when reporting to the BON in accordance with Tex? Occ. Code § 301.405 (b) or § 301.402 (b) is mandatory? [Tex. Occ. Code §301.405(c); Tex. Code Admin .217.19(f)(1)] Organizations that wish to establish or fundamentally revise their peer review policies and procedures for care may find it helpful to contact professional associations representing nurses or other similar health facilities. These organizations may have developed generic guidelines, forms, etc. for peer review in nursing for the benefit of their members and may offer this information for sale to the public. Upon request, the Committee must disclose written or oral submissions to the Committee`s Nursing Peer Review Committee and Records and Procedures at: For The Peer Review of Incident Care (IBNPR): The NPRC must not include anyone with administrative authority to make personnel decisions directly related to the nurse. Anyone with administrative authority to make personnel decisions that relate directly to the nurse cannot attend the IBNPR hearing (the only exception is that a person administratively responsible for screening the nurse may appear before the NPRC to testify about the conduct to be reviewed).
Minor incidents are discussed in detail in Commission Rule 217.16, also known as the Commission`s Minor Incident Rule. The BON believes that it may not be necessary to report directly to the Board if mechanisms are in place in the nurse`s practice to identify nursing errors, identify practice patterns, and take corrective action to address gaps in a nurse`s knowledge, skills, judgment, training, professional responsibility or patient advocacy. The purpose of the Minor Incident Rule is to provide guidance on assessing whether the failure of nursing practice is being reported. A nursing peer review committee may review the nursing practice of a Registered Practice Nurse (RPN), RN or Advanced Practice Registered Nurse (APRN). There are two types of nursing peer review: Please email or fax your request for a safe harbor PAS nursing peer review to the Nursing Council (Conseil or BON). The BON does not conduct a nursing peer review. The Safe Harbor Nursing Peer Review must be conducted by the Nursing Peer Review Committee of the institution or organization where the behaviour was requested/assigned. You must inform the supervisor requesting the conduct or engagement in writing that you are relying on the safe harbor by submitting your written safe harbor request to the supervisor who requested/assigned the conduct. The content of this notice must comply with the requirements of prompt application of the Safe Harbour. If a nurse is unable to complete a safe harbor quick request or other written form that meets the requirements of a safe harbor prompt request due to the immediate need for patient care, the nurse may verbally call the safe harbor by notifying the nurse`s supervisor of the request.
Upon receipt of oral notice of a Safe Harbour application, the nurse`s supervisor must document the requirements for a safe harbour prompt application, which must be signed and certified by the requesting nurse and the supervisor of the nurse who prepared the written protocol. A detailed written report on the safe harbor application that meets the requirements of the full written request for safe harbour peer review of care must be completed before leaving the work environment at the end of the work period. Please read the instructions on the Nursing Peer Review Form for the complete Safe Harbor application. The forms provided by the BON are intended to be a useful resource to ensure that you include all the necessary information in your application. Remember that you are not obliged to use the forms provided by the BON. However, your application must be in writing and contain the information described in paragraph 217.20(d) of the Commission. To determine whether multiple minor incidents are a reason to report the nurse to the Nursing Peer Review Committee or the Board of Directors if the practice does not have peer review for nursing, an assessment should be conducted to determine whether the minor incidents indicate a practice model that shows that the nurse`s continued practice poses a risk of harm. Can the employer take disciplinary action before conducting an incident-based nursing peer review? [Tex. Occ. Code §301.405(e)] If the remedy necessary to address the gaps in the knowledge, judgment, skills, professional responsibility or patient advocacy of the nurse who contributed to the incident is not completed by the nurse, the nurse must be reported to the nursing peer committee or board of directors if the practice does not have a nursing peer review. (Note: If it has been determined that the solution would not address the identified deficiencies in knowledge, judgment, skills, professional responsibility or patient advocacy of the nurse who contributed to the incident, the behaviour cannot be considered a minor incident and must be reported to the nursing peer committee or board of directors if the practice does not have a peer review in nursing.) What procedural rights does the Nursing Peer Review Committee have to grant to the nurse who is the subject of an Incident-Based Nursing Peer Review (IBNPR)? [Tex. Admin.
Code §217.19(d)] What records should a chair of a nursing peer review committee keep and for how long? What records should the Chair of the Nursing Peer Review Committee send to the Board when it is summoned to send all peer review files for the nurse being reviewed? For Safe Harbor Nursing Peer Review (HRPHS): The NPRC may not include one or more individuals with administrative authority to make personnel decisions that directly affect the nurse. A CNO, nurse administrator or other person with administrative authority over the nurse, including the person who requested the behaviour or performed the task for which the nurse examined relied on the PSR, may appear before the committee only as a factual witness. Yes. Tex. Admin. Paragraph (h) of section 217.16 of the Code defines conduct that does not fall within the definition of a minor incident and that must be reported to a nursing peer review committee or to the board: the committee encourages nurses and other minor incidents NOT to report directly to the board, unless such a report is required because the conduct “ignores a material risk, the patient or other person who causes significant physical, emotional or financial harm or the potential for such harm” OR “meets the definition of reportable conduct”. In this context, the Minor Incident Rule is not intended to prevent the reporting of potential violations directly to the Board of Directors or a Nursing Peer Review Committee (NPC). A facility that conducts a peer review of incident care must have written policies and procedures in place at Tex. Admin can be found. Code § 217.19(d)(2) shall address confidentiality and safeguards to prevent inappropriate disclosures, including the written agreement of all parties to comply with NPR and Tex law.
Admin. Code § 217.19 (h). CNO/Nurse Administrator must ensure that policies are in place for the sharing of information and documents between an incident-based NRC and a Patient Safety Committee [see Tex. Admin. Code §217.19(h)(3)]. A nurse who works through a temporary employment agency or contractor may be subject to peer review by the institution where the services are provided, the compensation organization, or both. For the purposes of information sharing, the Nursing Peer Review Committee, which reviews conduct, is deemed to be established under the supervision of both, so that the confidentiality requirements of the nursing peer review are enforceable against any nurse participating in the nursing investigation or peer review process. Both companies may choose to enter into a contract on which the entity will conduct an incident-based nursing peer review of the nurse. Tex.
Admin. Code §217.16(d)&(e) describes how to assess whether conduct is a minor incident. A combination of factors must be examined, including the nurse`s behaviour, factors beyond her control, and the relationship between the two that influenced or influenced the break in nursing practice. Please DO NOT send or fax your request for Safe Harbor Care Peer Review Documents to the Board of Nursing. .