Question

Outline the process for the development of nursing standards of practice in Texas, including discussion of the entities involved in developing the standards of practice and how the standards of practice influence the nursing process in the emergency department

Answer 1

1. Know and confirm to Texas nursing practice and the boards rules and regulations as well as all federal,state or local laws,rules or regulations affecting nurses current area of nurssng practice
2. Implement measures to promote a safe envioornment for clients and others
3. Know the rationale for and the effects of medications and treatments and shall correctly administer the same
4. Accurately and completely report and document

• the clients status including signs and symptoms
• nursing care rendered
• physician,dentist or podiatrist orders
• administration of medications and treatments
• client responses and contacts with other health care team members concerning significant events regarding client status

5,Respects the clients right to privacy by protecting confidential information unless required or allowed by law to disclose the information

6,Promote and participate in education and counseling to a clients and where applicable the family/significant others based on health needs

7,Obtain instruction and supervision as necessary when implementing nursing procedures or practices

8,Make a reasonable effort to obtain orientation/training for competency when encountering new equipment and technology or unfamilier care situations

9,Notify the appropriate supervisor when leaving a nursing assignment

10,Know,recognise and maintain professional boundaries of the nurse -client relationship

11,Provide withoiut descrimination,nursing services regardless of the age,disability,economic status.gender,national orgin,race,religion,health problems, or sexual orientation of the client served

12,Institute apprpriate nursing interventions that might be required to stabilize a clients condition and prevent complications

13,Clarify any order or treatment regimen that the nurse has reason to believe is inaccurate non-effacious or contraindicated by consulting with the appropriate licenced practioner and notifying the ordering practioner when the nurse makes the decision not to administer the medication or treatment

14,Implement measures to prevent exposure to infectious pathogens and communicable conditions

15.Colloborate with the client members of the health care team and when appropriate the clients significant others in the interest of the clients health care

16,Consult with ,utilise and make referrals to appropriate community agencies and health care resources to provide continuity of care

17,Be responsible for ones own continuiing competence in nursing practice and individual professional growth

18.Supervise nursing care provided by others whom the nurse is professionaly responsible

REGARDING EMERGENCY CARE

1. Decision making is automatic,fast and reliable
2. Recognition and timing is no longer a problem
3. Able to judge and apply context intuitively and instinctively
4. Able to quickley identify the first best option -satisfactory option simply comes to mind
5. Very efficent at reducing uncertainity
6. Able to see the situation ,goal and options based on minimal cues