(( You can just edit this doc to enter the answers with each question and I can copy/paste into my assignment sheet)).
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 BOTH PARTS ARE COMPLETE
Performance Objectives:
Apply the Minor Incident Rule to specific incidents.
Describe the due process protections for a nurse who is peer-reviewed.
The chart below is the grading Rubric
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)
Read the following scenario and then answer the questions that follow
You are on your hospitals Peer Review Committee (PRC). You are reviewing Nurse As 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. List the 4 criteria that are essential in determining if an incident is not minor.
B. Minor Incident? Apply the facts of the case to each criterion above. 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
Part 2: Applying Rule 217.19 Incident-Based Peer Review
Read the following scenario and then reflect upon the actions it portrays.
Last module the chairperson of your hospitals Peer Review Committee (PRC) passed you in the hallway and said Im glad I ran into you. Youre going to be peer-reviewed. The chairperson
continued saying Your manager found out that you called the Texas Department of State Health Services two months ago and reported that LVNs were being allowed to do the complete initial
assessment on patients. Also you made some medication errors over the past couple of months. Ill let you know when the meeting is to occur.
You heard nothing more about the PRC meeting. Today the chairperson came to you and told you that you had been reported to the Texas Board of Nursing. She said It was just felt by the work
group that you are a troublemaker and lack the skills to practice due to your med errors. Im also giving you a heads up that you are going to be put on suspension for at least three days by your
unit manager.
Applying Rule 217.19 what if any violations of the rule occurred in the above scenario?
A. No the scenario does not describe violations of Rule 217.19. Explain which parts of the scenario might cause questions but why they are not violations of Rule 217.19. You will lose major
points if explanation with critical thinking is not provided. (If you believe that violations did occur leave this space blank and proceed to the next section.)
B. Yes violations occurred. First review your learning about incident-based peer review. First list the criteria from Rule 217.19 that were violated. Then following that explain how each
criterion was violated.
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