Leadership

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Leadership Management Unit I

• Julie E. Davis BSN, RN

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Part A

• Nurse Practice Act
• Missouri State Board of Nursing

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Nurse Practice Act

• Defines nursing practice in your state
• Establishes standards for nurses
• Ignorance of the contents of the NPA will NOT
  stand up in court
• Knowledge of your states NPA is your best legal
  defense

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Content of Nurse Practice Act

• Definition of nursing
• Definition of LPN (LVN)
• Use of the title of LPN or LVN
• Elements of unprofessional conduct
• Functions of the State Board of Nursing

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NPA Reciprocity (Endorsement)

• Acquiring a license in another state without
  having to retake boards
• Must be licensed in another state
• Must meet requirements in new state
• Temporary permit shall be issued until process is
  complete
• Temporary permit only good for 12 months (State
  Board website- 6 months)

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NPA License Renewal

• Renewal applications will be mailed to everyone
  who holds a license
• RN renewal on odd years LPN renewal even years
• License expires April 30th of those years
• If you lapse and continue practicing, you will
  considered to be practicing without a license

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NPA Reasons for Denial

• Use/possession of controlled substance
• Fraud, dishonesty, violence, offense involving
  moral turpitude
• Obtaining certificate/license by fraud,
  deception, misrepresentation or bribery
• Incompetency, insane, violation of professional
  trust/confidence, placement on employee
  disqualification list
• May be issued an initial probationary license

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NPA Reasons for Revocation

• Same as reasons for denial
• Must wait one year from date of revocation to
  apply for re-licensure
• Board will notify licensing authority in other
  states
• Licensed are pulled or taken away
  indefinately
• See MoSBON bulletin

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NPA Suspension

• The nurse must stop practicing nursing
• The period cannot exceed 3 years
• See MoSBON newsletter

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NPA Probation

• Licensee may continue to practice but are given
  either a set of restrictions or must meet certain
  conditions
• The terms conditions can extend for up to 5
  years
• See MoSBON newsletter

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NPA Censure Voluntary Surrender

• Censure-Least restrictive basically a public
  slap on the wrist (but it stays on your record)
• Voluntary surrender- licensee voluntarily gives
  up their license

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Missouri State Board of Nursing Functions

• Licensing certifying nurses
• Setting fees
• Establishes standards for nursing programs
• Determines duration renewal of license
• Maintain inactive list of licensees
• Carry out disciplinary action for violators
• Develop programs for impaired nurses
• Suspends/revokes license deals with appeals
  process

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MoSBON Disciplinary Responsibility 8 Categories

• Fraud deceit (i.e. forgery)
• Criminal activity (i.e. theft, embezzlement)
• Negligence (i.e. putting pt at-risk)
• Violation of the NPA
• Discipline by another jurisdiction
• Incompetence (i.e. failure to meet standards)
• Unethical conduct (i.e. confidentiality)
• Alcohol/Drug abuse

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MoSBON Other Duties

• Arrangements agreements for endorsements
  (currently under review)
• Verification of License
• Hold nurses accountable when activities are
  delegated to UAP

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MoSBON Standard of Care

• NPA, NCLEX-PN, nursing programs, curricula,
  instructors, policies procedures, law, board of
  nursing, NAPNES other nsg organizations
• Based on what an ordinary, prudent nurse with
  similar education experience would do in
  similar circumstances.

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IV Therapy Chapter 6 MoSBON

• Accountability to RN or prescriber
• Calculate flow rate of infusions
• Initiate peripheral IVs ( 3 inches)
• Adm. TPN PPN through established lines
• Administer pre-mixed drugs (infusion or
  piggybacks)
• Maintain patency of locked peripheral central
  catheters w/ saline or heparin
• Adm. Prepackaged drugs fluids through pumps

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IV Therapy Chapter 6 MoSBON

• YOU MAY NOT
• Administer anti-neoplastics (chemo), begin blood
  products, access central venous port, mix/add
  drugs (to anything), give IV push, remove a
  mid-line or central venous device, participate in
  IV therapy on neonates

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Part B

• NCLEX (CAT) Testing

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NCLEX-PN

• Exam can be anywhere from 85-205 questions
• 5 hour time limit
• To be admitted you must have your ATT
  (authorization to test) and a valid ID (drivers
  license, state ID card, passport, military ID, or
  national identification card)

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NCLEX-PN

• Purpose To ensure public protection, each
  jurisdiction requires a candidate for licensure
  to pass an examination that measures the
  competencies needed to practice safely
  effectively as a newly licensed, entry-level
  practical nurse

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NCLEX-PN Process

• After graduation, your transcript will be sent to
  MoSBON
• MoSBON will notify Pearson Vue that you are
  eligible to test
• You will then receive an Authorization to Test
  (ATT) from Pearson Vue
• You will receive by mail UNLESS you provided an
  email address (then correspondence will be by
  email)

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NCLEX-PN Process

• You MUST have your ATT before you can schedule
  your test
• Your ATT will have your authorization number and
  will have validity dates
• You must test within your validity dates
• There will be instructions for scheduling by
  phone and by web
• You will then be sent a confirmation (my mail or
  email)

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NCLEX-PN

• You also will be fingerprinted, photographed and
  must provide a signature on the day of the exam
• Arrive at least 30 minutes early (or you may
  forfeit your test time)
• Friends, family children will not be permitted
  to wait in the test center or contact you

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NCLEX-PN

• All personal items will be placed in secure
  storage
• You will be observed by video audio during the
  test
• Any type of aids are prohibited i.e. calculators,
  notebooks, etc.
• You will be observed by a Test administrator
  (Raise your hand if your computer isnt working
  or to request a break)

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NCLEX-PN

• You will be given two preprogrammed breaks
• First (optional) break after 2 hours of testing
• Second (optional) break is after 3 ½ hours of
  testing
• The computer will tell you when you can take a
  break
• Earplugs are available upon request

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NCLEX-PN

• Computer NCLEX exams are scored twice
• NO RESULTS are released at the test center (staff
  does not have access)
• Exam results will ONLY be released by your state
  board of nursing
• DO NOT CALL the state board of nursing, Pearson
  Vue or NCSBN for exam results

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NCLEX-PNUnofficial Results

• Your unofficial results may be obtained two
  business days after taking exam
• By web, www.pearsonvue.com/nclex and will cost
  7.95
• By phone, 1-900-776-2539 and will cost 9.95
• If results are not available you will not be
  charged, once they are...you will be charged EACH
  TIME you call

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NCLEX-PN Failing the Exam

• Remember, you MAY NOT practice as a GPN at the
  instant you receive your failing results
• You will then receive a Candidate Performance
  Report information about rescheduling

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CAT Testing Computer Adaptive Testing

• Your next question depends on how you answer the
  current questions
• If you get it right, you get a more difficult if
  you get it wrong, you get an easier questions
• Everyone only gets about 50 of the questions
  right
• Someone who passes gets 50 of the more difficult
  questions correct
• Someone who fails gets 50 of the easier
  questions correct

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CAT Testing

• You MUST answer every questions
• Your computer will automatically shut-off when it
  has clearly consistently established
  whether you meet the minimum standards or whether
  you do not

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Websites

• Missouri State Board of Nursing
• http//pr.mo.gov/
• Pearson Vue
• http//www.pearsonvue.com/nclex
• National Council of State Boards of Nursing
• http//www.ncsbn.org