________________________________________________________ Texas Nursing Jurisprudence and Ethics
• Know and conform to the Texas Nursing Practice Act and the Board’s rules and regulations as well as all federal, state, or local laws, rules, or regulations affecting the nurse’s current area of nursing practice • Implement measures to promote a safe environment for clients and others • Know the rationale for and the effects of medications and treatments and correctly administer the same • Accurately and completely report and document: the client’s status, including signs and symptoms; nursing care rendered; physician, dentist, or podiatrist orders; administration of medications and treatments; client response(s); and contacts with other healthcare team members concerning significant events regarding client’s status • Respect the client’s right to privacy by protecting confidential information unless required or allowed by law to disclose the information • Promote and participate in education and counseling to a client(s) and, where applicable, the family/significant other(s) based on health needs • Obtain instruction and supervision as necessary when implementing nursing procedures or practices • Make a reasonable effort to obtain orientation/training for competency when encountering new equipment and technology or unfamiliar care situations • Notify the appropriate supervisor when leaving a nursing assignment • Know, recognize, and maintain professional boundaries of the nurse-client relationship • Comply with mandatory reporting requirements of Texas Occupations Code Chapter 301 (Nursing Practice Act), Subchapter I, which include reporting a nurse: who violates the Nursing Practice Act or a Board rule (except for minor incidents as stated in the Nursing Practice Act and Board rules) and contributed to the death or serious injury of a patient; whose conduct causes a person to suspect that the nurse’s practice is impaired by chemical dependency or drug or alcohol abuse; whose actions constitute abuse, exploitation, fraud, or a violation of professional boundaries; or whose actions indicate that the nurse lacks knowledge, skill, judgment, or conscientiousness to such an extent that the nurse’s continued practice of nursing could reasonably be expected to pose a risk of harm to a patient or another person, regardless of whether the conduct consists of a single incident or a pattern of behavior
• Provide, without discrimination, nursing services regardless of the age, disability, economic status, gender, national origin, race, religion, health problems, or sexual orientation of the client served • Institute appropriate nursing interventions that might be required to stabilize a client’s condition and/or prevent complications • Clarify any order or treatment regimen that the nurse has reason to believe is inaccurate, non-efficacious, or contraindicated by consulting with the appropriate licensed practitioner and notifying the ordering practitioner when the decision is made not to administer the medication or treatment • Implement measures to prevent exposure to infectious pathogens and communicable conditions • Collaborate with the client, members of the healthcare team and, when appropriate, the client’s significant other(s) in the interest of the client’s health care • Consult with, utilize, and make referrals to appropriate community agencies and health care resources to provide continuity of care • Be responsible for one’s own continuing competence in nursing practice and individual professional growth • Make assignments to others that take into consideration client safety and that are commensurate with the educational preparation, experience, knowledge, and physical and emotional ability of the person to whom the assignments are made • Accept only those nursing assignments that take into consideration client safety and that are commensurate with the nurse’s educational preparation, experience, knowledge, and physical and emotional ability • Supervise nursing care provided by others for whom the nurse is professionally responsible • Ensure the verification of current Texas licensure or other compact state licensure privilege and credentials of personnel for whom the nurse is administratively responsible, when acting in the role of nurse administrator. As noted, nurses are required to be familiar with all Standards of Nursing Practice. Please refer to Chapter 217 of the Texas Administrative Code for Rule 217.11 in its entirety.
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Book Code: ANCCTX2027
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