Reflection Assignment - Nursing

Reflection Assignment - Nursing

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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.


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




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 hospital’s Peer Review Committee (PRC). You are reviewing Nurse A’s 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 hospital’s Peer Review Committee (PRC) passed you in the hallway and said, “I’m glad I ran into you. You’re 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. I’ll 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. I’m 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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