What defines minor incident in Texas

Hospital: Peer Review Applying Rule 217.16 Minor Incidents 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.

In the first column of the table, list the 4 criteria that are essential in determining if an incident is not "minor." Criteria that determine an incident is NOT minor Explanation of whether or not the facts determine that the incident is NOT minor Creates significant risk of physical, emotional or financial harm to the client There is a risk since the vaccine was expired.

However, it was only by a month so the relative risk is probably low Indicates the nurse lacks a conscientious approach to or accountability for his/her practice If the nurse retrieved and replaced the vaccine on five different occasions, that would be a huge red flag.

However, since it happened once, the incident is relatively minor unless verifiable injury occurred Indicates the nurse lacks the knowledge & competencies to make appropriate clinical judgment and such knowledge and competencies cannot be easily remediated The nurse failed to check the expiration date one time. So long as it hasn't happen other times and so long as it is engrained that it cannot happen again (i.e.

the expiration date is checked BEFORE use every single time thereafter), the burden to make this a non-minor event is clearly not met. Indicates a pattern of multiple minor incidents demonstrating that the nurse's continued practice would pose a risk of harm to clients or others. Only one incident based on the fact that are currently known. As such, the incident is minor. https://www.bon.texas.gov/practice_peer_review.asp B. Minor Incident? Apply the facts of the case to each criterion above.

In the second column of the table, record your explanation as to whether the facts support or do not support each of the criteria. It is a minor incident. at least for this particular nurse. It is troubling that the vaccine was in the fridge for at leats a month after its expiration. Whomever has the burden to inspect and verify inventory and the usability thereof has someone to answer for. However, the nurse that administered the vaccine failed to check the date one time.

Yes, that is wrong but any amount of peer review should reveal and training should fix the fact that she didn't check the expiration date. 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 x 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? NOTE: If your state has its own rule regarding incident-based peer reviews, identify the rule in your responses, and apply it to the scenario instead. 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.