Texas Policy and the Vocation as Nurse

This article supports my vocation as a nurse because under Health and Safety Code, any unlicensed personnel will not be allowed to undertake any functions I am entitled to undertake. Unregistered nurses should not get themselves into matters that require an extensive quantity of scientific knowledge and technical know-how (Texas 3). 

This article helps us as nurses to maintain our reputation now that unqualified employees are not allowed to manage patients. The act clearly defines the roles of the unregistered nurses. For example, the unregistered nurses are not supposed to handle the following situations: prescription of medication, feedings through tubes, advanced procedures on patients, and checking of patient’s condition amongst other medical procedures. This ensures that our profession remains respected and unqualified nurses do not get their way into it. The intent legislative amendment, which occurred between the 1973 and 1974 session, recognized nursing as a changing profession. It is also coupled with the upcoming practices with a bid to improve patients' treatment (Texas 6). 

The amendment also proposed the sharing of activities with the medical platform that provides the aspect of working together between the doctors and the qualified nurses. This allows us to specialize in our various skills and also enables us to work as a team. The practice of nursing within this platform is attributed to those activities aimed at making people cope with everyday illnesses (Texas 12).

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Article, Amendment, and Code of Texas Constitution

Section 301.160. Pilot programs that meant focusing on providing nurses with education to facilitate the services they were providing to the public. These programs may be developed to evaluate the efficiency of the nurses. The program is targeted at maintaining competency in the medical field, especially in the nursing field of operation. A pilot program aimed at ensuring that nurses become conversant with the rules and regulations that govern the nursing field. The program will increase our competency as nurses and also will allow us to become conversant with rules and regulations guiding our practice (Texas 6).

The board provides an annual report of any pilot programs that have been developed or given approval. A status report on these programs was provided. Their effectiveness is also evaluated. The board then ensures that all organizations, employers, and associations of nurses get a copy of the report that ensures that nurses get up-to-date training on the emerging issues in the nursing profession (Texas 11).

Another part that favors my profession is section 301.1605 on pilot programs on innovative applications. In this regard, the board may come up with the rules on pilot programs aimed at ensuring the proper implementation of innovative programs in the nursing field. Section 301.166 regarding the use of technology. The board shall ensure proper technology to enhance the exchange of information between the nurse's body, the board, and the public that allow us to get the feedback from the public concerning the service we are providing to them, which allows the board to also provide us with the additional information, where it finds we are experiencing a deficiency (Texas 5).

Texas Legislative Policies

Use of technology policy. This will allow us to perform all methods based on the new technology, which allows us to know the new methods of dealing with common illnesses. New machines will also be purchased that will allow us to speedily attend to our clients. Through feedback from the public, we shall be able to improve our service delivery. Another policy is negotiated rulemaking. The nurse's body has to be involved in the rulemaking and coming up with alternative ways of solving disputes that ensure that nurses have a contribution to the rules that govern our profession (Texas 14).

Another policy that affects my vocation is the confidentiality of information collected when the emergency program is provided, which occurs when nurses help in providing medical care to the victims of disasters. All their details shall remain confidential with the board. The information shall only be used where there is a need to contact the nurse to provide the relief program. Another important policy is that of administration of the examination. The board makes sure that the test is administered in all parts of the country making everyone able to access it. The test shall ensure that an individual is fit to undertake the nursing profession (Wilmann, Texas & Texas Nurses’ Association 3).

The board shall also come up with the policies and procedures for the test process and administration. They will also come up with the examination requirements. These policies also include the fees requirement that the board tries to maintain a minimum level to ensure it does not lock out some individuals from joining the profession. The board also ensures timely release of the test of results that happen after every thirty days. The board also provides the conditions, under which an individual may retake the examination (Wilmann, Texas & Texas Nurses’ Association 3).

History and Purpose of the Policies

In certain cases, through the use of the traditional means of communication, public views were not getting to the board at the appropriate time. There was a need to come up with new technology to ensure that all the members of the public are heard and that the necessary measures are taken (Texas 11).

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Talking about the dispute resolution alternatives, there was a history of a nursing body outcry on the ways they were not involved in the policymaking regarding the operation of their practices. Their outcry was given a node and they are now involved in the policy formulation and implementation. Their involvement has improved their service delivery and competency in their nursing practice.

Texas Supreme Court Cases

On February 15, 2013, a woman presented a case to the Supreme Court accusing a nurse of assaulting her sexually and in words during her stay in hospital for kidney infection treatment. The lady sued the nurse and the employer. The lady argued two theories of liability against the nurse’s employer. Firstly, the lady claimed that the employer was directly liable for the nurse’s conduct because he failed to adequately train and oversee his staff, ensure proper standards of care, and employ the procedures to ensure standard patient medical care and substantial staff supervision. 

The woman also argued that the employer was liable under the principle-agent problem. Anything done in place of justification behind this imposition was the idea that the employer had full control of regulating his employee regarding his service delivery. In another case, an elderly woman suffered a stroke and was admitted to the hospital. In the hospital, she suffered a second stroke. After her family voiced a complaint, she was discharged. Her family filed a case against the hospital for professional negligence including the manner of discharge that the hospital did. Expert information was provided regarding the malpractice, but it did not touch on the aspect of the discharge claim. The hospital filed for dismissal of the suit on the ground that the expert report did not elaborate on the discharge claim, because their claim was only to do with the Healthcare liability.

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Full Explanation of the Supreme Court Decisions

In the first case, the nurse employer moved to the court to dismiss the claim that he was directly liable for negligence by his employee. He claimed that the trial court must dismiss the suit if the plaintiff was not in a position to fully address each theory. He claimed that the court should dismiss the arguments unsupported by facts.

The courthouse denied the employer’s argument and maintained that the entire case could proceed. In the next case, the house maintained the case, because her different discharge claim was based on the same facts, as a similar claim was already held as a health care liability claim, the house held, it was also a health care liability claim.

Which Texas Bureaucratic Agencies, Department, or Bureaus Support Your Current or Future Vocation (Texas 11).

The Board of registered nurses, which ensures full compliance of nurses to the set standards of their practices, also holds the responsibility of ensuring that qualified nurses undertake the right training to equip them with the necessary skills to enable them to manage patients in the best manner. Medicaid Nursing Home, which provides financial support to the nursing home care, is also one of the entities in support of my vocational choice due to the support they offer to the members of staff to handle their clients with the greatest caution. Failure to comply with this body adjusts their budget downwards to enforce compliance.

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Current Regulations by Medicaid Nursing Home and Board of registered nurses (Wilmann, Texas & Texas Nurses’ Association 3).

The board of registered nurses has ensured that certain rules are in place to direct and indirect patient care services to ensure the safety of the public. The board has also ensured that penile measures are in place to deal with those, who go against the set standards of nursing practice. The Medicaid Nursing Home regulations include quality services to all the clients, in case of failure to which, the financing organ stops funding provision until the necessary measures are put in place.

How Texas Policy Type Influences the Policies When Concerning My Nursing Vocation (Wilmann, Texas & Texas Nurses’ Association 3).

Texas policy ensures that the technology is adopted as it comes. The policies also lay special guidelines for the nurses and it spells out the penalties applicable when a nurse violates the policies. Texas policies also ensure that nurses have their say in the decisions made to regulate their profession. This is done through a platform between the board and the nurses association.


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