this hospital. Besides, do you think you are the first nurse who ever had to take patients in a less than perfect circumstance? The patients are worse off if you refuse.” Reluctantly, you accept the assignment. About 5 hours into the 12-hour shift, you mis-titrate a
N3375 Health Policy & Legal Aspects 1. What were your four options as to taking or refusing the assignment? Accept Refuse Refuse and request peer review File safe harbor 2. Was this a situation in which you should have claimed Safe Harbor? Yes, safe harbor should have been claimed in this situation. As a nurse we should always advocate for the patient especially when we know we cannot provide the safest care in the situation. Additionally, a nurse who evokes Safe Harbor under the correct circumstances is protected from suspension and discipline from the employer. 3. Other than Safe Harbor, what Board Rule should you have considered when told to take the assignment? I think a big rule every nurse should live by is 217.11 Standards of Nurse Practice. Knowing this, can help a nurse better understand their scope of practice and skills they can perform. 4. Should the hospital have sent you to the Peer Review Committee before reporting you to the Board? If so, what Board Rule was violated? Yes, the hospital should have sent you to the Peer Review Committee before reporting you to the board. It is the Peer Review Committee’s job to review all the factors that that led up to the incident. From there, they can decide a disciplinary plan together as a team.
- Summer '16