BON Bulletin

morte, LPN, LVN · Aug 24, 2008

http://www.utmb.edu/imh/MedJur_toc_intro.pdf

it seems to be a texas thing:D

Home Health Columnist / Guide · Aug 24, 2008

part of my lpn and bsn education included content on medical-legal and nursing ethic education. most pa diploma programs also had this info as part of our practice standards.

from members posts and questions posted here, it appears this topic is not part of all rn programs, therfore texas making it a practice requirement. licenses will be be able ro claim ignorence of the law when brought before bon.

pa has a bureau of professional and occupational affairs that oversees all 27 licensing boards and disciplinary actions posted online every few months bpoa: disciplinary actions and in nursing newsletter yearly, if that, due to our low licence fees not supporting more frequent publication.

since public posting on state website, i suspect will not see in future newsletters.

part of my responsiblity as central intake manager is to perform/maintain physician license verification + sanction check for our homecare agency (6,000 doctors+) along with my 8 nursing staff...so i review these sites monthly. there are many more nurses that doctors mentioned with disciplinary issues but there are more nurses than physicians in pa.

pa march 2008: state board of nursing actions

pa disciplinary actions: march - july

pa board of medicine

pa board of osteopathic medicine

pa board of nursing

new jersey board of nursing disciplinary and licensure

de public disciplinary actions

kentucky: board of nursing - case studies

mn:the following information about the complaint handling and ...

from nurseweek 8/2000:

nurse, interrupted

a disciplinary action can put a wrinkle in your career - and tie you up in knots

disciplinary actions against nurses: trends and forecasts.

monitoring the born: it's your nursing license that's at stake

FroggyMama · Aug 24, 2008

I'm licensed in KS and MO, and get the same thing from both states. The naughty list is never that large though! :nono: :chuckle I always have fun reading it, thinking....how could anyone actually DO that? :banghead:

RN1989 · Aug 24, 2008

The other healthcare professions in TX also have to take a jurisprudence exam.

Yes, I just got my quarterly thing. The list this time was a lot bigger than I have seen prior lists. And now that they are putting the LVNs and RNs together on the list, it looks even worse.

What I can't believe is how these employers STILL are not getting online and verifying licensure on people. It seems like there were more imposters this quarter than last quarter.

PMHNP10 · Aug 24, 2008

I'm licensed in KS and MO, and get the same thing from both states. The naughty list is never that large though! :chuckle I always have fun reading it, thinking....how could anyone actually DO that?

there but for the grace of God, go thee

kinda my point with this thread was to get an idea if there was something specifically going on in TX where folks were getting in trouble more frequently; and curious it that's solely because we are a more litigious state than others

BinkieRN, BSN, RN · Aug 24, 2008

I truly believe in "but for the grace of God go I"... but there are too many nurses out there working who have been in alot of trouble that act "as though nothing has ever happened, as pure as the white driven snow, holier than the rest of us" when all the while they are working with licenses that are on probation or with disciplinary actions against them. Those are the nurses who scare me and I wish I knew about them so I could be wary while at work.

They're only too eager to blame someone else. We had one who watched and found out another nurses password to the pyxis and was stealing narcs under another nurses name and gladly let this other nurse get arrested :argue: and OMG she was so sweet, polite, professional, wise in her advice but in reality a big time narc diverter.

PMHNP10 · Aug 24, 2008

I truly believe in "but for the grace of God go I"... but there are too many nurses out there working who have been in alot of trouble that act "as though nothing has ever happened, as pure as the white driven snow, holier than the rest of us" when all the while they are working with licenses that are on probation or with disciplinary actions against them. Those are the nurses who scare me and I wish I knew about them so I could be wary while at work.
They're only too eager to blame someone else. We had one who watched and found out another nurses password to the pyxis and was stealing narcs under another nurses name and gladly let this other nurse get arrested :argue: and OMG she was so sweet, polite, professional, wise in her advice but in reality a big time narc diverter.

absolutely those folks need to be disciplined, but how many mess up because they don't chart something or they make a mistake due to having too great of a pt. load

300 nurses in a quarter seems like a huge number to be down right corrupt nurses; maybe it's actually less than other states and we fall about avg on disciplinary actions/nurse total, but man

RN1989 · Aug 24, 2008

I know that the TX BON is disciplining nurses for things that have nothing to do with nursing. It has to do with their little clause about "moral turpitude".

I've talked with some nurses that got arrested for minor traffic violations because the cops were looking to make more revenue and needed more arrests. The BON disciplined the nurses because they were arrested without actually looking at the "crime".

Perhaps things like this account for the increase in names on the list.

Home Health Columnist / Guide · Aug 24, 2008

moved to career forum as resource.

pa has "moral turpitude" clause also; most actions are not minor auto related....

022 pa. code 237.9. crimes involving moral turpitude.

(a) definition. moral turpitude includes the following:
(1) that element of personal misconduct in the private and social duties which a person owes to his fellow human beings or to society in general, which characterizes the act done as an act of baseness, vileness or depravity, and contrary to the accepted and customary rule of right and duty between two human beings.
(2) conduct done knowingly contrary to justice, honesty or good morals.
(3) intentional, knowing or reckless conduct causing bodily injury to another or intentional, knowing or reckless conduct which, by physical menace, puts another in fear of imminent serious bodily injury.
(b) elements of the crime. a determination of whether a crime involves moral turpitude will be determined based solely upon the elements of the crime. the underlying facts or details of an individual criminal charge, indictment or conviction are not relevant to the issue of moral turpitude.
© specific crimes. crimes involving moral turpitude per se include the following:
(1) an offense under 18 pa.c.s. (relating to crimes and offenses) listed in section 111(e)(1) of the public school code of 1949 (24 p. s. 1-111(e)(1)).
(2) an offense designated as a felony under the controlled substance, drug, device and cosmetic act (35 p. s. 780-101—780-144). at any time subsequent to the adoption of this chapter if section 111(e)(1) is amended to add or delete crimes, the commission will consider each additional or deleted crime to determine if the crime involves moral turpitude per se and will vote at a public meeting whether the crime will be designated as involving moral turpitude per se for purposes of cases coming before the commission under section 9.2 of the professional educator discipline act (24 p. s. 2070.9b) (act).
(3) an offense of a criminal law of the commonwealth, the federal government or another state or territory of the united states, or another nation, an element of which offense is delivery of a controlled substance or possession of a controlled substance with intent to deliver.
(4) a state offense, out-of-state offense or federal offense or another nation, similar in nature to crimes listed in paragraphs (1)—(3).
(d) certified copy. for purposes of section 9.2 of the act and this section, a document certified by the clerk of court or other judicial officer designated by law as the official custodian of criminal court records or certified by the official custodian of the appropriate licensing authority in another state, territory or nation will be treated by the commission as a certified copy of the document.
(e) indictment. indictment under section 9.2 of the act includes a criminal complaint, criminal information or other similar document filed in a court of competent jurisdiction.
(f) conviction. the term conviction under section 9.2 of the act is defined to mean the verdict, judgment or sentence or the entry of an order which constitutes a final order by the sentencing court. a plea of guilty or nolo contendere constitutes a conviction for purposes of this section.

bon created to protect public from incompetence/malpractice/impaired nursing practice therefore anyone with state professional license + disciplinary actions is publicly reported. most states board actions are posted on state website and can be found on internet search.

more importantly nurses and students:

a. need to have read state practice act and follow it.

b. familiarize themselves with bon disciplinary actions

c. avoid behaviours found on bon reports including dui.

d. yearly maintain occurrence type malpractice insurance as will provide for bon representation.

e. ask for professional help when drugs/alcohol affecting your life. peer programs available most states and have helped 100's of nurses return to nursing career.