{"ref":"TX-HH-QA-03","title":"Nursing Peer Review","category":"Quality","summary":"Makes every licensed discipline follow its own practice act on reporting and peer review, sets up (or contracts for) a nursing peer review committee when the Agency regularly uses eight or more nurses, explains incident-based peer review and Safe Harbor peer review for nurses asked to do something they believe violates their duty to a patient, and protects nurses who report or ask for peer review.","inShort":["Nurses must follow the Nursing Practice Act rules on reporting and peer review.","If you are asked to do something you believe is unsafe for a patient, you may ask for Safe Harbor peer review.","Use the Board of Nursing Safe Harbor form, or tell your supervisor, who must write down your request.","You will not be punished for asking for peer review in good faith."],"primaryCitation":"26 TAC §558.251","citations":["26 TAC §558.251","Tex. Occ. Code ch. 303","Tex. Occ. Code §303.0015","Tex. Occ. Code §303.005","Tex. Occ. Code §301.405","22 TAC §217.19","22 TAC §217.20"],"federalCitations":["42 CFR §484.65","42 CFR §484.105"],"surveyorAsks":["How many nurses do you regularly employ or contract with? Do you have a nursing peer review committee, or a contract for one?","A nurse believes an assignment is unsafe. What does she do, and what form does she use?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.251)","5. Incident-Based Peer Review","6. Safe Harbor Peer Review","7. Other Licensed Disciplines","8. Responsibilities","9. Records and Compliance Monitoring","10. Staff Training","11. References","12. Related Policies and Forms","13. Approval","14. Revision History"],"version":"1.0","sample":false,"pack":"tx-lhhs","state":"Texas","service":"Home health","guides":[{"path":"/guides/home-health-qapi/","h1":"What is QAPI in home health, and what does §484.65 require?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Home Health Agency","legalName":"Sample Home Health Agency, LLC","logo":null}}