{"ref":"TX-HSP-QA-02","title":"Peer Review and Professional Practice Reporting","category":"Quality","summary":"Makes sure every licensed discipline at the Agency follows its own practice act on reporting and peer review: when nurses and the Agency must report a nurse to the Texas Board of Nursing, when the Agency must have a nursing peer review committee, how a nurse may ask for safe harbor peer review, and how conduct by other licensed professionals and by unlicensed staff is reported.","inShort":["Every licensed professional must follow the reporting rules of their own licensing board.","A nurse who suspects another nurse of unsafe practice, impairment, abuse or fraud must make a written report to the Board of Nursing or a peer review committee.","If you are asked to do something you believe is unsafe for a patient, tell your supervisor and ask about safe harbor peer review.","No one may punish you for a good-faith report."],"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 §301.401","Tex. Occ. Code §301.402","Tex. Occ. Code §301.4025","Tex. Occ. Code §301.405","26 TAC §558.287(a)(1)(A)(ii)(II)","Tex. Health & Safety Code §253.0025"],"federalCitations":["42 CFR §418.58","42 CFR §418.52(b)(4)"],"surveyorAsks":["How many nurses do you employ or contract with, and do you need a nursing peer review committee?","When did you last report a nurse to the Board of Nursing, and what triggered it?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.251)","5. Nursing Peer Review Committee: When Required","6. Reporting Nurses","7. Safe Harbor Peer Review","8. Other Licensed Disciplines","9. Procedure","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"tx-hospice","state":"Texas","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Hospice","legalName":"Sample Hospice, LLC","logo":null}}