{"ref":"TX-QA-03","title":"Peer Review","category":"Quality","summary":"How the Agency reviews the professional practice of any licensed health care professional it employs or contracts, including nursing peer review under Texas Occupations Code Chapter 303 whenever the Agency regularly employs, hires, or contracts for eight or more nurses, and the protections a nurse has when requesting safe harbor.","inShort":["If you have a concern about a nurse's care, tell Pat Sample the same day.","As a nurse, you may refuse an unsafe task and ask for safe harbor protection.","You will never be punished for reporting a concern or requesting safe harbor.","Keep anything you learn during a practice review confidential. Don't discuss it with others."],"primaryCitation":"26 TAC §558.251","citations":["26 TAC §558.251","26 TAC §558.287","26 TAC §558.246","Tex. Occ. Code ch. 303","Tex. Occ. Code §301.402","Tex. Occ. Code §301.4025","22 TAC §217.19","22 TAC §217.20","Tex. Occ. Code §301.413","Tex. Occ. Code §303.0015","Tex. Occ. Code §303.005","Tex. Occ. Code §303.006","22 TAC §217.16"],"federalCitations":[],"surveyorAsks":["How many nurses does the Agency employ or contract? Show me how you track that number against the ten-nurse threshold.","Show me your written peer review policy and where nurses are told about it."],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (26 TAC §558.251)","5. Procedure","6. Responsibilities","6.1 Staff Training","7. Records","7.1 Compliance Monitoring","8. References","9. Related Documents","10. Approval","11. Revision History"],"version":"1.1","sample":false,"pack":"tx-pas","state":"Texas","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Home Care Agency","legalName":"Sample Home Care Agency, LLC","logo":null}}