Peer Review and Professional Practice Reporting
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.
About this policy
- Policy number
- TX-HSP-QA-02
- Version
- 1.0
- Main rule
- 26 TAC §558.251
- Library
- Texas hospice · 59 policies
- Category
- Quality
- Sections
- 17
In short
- 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.
What's inside
17 sections. The full text comes with the One-time Policy Pack.
- 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
An inspector may ask
- 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?
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