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Can a nurse invoke Safe Harbor? If so, how do nurses invoke Safe Harbor? Although the Board of Nursing BON has no authority over workplace policies, such as floating or staffing ratios, nurse staffing was addressed in SB during the 81st Legislative Session in If you work in a hospital, this law is applicable to you and requires hospitals to have a nurse staffing committee, policy and plan to ensure that an adequate number and skill mix of nurses are available to meet the level of patient care needed.
The law further states that the staffing plan must include a method for adjusting the staffing plan for each patient care unit to provide staffing flexibility to meet patient needs; and include a contingency plan when patient care needs unexpectedly exceed direct patient care staff resources.
Floating can be the strategy that meets the intent of the law.
Nurses that may be required to float to assist another unit or confronted with a potentially unsafe practice situation should be familiar with the Standards of Nursing Practice, found in Board Rule Standard 1 B requires the nurse to maintain a safe environment for the patient.
This requirement supersedes any agency policy or physician order; also see Position Statement Duty of a Nurse in Any Practice Setting. Standard 1 Pin situations where nurses are floating, working double or extra shifts, taking charge duties, or working short-staffed, clear communication between staff and supervisors is essential to manage patient care and decrease conflict in the work setting.
Standard 1 S applies to charge nurses or nurses who are in management positions.
This standard requires the nurse who is supervising other nurses to make assignments that take into account the educational preparation, knowledge, skills, physical, mental and emotional abilities of the nurses for whom the supervisor is administratively responsible.
This does not mean other nurses are working under the supervisor's license, or that the supervisor is responsible for every aspect of care delivered by other staff nurses. If the nurse accepts an assignment, then they are responsible for the nursing actions and care delivered.
Standard 1 U holds supervisors responsible to oversee the nursing care provided by others for whom the supervisor is professionally responsible. Safe Harbor Peer Review which address the nurse's right to refuse an assignment.
Safe Harbor ensures that a group of nursing peers examines the assignment the nurse was asked to accept and determines whether the nurse was being asked to accept an assignment that was unsafe and or outside of his or her knowledge, skills, and physical or emotional abilities.
Safe Harbor is invoked at the time the nurse is asked to engage in an activity or an assignment that the nurse believes is not safe for patients. Safe Harbor cannot be invoked after a patient has been hurt or after the shift is over and done.
Safe Harbor Peer Review is an internal process, between the nurse and the employer. Safe Harbor must be invoked prior to engaging in the conduct or assignment. The required information is then submitted to the nurse manager.
Board staff recommends that the nurse invoking Safe Harbor keep a copy for future reference.
In addition to the Quick Request Form, the nurse must complete the Comprehensive Written Request for Safe Harbor Peer Review before leaving the work setting at the end of the work period.
See Board Rule The BON does not get involved with Safe Harbor Peer Review, but may be involved after-the-fact if peer review is not conducted in good faith. The nurse may wish to seek legal counsel for advice on employment issues.Clinical news, views and peer-reviewed education for practice nurses.
Evidence-based practice is critical to undergraduate and graduate nursing education. • Florence Nightingale was a pioneer of evidence-based practice.
UCF College of Nursing offers high quality academic programs from the baccalaureate to the doctorate, growing research and scholarship opportunities, and remains committed to clinical excellence and community service.
Nursing best practices are crucial to excellence in healthcare. Nurses with a Bachelor of Science in Nursing are able to apply their evidence-based education with healthcare best practices.
The evidence-based curriculum combines research, science, clinical experience and the opinions of experts. Scope of practice barriers affect nurses across all specialties and practice sites. ANA believes that patients’ interests are best served by a wide range of health care professionals working together to deliver safe, effective, and affordable care.
This book is an attempt to bridge the research-practice gap by compiling best practices in nursing into 1 reference. The book begins with an overview of evidence-based practice and sources of evidence.