Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam

What is required for a nurse to perform a specialized procedure, like the reinsertion of a gastrostomy tube, according to the BON?

1. Completion of specific competency training and a physician’s order.

2. Completion of advanced practice courses.

3. Direct supervision by a senior nurse.

4. Authorization from the hospital administration.

The correct answer is: Completion of specific competency training and a physician’s order.

The requirement for a nurse to perform a specialized procedure, such as the reinsertion of a gastrostomy tube, hinges on the need for specific competency training along with a physician's order. This ensures that the nurse possesses the necessary knowledge and skills to safely carry out the procedure, while also adhering to the directives outlined by a physician, who is responsible for the patient's overall care. Completion of specific competency training ensures that the nurse is properly equipped to handle the intricacies and potential complications associated with re-inserting a gastrostomy tube. The physician's order is crucial as it formalizes the medical necessity for the procedure and provides legal backing for the nurse's actions in the context of patient care. While advanced practice courses, direct supervision by a senior nurse, or authorization from hospital administration may be beneficial or required in certain contexts, they are not the core requirements set forth by the Board of Nursing (BON) for this specific procedure. The fundamental aspects remain centered around competency training and a physician’s directive.