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After graduating from college, every aspiring nurse is required to successfully take a state licensure exam, which will then allow him or her to practice the nursing profession. However, periodic renewal of state licenses is essential to ensure that a nurse stays up-to-date with the innovations in the medical field. License renewals are just as important as the initial State Board Exam.
If a nurse fails to renew a license but still choose to continue practicing the profession, he or she may be fined with the potential costs of medical malpractice and other complications that may arise due to this negligence. After all, in the event that a nurse turns out to have outdated skills, he or she may easily give the wrong advice and care for patients under his or her wing, regardless of whether they're in an ICU (Intensive Care Unit) or not.
WORK AGREEMENT
The employer (usually the hospital, or a particular doctor) must clearly delineate scope of authority that a nurse can exercise. This also includes clarifying to the prospective nurse employee what he or she cannot do. This avoids instances where patient's lives and property might be put at stake because of a murky job description.
Many nurses are given less things to do if there are many resident doctors in a medical facility. However, nurses may be given additional roles if the opposite is true. The situation greatly varies from place to place, and confusion among nurses about what to and what not to do is very common. In critical care scenarios where life or death can be decided in a split second, this matters a lot.
ETHICO-LEGAL ISSUES
Nurses should have general working knowledge not only about laws that concern the healthcare profession, but also ethical standards that are expected to be practiced by people in the profession. In the critical care perspective, issues such as medically-assisted euthanasia and other end-of-life care concerns should be familiar to the critical care nurse. Furthermore, the nurse should also demonstrate competency when dealing with patients with special needs, such as persons with disabilities, children, and the elderly.
