{"id":2210,"date":"2022-11-01T15:50:40","date_gmt":"2022-11-01T19:50:40","guid":{"rendered":"https:\/\/communicator.pef.org\/?p=2210"},"modified":"2025-06-09T15:48:04","modified_gmt":"2025-06-09T19:48:04","slug":"nurses-discuss-legal-issues-in-nursing-practice-during-convention-luncheon","status":"publish","type":"post","link":"https:\/\/communicator.pef.org\/issue\/volume-40-no-8\/nurses-discuss-legal-issues-in-nursing-practice-during-convention-luncheon\/","title":{"rendered":"Nurses discuss legal issues in nursing practice during Convention luncheon\u00a0"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2212\" src=\"https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/Nurse-StoryHeader.jpg\" alt=\"Nurse luncheon at PEF Convention\" width=\"1200\" height=\"200\" srcset=\"https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/Nurse-StoryHeader.jpg 1200w, https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/Nurse-StoryHeader-300x50.jpg 300w, https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/Nurse-StoryHeader-1024x171.jpg 1024w, https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/Nurse-StoryHeader-768x128.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><span data-contrast=\"auto\">Nurses at the 44<\/span><span data-contrast=\"auto\">th<\/span><span data-contrast=\"auto\"> PEF Convention in Niagara Falls dedicated their annual luncheon to discussing the staffing shortage plaguing their profession and learning about legal issues impacting nurses.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Staffing woes<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2216 alignright\" src=\"https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/FREEDOM-2.jpg\" alt=\"Freedom to Care - Nurses Poster\" width=\"400\" height=\"746\" srcset=\"https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/FREEDOM-2.jpg 400w, https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/FREEDOM-2-161x300.jpg 161w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/>While Gov. Kathy Hochul\u2019s recent <\/span><a href=\"https:\/\/communicator.pef.org\/issue\/volume-40-no-8\/state-pay-equity-study-validates-pefs-long-time-argument-that-nursing-titles-are-undervalued\/\"><span data-contrast=\"none\">restructuring of nurse titles and increases in salary<\/span><\/a><span data-contrast=\"auto\"> were welcome steps in the right direction, there is still a long way to go to adequately staff state agencies and hospitals.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">An aging workforce, with the average age of a nurse at 52 and a nursing professor at 56, is a major roadblock to the profession. In 2010, approximately 60,000 nurses retired; in 2020, that number rose to 70,000. An additional 5 percent left during COVID.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThe reallocation isn\u2019t perfect,\u201d said luncheon speaker, Debbie Egel, a longtime nurse and attorney. \u201cIt\u2019s how you open the door. Then you get it to expand.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The state\u2019s current practice of using agency and travel nurses does more harm than good, Egel said.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cHospitals turn to agency and travel nurses, which leads to nurses leaving institutions to be paid <\/span><i><span data-contrast=\"auto\">significantly<\/span><\/i><span data-contrast=\"auto\"> more,\u201d she said. \u201cThis is also not sustainable for agencies. Travel nurses hurt institutions from a financial and a continuity of care perspective.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Some ideas Egel shared to bolster nursing ranks included a switch to online and simulation education to fill the pipeline and employ critical thinking; implementing practice\/academic partnerships to see if a scholarship program can be created to fund nursing students and, in return, students commit to a specified number of years in a state nursing position; and pursuing financial incentives for additional credentials and skills.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">Legal issues<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">While the profession waits to see how much recent changes increase staffing, nurses continue to face mandatory overtime, burnout, and exhaustion trying to keep the people of New York healthy. Under those circumstances, mistakes can happen, and they can have huge repercussions for patients and nurses.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cThere is a difference between your license and your job,\u201d Egel said. \u201cYou can find another job, but you can\u2019t get another license. As union members, you have support to help you protect your license.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Referencing the case of RaDonda Vaught, a former Tennessee nurse convicted of two felonies for a fatal drug error and later of criminally negligent homicide and gross neglect of an impaired adult, Egel drove the point home that mistakes can be devastating.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cVaught\u2019s case stands out because medical errors \u2013 even deadly ones \u2013 are generally within the purview of state medical boards and lawsuits are almost never prosecuted in criminal court,\u201d she said. \u201cCases can take on more than one form. A person can both break a law, rule and\/or commit a legal wrong against a private individual for the same conduct.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Some areas of criminal liability include drug diversion, billing fraud, falsifying records, patient abuse, and gross negligence; some civil liabilities include malpractice, negligence, and wrongful death; and some licensure liabilities include professional misconduct, scope of practice, documentation, abuse, and medication administration.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cYou worked a double, you\u2019re tired, you come back the next day and a family complained,\u201d Egel hypothesized. \u201cWhen you go back and document in the chart, <\/span><i><span data-contrast=\"auto\">add an addendum<\/span><\/i><span data-contrast=\"auto\">. It looks worse to replace something. Protect your license more than you protect your job.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">How can you help yourself?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cMitigate your liability by filling out a Protest of Assignment (POA) form,\u201d Egel said. \u201cIf there is a malpractice suit, you lessen your legal responsibility. How can PEF advocate for you without a POA to document the issues? Please encourage everybody to fill these forms out.\u201d\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">PEF members can find the POA form <\/span><a href=\"https:\/\/poa.pef.org\/s3\/v1\"><span data-contrast=\"none\">here<\/span><\/a><span data-contrast=\"auto\">. You can also protest mandatory overtime with the Mandatory Overtime for Nurses Complaint Form (MOT) found <\/span><a href=\"https:\/\/apps.labor.ny.gov\/DOL_Complaint_Form\/nursesComplaint.faces\"><span data-contrast=\"none\">here<\/span><\/a><span data-contrast=\"auto\">. PEF Nurse Coordinator Nora Higgins emphasized the importance of sending the form through your personal email account. PEF can\u2019t respond to your state email.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Egel also strongly urged nurses to take out a professional liability insurance policy.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">What do you do if you have a complaint or claim filed against your license?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cContact your malpractice insurance company as soon as you are aware of a potential claim,\u201d Egel said. \u201cDo not discuss the claim with anyone. Notify your field rep at PEF. Do not sign or accept any documents.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Nurses can contact Higgins at <\/span><a href=\"mailto:Nora.Higgins@pef.org\"><span data-contrast=\"none\">Nora.Higgins@pef.org<\/span><\/a><span data-contrast=\"auto\"> or visit the nurses page on the PEF <\/span><a href=\"https:\/\/www.pef.org\/members\/nurses\/\"><span data-contrast=\"none\">website<\/span><\/a><span data-contrast=\"auto\"> for assistance or with questions.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<div class=\"greybox\"><\/p>\n<h2><b><span data-contrast=\"auto\">Law provides leave to work with the Red Cross<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2218 alignright\" src=\"https:\/\/communicator.pef.org\/wp-content\/uploads\/sites\/2\/2022\/11\/redcross-logo.png.img_.png\" alt=\"American Red Cross\" width=\"211\" height=\"70\" \/>As a nurse, you know you help patients on the job, but did you know you can also volunteer with the American Red Cross and help even more \u2013 without missing any pay or jeopardizing your state job?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201cYou have the skillset to be a resource in our shelters,\u201d said Red Cross volunteer recruitment specialist, Grace Wach, during the nurse\u2019s luncheon at the PEF Convention. \u201cThe New York Disaster Leave Law provides that state government employees may be released from their jobs, with supervisor approval, to volunteer for Red Cross disaster relief assignments for up to 20 days in any calendar year. You are still paid your state salary.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The work could be taking health histories or blood pressure , for example, nothing outside the scope of practice for PEF nurses, she said.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">As a trained Red Cross volunteer with RN, LPN, APRN, NP, EMT, paramedic, MD\/DO or PA credentials and an active, current, and unencumbered license, you could help your neighbors after a house fire, flooding, or severe weather events.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Learn more about the Disaster Health Services team on the Red Cross <\/span><a href=\"https:\/\/www.redcross.org\/volunteer\/become-a-volunteer\/urgent-need-for-volunteers.html\"><span data-contrast=\"none\">website<\/span><\/a><span data-contrast=\"auto\">.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nurses at the 44th PEF Convention in Niagara Falls dedicated their annual luncheon to discussing the staffing shortage plaguing their profession and learning about legal issues impacting nurses.\u00a0 Staffing woes\u00a0&#8230;<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"division":[],"allowed_regions":[],"allowed_divisions":[],"class_list":["post-2210","post","type-post","status-publish","format-standard","hentry","category-uncategorized","issue-volume-40-no-8","issue-volume-40-no-9"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.9) - 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