Texas Board of Nursing (BON) Practice Exam

What does the Texas BON define as "safe harbor" for nurses?

1. Protection from legal action for treatment decisions

2. A provision protecting nurses from disciplinary actions when refusing unsafe assignments

3. An opportunity for nurses to switch specialties

4. A legal status for practicing nursing in Texas

The correct answer is: A provision protecting nurses from disciplinary actions when refusing unsafe assignments

The "safe harbor" provision as defined by the Texas Board of Nursing is designed to protect nurses who refuse assignments that could jeopardize patient safety or their own professional integrity. When nurses find themselves in situations where an assignment appears unsafe due to factors like staffing levels, lack of training, or inadequate resources, they can invoke safe harbor. This process allows them to formally communicate their concerns and receive legal protection against disciplinary actions for refusing the unsafe assignment. This concept is critical in promoting a culture of safety within healthcare settings, enabling nurses to advocate for their professional standards and ensuring patient safety remains a priority. The other choices do not accurately capture the essence of safe harbor: it is not about legal protection for treatment decisions, switching specialties, or defining legal practice status. Instead, its primary focus is on safeguarding nurses from negative repercussions when they act in the best interest of their patients in response to potentially harmful assignments.