Parish nursing – doing what is right and good

Written by Sue Bolha RN, Parish Nurse Council Coordinator in collaboration with Linda Golembiewski, RN, BSN and former adjunct at CUW, teaching Legal Aspects of Parish Nursing.

One of our WELS pastors recently asked about the legal ramifications of a parish nurse practice. What might a parish nurse be officially authorized to do? Any nurse, regardless of the setting in which he/she practices is guided by the policies and statutes set forth by the state in which the nurse is licensed. Since the statutes may vary from state to state it is neither necessary nor wise to make an all-inclusive policy for WELS parish nurses. It is, however, wise and necessary to review some guidelines as they apply to the unique nursing opportunities associated with parish nursing.

Liability: The Nurse Practice Act and State Statutes of the state in which the parish nurse is licensed to practice must be followed. A violation of these standards of practice constitutes unprofessional behavior and may result in the suspension, revocation and non-renewal of the nursing license. A congregation must be respectful of the standards by which a parish nurse must operate. It is a good idea to check with the church liability insurance and clarify any issues that arise. It is also a good idea, but not required, for a nurse to carry her own liability insurance.

HIPAA regulations may affect the practice of a parish nurse practice. Good communication with the members of a congregation and good documentation by the nurse will help maintain a proper program.

Types of Service: The underlying philosophy of the parish nurse program supports a non-invasive health & wellness practice, functioning under the roles of health educator, health counselor, community liaison and volunteer coordinator. Examples of a non-invasive practice might include a visitation ministry, health fairs, and health education programs, leading an exercise class, blood pressure screenings or bereavement follow-up.

Delegated Duties: The parish nurse (RN) is accountable for duties of delegation carried out in the parish nursing program guided by a job description.

Staffing: The parish nurse program is directed by a registered nurse currently licensed in the state in which he/ she serves. The parish nurse serves as a reflection of the congregation, and consequently, must serve in a manner that is consistent with the congregation’s overall ministry.
The most effective parish nurse programs include a group of nurses working together. Although not required, the additional nurses provide broader service and expertise to the program. Non-RN’s can serve within the program, but only under the direction and authority of the parish nurse (RN) and within legal guidelines.

This information on the legal issues surrounding parish nursing and more can be found in the Suggested Guidelines for WELS Parish Nursing posted on www.welsnurses.net on the Parish Nurse page. More questions? Contact us at [email protected].

Why would a congregation benefit from a parish nurse program? A healthier congregation is better able to serve the Lord and his people! And as the parish nurse intentionally cares for both body and soul he/she will find ways to connect them to God’s Word, giving strength to his people.