Jeanne Blum, RN, is a nurse on aLDRP unit. Recently, the policy and

procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient

as a practice acceptable for nurses to perform. Jeanne

and some of her coworkers shared their concern over

lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and

other potential medical complications resulting from

this practice. Jeanne gathered data from her state and

many others states and noted that her hospital was

not in compliance with her professional organization

practice standards. Jeanne shared this informationwith her coworkers. She volunteered to contact the

state board of nursing on their behalf to request a

declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes.

Her state board’s clinical practice committee

reviewed her request for a declaratory statement and

gathered information from other states. A formal

declaratory statement was drafted by the board and

made it available on its Web site. A letter from the

board was sent to Jeanne’s institution, informing it of

the declaratory statement, which stated that the task

nurses were requested to perform was beyond their

scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does this

scenario

represent?