Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 221 - ADVANCED PRACTICE NURSES › Section 221.1 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
				  shall have the following meanings unless the context clearly indicates
				  otherwise:
(1) Accredited program--A
				program which has been deemed to have met certain standards set by the board or
				by a national accrediting body recognized by the board.
(2) Advanced educational program--A
				post-basic advanced practice nurse program at the certificate, master's degree,
				or higher level. Beginning January 1, 2003, a minimum of a master's degree in
				the advanced practice role and population focus area will be required for
				recognition as an Advanced Practice Registered Nurse.
(3) Advanced practice nurse--A registered
				nurse approved by the board to practice as an advanced practice nurse based on
				completing an advanced educational program acceptable to the board. The term
				includes a nurse practitioner, nurse-midwife, nurse anesthetist, and a clinical
				nurse specialist. The advanced practice nurse is prepared to practice in an
				expanded role to provide health care to individuals, families, and/or groups in
				a variety of settings including but not limited to homes, hospitals,
				institutions, offices, industry, schools, community agencies, public and
				private clinics, and private practice. The advanced practice nurse acts
				independently and/or in collaboration with other health care professionals in
				the delivery of health care services.
(4) Authorization to practice--The process of
				reviewing the educational, licensing, certification and other credentials of
				the registered nurse to determine compliance with the board's requirements for
				approval as an advanced practice nurse.
(5) Board--The Texas Board of
				Nursing.
(6) Current
				certification--Initial certification and maintenance of certification by
				national certifying bodies recognized by the board.
(7) Current practice--Maintaining competence
				as an advanced practice nurse by practicing in the advanced role and specialty
				in the clinical setting, practicing as an educator in the clinical and/or
				didactic portion of an advanced educational program of study, or practicing as
				a consultant or an administrator within the advanced specialty and
				role.
(8) Graduate advanced
				practice nurse--A registered nurse who has completed an advanced educational
				program of study and has been granted provisional or interim authorization by
				the board to practice in the advanced specialty and role.
(9) Monitored anesthesia care--Refers to
				situations where a patient undergoing a diagnostic or therapeutic procedure
				receive doses of medication that create a risk of loss of normal protective
				reflexes or loss of consciousness and the patient remains able to protect the
				airway for the majority of the procedure. If, for an extended period of time,
				the patient is rendered unconscious and/or loses normal protective reflexes,
				then anesthesia care shall be considered a general anesthetic.
(10) Outpatient setting--Any facility,
				clinic, center, office, or other setting that is not a part of a licensed
				hospital or a licensed ambulatory surgical center with the exception of all of
				the following:
(A) clinic located on land
				recognized as tribal land by the federal government and maintained or operated
				by a federally recognized Indian tribe or tribal organization as listed under
				25 U.S.C. Section 479-1 or as listed under a successor federal statute or
				regulation;
(B) a facility
				maintained or operated by a state or governmental entity;
(C) a clinic directly maintained or operated
				by the United States or by any of its departments, officers, or agencies;
				and
(D) an outpatient setting
				accredited by either the Joint Commission on Accreditation of Healthcare
				Organizations relating to ambulatory surgical centers, the American Association
				for the Accreditation of Ambulatory Surgery Facilities, or the Accreditation
				Association for Ambulatory Health Care.