Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 221 - ADVANCED PRACTICE NURSES › Section 221.12 - Scope of Practice

Current through Reg. 49, No. 28; July 12, 2024
(a) Advanced
				practice registered nurses (APRNs) practice in a variety of settings and
				provide a broad range of health care services to a variety of patient
				populations within their Board authorized role and population focus
				area.
(b) APRNs may only perform
				those functions that are within their Board authorized professional and
				individual scopes of practice for their role and population focus area and that
				are consistent with the Nursing Practice Act, Board rules, and other applicable
				laws and regulations affecting their practice in Texas.
(c) In determining whether a particular
				action falls within an APRN's authorized professional and/or individual scope
				of practice, the following factors will be considered:
(1) Whether the APRN received training
				regarding the performance of the particular action in his/her advanced
				educational program;
(2) Whether
				the action falls within generally acceptable standards of care appropriate for
				the APRN's role and population focus area, as determined by a professional
				specialty organization;
(3) Whether
				the APRN has demonstrable clinical competence and/or clinical experience in
				performing the action in the role of an APRN, obtained through supervision
				and/or training by a qualified practitioner;
(4) Whether the APRN has been credentialed by
				a health care facility's credentialing body and/or holds a privilege to perform
				the action at a health care facility;
(5) Whether the APRN has completed additional
				training for the specific action being performed. Additional training means
				education obtained by the APRN post-APRN licensure in his/her role and
				population focus area that is adequate for the action being performed by the
				APRN.
(A) To determine whether the additional
				training obtained by an APRN is adequate for the action being performed by the
				APRN, the following factors will be considered:
(i) the type of instruction provided, by way
				of example, and not limitation, online instruction; in-person instruction;
				didactic instruction; or clinical instruction;
(ii) the learning objectives, content,
				materials, and methods for evaluating participation contained in the training
				curriculum;
(iii) the length and/or
				quantity of the training;
(iv) the
				qualifications of the person/entity providing the training;
(v) whether the training has been certified
				or recognized by a professional specialty organization for the APRN's role and
				population focus area;
(vi) whether
				the training is consistent with evidence-based practice;
(vii) whether the training is sponsored by an
				educational institution, such as a formal fellowship or precepted experience;
				and
(viii) whether the training is
				provided by an entity in conjunction with the use of the entity's product,
				drug, or medical apparatus/equipment.
(B) All training must include a method of
				objective, verifiable participant competency following completion of the
				training.