reglab/statecodes huggingface dataset:
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.4 - Approval

Current through Reg. 49, No. 28; July 12, 2024
(a) The progressive designation of approval
				status is not implied by the order of the following listing. Approval status is
				based upon each program's performance and demonstrated compliance to the
				Board's requirements and responses to the Board's recommendations. Change from
				one status to another is based on NCLEX-RN®
				examination pass rates, compliance audits, survey visits, and other factors
				listed under subsection (b) of this section. Types of approval include:
(1) Initial Approval.
(A) Initial approval is written authorization
				by the Board for a new program to enroll students, is granted if the program
				meets the requirements and addresses the recommendations issued by the Board,
				and begins with the date of the first student enrollment.
(B) The number of students to be enrolled
				while the program is on initial approval is determined by the Board, and the
				requirements will be included in the Board's Order approving the
				program.
(C) Change from initial
				approval status to full approval status cannot occur until the program has
				demonstrated compliance with this chapter, has met requirements and responded
				to all recommendations issued by the Board, and the
				NCLEX-RN® examination pass rate is at least 80%
				after a full examination year. In order to ensure the continuing success of the
				program, the Board may, in its discretion, impose any restrictions or
				conditions it deems appropriate and necessary for continued operation and/or as
				a condition for changing the approval status.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.5 - Philosophy/Mission and Objectives/Outcomes

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				philosophy/mission and objectives/outcomes of the professional nursing
				education program shall be consistent with the philosophy/mission of the
				governing entity. They shall reflect the diversity of the community served and
				shall be consistent with professional, educational, and ethical standards of
				nursing.
(b) Program
				objectives/outcomes derived from the philosophy/mission shall reflect the
Differentiated Essential Competencies of Graduates of Texas Nursing
				Programs Evidenced by Knowledge, Clinical Judgment, and Behaviors: Vocational
				(VN), Diploma/Associate Degree (Diploma/ADN), Baccalaureate Degree (BSN),
				2021
(DECs).
(c) Clinical
				objective/outcomes shall be stated in behavioral terms and shall serve as a
				mechanism for evaluating student progression.
(d) The conceptual framework shall provide
				the organization of major concepts from the philosophy/mission of the program
				that provides the underlying structure or theme of the curriculum and
				facilitates the achievement of the program objectives/outcomes.
(e) The dean/director and the faculty shall
				periodically review the philosophy/mission and objectives/outcomes and shall
				make appropriate revisions to maintain currency.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.6 - Administration and Organization

Current through Reg. 49, No. 28; July 12, 2024
(a) The governing
				entity of a professional nursing education program, not including a diploma
				program, must be accredited by an agency recognized by the THECB or hold a
				certificate of authority from the THECB under provisions leading to
				accreditation of the institution in due course.
(b) There shall be an organizational chart
				which demonstrates the relationship of the professional nursing education
				program to the governing entity and indicates lines of responsibility and
				authority.
(c) In colleges and
				universities, the professional nursing education program shall have comparable
				status with other academic units within the governing entity in such areas as
				budgetary authority, rank, promotion, tenure, leave, benefits, and professional
				development.
(d) Salaries shall be
				adequate to recruit, employ, and retain sufficient qualified nursing faculty
				members with graduate preparation and expertise necessary for students to meet
				program goals.
(e) The governing
				entity shall provide financial support and resources needed to operate a
				professional nursing education program which meets the requirements of the
				Board and fosters achievement of program goals. The financial resources shall
				support adequate educational facilities, equipment, and qualified
				administrative and instructional personnel.
(f) Each professional nursing education
				program shall be administered by a qualified individual who is accountable for
				the planning, implementation, and evaluation of the professional nursing
				education program. The dean or director shall:
(1) hold an unencumbered current license or
				privilege to practice as a registered nurse in the state of Texas;
(2) hold a master's degree or a doctoral
				degree in nursing;
(3) hold a
				doctoral degree, if administering a baccalaureate or master's degree
				program;
(4) have a minimum of two
				(2) years teaching experience in a professional nursing education
				program;
(5) have demonstrated
				knowledge, skills, and abilities in administration within a professional
				nursing education program; and
(6)
				not carry a teaching load of more than three (3) clock hours per week if
				required to teach.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.7 - Faculty

Current through Reg. 49, No. 28; July 12, 2024
(a) Faculty Organization.
(1) The faculty shall be organized with
				written policies and procedures and/or bylaws to guide the faculty and
				program's activities, including processes for enforcement of written student
				policies.
(2) The faculty shall
				meet regularly and function in such a manner that all members participate in
				planning, implementing, and evaluating the nursing program. Such participation
				includes, but is not limited to: the initiation and/or change in program
				policies, personnel policies, curriculum, utilization of affiliating agencies,
				and program evaluation.
(A) Committees
				necessary to carry out the functions of the program shall be established with
				duties and membership of each committee clearly defined in writing.
(B) Minutes of faculty organization and
				meetings shall document the reasons for actions and the decisions of the
				faculty and shall be available for reference.
(C) Part-time faculty may participate in all
				aspects of the program. Clear lines of communication of program policies,
				objectives, and evaluation criteria shall be included in the policies for
				part-time faculty.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.8 - Students

Current through Reg. 49, No. 28; July 12, 2024
(a) The number of students admitted to the
				program shall be determined by the number of qualified faculty, adequate
				educational facilities and resources, and the availability of appropriate
				clinical learning experiences for students.
(b) If a program that is accredited by a
				national nursing accreditation agency plans an increase of enrollment of 25% or
				more, it must file a substantive change proposal with the accreditation agency.
				Programs that are not accredited by a national nursing accreditation agency
				must seek approval prior to an increase in enrollment of twenty-five percent
				(25%) or greater by headcount in one (1) academic year for each nursing program
				offered. The program must notify Board Staff four (4) months prior to the
				anticipated increase in enrollment by following Board Education Guideline 3.5.2
				available at
https://www.bon.texas.gov
. The
				Executive Director shall have the authority to approve an increase in
				enrollment on behalf of the Board. When determining whether to approve a
				request for an increase in enrollment under this rule, the Executive Director
				and/or the Board shall consider:
(1) the
				comparison of previous to projected nursing program enrollment by
				headcount;
(2) enrollment
				projections and enrollment management plan;
(3) the effect of the change of enrollment on
				faculty workload;
(4) clinical
				placement/utilization;
(5)
				additional resources required by the enrollment increase; and
(6) the program's plan to evaluate the effect
				of the enrollment increase on the program's success.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.9 - Program of Study

Current through Reg. 49, No. 28; July 12, 2024
(a) The program of
				study shall include both didactic and clinical learning experiences and shall
				be:
(1) at least the equivalent of two (2)
				academic years and shall not exceed four (4) calendar years;
(2) planned, implemented, and evaluated by
				the faculty;
(3) based on the
				philosophy/mission and objectives/outcomes;
(4) organized logically, sequenced
				appropriately;
(5) based on sound
				educational principles;
(6)
				designed to prepare graduates to practice according to the Standards of Nursing
				Practice as set forth in the Board's Rules and Regulations;
(7) designed and implemented to prepare
				students to demonstrate the
Differentiated Essential Competencies of
				Graduates of Texas Nursing Programs Evidenced by Knowledge, Clinical Judgment,
				and Behaviors: Vocational (VN), Diploma/Associate Degree (Diploma/ADN),
				Baccalaureate Degree (BSN), 2021 (DECs);
and
(8) designed to teach students to use a
				systematic approach to clinical decision making and safe patient
				care.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.10 - Clinical Learning Experiences

Current through Reg. 49, No. 28; July 12, 2024
(a) Faculty shall
				be responsible and accountable for managing clinical learning experiences and
				observation experiences of students. Board Education Guideline 3.6.2 available
				at
https://www.bon.texas.gov
describes the purposes of clinical settings and reported hands-on clinical
				hours to meet program and course objectives.
(b) Faculty shall develop criteria for the
				selection of affiliating agencies/clinical facilities or clinical practice
				settings which address safety and the need for students to achieve the program
				outcomes (goals) and course objectives through the practice of nursing care or
				observation experiences. Consideration of selection of a clinical site shall
				include:
(1) client census in sufficient
				numbers to meet the clinical objectives/outcomes of the program/courses;
				and
(2) evidence of collaborative
				arrangements for scheduling clinical rotations with those facilities that
				support multiple nursing programs.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.11 - Facilities, Resources, and Services

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				governing entity shall be responsible for providing:
(1) educational facilities;
(2) resources; and
(3) services which support the effective
				development and implementation of the professional nursing education
				program.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.12 - Records and Reports

Current through Reg. 49, No. 28; July 12, 2024
(a) Accurate and
				current records shall be maintained for a minimum of two (2) years in a
				confidential manner and be accessible to appropriate parties, including Board
				representatives. These records shall include, but are not limited to:
(1) records of current students, including
				the student's application and required admission documentation, evidence of
				student's ability to meet objectives/outcomes of the program, final clinical
				practice evaluations, signed receipt of written student policies furnished by
				manual and/or electronic means, evidence of student receipt of the Board's
				licensure eligibility information as specifically outlined in §215.8(c) of
				this chapter (relating to Students), and the statement of withdrawal from the
				program, if applicable;
(2) faculty
				records;
(3) administrative
				records, which include minutes of faculty meetings for the past three (3)
				years, and school catalogs;
(4) the
				current program of study and curriculum including mission and goals (philosophy
				and outcomes), and course outlines;
(5) agreements with affiliating agencies;
				and
(6) the master plan of
				evaluation with most recent data collection.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.13 - Total Program Evaluation

Current through Reg. 49, No. 28; July 12, 2024
(a) There shall be
				a written plan for the systematic evaluation of the effectiveness of the total
				program following Board Education Guideline 3.8.1 available at
https://www.bon.texas.gov
. The
				plan shall include evaluative criteria, methodology, frequency of evaluation,
				assignment of responsibility, and indicators (benchmarks) of program and
				instructional effectiveness. The following broad areas shall be periodically
				evaluated:
(1) organization and
				administration of the program;
(2)
				philosophy/mission and objectives/outcomes;
(3) program of study, curriculum, and
				instructional techniques, including online components of the professional
				nursing education program, if applicable;
(4) education facilities, resources, and
				services;
(5) affiliating agencies
				and clinical learning activities, including simulation experiences;
(6) students' achievement;
(7) graduates' performance on the licensing
				examination;
(8) graduates' nursing
				competence;
(9) faculty members'
				performance; and
(10) extension
				sites/campuses.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 215 - PROFESSIONAL NURSING EDUCATION › Section 215.14 - Use of Standardized Examination Prepared by Private Entity

Current through Reg. 49, No. 28; July 12, 2024
(a) A professional nursing education program
				shall not use a student's score on a standardized examination prepared by a
				private entity:
(1) as a graduation
				requirement; or
(2) as the basis
				for denying the student an affidavit of graduation.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.1 - 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) Academic course--A
				specific set of learning experiences offered in an accredited school, college
				or university.
(2) Advanced
				Practice Registered Nurse (APRN)--A registered nurse who:
(A) has completed a graduate-level advanced
				practice registered nursing education program that prepares him or her for one
				of the four APRN roles;
(B) has
				passed a national certification examination recognized by the Board that
				measures APRN role and population focused competencies;
(C) maintains continued competence as
				evidenced by re-certification/certification maintenance in the role and
				population focus area of licensure through the national certification
				program;
(D) practices by building
				on the competencies of registered nurses by demonstrating a greater depth and
				breadth of knowledge, a greater synthesis of data, and greater role autonomy,
				as permitted by state law;
(E) is
				educationally prepared to assume responsibility and accountability for health
				promotion and/or maintenance, as well as the assessment, diagnosis, and
				management of patient problems, including the use and prescription of
				pharmacologic and non-pharmacologic interventions in compliance with state
				law;
(F) has clinical experience of
				sufficient depth and breadth to reflect the intended practice; and
(G) has been granted a license to practice as
				an APRN in one of the four APRN roles and at least one population focus area
				recognized by the Board.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.2 - Purpose

Current through Reg. 49, No. 28; July 12, 2024
The purpose of continuing competency is to ensure that nurses
				  stay abreast of current industry practices, enhance their professional
				  competence, learn about new technology and treatment regimens, and update their
				  clinical skills. Continuing education in nursing includes programs and
				  activities beyond the basic scholastic preparation which are designed to
				  promote and enrich knowledge, improve skills, and develop attitudes for the
				  enhancement of nursing practice, thus improving health care to the public.
				  National nursing certification is another method of demonstrating continuing
				  competence. Pursuant to authority set forth in the Occupations Code
				  §§
									301.152,
				  301.303,
				  301.304,
				  301.305,
				  301.306,
				  and
				  301.307,
				  the Board requires participation in continuing competency activities for
				  license renewal. The procedures set forth in these rules provide guidance to
				  fulfilling the continuing competency requirements . The Board encourages nurses
				  to choose continuing education offerings that relate to their work setting and
				  area of practice or to attain, maintain, or renew an approved national nursing
				  certification in their practice area, which benefits the public
				  welfare.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.4 - Criteria for Acceptable Continuing Education Offerings

Current through Reg. 49, No. 28; July 12, 2024
Continuing education offerings must be approved by a
				  credentialing agency or provider recognized by the Board. Proof of successful
				  completion shall contain the name of the provider; the program title, date, and
				  location; number of contact hours; provider number; and name of the
				  credentialing agency.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.5 - Additional Methods for Meeting Continuing Competency Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) Academic Courses. A licensee may receive
				CNE credit for attendance and completion of an academic course within the
				framework of a curriculum that leads to an academic degree in nursing or any
				academic course directly relevant to the licensee's area of nursing practice.
(1) Upon audit by the Board, the licensee
				must submit to the Board an official transcript indicating completion of the
				course with a grade of "C" or better, or a "Pass" on a Pass/Fail grading
				system.
(2) Contact hours may be
				obtained by this means for academic courses that were completed within the
				licensing period. CNE credit for academic courses will convert on the following
				basis: one academic quarter hour = 10 contact hours; one academic semester hour
				= 15 contact hours.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.6 - Activities that Are Not Acceptable as Continuing Education

Current through Reg. 49, No. 28; July 12, 2024
The following activities do not meet continuing education
				  requirements for licensure renewal.
(1) Basic Life Support (BLS) or
				cardiopulmonary resuscitation (CPR) courses.
(2) In service programs. Programs sponsored
				by the employing agency to provide specific information about the work setting
				and orientation or other programs which address the institution's philosophy;
				policies and procedures; on-the-job training; and equipment
				demonstration.
(3) Nursing
				refresher courses. Programs designed to update knowledge of current nursing
				theory and clinical practice, which consist of a didactic and clinical
				component, to ensure entry level competencies into nursing practice.
(4) Orientation programs. A program designed
				to introduce employees to the philosophy, goals, policies, procedures, role
				expectations, and physical facilities of a specific work place.
(5) Courses which focus upon
				self-improvement, changes in attitude, self-therapy, and self-awareness that do
				not delineate the impact on nursing practice or improved patient
				outcomes.
(6) Economic courses for
				financial gain, e.g., investments, retirement, preparing resumes, and
				techniques for job interview.
(7)
				Courses which focus on personal appearance in nursing.
(8) Liberal art courses in music, art,
				philosophy, and others when unrelated to patient/client care.
(9) Courses designed for lay
				people.
(10) Self-directed
				study--An educational activity wherein the learner takes the initiative and the
				responsibility for assessing, planning, implementing, and evaluating the
				activity including, but not limited to, academic courses that are audited, that
				are not directly relevant to a licensee's area of nursing practice, or that are
				prerequisite courses such as mathematics, physiology, biology, government, or
				other similar courses.
(11)
				Continuing Medical Education (CME), unless completed by an APRN in the APRN's
				role and population focus area of licensure and otherwise accepted in this
				chapter.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.7 - Responsibilities of Individual Licensee

Current through Reg. 49, No. 28; July 12, 2024
(a) The
				licensee shall be responsible to select and participate in continuing
				competency activities that will meet the requirements and criteria listed in
				this chapter.
(b) The licensee
				shall be responsible to maintain a record of CNE activities. These records
				shall document attendance as evidenced by original certificates of completion ,
				contact hour certificates, or official academic transcripts. Copies of these
				shall be submitted to the Board upon audit.
(c) The licensee shall be responsible to
				maintain these records for a minimum of three consecutive licensing periods or
				six years, unless otherwise specified in this chapter.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.8 - Relicensure Process

Current through Reg. 49, No. 28; July 12, 2024
(a) Renewal of
				license.
(1) Upon renewal of the license, the
				licensee shall sign a statement attesting that the CNE contact hours or
				approved national nursing certification requirement has been met.
(2) The contact hours must have been
				completed within the licensing period and by the time of application for
				license renewal. Contact hours from a previous licensing period will not be
				accepted. Additional contact hours earned may not be used for subsequent
				licensure renewals.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.9 - Audit Process

Current through Reg. 49, No. 28; July 12, 2024
The Board shall select a random sample of licensees 90 days
				  prior to each renewal month. Notification shall be sent to selected licensees
				  to substantiate compliance with the continuing competency requirements.
(1) Selected licensees shall submit the
				following, as outlined in the notification:
(A) documentation as specified in §
										216.4
				and §
										216.5
				of this chapter (relating to Criteria for Acceptable Continuing Education
				Offerings and Additional Methods for Meeting Continuing Competency
				Requirements) and any additional documentation the Board deems necessary to
				verify compliance with the continuing competency requirements for the period of
				licensure being audited; or
(B) a
				copy of the current approved national nursing certification and any additional
				documentation the Board deems necessary to verify compliance with the
				continuing competency requirements for the period of licensure being
				audited.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 216 - CONTINUING COMPETENCY › Section 216.10 - Appeals

Current through Reg. 49, No. 28; July 12, 2024
(a) Any individual who wishes to appeal a
				determination of noncompliance with the continuing competency requirements
				shall submit a letter of appeal within 20 days of notification of the audit
				results.
(b) The Board or its
				designee shall conduct a review in which the appellant may appear in person to
				present reasons why the audit decision should be set aside or
				modified.
(c) The decision of the
				Board after the appeal shall be considered final and binding.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.3 - Temporary Authorization to Practice/Temporary Permit

Current through Reg. 49, No. 28; July 12, 2024
(a) A new graduate who completes an
				accredited basic nursing education program within the United States, its
				Territories or Possessions and who applies for initial licensure by examination
				in Texas may be temporarily authorized to practice nursing as a graduate nurse
				(GN) or graduate vocational nurse (GVN) pending the results of the licensing
				examination.
(1) In order to receive temporary
				authorization to practice as a GN or GVN and obtain a permit, the new graduate
				must:
(A) file a completed application,
				including verification of completion of graduation requirements and the
				non-refundable application processing fee (see §
											217.2(a)(1)-(2)
				 of this title relating to Licensure by
				Examination for Graduates of Basic Nursing Education Programs Within the United
				States, its Territories or Possessions);
(B) have no outstanding eligibility issues
				(see §
											213.30
				of this title (relating to Declaratory Order of Eligibility for Licensure), and
				Texas Occupations Code §
											301.257);
(C) have never taken the NCLEX-PN or
				NCLEX-RN. Temporary authorization to practice as a GN will not be issued to any
				applicant who has previously failed the licensing examination;
(D) have registered to take the NCLEX-PN or
				NCLEX-RN with the examination administration service;
(E) submit fingerprints for a complete
				criminal background check; and
(F)
				obtain a passing score on the jurisprudence exam approved by the Board,
				effective September 1, 2009.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.4 - Requirements for Initial Licensure by Examination for Nurses Who Graduate from Nursing Education Programs Outside of United States' Jurisdiction

Current through Reg. 49, No. 28; July 12, 2024
(a) Criteria for nurse applicants for initial
				licensure applying under this section.
(1) A
				licensed vocational nurse applicant must:
(A)
				have either:
(i) successfully completed an
				approved program for educating vocational/practical (second level general
				nurses) nurses within the four years immediately preceding the filing of an
				application for initial licensure in Texas by providing a credential evaluation
				service full education course-by-course report from a credential evaluation
				service approved by the Board; or
(ii) successfully completed an approved
				program for educating vocational/practical (second level general nurses) nurses
				by providing a credential evaluation service full education course-by-course
				report from a credential evaluation service approved by the Board and practiced
				as a second level general nurse within the four years immediately preceding the
				filing of an application for initial licensure in Texas;
				and
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.5 - Temporary License and Endorsement

Current through Reg. 49, No. 28; July 12, 2024
(a) A nurse who
				has practiced nursing in another state within the four years immediately
				preceding a request for temporary licensure and/or permanent licensure by
				endorsement may obtain a non-renewable temporary license, which is valid for
				120 days, and/or a permanent license for endorsement by meeting the following
				requirements:
(1) Graduation from an approved
				Texas nursing education program or a program with substantially equivalent
				education standards to a Texas approved nursing program as defined below.
(A) A professional nursing education program
				operated in another state may be determined to have substantially equivalent
				education standards to a Texas approved nursing program if:
(i) the program is approved by a state board
				of nursing or other governmental entity to offer a pre-licensure professional
				nursing program of study that awards a nursing diploma or degree upon
				completion;
(ii) the program
				includes general education courses providing a sound foundation for nursing
				education for the level of preparation;
(iii) the program's nursing courses include
				didactic content and supervised clinical learning experiences in
				medical-surgical, maternal/child health, pediatrics, geriatrics, and mental
				health nursing that teach students to use a systematic approach to clinical
				decision-making and safe patient care across the life span; and
(iv) for baccalaureate degree nursing
				programs, nursing courses must also include didactic content and supervised
				clinical learning experiences, as appropriate, in community, research, and
				leadership.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.6 - Failure to Renew License

Current through Reg. 49, No. 28; July 12, 2024
(a) A nurse who
				is not practicing nursing in Texas and who fails to maintain a current Texas
				license for a period of time less than four years may bring his or her license
				up-to-date by filing such forms as the Board may require, showing evidence of
				having completed 20 contact hours of acceptable continuing education that meets
				the requirements of Chapter 216 of this title (relating to Continuing
				Competency) within the two years immediately preceding the application for
				reactivation, and paying the current licensure fee plus a late fee and any
				applicable fines, which are not refundable.
(b) A nurse who is not practicing nursing and
				who fails to maintain a current license from any licensing authority for four
				or more years will be required to:
(1)
				complete a refresher course, extensive orientation to the practice of nursing,
				or a nursing program of study that meets the requirements prescribed by the
				Board. The applicant must submit an application to the Board for a temporary
				permit for the limited purpose of completing a refresher course, extensive
				orientation to the practice of nursing, or a nursing program of
				study;
(2) submit to the Board
				evidence of the successful completion of the requirements of paragraph (1) of
				this subsection;
(3) submit to the
				Board a certificate of completion from the Texas Nursing Jurisprudence
				Exam;
(4) submit to the Board a
				completed reactivation application;
(5) submit to the Board the current,
				non-refundable licensure fee, plus a late fee and any applicable fines which
				are not refundable; and
(6) submit
				to the Board evidence of completion of 20 contact hours of acceptable
				continuing education for the two years immediately preceding the application
				for reactivation that meets the requirements of Chapter 216 of this title.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.7 - Change of Name and/or Address

Current through Reg. 49, No. 28; July 12, 2024
(a) A
				nurse/applicant for licensure shall notify the Board within ten days of a
				change of name by submitting a legal document reflecting the name change in the
				Texas Nurse Portal accessible through the Board's website.
(b) A nurse/applicant for licensure shall
				notify the Board within ten days of a change of address by submitting the new
				address in the Texas Nurse Portal accessible through the Board's
				website.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.9 - Inactive and Retired Status

Current through Reg. 49, No. 28; July 12, 2024
(a) A nurse
				may change his/her licensure status from "active" to "inactive" status by:
(1) submitting a written request to the Board
				prior to the expiration of his/her license; or
(2) designating "inactive" on the renewal
				form, if at the time of renewal.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.10 - Restrictions to Use of Designations for Licensed Vocational or Registered Nurse

Current through Reg. 49, No. 28; July 12, 2024
(a) Use of title
(1) A person who holds a valid current
				license as a registered nurse under this chapter:
(A) is referred to as a registered nurse;
				and
(B) may use the abbreviation
				"R.N."
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.12 - Unprofessional Conduct

Current through Reg. 49, No. 28; July 12, 2024
The following unprofessional conduct rules are intended to
				  protect clients and the public from incompetent, unethical, or illegal conduct
				  of licensees. The purpose of these rules is to identify behaviors in the
				  practice of nursing that are likely to deceive, defraud, or injure clients or
				  the public. Actual injury to a client need not be established. These behaviors
				  include but are not limited to:
(1)
				Unsafe Practice--actions or conduct including, but not limited to:
(A) Carelessly failing, repeatedly failing,
				or exhibiting an inability to perform vocational, registered, or advanced
				practice nursing in conformity with the standards of minimum acceptable level
				of nursing practice set out in §
										217.11
				of this chapter;
(B) Failing to
				conform to generally accepted nursing standards in applicable practice
				settings;
(C) Improper management
				of client records;
(D) Delegating
				or assigning nursing functions or a prescribed health function when the
				delegation or assignment could reasonably be expected to result in unsafe or
				ineffective client care;
(E)
				Accepting the assignment of nursing functions or a prescribed health function
				when the acceptance of the assignment could be reasonably expected to result in
				unsafe or ineffective client care;
(F) Failing to supervise the performance of
				tasks by any individual working pursuant to the nurse's delegation or
				assignment; or
(G) Failure of a
				clinical nursing instructor to adequately supervise or to assure adequate
				supervision of student experiences.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.13 - Peer Assistance Program

Current through Reg. 49, No. 28; July 12, 2024
(a) A peer
				assistance program for nurses approved by the Board under chapter 467, Health
				and Safety Code, will identify, monitor, and assist with locating appropriate
				treatment for those nurses whose practice is impaired or suspected of being
				impaired by chemical dependency, mental illness or diminished mental capacity
				so that they may return to practice safe nursing.
(b) Role of the Board of Nursing and Peer
				Assistance Program.
(1) The Board of Nursing
				will retain the sole and exclusive authority to discipline a nurse who has
				committed a practice violation under §301.452(b) of the Nursing Practice
				Act regardless of whether such violation was influenced by chemical dependency,
				mental illness, or diminished mental capacity. The Board will balance the need
				to protect the public and the need to ensure the nurse seeks treatment in
				determining whether the nurse is appropriate for participation in an approved
				peer assistance program.
(2) The
				program shall report to the board, in accordance with policies adopted by the
				board, a nurse reported to the program who is impaired or suspected of being
				impaired for chemical dependency, mental illness, or diminished mental capacity
				if the nurse was reported to the program by third party. A third party report
				is a report concerning a nurse suspected of chemical dependency, mental
				illness, or diminished mental capacity that comes to the attention of the
				program through any source other than a self report.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.14 - Registered Nurses Performing Radiologic Procedures

Current through Reg. 49, No. 28; July 12, 2024
(a) A registered nurse who performs
				radiologic procedures other than in a hospital that participates in the federal
				Medicare program or that is accredited by the Joint Commission shall submit an
				application for registration to the Board and shall submit evidence including,
				but not limited to, the following:
(1)
				current licensure as a registered nurse in the State of Texas; and
(2) the name and business address of the
				practitioner or director of radiological services under whose instruction or
				direction the radiologic procedures are performed.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.15 - Copying the License/Permit/Permanent Certificate of a Licensed Vocational Nurse/Registered Nurse/Graduate Nurse/Advanced Practice Nurse

Current through Reg. 49, No. 28; July 12, 2024
(a) The licensee or permit holder has the
				responsibility to protect his or her license/permit/permanent certificate from
				loss and potential fraudulent or unlawful use.
(b) A licensee or permit holder shall only
				allow his or her license/permit certificate to be copied for the purpose of
				licensure verification by employers, licensing boards, professional
				organizations, nursing programs, and third party payors for credentialing and
				reimbursement purposes. Other persons and/or agencies may contact the board's
				office in writing or by phone to verify licensure.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.17 - Nursing Jurisprudence Exam (NJE)

Current through Reg. 49, No. 28; July 12, 2024
(a)
				Exam Development.
(1) The Board will develop
				a Nursing Jurisprudence Exam (NJE) as authorized by Nursing Practice Act (NPA)
				§ 301.252.
(2) The NJE will be
				required for each person who submits an application seeking initial licensure
				on or after September 1, 2008.
(3)
				The NJE will be a minimum of 50 questions and shall be psychometrically
				validated.
(4) The NJE shall be
				designed to test an applicant's knowledge relating to board statutes, rules,
				position statements, guidelines, disciplinary sanction policies, frequently
				asked questions, and other resource documents accessible on the board's web
				page relating to the regulation, licensure, and practice of nursing under the
				following categories:
(A) Nursing Licensure
				and Regulation in Texas;
(B)
				Nursing Ethics;
(C) Nursing
				Practice;
(D) Nursing Peer
				Review;
(E) Disciplinary
				Action.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.18 - Assisting at Surgery

Current through Reg. 49, No. 28; July 12, 2024
(a) Nurse First
				Assistants.
(1) A registered nurse who wishes
				to function as a first assistant (RNFA) in surgery shall meet the following
				requirements:
(A) Current licensure as a
				registered nurse in the State of Texas or a current, valid registered nurse
				license with a multi-state privilege in a party state;
(B) Completion of a nurse first assistant
				educational program approved or recognized by an organization recognized by the
				Board; and
(C) Is either:
(i) currently certified in perioperative
				nursing by an organization recognized by the board (CNOR certification in
				perioperative nursing); or
(ii)
				currently recognized by the board as an advanced practice nurse and qualified
				by education, training, or experience to perform the tasks involved in
				perioperative nursing.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.21 - Remedial Education Course Providers and Remedial Education Courses

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. In situations where an
				individual has demonstrated a knowledge, judgment, or skills deficit, the Board
				believes that educational courses can serve as an effective form of remediation
				provided that the courses are well developed, based on sound educational
				principles, and taught by qualified instructors. This section establishes the
				requirements for the approval of remedial education course providers and
				remedial education courses.
(b)
				Definitions. The following words and terms, when used in this section, shall
				have the following meanings, unless the context clearly indicates otherwise:
(1) Remedial education course--An educational
				course that:
(A) meets the requirements of
				subsection (e) of this section;
(B)
				is not currently accredited or approved by a licensing authority or
				organization recognized by the Board;
(C) is designed to address an individual's
				competency deficiencies; and
(D) is
				required to be completed by the Board as part of a disciplinary and/or
				eligibility order.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.22 - Special Accommodations

Current through Reg. 49, No. 28; July 12, 2024
(a) The Board
				will provide reasonable accommodations for its licensing examinations as set
				forth in this section.
(b)
				Individuals requesting special accommodations must submit the following
				information to the Board:
(1) A completed
				Special Accommodations Request Form;
(2) A Professional Documentation of
				Disability Form, completed within the three years immediately preceding the
				accommodation request by a diagnostician meeting the Board's
				requirements;
(3) A completed
				Consent to Release Information Form; and
(4) A Nursing Program Verification Form
				completed by the dean or director of the nursing program attended.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.23 - Balance Billing Notice and Disclosure Requirements

Current through Reg. 49, No. 28; July 12, 2024
(a) Purpose. The purpose of this section is
				to implement the requirements of the Insurance Code §§1271.157,
				1271.158, 1301.164, 1301.165, 1551.229, 1551.230, 1575.172, 1575.173, 1579.110,
				and 1579.111 and the Insurance Code Chapter 1467 and notify licensees of their
				responsibilities under those sections.
(b) Definitions and Applicability of Section.
(1) Definitions. Terms defined in the
				Insurance Code §1467.001 have the same meanings when used in this section,
				unless the context clearly indicates otherwise. Additionally, for purposes of
				this section, a "balance bill" is a bill for an amount greater than an
				applicable copayment, coinsurance, and deductible under an enrollee's health
				benefit plan, as specified in the Insurance Code §§1271.157(c),
				1271.158(c), 1301.164(c), 1301.165(c), 1551.229(c), 1551.230(c), 1575.172(c),
				1575.173(c), 1579.110(c), or 1579.111(c).
(2) Applicability. This section only applies
				to a covered non-emergency health care or medical service or supply provided on
				or after January 1, 2020, by:
(A) a facility
				based provider that is not a participating provider for a health benefit plan,
				if the service or supply is provided at a health care facility that is a
				participating provider; or
(B) a
				diagnostic imaging provider or laboratory service provider that is not a
				participating provider for a health benefit plan, if the service or supply is
				provided in connection with a health care or medical service or supply provided
				by a participating provider. Further, this section is limited to providers that
				are subject to the Board's jurisdiction.
Texas Administrative Code › Title 22 - EXAMINING BOARDS › Part 11 - TEXAS BOARD OF NURSING › Chapter 217 - LICENSURE, PEER ASSISTANCE, AND PRACTICE › Section 217.24 - Telemedicine Medical Service Prescriptions

Current through Reg. 49, No. 28; July 12, 2024
(a)
				The validity of a prescription issued as a result of a telemedicine medical
				service is determined by the same standards that would apply to the issuance of
				the prescription in an in-person setting.
(b) This rule does not limit the professional
				judgment, discretion or decision-making authority of a licensed practitioner. A
				licensed practitioner is expected to meet the standard of care and demonstrate
				professional practice standards and judgment, consistent with all applicable
				statutes and rules when issuing, dispensing, delivering, or administering a
				prescription medication as a result of a telemedicine medical
				service.
(c) A valid prescription
				must be:
(1) issued for a legitimate medical
				purpose by a practitioner as part of patient-practitioner relationship as set
				out in §
										111.005,
				Texas Occupations Code; and
(2)
				meet all other applicable laws before prescribing, dispensing, delivering or
				administering a dangerous drug or controlled substance.