Texas Board of Nursing - Practice - Nursing Practice
The Texas Nurse Practice Act and Board of Nursing (BON) Rules, including Give examples of applying principles of nursing ethics. 5. Access the website of the Texas Board of Nursing at bornholm-sommerhus.info or .. Know, recognize, and maintain professional boundaries of the nurse-client relationship. Nurses who provide care to older patients (not defined) must complete 2 contact or Ordering Drugs and Devices. bornholm-sommerhus.info . Persons whom APRN spoke and if not patient, why and relationship to the. Reprinted January as Therapeutic Nurse-Client Relationship. Revised June as 2 Bolded words are defined in the glossary on page 4. 3 ( Hupcey.
Each section is called a subchapter. Check the website regularly to keep up with any changes or additions that will affect your nursing practice.
Make sure your contact information is up-to-date otherwise the license renewal notice will go to the wrong place. The BON represents the people of Texas by ensuring that licensed nurses meet minimum standards of safe practice.
The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs.
This mission, derived from the Nursing Practice Act, supersedes the interest of any individual, the nursing profession, or any special interest group. Licensure of nurses is a requirement to protect the people of Texas and ensure safe nursing care.
Texas Board of Nursing - Practice - Position Statements
The NPA stipulates that you cannot call yourself a nurse nor practice in the state of Texas without a license. Professional nursing associations DO: The BON members are appointed by the governor.
The section goes on to define eligibility for membership in eligibility for membership removal from the BON. License Requirements Using the title of registered or licensed nurse is restricted to those with a license.
This restriction exists to assure the public that the licensed nurse has specialized knowledge which is graduation from an approved nursing program and passing the licensure exam. Applicants for initial licensure must submit the following Rules and Regulations ,2: These requirements can be found under rules and regulations To receive temporary authorization of practice the following must be submitted.
Graduate nurses who have already failed the NCLEX will not be granted temporary authorization to practice. Nurses who have not practice nursing for four more years may be issued a temporary permit for the limited period of completing a refresher course, or extended orientation.
Licensure by Endorsement A practicing nurse from another state can apply for permanent licensure and a temporary permit that is valid for days, and is not renewable, by doing the following: Graduates from Foreign Nursing Programs have additional verification processes. There are situational rules for renewing a license when the license has lapsed is in Rules and Regulations Failure to Renew License License Renewal The BON will send to license renewal notice at least 30 days before the license expires.
Make sure your address and contact information is correct, to receive the renewal notice.
Jurisprudence and Ethics for Nurses Licensed in Texas
You cannot renew more than two months before the expiration date. An unexpired license can be renewed by payment to the BON before the expiration date of the license. Rules and Regulation A renewed license card must be available for employer inspection by January 1 of the new license period. It is illegal to practice nursing after your license has expired. Continuing competency requirements must be completed within the last two years before the before the expiration date of the license.
Those requirements will be discussed in detail later in this course.
When you apply for or renew your license, you are required to report any criminal behavior in your past and any pending criminal charges against you, including adjudicated or probationary action. While some criminal incidents don't result in a conviction, the incident should still be reported to the BON. A minor Class C traffic violation does not need to be reported. You can refer to the BON rules to determine what counts as a crime.
Falsifying information to the BON can be more damaging than the original criminal behavior. Some nurses will be selected to be audited for compliance with continuing nursing education requirements or a criminal background check.
The proof of CNE must be received in the office and the background check must be completed before the license can be renewed.
You can renew online at the BON website https: If your license has expired or you are not eligible for online renewal you can download a paper form at the BON website http: You are not eligible to renew online if any of the following conditions are met: Proof of continuing nursing education must be received in our office for the license to be released or renewed. The Board honors and supports military personnel and veterans and their educational mobility.
This rule delineates two methods by which nurses may follow a pre-approved set of orders for treating patients: Such written instructions, orders, rules, regulations or procedures shall delineate under what set of conditions and circumstances action should be instituted. As used in this chapter, standing delegation orders do not refer to treatment programs ordered by a physician following examination or evaluation by a physician, nor to established procedures for providing of care by personnel under direct, personal supervision of a physician who is directly supervising or overseeing the delivery of medical or health care.
As used in this chapter, standing delegation orders are separate and distinct from prescriptive authority agreements as defined in this chapter.
Such standing delegation orders should be developed and approved by the physician who is responsible for the delivery of medical care covered by the orders. Such standing delegation orders, at a minimum, should: These orders, rules, regulations or procedures are authority and direction for the performance for certain prescribed acts for patients by authorized persons as distinguished from specific orders written for a particular patient or delegation pursuant to a prescriptive authority agreement.
The term protocols is separate and distinct from prescriptive authority agreements as defined under the Act and this chapter. However, prescriptive authority agreements may reference or include the terms of a protocol s. Protocols shall be defined to promote the exercise of professional judgment by the advanced practice registered nurse and physician assistant commensurate with their education and experience.
The protocols used by a reasonable and prudent physician exercising sound medical judgment need not describe the exact steps that an advanced practice registered nurse or a physician assistant must take with respect to each specific condition, disease, or symptom.
Based on the above definitions in the TMB rules, RNs who do not have advanced practice licensure from the BON may not utilize "protocols" to carry out physician orders. A nurse responsible for initiating physician's standing medical orders or standing delegation orders may select specific tasks or functions for patient management, including the administration of a medication required to implement the selected order provided such selection be within the scope of the standing orders.
The selection of such tasks or functions for patient management constitutes a nursing decision that may be carried out by a LVN or RN. The nurse initiating any form of standing orders must act within the scope of the Nursing Practice Act, Board Rules and Regulations, and any other applicable local, state, or federal laws.
Board of Nurse Examiners, S. Persons who are especially vulnerable include the elderly, children, the mentally ill, sedated and anesthetized patients, those whose mental or cognitive ability is compromised, and patients who are physically disabled, immobilized, restrained, or secluded.
The distinction between a nurse leaving employment versus a nurse violating a duty to a patient through leaving an assignment is often confused. The first is an employment issue; the other is potentially a licensure issue. From a BON standpoint, the focus for disciplinary sanctions is on the relationship and responsibility of the nurse to the patient, not to the employer or employment setting.
Employment Issues Though the Board has no jurisdiction over employers or employment-related issues, other laws regulating facility licensure may apply certain responsibilities to the employer for provision of patient safety, such as development of effective patient care systems or provision of adequate numbers of qualified staff.
Specific requirements for a given facility may be obtained by contacting the applicable licensing authority for the institution. The Board believes that the following additional examples of employment issues would not typically involve violations of the NPA or Board Rules: The Board believes nurses should be vigilant and exercise sound professional judgment when accepting assignments that may be requested by employers who need nurses to fill vacant shifts for licensed nursing staff or other staffing-related situations.
Specific procedures to follow in a given circumstance nurse becomes ill, family emergency, etc.
Practice - Texas Board of Nursing Position Statements
These situations are challenging for all nurses and their employers, therefore the Board recommends policies and procedures be developed, and periodically reviewed, to provide clear guidance and direction to nurses in order for patients to receive safe and effective care.
A nurse may have to choose between the duty to provide safe patient care and protecting the nurse's own life during a violent situation that may occur in the workplace.
For example, when an active shooter is present in the workplace, the nurse should take steps to protect the patients if there is time and using a method that does not jeopardize the nurse's personal safety or interfere with law enforcement personnel.