22 Tex. Admin. Code § 221.1 - Definitions
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.
(11) Party state--Any state that has entered
into the Nurse Licensure Compact.
(12) Protocols or other written
authorization--Written authorization to provide medical aspects of patient care
which are agreed upon and signed by the advanced practice nurse and the
physician, reviewed and signed at least annually, and maintained in the
practice setting of the advanced practice nurse. Protocols or other written
authorization shall be defined to promote the exercise of professional judgment
by the advanced practice nurse commensurate with his/her education and
experience. Such protocols or other written authorization need not describe the
exact steps that the advanced practice nurse must take with respect to each
specific condition, disease, or symptom and may state types or categories of
drugs which may be prescribed rather that just list specific drugs.
(13) Shall and must--Mandatory
requirements.
(14) Should--A
recommendation.
(15)
Unencumbered--A license to practice registered nursing which does not have
stipulations against the license.
Notes
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No prior version found.