22 Tex. Admin. Code § 221.13 - Core Standards for Advanced Practice
(a) The
advanced practice nurse shall know and conform to the Texas Nursing Practice
Act; current board rules, regulations, and standards of professional nursing;
and all federal, state, and local laws, rules, and regulations affecting the
advanced role and specialty area. When collaborating with other health care
providers, the advanced practice nurse shall be accountable for knowledge of
the statutes and rules relating to advanced practice nursing and function
within the boundaries of the appropriate advanced practice category.
(b) The advanced practice nurse shall
practice within the advanced specialty and role appropriate to his/her advanced
educational preparation.
(c) The
advanced practice nurse acts independently and/or in collaboration with the
health team in the observation, assessment, diagnosis, intervention,
evaluation, rehabilitation, care and counsel, and health teachings of persons
who are ill, injured or infirm or experiencing changes in normal health
processes; and in the promotion and maintenance of health or prevention of
illness.
(d) When providing medical
aspects of care, advanced practice nurses shall utilize mechanisms which
provide authority for that care. These mechanisms may include, but are not
limited to, Protocols or other written authorization. This shall not be
construed as requiring authority for nursing aspects of care.
(1) Protocols or other written authorization
shall promote the exercise of professional judgment by the advanced practice
nurse commensurate with his/her education and experience. The degree of detail
within protocols/policies/practice guidelines/clinical practice privileges may
vary in relation to the complexity of the situations covered by such Protocols,
the advanced specialty area of practice, the advanced educational preparation
of the individual, and the experience level of the individual advanced practice
nurse.
(2) Protocols or other
written authorization:
(A) should be jointly
developed by the advanced practice nurse and the appropriate
physician(s),
(B) shall be signed
by both the advanced practice nurse and the physician(s),
(C) shall be reviewed and re-signed at least
annually,
(D) shall be maintained
in the practice setting of the advanced practice nurse, and
(E) shall be made available as necessary to
verify authority to provide medical aspects of care.
(e) The advanced practice nurse
shall retain professional accountability for advanced practice nursing
care.
Notes
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