22 Tex. Admin. Code § 225.3 - Purpose
(a) The Texas Board of Nursing (BON or Board)
recognizes that public preference in the provision of health care services
includes a greater opportunity for clients to share with the RN in the choice
and control for delivery of services in the community based setting. The Board
also appreciates that the provision of health care is dynamic in nature and
continually evolving. As professional nurses, regardless of practice setting,
RNs are obligated to assess the nursing needs of the client, develop a plan of
nursing actions, implement this plan, and evaluate the outcome. These are
essential components of RN practice that identify professional nursing as a
process discipline. Professional nursing while inclusive of tasks is not
focused on tasks but rather on interventions or client-centered actions
initiated to assist the client in accomplishing the goals defined in the
nursing care plan.
(b) In the
independent living environment, RNs encounter clients across the spectrum of
health to illness. The primary goal is to assist the choice of the client to
achieve the most integrated setting/least restrictive environment throughout
the life span. This is regularly accomplished, in part, through the assistance
of unlicensed personnel who work with the client to complete a variety of tasks
on a daily basis. Some tasks that are considered nursing tasks in the acute
care setting are considered support services necessary to assist the client to
maintain client health, and thus the highest degree of independence and quality
of life possible, in the independent living environment.
(c) The purpose of this chapter is to provide
guidance to RNs which includes advanced practice registered nurses practicing
in independent living environments in incorporating the use of unlicensed
personnel to achieve optimal health benefits for the client. Clients in these
settings have needs that may be categorized as activities of daily living
(ADLs), health maintenance activities (HMAs), or nursing tasks. For some
clients, ADLs and HMAs may be of a routine and supportive nature that minimizes
the need for RN involvement.
(d)
The RN shall collaborate with the client and/or the client's responsible adult
in pursuit of the highest possible degree of independent living for the client.
By adequately and accurately assessing the needs of the client in this setting,
and considering the inter-related factors impacting the client's environment,
the RN can effectively make decisions in utilizing unlicensed personnel to
accomplish quality supportive services and care.
(e) The RN nurse administrator or the RN who
is responsible for nursing services in settings that utilize RN delegation in
independent living environments shall be responsible for knowing the
requirements of this rule and for taking reasonable steps to assure that
registered nurse delegation is implemented and conducted in compliance with the
Texas Nursing Practice Act and this chapter.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.