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TITLE 22EXAMINING BOARDS
PART 11TEXAS BOARD OF NURSING
CHAPTER 221ADVANCED PRACTICE NURSES
RULE §221.2Authorization and Restrictions to Use of Advanced Practice Titles

(a) Effective January 1, 2006, a registered nurse holding him or herself out to be an advanced practice nurse shall be authorized to practice and hold a title in the following categories:

  (1) nurse anesthetist;

  (2) nurse-midwife;

  (3) nurse practitioner in the following specialties:

    (A) Acute Care Adult;

    (B) Acute Care Pediatric;

    (C) Adult;

    (D) Family;

    (E) Gerontological;

    (F) Neonatal;

    (G) Pediatric;

    (H) Psychiatric/Mental Health;

    (I) Women's Health; and/or

  (4) clinical nurse specialist in the following specialties:

    (A) Adult Health/Medical-Surgical Nursing;

    (B) Community Health Nursing;

    (C) Critical Care Nursing;

    (D) Gerontological Nursing;

    (E) Pediatric Nursing; and

    (F) Psychiatric/ Mental Health Nursing.

(b) A registered nurse who holds current authorization to practice as an advanced practice nurse issued by the board in any of the categories indicated in the previous subsection shall use that title when functioning in the advanced practice role. A registered nurse who was granted authorization to practice in an advanced role and specialty not indicated in the previous subsection prior to January 1, 2006, may continue to use the advanced practice title approved by the Board provided all requirements for maintenance of advanced practice authorization are met. "Advanced practice nurse" shall not be used as a title.

(c) Unless authorized as an advanced practice nurse by the board as provided for by §§221.4 - 221.8 of this chapter (relating to Full Authorization, Provisional Authorization; Interim Approval; Petitions for Waiver; and Maintaining Active Authorization as an Advanced Practice Nurse), a registered nurse shall not:

  (1) claim to be an advanced practice nurse or hold himself/herself out to be an advanced practice nurse in this state; and/or

  (2) use a title or any other designation tending to imply that the person is authorized as an advanced practice nurse.

(d) A registered nurse who violates subsection (c) of this section may be subject to an administrative penalty under §301.501 of the Nursing Practice Act.


Source Note: The provisions of this §221.2 adopted to be effective February 25, 2001, 26 TexReg 1509; amended to be effective May 15, 2005, 30 TexReg 2668

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