(a) A RN providing services on behalf of a center must
have at least the following qualifications and experience:
(1) a valid RN license under Texas Occupations Code,
Chapter 301, with no disciplinary action;
(2) valid certifications in Cardio Pulmonary Resuscitation
and Basic First Aid; and
(3) one of the following:
(A) one year of pediatric specialty experience with
emphasis on medically and technologically dependent minors, obtained
within the previous five years; or
(B) sufficient skills to meet the competency and training
requirements described in subsection (b) of this section.
(b) A center must adopt and enforce a written policy
regarding an RN who qualifies to provide services at the center under
subsection (a)(3)(B) of this section. The policy must:
(1) require an RN qualified under subsection (a)(3)(B)
of this section to complete a training program that is determined
appropriate by the Director of Nursing and conducted by an RN on the
RN responsibilities described in §15.403 of this division (relating
to Registered Nurse Responsibilities) and that includes hands-on training;
(2) require, before performing the RN responsibilities
described in §15.403 of this division, an RN qualified under
subsection (a)(3)(B) of this section to demonstrate competency in
performing the responsibilities described in §15.403 of this
division, as determined by an RN;
(3) describe procedures for increased supervision of
an RN qualified under subsection (a)(3)(B) of this section during
the training program, competency evaluation, and for three months
after completion of the competency evaluation to ensure the health
and safety of minors; and
(4) prohibit an RN qualified under subsection (a)(3)(B)
of this section from performing the responsibilities in §15.403
of this division or being included in the nursing services staffing
ratio as an RN, as described in §15.410 of this division (relating
to Nursing Services Staffing Ratio), until the RN completes the training
program described in paragraph (1) of this subsection and demonstrates
competency as described in paragraph (2) of this subsection.
(c) An RN qualified under subsection (a)(3)(B) of this
section must meet the requirements in §15.415 of this division
(relating to Staffing Policies for Staff Orientation, Development,
and Training) and §15.416 of this division (relating to Staff
Development Program).
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Source Note: The provisions of this §550.402 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875 |