(a) An LVN providing services on behalf of a center
must have at least the following qualifications and experience:
(1) a valid LVN licensed 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 last consecutive 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 LVN who qualifies to provide services at the center under
subsection (a)(3)(B) of this section. The policy must:
(1) require an LVN 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
LVN responsibilities described in §15.405 of this division (relating
to Licensed Vocational Nurse Responsibilities) and that includes hands-on
training;
(2) require, before performing the LVN responsibilities
described in §15.405 of this division, an LVN qualified under
subsection (a)(3)(B) of this section to demonstrate competency in
performing the responsibilities described in §15.405 of this
division, as determined by an RN;
(3) describe procedures for increased supervision of
an LVN 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 LVN qualified under subsection (a)(3)(B)
of this section from performing the responsibilities in §15.405
of this division or being included in the nursing services staffing
ratio as an LVN, as described in §15.410 of this division (relating
to Nursing Services Staffing Ratio), until the LVN completes the training
program described in paragraph (1) of this subsection and demonstrates
competency as described in paragraph (2) of this subsection.
(c) An LVN 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 §550.404 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 |