(a) If a center has an agreement with an accredited
school of nursing to use the center for a portion of a student nurse's
clinical experience, the student nurse may provide care under the
following conditions:
(1) the agreement ensures that criminal history checks
are conducted for a student nurse in accordance with §15.418
of this division (relating to Criminal History Checks, Nurse Aide
Registry (NAR), and Employee Misconduct Registry (EMR) Requirements)
before a student nurse provides direct care;
(2) a student nurse is not counted in the staffing
ratio required in this chapter; and
(3) one of the following:
(A) an instructor from the school is onsite, provides
class supervision, and assumes responsibility for all student nursing
activities at the center; or
(B) the center:
(i) assumes responsibility for supervision of all student
nurses and for all student nursing activities at the center; and
(ii) meets the requirements described in subsection
(b) of this section.
(b) The center must adopt and enforce written policy
and procedures describing whether the center will assume responsibility
for supervision of all student nurses and for all student nursing
activities at the center. If a center assumes responsibility for student
nurse activity, the center must:
(1) determine the appropriate level of student nurse
interaction with a minor, based on the qualifications and experience
of the student nurse;
(2) assign an RN to supervise a student nurse;
(3) limit RN supervision to no more than three student
nurses at one time; and
(4) based on the outcomes of paragraph (1) of this
subsection, determine if it is appropriate to exclude from the staffing
ratio the RN assigned to supervise the student nurse activities to
ensure the health and safety of minors.
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Source Note: The provisions of this §550.406 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 |