| (a) To reactivate a license that has expired due to
non-renewal, the APRN shall meet the requirements for APRN licensure
renewal and pay all required fees.
(b) If more than two years, but less than four years,
have lapsed since completion of the APRN education program, and/or
the applicant does not have 400 hours of current practice in the advanced
role and population focus area during the previous biennium, the APRN
shall meet the requirements for application for APRN licensure renewal
and pay all required fees. The applicant shall be required to demonstrate
proof of completion of 400 hours of current practice in the APRN role
and population focus area, as well as the continuing competency requirement
as outlined in Chapter 216 of this title. The 400 hours of current
practice shall be obtained under the direct supervision of a qualified
preceptor who meets the requirements of subsection (c)(1)(C) of this
section.
(c) If more than four years have lapsed since completion
of the APRN education program and/or the applicant has not practiced
in the advanced role and population focus area during the previous
four years, the applicant shall apply for reactivation, meet current
requirements for APRN licensure renewal; and
(1) successfully complete a refresher course or extensive
orientation in the appropriate APRN population focus area and role
that includes a supervised clinical component by a qualified preceptor
who meets the requirements of subparagraph (C) of this paragraph.
(A) The course(s)/orientation shall be of sufficient
length to satisfy the learning needs of the inactive APRN and to assure
that he/she meets the minimum standard for safe, competent care. The
course(s)/orientation shall cover the entire scope of the role and
population focus area of licensure. Content shall comply with the
requirements specified in the form titled "Requirements for APRN Refresher
Course or Extensive Orientation", which is adopted by reference in
paragraph (2) of this subsection and shall include satisfactory completion
of 45 contact hours of pharmacotherapeutics.
(B) The preceptor must provide written verification
of satisfactory completion of the course/orientation on forms provided
by the Board and assurance that the individual has reviewed current
practice-related information pertinent to his/her advanced role and
population focus area.
(C) A preceptor must meet the following requirements:
(i) Holds an active, license as an APRN or physician
that is not encumbered by a disciplinary order at a level that would
prevent appropriate supervision and instruction;
(ii) Practices in a comparable practice focus area;
and
(iii) Functions as a supervisor and teacher and evaluates
the individual's performance in the clinical setting.
(2) The Board adopts by reference the form titled "Refresher
Course/ Extensive Orientation for APRNs returning to practice after
4 years" that comprises the instructions and requirements for a refresher
course or extensive orientation in an APRN role and population focus
area. This form is available on the Board's website.
(d) An APRN who has not completed an APRN education
program in the last 24 calendar months and has not practiced in the
APRN role and population focus area in Texas or another jurisdiction
within the last 24 calendar months shall apply for a six-month temporary
permit as specified in paragraph (5) of this subsection to be used
only for the completion of the current practice hours required for
reinstatement of the APRN license.
(1) The APRN applicant shall submit:
(A) an application for a six-month temporary permit
as specified in paragraph (5) of this subsection to be used for completion
of the requirements specified in this chapter; and
(B) evidence of a current, valid license or privilege
to practice as a registered nurse in the state of Texas.
(2) The six-month temporary permit for APRNs shall
not include prescriptive authority.
(3) The APRN applicant who is completing practice hours
on a six-month temporary permit shall use the appropriate APRN licensure
credential, followed by the notation "permit".
(4) The APRN applicant who is completing practice hours
on a six-month temporary permit shall practice under the supervision
of a qualified preceptor who meets the requirements of subsection
(c)(1)(C) of this section.
(5) The Board adopts by reference the form titled Application
for Six Month Temporary Permit (APRN) that includes the requirements
for completing supervised practice hours on a temporary permit. This
form may be found on the Board's website.
(e) For those individuals applying for licensure reinstatement
following disciplinary action, compliance with all Board licensure
requirements, as well as any specified requirements set forth in the
Board's disciplinary order, is required. A six-month temporary permit
may be issued, as appropriate, while a license is encumbered under
a disciplinary order.
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