| (a) Advanced practice registered nurses (APRNs) practice
in a variety of settings and provide a broad range of health care
services to a variety of patient populations within their Board authorized
role and population focus area.
(b) APRNs may only perform those functions that are
within their Board authorized professional and individual scopes of
practice for their role and population focus area and that are consistent
with the Nursing Practice Act, Board rules, and other applicable laws
and regulations affecting their practice in Texas.
(c) In determining whether a particular action falls
within an APRN's authorized professional and/or individual scope of
practice, the following factors will be considered:
(1) Whether the APRN received training regarding the
performance of the particular action in his/her advanced educational
program;
(2) Whether the action falls within generally acceptable
standards of care appropriate for the APRN's role and population focus
area, as determined by a professional specialty organization;
(3) Whether the APRN has demonstrable clinical competence
and/or clinical experience in performing the action in the role of
an APRN, obtained through supervision and/or training by a qualified
practitioner;
(4) Whether the APRN has been credentialed by a health
care facility's credentialing body and/or holds a privilege to perform
the action at a health care facility;
(5) Whether the APRN has completed additional training
for the specific action being performed. Additional training means
education obtained by the APRN post-APRN licensure in his/her role
and population focus area that is adequate for the action being performed
by the APRN.
(A) To determine whether the additional training obtained
by an APRN is adequate for the action being performed by the APRN,
the following factors will be considered:
(i) the type of instruction provided, by way of example,
and not limitation, online instruction; in-person instruction; didactic
instruction; or clinical instruction;
(ii) the learning objectives, content, materials, and
methods for evaluating participation contained in the training curriculum;
(iii) the length and/or quantity of the training;
(iv) the qualifications of the person/entity providing
the training;
(v) whether the training has been certified or recognized
by a professional specialty organization for the APRN's role and population
focus area;
(vi) whether the training is consistent with evidence-based
practice;
(vii) whether the training is sponsored by an educational
institution, such as a formal fellowship or precepted experience;
and
(viii) whether the training is provided by an entity
in conjunction with the use of the entity's product, drug, or medical
apparatus/equipment.
(B) All training must include a method of objective,
verifiable participant competency following completion of the training.
(d) It is the responsibility of the APRN to maintain
records of all completed training and competencies.
(e) An APRN is not prohibited from providing nursing
care within the scope of practice of a registered nurse.
(f) Nothing in this section shall be construed to authorize
an APRN to practice in a role or population focus area for which the
APRN has not been licensed.
(g) An action that is determined to have been committed
outside an APRN's authorized scope of practice may subject the APRN
to discipline.
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