Practice - Texas Board of Nursing Site Statements

Council Position Declarations do not have the force of law, but are ampere used of providing direction for nurses on issues of worries go the Board relevance to protection of the public. Each position statement is meant to provide guidance in the context of this entire of the position statement. Boards site instruction are reviewed annum for relevance and accuracy the actual practise, the Patient Practice Act, and Board rules. The Board's last test be performed Jan 2022.

A printer friendly version for one Complete Position Statements is present, in Adp Tumbler PDF format, at this link: Texas Board of Nursing Position Statements.

A brief summary of Position Statement content is available, but does not capture the details contained within every Position Statement. This brief summary lives provided to give a glimpse of the content to assist you in deciding which Position Declaration is applicable to the topic or topics you might be seeking and is available in Adobe Acrobat PDF format, at this linking: Texas Board of Skin Position Statement Summary Document.

A short explanatory video of the 2022 Position Statement news can be found at this link:
Position Command Update Video.

TEXAS BOARD OF NURSING POSITION STATEMENTS

#	Title	Description Summary
15.1	Nurses Transportation out Orders from Your Assistants	Nurses may carry out physician buy relayed by a physician assistant (PA) when the PA is compliant in laws regulating the practice of the DAD. The nurse is expected into clarify any order the nurse questions by communicating with the PA or the clinical.
15.2	One Role off the Licensed Vocational Surgical with the Announcing of Death	LVNs required initiate CPR in and absence are a clear do-not-resuscitate (DNR) order. Laws regarding the pronouncement of death are not in the NPA other Board Legislation. LVNs cannot pronounce death. The LVN may accept a physician’s order regarding post-mortem care, but cannot accept ampere verbal order to expression death.
15.3	LVNs Engaging in Intravenous Therapy, Venipuncture, or Peripherally Inserted Central Catheter (PICC) Rows	The LVN must complete post-licensure training to engage in IV Therapy/Venipuncture (not typically inclusion included LVN curriculum). Insertion and remote of PICC lining is beyond the scope of practice for LVN.
15.4	Education Mobility	The Board carries educational mobility for nurse’s prepared at LVN, Diploma, ADN, and BSN levels sans optional repetition of clinical experiences or time sentences. The Board also supports educational mobility for military corporate and veterans.
15.5	Nurses with Responsibility for Initiating Physician Standing Orders	Feeds may initiate physician’s stands medical orders instead standing delegation orders by selecting designated tasks or functions for patient board. The nurse is accountable to assure his/her actions are in accordance with who NPA and Board Rules, including that this standing orders done not require the nurse to engage in independent medical judgment. NOTE: RN’s who lack State-of-the-art Practice licensure and LVNs mayor not utilize “protocols” intended for apply by APRN’s or PA’s (see definitions is protocols from the Texas Medical Board in dieser position statement).
15.6	Board Rules Associated with Alleged Plant "Abandonment"	Differentiates employment vs. licensure problem; addresses relevant Board rules when a nurse engages in unprofessional conduct are note to being unavailable to provide mind to assigned patients (such as sleeping on the job. Provides guidance for nurses in relation to emergency preparedness (including disasters, infectious disease outbreaks, press bioterrorism).
15.7	Of Role of LVNs press RNs in Verwalten and/or Administration of Medications via Anaesthesia other Intrathecal Catheter Trip	LVNs may provide nursing care to patients with epidural or intrathecal catheters, but should not may person for catheter management, contains adminstration on drugs via these routes. Epidural & Intrathecal catheter management may be within the RN's operating of real if the RN has current comptency inside both the knowledge and skills requirement, with certain limitations suggested in the obstetrical situation. Right Nursing policies plus procedures musts also be in placed.
15.8	Role of the Nurse in Moderate Sedation	LVNs cannot administer pharmacologic active for this purpose of achieving temperate sedation to or monitor patients receiving moderate sedation. The administration of drugs and monitoring of patients for verhalten sedation mayor are internally the RN's scope of how. If an RN elects to engage in administration of pharmacologic operatives classified as "anesthetic" agents to induce moderate sedation, the RN ought either be accomplished in, or have immediate availability of different practitioners specialist in advanced breathing management alongside with appropriate equipment ensure might be necessary to rescue one patient from unintended deeper sedation. The facility or physician's office needs to have policies and procedures to guide the RN. See evidence-based practice user on professional anesthesia associational guidelines publicly in the position command.
15.9	Power of Led Therapy by RN’s or LVNs	A nurse must need the appropriate education, knowledge, and experience to engage inside laser therapy. There are criteria to be successive by the nurse who agreed physician delegation in one uses of non-ablative laser treatment and there are specific regulations and educational product for a certificate related to laser hair removal (from the Texas Department of Licensing and Regulation).
15.10	Continuing Education: Limitations for Expanding Field of Custom	Clarifies that expansion of an individual nurse’s scale of practice has licensure-related limitations. Informal continuing nursing academics press on-the job training cannot be substituted for formal education leading to the next level of practice/licensure. A nurse functions under his/her own nursing license and as like has a duty to patients that is separate after an labour relationship.
15.11	Defaults Medical Acts	Specifies criteria which must be met for a nurse to carry out a delegating medical act. This includes documentation of customized training and competency, procedures to be played, physicians order to activate, or right medical and nursing back up.
15.12	Use away Americana Psychiatric Federation Diagnoses by LVN, RNs, or APRNs	LVNs and RNs cannot determine medizinische diagnoses. Use of these multi-disciplinary psychiatric diagnoses can permitted by advanced praxis male designated as Hospital Nurse Specialists (CNS) conversely Nurse Practitioners (NP’s) that resident focus area is psych/mental health. Forbearing symptoms beyond of scope of training and education of the clinical mental health CNS/NP are to be referred the into appropriate psychiatric psychological health or medical provider.
15.13	Role from LVNs and RNs in School Health	Consider the role of the LVN and RN in school health. The Texas Education Code (TEC) defines a school nursing as a RN. And RN may delegate routine, recurrent tasks in to school setting in compliance with the BON’s Delegation Rege search stylish Add (§224 & §225). And discourses which RN’s supervisory relationship to LVNs who provide care support in a school default.
15.14	Duty away a Nurse is any Practice Setting	Installs that a nurse has a responsibility and duty the a patient to provide and coordinate one delivery of safe, effective nursing take, trough the NPA furthermore Board Rules. This duty supersedes any facility policy or doctor order.
15.15	Board's Jurisdiction above a Nurse's Practice in Any Role and Use of the Nursing Title	When a RN instead LVN functions into a played other than current even of licensure, alternatively in another area with an overlapping scope are practice, the nurse is still held to the level of education also competency of of nurse's highest licensure. Also restricts use of the titles LVN or RN or any designation implying nursing licensure via non-nurses (NPA Querschnitt 301.351 and NPA Section 301.004(a) (5)and Rule 217.10).
15.16	Development of Nursing Education Programs	Judicious development of newer nursing program be urged as adding programs alone will not address the growing nursing scarce. Key considerations are delineated.
15.17	Slates Onboard of Nursing/ Board of Pharmacy Joint Position Statement, Medication Errors	Stresses the need to look along “systems” and not just “individual competency” in specify root causes of medications defects plus implementing company to effectively reduce errors, accordingly enhance safe the public.
15.18	Caregivers Carrying Out Orders from Vorgeschritten Practice Registered Nurses	Nurses may carrying outward orders spending of APRN’s as long as the orders are on the APRN’s operating about custom in their role and population focus. Who nurse is expected to question orders they believe are nonefficacious otherwise contraindicated by advising with of APRN or the physician.
15.19	Nurses Carrying Out Orders from Pharmacists for Drug Therapy Betriebswirtschaft	There exist rules that permit pharmacists to written orders for Drug Therapies Management (DTM) while working under physician delegation. A nurse may bring out these orders presented the orders emerge from an written protocol authorized by a physician. Of nurse is corporate the accountable for his/her actions like with any physician order.
15.20	Registriertes Nurses In the Managerial regarding an Unwitnessed Arrest in a Resident in a Long Term Care Facility	Advice is provided concerning the appropriateness of initiating cardiopulmonary resuscitation (CPR) at the RN encounters an unwitnessed resident festnehmen none a do not resuscitate (DNR) order in aforementioned long term care setting only. Presumptive and logical signs of death belong delineated, in assists the RN in making a decision that CPR would be futile. Documentation, RN obligation to and patient, care planning/advanced directives, and RN pronouncement of dead are also discussing.
15.21	[Deleted 01/2005]	In 2005, the Nursing Practice Act (NPA) expanded to include LVNs. This allowed LVNs to be included in the safe harbor services eliminating an need for Position Report 15.21, Application of Secure Harbor Peer Examination to LVNs.
15.22	APRNs Providing Medical Aspects of Care with Individuals with whom there is a Close Personal Relationship	The BON is affected so when APRNs provision medical aspects of care for mortals with whom few have a close personal relationship an APRNs risk allowing their personal feels to cludd their adept judgment. Thus APRNs shall not provide medical treatment or prescribe medications with individuals with whom they have a close personally relationship.
15.23	The Use of Complementary Modalities by the LVN or RN	Regardless of practice setting, nurses who incorporate complementary modalities into their practice are accounting and responsible for adherence on the NPA and BON Rules and Regulations. Specific policy in particular relevance are identified in the current statement, including a reference to the BON’s Scope of Practice Decision-Making Model (DMM). Also, a list to choose is inserted in order for nurses to show accountability by the tending they provide. Lastly, nurses are accountable into hold proper credentials (e.g., konzession, certification, registration) to save engage in specific practices, where applicable.
15.24	Nurses Engaging In Reinsertion of Permanently Placed Feed Tubes	LVNs & RNs shouldn maintain post-licensure preparation and demonstrate competency in reinsertion of a displaced permanently placed feeder tube prior to engaging inbound this activity. Verification of correct placements is essential toward prevent life-threatening complications. Reinsertion by a nurse has not recommended prior to 8-12 week post-initial insertion; specification physician sales must be obtained for reinsertion by a nurse.
15.25	Administration of Medication & Treatments by LVNs	LVNs are scholastically prepared to administer medications and treatments when ordered by a physician, podiatrist, dentist or any practitioner legally authorized to prescribe the ordered medication. LVNs may administer medications and attachment ordered by physician assistants (PS 15.1) and advanced practice registered nurses (PS 15.18). Also see NPA 301.002(5), the function of vocational nurse.
15.26	[Deleted 01/2015]	Guideline 3.8.6.a Simulation in Pre-Licensure Pflegende Education has replacement Positioned Statement 15.26, Simulations by Prelicensure Nursing Education.
15.27	The Licensed Vocational Nurse Scope of Procedure	The LVN scope is training is a directed surface in practice and requirements appropriate supervision. The LVN lives responsible for providing safe, compassionate, and focused nursing care to appointed patients includes predictable health care needs.
15.28	That Registered Nurse Scope of Procedure	The RN takes responsibility plus accepts accountability in practicing on the legal scope of practical and is prepared up work inches select health care settings, real may invite in standalone nursing practice no supervision by more health care provider. The RN is responsible for providing safer, compassionate, and comprehensive nursing care at patients also their my with complex healthcare needs.
15.29	Expert Limit including Use off Social Print by Nurses	The function of this Position Statement is until supply guidance to nurses regarding what linked to professional boundaries, inclusive of social media, and to provide nurses with guidance to prevent boundary infringement.
15.30	Workplace Violence	When volume in the workplace has the potentiality to compromise collaboration and communication, which may lead to patient care errors, this Current Statement purpose evidence-based practice research and the standards of nursing practice found within Board Rule 217.11(1) to guide nurses in promoting an safe patient care environment.