October 2009 a Quarterly Publication of the Texas Board of Nursing Volume 40, No
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October 2009 A Quarterly Publication of the Texas Board of Nursing Volume 40, No. 4 Texas Board of Nursing Bulletin The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that each person holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. This mission, derived from the Nursing Practice Act, supersedes the interest of any individual, the nursing profession, or any special interest group. Important Notice to APRNs Certification/Recertification Audit to Commence for All APRNs in 2010 Texas Board of Nursing Rule 221.8 required by current rule. Certification Failure to comply with the audit request, or addresses the requirements that must be documents should not be sent to the otherwise demonstrate current national met in order to maintain licensure as an board office until an audit notice has certification as required by Rule 221.8, advanced practice registered nurse been received by mail. Audits will be will render the APRN ineligible to renew (APRN). Rule 221.8(a)(1) addresses conducted in conjunction with licen- their APRN license; however, the RN the requirement related to maintaining sure renewal. Notices will be sent to license can still be renewed if all other national certification/recertification in the APRN’s address of record 90 days renewal requirements are met. Failure to order to be eligible to maintain the prior to expiration of the license meet the requirements outlined in Rule APRN license. beginning on March 1, 2010 for 221.8 while practicing as an APRN may licenses that expire May 31, 2010. render a licensee subject to disciplinary The Board will audit all APRNs to This announcement gives APRNs action, including a fine. determine whether they have maintained nine months to ensure that their the appropriate national certification as certification documents are in order. Inside this Issue Pg. 1 Notice to APRNs: Certification/ Recertification Audit to Commence for The Nurse's Responsibility during Flu Season All APRNs in 2010 The Nurse’s Responsibility During Nurses play an important role in proper administration and provide Flu Season Pg. 2 Texas Higher Education Coordinating protecting patients from influenza and adequate supervision while vaccines Board Recognizes Performance of pneumococcal pneumonia. If nurses are administered.5 Professional Nursing Programs Advisory Committee Update will be administering the influenza and Pg. 3 Summary of July 2009 Board Meeting pneumococcal vaccine, they must be The decision for a nurse to receive a Pgs. 3-4 July Education Actions flu vaccination is outside the purview Pg. 5 Legislative Summary: 81st Regular knowledgeable and skilled in this Texas Legislative Session activity1. Nurses and employers may of the BON; however, a nurse has the Pgs. 6-7 Taxonomy of Error Root Cause Analysis responsibility to implement measures (TERCAP): Educators can Utilize utilize physician standing delegation Practice Breakdown Categories orders2 that guide the nurse3 when to give to prevent exposure to infectious Pg. 8 Imposter Warning these vaccines, which are recommended pathogens and communicable Pgs. 8-15 Notice of Disciplinary Action 6 Pg. 15 Workshop Update for certain populations of patients in conditions . It is important for a Agency Contact Information various care settings. There are additional nurse to review facility policy, reliable Pg. 16 Board Meeting Schedule laws regarding vaccines, not within the resources, and make an informed authority of the Board of Nursing (BON); decision. Best Practices Sought therefore, you may wish to check with For more information, refer to The Texas Board of Nursing (BON) is the Department of State Health Services Frequently Asked Questions: H1N1 seeking examples of best practices in [DSHS] – Immunization Branch for Influenza, Seasonal Influenza, and patient care to share with the readers additional information at 512-458-7111 Pneumococcal Vaccinations which of the Board of Nursing Bulletin. Best or www.dshs.state.tx.us. may be found on the BON website practices may involve nursing in any practice setting. For more information A Registered Nurse (RN) or an Advanced (www.bon.state.tx.us) in ‘Nursing Practice’. contact Bruce Holter at (512) 305-6842 Practice Registered Nurse (APRN) may or [email protected]. not delegate the administration of vaccines by injectable routes.4 If RNs/ APRNs have the responsibility to (Footnotes) 1 BON Rule 217.11(1)(T) 4 BON Rule 225.12(5)(B) and Rule supervise unlicensed staff administering 2 BON Position Statement 15.5 224.8(c)(5) vaccines delegated by physicians, RNs/ 3 BON Rule 217.11, Standards of 5 BON Rule 225.13 and Rule 224.10 APRNs must verify their training, assure Nursing Practice 6 BON Rule 217.11(1)(O) October 2009 Texas Board of Nursing Bulletin Volume 40, No. 4 Texas Higher Education Coordinating Board Recognizes Performance of Professional Nursing Educational Programs The Texas Board The Texas Higher Education Coordinating Board (THECB) selected 16 professional of Nursing nursing educational programs for recognition for their graduation and pass rates in 2008. All programs achieved graduation rates and NCLEX-RN pass rates of at least 85% BOARD MEMBERS during 2008. Officers Linda Rounds, PhD, RN, FNP Program Name NCLEX % Pass Rate % Graduated 2008 # Graduates President, representing Advanced Practice Nursing, DCCCD Brookhaven College 100.00% 86.67% 26 Galveston Lone Star College - Montgomery 95.00% 92.86% 52 University of Texas at Arlington 94.59% 91.10% 174 Deborah Bell, CLU, ChFC Vice-President, representing Consumers, Baylor University 94.59% 90.09% 100 Abilene Temple College 94.12% 87.30% 55 Collin County Community College District 93.65% 89.83% 53 Members Lone Star College - Kingwood 92.86% 88.37% 38 Kristin Benton, MSN, RN representing LVN Education, Stephen F. Austin State University 92.77% 85.26% 81 Austin U. of Texas Health Science Center - Houston 92.47% 85.90% 134 Patricia "Patti" Clapp, BA U. of Texas at Austin 92.25% 95.80% 114 representing Consumers, Texas Christian University 89.84% 90.37% 122 Dallas Texas A&M University - Corpus Christi 87.27% 85.19% 92 Tamara Cowen, MSN, RN representing RN Practice, Texas Tech University Health Science Center 86.86% 96.43% 189 Harlingen Sheri Crosby, JD, SPHR representing Consumers, The Texas Board of Nursing congratulates these programs for promoting quality Mesquite nursing education. Marilyn Davis, BSN, RN, MPA representing RN Practice, Sugar Land Blanca Rosa Garcia, PhD, RN representing ADN Programs, Advisory Committee Update Corpus Christi Richard Gibbs, LVN Advanced Practice Nursing Advisory Committee Update representing LVN Practice, Mesquite The Advanced Practice Nursing Advisory Committee (APNAC) met on July 30, 2009, Kathy Leader-Horn, LVN and again on September 23, 2009. Committee members discussed recommendations for representing LVN Practice, amendments to Rule 222 as a result of the passage of Senate Bill 532 in the 81st Granbury Legislative Session. The APNAC’s recommendations will be submitted for the Board’s Josefina Lujan, PhD, RN consideration at the October 2009 Board meeting. representing BSN Programs, El Paso Beverley Jean Nutall, LVN Eligibility & Disciplinary Advisory Committee representing LVN Practice, Bryan The Eligibility & Disciplinary Advisory Committee met on September 17, 2009, from 10 Mary Jane Salgado, MEd representing Consumers, am to 3 pm in Room 100 of the William P. Hobby Building. The Committee reviewed its Eagle Pass Charge from the Board; discussed SB 1415, which was enacted by the 81st Legislature, Regular Session, effective September 1, 2009; discussed HB 3961, which was enacted by Executive Director the 81st Legislature, Regular Session, effective June 19, 2009; and considered proposed Katherine Thomas, MN, RN amendments to 22 Tex. Admin. Code §213.32 and §211.7 and §213.20, §213.29, §213.30, and §213.33. The Committee also considered the Board’s Disciplinary Matrix and unanimously recommended the adoption of the Disciplinary Matrix by the Board. Lastly, the Committee discussed the Pilot Program on Deferral of Final Disciplinary The Texas Board of Nursing Bulletin is the official publication of the Texas Board of Actions authorized by SB 1415, including the feasibility of conducting a pilot program Nursing. to determine the efficacy of deferring disciplinary actions. The Committee’s next meeting is currently scheduled for December 7, 2009. Published four times a year: January; April; July; and October. Subscription price for resi- dents within the continental U.S. is $10.00, Did You know.... plus tax. Subscription price outside of U.S. is $15.00, plus tax. The Texas Board of Nursing (BON) has recommendations for nurses when they are Published by: working with physicians in developing standing order programs. Position Statement TEXAS STATE BOARD OF NURSING 15.5 Nurses with the Responsibility for Initiating Physician Standing Orders provides VOLUME XXXIX - No. IV guidance to nurses and employers on important components to include in standing Publication Office: orders. This may be particularly helpful this fall, as nurses are involved in the 333 Guadalupe, Suite 3-460, Austin, administration of Influenza and H1N1 Vaccines. Position statements are located on Texas 78701-3944 the Board’s website under “Nursing Practice”. Phone: 512/305-7400 Fax: 512/305-7401 Publication Date: 06/30/2009 2 October 2009 Texas Board of Nursing Bulletin Volume 40, No. 4 Summary of Actions A regular meeting of the Board of Nursing was held July 23-24, 2009, in Austin. The following is a summary of Board actions taken during this meeting. The following proposed rule changes ministrative Fine(s), effective September 1, §213.23, §213.29, §213.30, §213.32, appeared in the August 28, 2009, edition 2009 and expiring on December 29, 2009. and §213.33 at its regularly scheduled of the Texas Register (Volume 34, The 81st Texas Legislature, Regular meeting on October 22-23, 2009.