Texas Register, Volume 38, Number 32, Pages 4957-5134, August 9, 2013 Page: 5,001
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(A) has completed a graduate-level advanced practice
nursing education program that prepares him/her for one of the four
APRN roles;
(B) has passed a national certification examination rec-
ognized by the Board that measures APRN role and population focused
competencies;
(C) maintains continued competence as evidenced by
re-certification/certification maintenance in the role and population fo-
cus through the national certification program;
(D) practices by building on the competencies of regis-
tered nurses by demonstrating a greater depth and breadth of knowl-
edge, a greater synthesis of data, and greater role autonomy, as permit-
ted by state law;
(E) is educationally prepared to assume responsibility
and accountability for health promotion and/or maintenance, as well
as the assessment, diagnosis, and management of patient problems, in-
cluding the use and prescription of pharmacologic and non-pharmaco-
logic interventions in compliance with state law;
(F) has clinical experience of sufficient depth and
breadth to reflect the intended practice; and
(G) has been granted a license to practice as an APRN
in one of the four APRN roles and at least one population focus area
recognized by the Board.
(5) Board--The Texas Board of Nursing.
(6) Controlled Substance--A substance, including a drug,
adulterant, and dilutant, listed in Schedules I through V or Penalty
Groups 1, 1-A, or 2 through 4 of Chapter 481, Health and Safety Code
(Texas Controlled Substances Act). The term includes the aggregate
weight of any mixture, solution, or other substance containing a con-
trolled substance.
(7) Dangerous Drug--A device or drug that is unsafe for
self-medication and that is not included in Schedules I through V or
Penalty Groups 1 through 4 of Chapter 481, Health and Safety Code
(Texas Controlled Substances Act). The term includes a device or drug
that bears, or is required to bear, the legend: "Caution: federal law pro-
hibits dispensing without prescription" or "Rx only" or another legend
that complies with federal law.
(8) Device--An instrument, apparatus, implement, ma-
chine, contrivance, implant, in vitro reagent, or other similar or related
article, including a component part or accessory, that is required under
federal or state law to be ordered or prescribed by a practitioner. The
term includes durable medical equipment.
(9) Diagnosis and management course--A course offering
both didactic and clinical content in clinical decision-making and as-
pects of medical diagnosis and medical management of diseases and
conditions. Supervised clinical practice must include the opportunity
to provide pharmacological and non-pharmacological management of
diseases and conditions considered within the scope of practice of the
APRN's population focus area and role.
(10) Durable medical equipment--Equipment, furnished
by a supplier or a home health agency that meets the following
conditions:
(A) can withstand repeated use;
(B) is primarily and customarily used to serve a medical
purpose;
(C) generally is not useful to an individual in the ab-
sence of an illness or injury; and(D) is appropriate for use in the home.
(11) Facility-based practice site--A licensed hospital or li-
censed long term care facility that serves as the practice location for
the APRN.
(12) General hospital--An establishment that:
(A) offers services, facilities, and beds for use for more
than 24 hours for two or more unrelated individuals requiring diag-
nosis, treatment, or care for illness, injury, deformity, abnormality, or
pregnancy; and
(B) regularly maintains, at a minimum, clinical labora-
tory services, diagnostic x-ray services, treatment facilities, including
surgery or obstetrical care or both, and other definitive medical or sur-
gical treatment of similar extent.
(13) Health professional shortage area--
(A) An urban or rural area of this state that:
(i) is not required to conform to the geographic
boundaries of a political subdivision but is a rational area for the
delivery of health services;
(ii) the Secretary of Health and Human Services de-
termines has a health professional shortage; and
(iii) is not reasonably accessible to an adequately
served area;
(B) A population group that the Secretary of Health and
Human Services determines has a health professional shortage; or
(C) A public or non-profit private medical facility or
other facility that the Secretary of Health and Human Services de-
termines has a health profession shortage as described by 42 U.S.C.
254e(a)(1).
(14) Hospital--A facility that:
(A) is:
(i) a general hospital or a special hospital, as those
terms are defined by 241.003, Health and Safety Code, including a
hospital maintained or operated by a state; or
(ii) a mental hospital licensed under Chapter 577,
Health and Safety Code; and
(B) has an organized medical staff.
(15) Medication order--An order for administration of a
drug or device to a patient in a hospital for administration while the pa-
tient is in the hospital or for emergency use on the patient's release from
the hospital, as defined by 551.003, Occupations Code and 481.002,
Health and Safety Code.
(16) Non-prescription drug--A non-narcotic drug or device
that may be sold without a prescription and that is labeled and packaged
in compliance with state or federal law.
(17) Physician group practice--An entity through which
two or more physicians deliver health care to the public through the
practice of medicine on a regular basis and that is:
(A) owned and operated by two or more physicians; or
(B) a freestanding clinic, center, or office ofa non-profit
health organization certified by the Texas Medical Board that complies
with the requirements of Chapter 162, Occupations Code.
(18) Population focus area--The section of the population
with which the APRN has been licensed to practice by the Board.PROPOSED RULES August 9, 2013 38 TexReg 5001
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Texas. Secretary of State. Texas Register, Volume 38, Number 32, Pages 4957-5134, August 9, 2013, periodical, August 9, 2013; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth342085/m1/45/: accessed April 23, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.