Texas Register, Volume 35, Number 45, Pages 9801-9958, November 5, 2010 Page: 9,812
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Comments on the proposal may be submitted to Jennifer Kauf-
man, P.O. Box 2018, Austin, Texas 78768-2018, or e-mail com-
ments to: firstname.lastname@example.org. A public hearing
will be held on December 3, 2010.
The amendment is proposed under the authority of the Texas Oc-
cupations Code Annotated, 203.101, which provides authority
for the Board to adopt rules and bylaws as necessary to: govern
its own proceedings; perform its duties; regulate the practice of
physician of assistants in this state; enforce this subtitle; and es-
tablish rules related to licensure.
No other statutes, articles or codes are affected by this proposal.
185.3. Meetings and Committees.
(a) - (f) (No change.)
(g) The following are standing and permanent committees of
the board. Each committee, with the exception of the Executive Com-
mittee, shall consist of at least one board member who is a licensed
physician, one board member who is a licensed physician assistant,
and one public board member. In the event that a committee does not
have a representative of one or more of these groups, the presiding of-
ficer shall appoint additional members as necessary to maintain this
composition. The Executive Committee shall include the presiding of-
ficer, secretary, and other members as named by the presiding officer.
The presiding officer shall name the chair and assign the members of
the other committees. The responsibilities and authority of these com-
mittees shall include those duties and powers as defined in paragraphs
(1) - (3) of this subsection and such other responsibilities and authority
which the board may from time to time delegate to these committees.
(1) Licensure Committee.
(A) - (E) (No change.)
(F) Oversee and make recommendations to the physi-
cian assistant board regarding any aspect of the examination process
including the approval of an appropriate licensure examination and the
administration of such an examination and documentation and verifi-
cation of records from all applicants for licensure. [;]
(2) - (3) (No change.)
(h) - (1) (No change.)
(m) Committee minutes shall be approved by the full board
with a quorum of the committee members present to vote on approval
of the minutes.
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal author-
ity to adopt.
Filed with the Office of the Secretary of State on October 20,
Mari Robinson, J.D.
Texas Medical Board
Earliest possible date of adoption: December 5, 2010
For further information, please call: (512) 305-7016
4, 4, 4
TEXAS BOARD OF NURSING
CHAPTER 214. VOCATIONAL NURSING
22 TAC 214.2 - 214.9
INTRODUCTION. The Texas Board of Nursing (Board) proposes
amendments to 214.2 (relating to Definitions); 214.3 (relat-
ing to Program Development, Expansion, and Closure); 214.4
(relating to Approval); 214.5 (relating to Philosophy/Mission and
Objectives/Outcomes); 214.6 (relating to Administration and Or-
ganization); 214.7 (relating to Faculty); 214.8 (relating to Stu-
dents); and 214.9 (relating to Program of Study). These amend-
ments are proposed under the Occupations Code 301.157 and
301.151 and are necessary to: (i) clarify definitions within the
chapter; (ii) emphasize the importance of faculty supervised,
hands-on patient care in clinical practice; (iii) clarify the Board's
ability to change a nursing education program's level of approval
status; (iv) specify minimum qualifications for vocational nursing
education program administration and faculty; (v) correct typo-
graphical errors; and (vi) eliminate redundant and contradictory
language within the chapter.
The proposed amendments to 214.2 are necessary to clarify
several of the existing definitions within the section and to add
a new definition of "simulation" to the section. Recently, Board
staff has received an increased number of inquiries from nursing
educators across the state regarding the Board's requirements
for clinical learning experiences in nursing education programs.
Several of these inquiries related to the proper use of simulation
in nursing education programs. In an effort to respond to these
inquiries and to better address the role of simulation in clinical
learning experiences, the Board has clarified the existing def-
inition of "clinical learning experiences" in 214.2(10) and has
added a new definition of "simulation" to the section.
First, the proposed amended definition of "clinical learning
experiences" specifies several acceptable methods through
which clinical learning experiences may occur. For example,
under the proposed amended definition, a clinical learning
experience may occur in an actual patient care clinical learning
situation, an associated clinical conference, a nursing skills
and computer laboratory, or a simulated clinical setting. The
proposed amended definition also reiterates the importance of
faculty supervised, hands-on patient care in clinical learning
experiences and provides examples of several settings where
such experiences may occur, including acute care facilities,
extended care facilities, clients' residences, and community
agencies. The addition of these examples is intended to better
assist nursing educators and administrators in developing
appropriate and meaningful clinical learning experiences for
nursing students in this state.
The proposal also adds a new definition of "simulation" to
214.2. Technological advances, shortages of available clinical
sites, faculty shortages, national mandates for safety, and the
complexity of today's health care environment have led more
and more nursing education programs to consider utilizing
simulation as a viable method of providing clinical learning expe-
riences for students. The proposed definition of "simulation" in
214.2(39) is intended to clarify the role of simulation in clinical
learning experiences so that nursing educators can develop and
implement simulation programs that are educationally sound
35 TexReg 9812 November 5, 2010 Texas Register
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Texas. Secretary of State. Texas Register, Volume 35, Number 45, Pages 9801-9958, November 5, 2010, periodical, November 5, 2010; Austin, Texas. (texashistory.unt.edu/ark:/67531/metapth139251/m1/11/: accessed April 24, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting UNT Libraries Government Documents Department.