RN Update, Volume 22, Number 3, October/November 1991 Page: 5
This periodical is part of the collection entitled: Texas State Publications and was provided to The Portal to Texas History by the UNT Libraries Government Documents Department.
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October/November, 1991 RN Update Volume 22, No. 3
HB 7 MANDATES USE OF
UNIVERSAL PRECAUTIONS BY
ALL HEALTH CARE WORKERS
House Bill7, a health and human services reorgani-
zation bill passed during the first special session of the
72nd Texas Legislature, included stipulations regarding
HIV and hepatitis B infected health care workers. This
legislation mandates that all health care workers follow
the universal precautions set by the Centers for Disease
Control, that allinstitutionsestablishprocedures to moni-
tor compliance, and that professional educational pro-
grams provide training on the universal precautions.
According to this legislation, health care workers
withexudativelesionsorweepingdermatitismustavoid
all direct patient care and the handling of patient care
equipment used to conduct invasive procedures. A
health care worker can return to direct patient care and
the handling of patient care equipment when the worker's
condition resolves.
If a health care worker is infected with HIV or
hepatitis B virus and is HBeAG positive, the worker
cannot perform exposure-prone procedures without ad-
vice from an expert review panel, which would deter-
mine under what circumstances the worker can continue
performing these procedures. A health care worker who
performs an exposure-prone procedure must notify a
prospective patient of the health care worker's
seropositive status and obtain the patient's consent be-
fore the patient undergoes the procedure, unless the
patient is unable to consent. Professional health care
associations and health facilities have been given the
responsibility of setting guidelines for the expert review
panels and identifying exposure-prone procedures.
The legislation specifically states that mandatory
testing of healthcare workersisnotrequired. Aninfected
health care worker who follows the universal precau-
tions is allowed to perform procedures that are not
exposure-prone and to provide services in emergency
situations. In addition, the legislation mandates that
health care facilities provide infected workers the oppor-
tunities to continue patient care and receive job retrain-
ing and career counseling. If a health care worker fails to
comply with the new requirements, disciplinary action
by a licensing board is warranted. +
1992 EXAMINATION DATES
During 1992, the National Council Licensure Ex-
amination for Registered Nurses (NCLEX-RN) is sched-
uled in Austin, Galveston and Fort Worth on the follow-
ing dates:
February 5-6 (W-Th) July 8-9 (W-Th).APPOINTMENT OF DIRECTOR
OF EDUCATION
Dr. Elizabeth Bole joined the Board of Nurse Exam-
iners' staff on September 4,1991 as Director of Education
for the Education and Examination Department. She
holds both a Bachelor of Science in Nursing and a Master
of Science in Nursing from Texas Woman's University in
Houston. Dr. Bole obtained a Doctorate in Education,
Allied Health Administration and Education, from the
University of Houston.
Dr. Bole has worked as Director of Health Services
at the University of Houston and was Assistant Admin-
istrator of Patient Care Services at St. Anthony Center in
Houston. She taught management, medical-surgical
nursing and oncology at the University of St. Thomas,
TWU-Houston, San Jacinto College, and at M.D. Ander-
son Hospital. She was a guest lecturer for the UT-
Houston Nursing Administration graduate program.
Her clinical experiences include medical-surgical staff
nursing, intensive care and coronary care nursing.
AsDirectorofEducationandExamination,Dr.Bole
will be responsible for all aspects of the Board's activities
relatedtoaccreditationof professionalnursing programs
and administration of the licensure examination for reg-
istered nurses. *
1991 NURSE PRACTICE ACT AND
RULES/REGS AVAILABLE
The 1991 Nurse Practice Act and excerpts from the
Board of Nurse Examiners' Rules and Regulations Re-
lating to Professional Nurse Education, Licensure and
Practice have been revised to include amendments to
these documents made since 1989. Single copies may be
obtained by sending a self-addressed, $.75 stamped en-
velope to the Board of Nurse Examiners, Box 140466,
Austin, TX 78714, Attn: Publication Clerk. Additional
copies are available for $1.00 each, plus 8% sales tax.
TheSeptember1991revised edition of the complete
Rules and Regulations Relating to Professional Nurse
Education, Licensure and Practice is also available. The
cost is $3.50 per copy, plus 8% sales tax.
An order form for these and other Board publica-
tions is found on page 15 of this issue. *5
RN Update
Volume 22, No. 3
October/November, 1991
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Texas. Board of Nurse Examiners. RN Update, Volume 22, Number 3, October/November 1991, periodical, October 1991; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1543503/m1/5/?q=%22Business%2C+Economics+and+Finance+-+Medicine+-+Nurses%22: accessed July 10, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.