Texas Register, Volume 14, Number 58, Pages 3953-4016, August 11, 1989 Page: 3,987
3953-4016 p. ; 28 cm.View a full description of this periodical.
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Adopted Sections
An agency may take final action on a section 30 days after a proposal has been published in the Texas Register. The
section becomes effective 20 days after the agency files the correct document with the Texas Register, unless a later
date is specified or unless a federal statute or regulation requires implementation of the action on shorter notice.
If an agency adopts the section without any changes to the proposed text, only the preamble of the notice and
statement of legal authority will be published. If an agency adopts the section with changes to the proposed text, the
proposal will be republished with the changes.TITLE 22. EXAMINING
BOARDS
Part XI. Board of Nurse
Examiners
Chapter 219. Advanced Nurse
Practitioner Program
* 22 TAC 219.1-219.18
The Board of Nurse Examiners adopts new
219.1-219.18. Section 219.2 is adopted
with changes to the proposed text as pub-
lished in the April 25, 1989, issue of the
Texas Register (14 TexReg 1969). Sections
219.1 and 219. 3-219.18 are adopted without
changes and will not be republished.
The Board of Nurse Examiners is adopting
the new sections relating to advanced nurse
practitioner programs to provide more current
and appropriate guidelines for educational in-
stitutions wishing to operate advanced nurse
practitioner programs seeking state approval.
The adoption of the sections follow recom-
mendations made by an advisory committee
consisting of representatives from education,
practice, and employers of advanced nurse
practitioners.
The new sections will provide more realistic
standards for the educational institutions to
meet if they wish to establish an advanced
nurse practitioner program and seek state
accreditation for that program.
The board received one comment from an
individual suggesting that the board recog-
nize the accreditation process of the Ameri-
can College of Nurse Midwives in lieu of the
state accreditation process.
The Board of Nurse Examiners did not agree
nor disagree with the comment received;
however, the request was referred to the ad-
visory committee on advanced nurse practi-
tioners for their review.
The new section is adopted under Texas Civil
Statutes, Articles 4514, 1 and Article 4518,
1, which provide the Board of Nurse Exam-
iners with the authority to make and enforce
all rules and regulations necessary for the
performance of its duties and conducting of
proceedings before It; to establish standards
of professional conduct for all persons li-
censed under the provisions of this law in.
keeping with its purpose anJ objectives; to
regulate the practice of professional nursing;
and to determine whether an act constitutes
the practice of professional nursing not incon-
sistent with the provisions of this law. It shall
be the duty of the Board of Nurse Examiners
to proscribe and publish the minimum re-
quirements and standards for a course of
study in programs which prepare professional
nurse practitioners.2192. New Programs. State accredita-
tion by the Board of Nurse Examiners for
advanced nurse practitioner programs in
Texas is voluntary. If state accreditation for
an advanced nurse practitioner program is
desired, then 219.1-219.18 would apply.
(1) Phase I: development of a
new program.
(A) An institution wishing to
establish an accredited advanced nurse
practitioner program shall advise the board
of its intent in writing.
(B) The institution shall sub-
mit two copies of a proposal to the board's
office for staff review.
(C) The proposal shall in-
clude the following information:
(i) mission of the educa-
tional institution;
(ii)" accreditation status of
the educational institution;
(iii) type of advanced
nurse practitioner program proposed;
(iv) documentation of the
need for the advanced nurse practitioner
program in Texas with rationale for why the
program should be established;
(v) potential effect on
other advanced nurse practitioner programs
in the area;
(vi) organizational struc-
ture of the educational institution showing
the relationship of the proposed advanced
nurse practitioner program within the orga-
nization;
(vii) tentative timetable;
(viii) tentative budget
plans including evidence of financial re-
sources adequate for planning, implement-
ing, and continuing the advanced nurse
practi- tioner program:
(ix) source of potential
qualified director and faculty;
(x) source of anticipated
student population;
(xi) description of support
staff for the proposed program;
(xii) description of physi-
cal facilities; and(xiii) description of avail-
able clinical resources.
(D) Following staff review
of the proposal, the institution will be noti-
fied as to whether or not further clarifica-
tion and/or revisions are necessary.
(E) At least three weeks
prior to a regularly scheduled board meet-
ing, the institution shall submit two copies
of the final proposal to the board's office
and one copy to each board member.
(F) The proposal will be re-
viewed at a regularly scheduled board meet-
ing. The board may deny further
consideration of the proposal, may defer
action on the proposa., or may authorize a
site visit and a public hearing. '
(G) Following the site visit
and public hearing, the board may approve,
defer action, or deny the request
(i) Approval of the pro-
posal to establish an advanced nurse practi-
tioner program will be given when the
educational institution has submitted evi-
dence that the advanced nurse practitioner
program will be based upon sound educa-
tional principles; that valid rationale has
been documented for the establishment of
the advanced nurse practitioner program;
that existing advanced nurse practitioner
programs would not be adversely affected;
and that the educational institution is pre-
pared to meet the board's requirements as
specified in 219.1-219.17 of this title (re=
lating to Definitions; New Programs; Ac-
creditation; Philosophy and Objectives;
Administration and Organization; Faculty
Qualifications; Change of Director; Faculty
Policies; Faculty Development and Evalua-
tion; Program of Study; Curriculum; Curric-
ulum Change; Students; Educational
Resources and Facilities; Clinical Re-
sources; Records and Reports; and Total
Program Evaluation).
(ii) If approved, the insti-
tution will be notified in writing to proceed
with the development of the advanced nurse
practitioner program as described in Phase
U.
(iii) If deferred, the insti-
tution will be notified in writing of the
reason(s) for deferral.August 11, 1989 14 TexReg 3987
* Adopted Sections
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Texas. Secretary of State. Texas Register, Volume 14, Number 58, Pages 3953-4016, August 11, 1989, periodical, August 11, 1989; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth216047/m1/36/: accessed July 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.