Nursing Certification and Licensure: Texas

Nursing Certification and Licensure: Texas – Review practice agreements in Texas. Identify whether Texas requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are…

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Nursing Certification and Licensure: Texas

Paper details

• Review practice agreements in Texas.
• Identify whether Texas requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
• Research the following:
  • How do you get certified and licensed in Texas?
  • What is the application process for certification in Texas?
  • What is the primary nurse licensure office resource website in Texas?
  • How does Texas define the scope of practice of a nurse practitioner?
  • What is included in Texas’s practice agreement?
  • How do you get a Drug Enforcement Agency (DEA) license?
  • How does Texas describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
  • In what legislative and advocacy activities are Texas nurse practitioner organization(s) involved?

Post a summary of your findings on Texas based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in Texas. Be specific. Also, describe what surprised you from your research.

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Solution

Certification and Licensure: Texas

The primary limitations of APRN prescription authority in Texas include a written delegation by a physician and regulations applying to certain controlled substances. Physicians are allowed by law to delegate prescriptive authority (PA) to APRNs within Texas, allowing them to order and prescribe prescription and nonprescription drugs, medical devices, medical equipment, and schedule II-IV controlled substances (Texas Medical Association, 2013).

How do you get certified and licensed in Texas?

To be registered and licensed in Texas, an individual must first be licensed as a registered nurse and obtain national certification in the area of practice, which might necessitate certification exam depending on the certification agency (NursingLicensure.org., 2021). The APRN submits their certifications, which can be accepted for licensure or declined by the nursing board.

What is the application process for certification in Texas?

The application process involves the submission of education verification forms (NursingLicensure.org., 2021). A school official provides the necessary accreditation information to the Nursing board. The applicant also provides evidence of current certifications. When licensed in another state, an RN provides a copy of the license. Besides, the board requires submitting certified transcripts from where the individual attended the necessary coursework. The applicant is required to pay $100 for the certification and $150 when PA is needed.

What is the primary nurse licensure office resource website in Texas?

The Texas Board of Nursing (TBN) hosts the primary nurse licensure office resource website at https://www.bon.texas.gov/. The website lists requirements for licensure, eligibility, and application process.

How does Texas define the scope of practice of a nurse practitioner?

The education and legal implications define the scope of nursing practice NPs and the scope of practice statement, which varies from one individual to another despite registration in the same role and specialty (TBA, 2021). However, every nurse practitioner is held accountable for their knowledge and practice within their professional and individual scope of practice.

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What is included in Texas’s practice agreement?

The contents of Texas’s practice agreement include name, address, and contacts of parties in the agreement, description of nature of the practice, and type/categories of drugs involved. Other components include consultation and emergency plan, communication/information sharing process between the parties involved, quality assurance and improvement plan, and signatures of parties involved.

How do you get a Drug Enforcement Agency (DEA) license?

An APRN must have a PA number issued by the TBN and apply through the DEA’s website.

How does Texas describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

Texas nurse practitioner’s authority is limited to 90 days for controlled substances, beyond which consultation with the delegating physician is mandatory (CNAP, 2019). Moreover, the prescription of controlled substances requires a written consultation from the delegating physician. The drug schedules allowed for delegation include Schedule II, III-IV controlled substances subject to various limitations.

In what legislative and advocacy activities are Texas nurse practitioner organization(s) involved?

Texas Nurse Practitioners (TNP) is involved in legislation and advocacy for advancing the NP profession and access to quality healthcare. Examples of these legislations and advocacy involve allowing APRNs to practice to the full extent of their training, removing barriers to practice and burdensome regulatory requirements (Texas Nurse Practitioners, 2021). Other advocacy involvements include extended schedule II prescriptive authority for NP; recognition of NP’s signature of death certificates and do not resuscitate orders; prohibition of disciplinary issues against NP by TBN; and maintaining current funding for nurse education.