The Nursing Practice Act, Nursing Peer Review, and Nursing Associations are all part of the Texas Statutes in the Texas Occupations Code. The Board Rules are part of the Texas Administrative Code. The Board fulfills its mission of protecting the public by carrying out the applicable statutes in the Occupations Code, and through promulgation of rules in the Administrative Code. In Texas, the legislature and the Governor, delegate to state agency boards the tasks of carrying out the laws applicable to the profession the agency is responsible for regulating. (Texas Board of Nursing, 2013)

The Texas Board of Nursing (BON) is to protect and promote the welfare of the people of Texas by ensuring that each person licensed as a nurse is competent to practice safely. For this purpose, the BON is the State agency empowered by the Texas Legislature with regulating the practice of vocational, professional, and advanced practice nursing. (Texas Board of Nursing, 2013)

Unlike the BON, a Nursing Association (also called a professional association) is a private organization whose members must pay dues to enjoy the benefits of membership. One of the primary functions of a nursing association is to represent its members in legislative, political, and practice matters. It provides a central voice for its nurse membership. A nursing association can lobby the legislature and Governor for the interests of its members and the profession of nursing. A nursing association provides a united voice that can speak out on the issues important to a specific area of nursing practice and/or to the nursing profession as a whole. In addition, a nursing association provides leadership in other areas such as improving working conditions and benefits for nurses. A nursing association also may lead the way in developing public health policies.

Nursing Peer Review is the evaluation of nursing services, the qualifications of a nurse, the quality of patient care rendered by nurses, the merits of a complaint concerning a nurse or nursing care, and a determination or recommendation regarding a complaint. (Texas Board of Nursing, 2013)

The Texas Nursing Practice Act (NPA) defines the legal scope of practice for professional registered nurses (RNs). “Professional nursing” means the performance of an act that requires substantial specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of professional nursing. (Texas Board of Nursing, 2013)

The standards of practice have influenced the nursing process for Geri-psych just as they have for all other specialties. As the RN, I take responsibility and accept accountability for practicing within the legal scope of my practice and am prepared to work in that special environment, and I may engage in independent nursing practice without supervision by another health care provider. As the Nurse Leader RN, with a focus on patient safety, am required to function within the parameters of my legal scope of practice and in accordance with the federal, state, and local laws; rules and regulations; and policies, procedures and guidelines of my hospital. I am responsible for providing safe, compassionate, and comprehensive nursing care to every patient and their families with complex healthcare needs.

Sources

Texas Board of Nursing. (2013). Frequently Asked Questions – Board Information & Other FAQ. Retrieved from Texas Board of Nursing: https://www.bon.texas.gov/faq_board_information_an…

Texas Board of Nursing. (2013). Practice – Peer Review: Incident-Based or Safe Harbor. Retrieved from Texas Board of Nursing : https://www.bon.texas.gov/practice_peer_review.asp

Texas Board of Nursing. (2013). Practice – Registered Nurse Scope of Practice. Retrieved from Texas Board of Nursing: https://www.bon.texas.gov/practice_scope_of_practi…

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