Texas Board of Nursing Update · 2018-04-14 · Adopted Rule Changes Adopted at January 18-19, 2018...
Transcript of Texas Board of Nursing Update · 2018-04-14 · Adopted Rule Changes Adopted at January 18-19, 2018...
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Texas Board of Nursing Update
February 23, 2018
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Objectives
1. Discuss implications of the Enhanced Nurse Licensure Compact (eNLC).
2. Describe recent trends and regulatory updates relevant to nurse executives.
3. Discuss future regulatory activities of the Texas Board of Nursing.
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Enhanced Nurse Licensure Compact (eNLC)
Implemented Jan. 19, 2018
• 24 of 25 the original NLC states transitioned to the eNLC
• WI, CO, & NM are in the eNLC
• Only 1 original NLC state did not implement: RI
• 5 new states who were not in the NLC have joined the
eNLC
• FL, GA, OK, WV, & WY
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Enhanced Nurse Licensure Compact (eNLC)
Nurses holding a compact license prior to 7/20/17 were automatically grandfathered. No action is needed.
Nurses issued a compact license after 7/20/17 are required to meet the eNLC uniform licensure requirements (ULRs).
Applicants who are ineligible for a compact license may still be eligible for a single state license.
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Uniform Licensure Requirements (ULRs)
1. Meets the home state’s licensure qualifications;
2. Graduation from a board-approved nursing education program; or from a foreign education program approved by authorized accrediting body in applicable country verified by an independent credentials review agency to be comparable to a board approved pre-licensure education program;
3. Pass an English examination, if a graduate of a nursing education program not taught in English, or if English is not the applicant’s native language;
4. Pass NCLEX-RN® or NCLEX-PN® Examination;
5. Eligible for or holds active, unencumbered license;
6. Criminal background check;
7. No Felony background;
8. No misdemeanor offense related to the practice of nursing as determined on a case-by-case basis;
9. Is not currently enrolled in an alternative program;
10.Is required to self-disclose current participation in an alternative program; and
11.Has a valid U.S. Social Security number.
For complete description of ULRs, visit:
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Enhanced Nurse Licensure Compact (eNLC)
A nurse holding a compact license issued from another party state is not required to obtain a Texas license upon employment in Texas, unless the nurse establishes permanent residency in Texas.
Driver’s license with home address;
Voter registration card with home address;
Federal income tax return declaring the primary state of residence;
Military Form No. 2058 – state of legal residence certificate; or
W2 from US Government or any bureau, division or agency thereof indicating the declared state of residence
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Enacted & Pending eNLC Legislation
• 9 more states have pending eNLC legislation!
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Recent Trends & Regulatory Updates
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Current RN/LVN Licenses 2012 - 2017
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DISCIPLINE IN RELATION TO TOTAL POPULATION FY 2017
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Sunset 2017
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Adopted Rule
Changes
Adopted at January 18-19, 2018 Board Meeting:
Rule 217.2 relating to Licensure by Examination for Graduates of Nursing Education Programs Within the US
Rule 214.9 relating to Program of Study (Vocational Nursing Education)
Rule 213.27 relating to Good Professional Character
Rule 213.38 relating to Licensure of Individuals with Criminal History & the Board’s Disciplinary Guidelines for Criminal Conduct
Rule 217.12 relating to Unprofessional Conduct
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Proposed Rule
Changes
Proposed at January 18-19, 2018 Board Meeting:
Rule 217.16 relating to Reporting of Minor Incidents
Rule 217.19 relating to Incident-Based Nursing Peer Review and Whistleblower Protections
Rule 217.20 relating to Safe Harbor
Rule 213.35 relating to Knowledge, Skills, Training, Assessment and Research (KSTAR) Pilot Program
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Additional Updates Board Position Statements reviewed and
updated New Position Statement 15.30
Workplace Violence
New Education Guideline 3.1.1.g. Proposal to Establish a New Nursing
Education Program Associate Degree to Baccalaureate Degree in a Public Junior College
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Texas Nursing
Education Updates
(NCLEX-RN®)
Texas is one of 3 states with more than 10,000 first-time NCLEX-RN®
candidates. Other 2: California and Florida
66 programs with >90% pass rates
7 programs with 100%
First time candidates only used for calculating pass rates
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Exam Year TexasAverage
US Average
2017 89.77% 86.94%
2016 87.14% 84.30%
2015 85.22% 84.18%
2014 81.02% 81.74%
2013 83.93% 84.29%
2017NCLEX-RN®
Pass Rates
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NEW RN/LVN LICENSES BY NCLEX ® EXAM: 2012-2017
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https://texasattorneygeneral.gov/human-trafficking
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What’s Next?Future Regulatory
Activities
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NCSBN Next Generation
NCLEX®
Project
https://www.ncsbn.org/next-generation-nclex.htm
Aim: Determine whether clinical judgment and decision making in nursing practice can be reliably assessed through the use of innovative item types.
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Future Activities
Nursing Practice Advisory Committee Ch. 216 Continuing Competency
Advanced Practice Nursing Advisory Committee
Ch. 221 Advanced Practice Nurses
Task Force to Study Implications of Growth of Nursing Education Programs in Texas
CNO/Nurse Leader Board Rule Resource
Targeted Assessment & Remediation Pilot(s)
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Board Resources
www.BON.Texas.gov
Contact Us:[email protected]: 512-305-6802APRN Licensure: 512-305-6843Education: 512-305-6816
2018 Continuing Competency Workshops and Online CNE Offerings
www.Bon.Texas.gov/catalog/
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THANK YOU!
Kristin K. Benton, DNP, RNDirector of Nursing
Texas Board of Nursing512-305-6839