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July 2014Texas Board of Nursing BulletinVolume 45, No. 3Texas Board of Nursing BulletinA Quarterly Publication of the Texas Board of NursingJuly 2014The mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by ensuring that eachperson holding a license as a nurse in the State of Texas is competent to practice safely. The Board fulfills its mission throughthe regulation of the practice of nursing and the approval of nursing education programs. This mission, derived from theNursing Practice Act, supersedes the interest of any individual, the nursing profession, or any special interest group.New Board of Nursing Website Adds Functionality and Ease of UseIf you have not visited the Texas Board ofNursing (BON or Board) website in thelast six months, you may be surprised bythe many improvements that have beenmade for ease of use and accessibility.The BON launched the new website onApril 18, 2014 following eight months ofpreparation by BON staff, consultants,and a design firm in Irving that assistedwith the creation of the new features forthe site.Improvements made to the BON websiteinclude:Improved Search Window - Thesearch window located in the top rightcorner of the page is based on Google'ssearch engine.113245quickly by linking to information thatmay be of particular interest to the Public, Nurses, Students, Employers, orMilitary personnel.Quick Links Added for CommonlyVisited Tasks - Links on the right side ofthe home page take users to the mostcommonly accessed sections of the site.2Quick links include: Verify LicenseRenewalCheck Application StatusApplications & Forms andOnline Services.The quick link for Applications and Formsincludes all of the forms one must complete to obtain licensure by endorsementor examination; request compact privilege; request Safe Harbor; or verify licensure for non-compact states. Other formsinclude: compliance monitoring, studentrosters for nursing schools, or graduationaffidavits for nursing graduates.Search Tabs for Stakeholders - Atthe top of the home page are tabs thatprovide a different way to search more34 BON Mobile Application forApple and Android Smartphonesand Tablets - There are new links todownload a free mobile application forsmartphones or tablets. These mobileapplications make it simple to verifylicenses of nurses licensed by the Stateof Texas, check the status of nurselicense applications being processed bythe Board, check what additional itemsare needed for license applications underreview, display the Board of NursingContinuing Nursing Education CourseCatalog, provide contact information forthe Board, or read about the latest newsitems posted on the BON website.5 Link to FreeVideos- The National Council ofState Boards of Nursingprovides educational videos for free viewing bywebsite users. Topics addressed in videos include:Board of Nursing Complaint Process: Investigation to Resolution; Substance Use Disorder inNursing; Social MediaGuidelines for Nurses; Delegating Effectively; and theNurse Licensure CompactExplained.Inside this IssuePg. 1New Board of NursingWebsite Adds Functionalityand Ease of UsePg. 2Imposter WarningAdvisory Committee UpdatesBoard Meeting SchedulePg. 3Summary of April 2014Board MeetingNursing Education ActionsPgs. 4-5 Questions & Answers:Continuing Nursing EducationRequirementsPg. 6What is Deferred Discipline?Education Q & A: ConsideringEnrolling in an RN-to-BSNProgram?Pg. 7Continuing CompetencyWorkshops and WebinarsNDA 1-8 Notice of Disciplinary Action

July 2014Texas Board of Nursing BulletinVolume 45, No. 3IMPOSTER WARNINGIf you have any knowledge or information regarding the employment practices of the followingindividuals, please contact the Board’s Enforcement Division immediately at (512) 305-6838.The Texas Boardof NursingNANCY HUGHESaka: NANCY LYNN JAMESBOARD MEMBERSNancy Lynn James, aka Nancy Lynn Hughes, secured employment as aRegistered Nurse with a clinic in Greenville, Texas, on August 13, 2013. Theemployer became concerned with her nursing when she did not seem familiarwith certain nursing duties and common medications. In January 2014, shewas no longer allowed to assist with the patients until she took someeducational courses involving medications and injections. She was requiredto provide a copy of her diploma from Steven F. Austin University where sheindicated that she obtained her baccalaureate degree in nursing. Theemployer also hired an investigational service to look into her background.The report he received included a criminal history and mugshots of the person he hired who wasidentified by the report as Nancy Lynn James, not Nancy Hughes. On March 27, 2014, Ms. Jameswas terminated and they found a certificate hanging in her office belonging to yet another licenseewith a different name. The case was referred to the Greenville Police Department.JADA ANTOINEaka: JADA NECOLE ANTOINEKathleen Shipp, MSN, RN, FNPPresident, representing AdvancedPractice NursingLubbockTamara Cowen, MSN, RN, NEA, BCVice-President, representing RN PracticeHarlingenMembersNina Almasy, MSN, RNrepresenting LVN EducationAustinDeborah Bell, CLU, ChFC, RIArepresenting ConsumersAbilenePatricia "Patti" Clapp, BArepresenting ConsumersDallasOn May 23, 2008, Jada Antoine submitted an application for licensure byexamination to the Board office. Ms. Antoine indicated that she attendedRochville University, an online university which is not accredited, and she wasdenied authorization to take the NCLEX-RN Exam on June 6, 2008. InOctober 2012, the Board received information from a licensee that JadaAntoine had used her information to secure employment as a RegisteredNurse and also used her identity for financial gain. On January 25, 2013, JadaAntoine was arrested by the Irving Police Department. She had an IDbelonging to the licensee, and she was employed as a Registered Nurse witha hospice agency in Dallas, Texas. On August 13, 2013, Jada Necole Antoineplead guilty and was convicted of Fraudulent Use/Possession of ID.Sheri Crosby, JD, SPHRrepresenting ConsumersMesquiteMarilyn Davis, BSN, RN, MPArepresenting RN PracticeSugar LandShelby Ellzey, BBArepresenting ConsumersMidlothianMonica Hamby, LVNrepresenting LVN PracticeAmarilloKathy Leader-Horn, LVNrepresenting LVN PracticeGranburyAdvisory Committee UpdatesDelegation Task Force UpdateThe Delegation Task Force (DTF) for Chapter 224, Delegation Of Nursing Tasks By RegisteredProfessional Nurses To Unlicensed Personnel For Clients With Acute Conditions Or In AcuteCare Environments convened on June 20, 2014, to make recommendations regarding revisions tothis delegation rule. For more information about the DTF meetings, visit the Board website andclick on News, then Ad Hoc Meetings.Nursing Practice Advisory CommitteeMary M. LeBeck, MSN, RNrepresenting ADN EducationWeatherfordJosefina Lujan, PhD, RNrepresenting BSN EducationEl PasoBeverley Jean Nutall, LVNrepresenting LVN PracticeBryanExecutive DirectorThe Nursing Practice Advisory Committee (NPAC) met on May 19, 2014, in Austin to discuss andconsider making recommendations to the Texas Board of Nursing (BON) on revisions to Rules§216.1, Continuing Competency Definitions; §216.5, Additional Criteria for Specific ContinuingEducation Programs and §216.6, Activities that are not Acceptable as Continuing Education. TheAdvisory Committee considered expanding the definition and criteria for continuing education toinclude authorship, program development and presentation of a Continuing Nursing Educationprogram. The Advisory Committee also discussed Rule §217.16, Reporting of Minor Incidents.The Advisory Committee’s recommendations will be presented to the BON for considerationduring the July 17-18, 2014, regularly scheduled BON meeting.Texas Board of Nursing Meeting Schedule2014 Board Meeting DatesJuly 17-18, 2014October 23-24, 2014Officers2014 Eligibility and DisciplinaryCommittee Meeting DatesAugust 19November 12September 9December 9All Board and Eligibility & Disciplinary Committee Meetings will be held in Austin at the William P. Hobby Buildinglocated at 333 Guadalupe, Austin, Texas, 78701.2Katherine Thomas, MN, RN, FAANThe Texas Board of Nursing Bulletin is theofficial publication of the Texas Board ofNursing and is published four times a year:January, April, July, and October. Subscription price for residents within the continentalU.S. is 15.00, plus tax.Published by:TEXAS BOARD OF NURSINGVOLUME XLV - No. IIIPublication Office:333 Guadalupe, Suite 3-460Austin, Texas 78701-3944Phone: (512) 305-7400Fax: (512) 305-7401Publication Date: 06/24/2014

July 2014Texas Board of Nursing BulletinVolume 45, No. 3Summary of ActionsA regular meeting of the Board of Nursing was held April 16-17, 2014, in Austin.The following is a summary of Board actions taken during this meeting.The Texas Board of Nursing (Board)adopted the repeal of existing Chapter227, §§227.1 -227.6, concerning PilotPrograms for Innovative Applications toProfessional Nursing Education, and newChapter 227, §§227.1 -227.4, concerning Pilot Programs for InnovativeApplications to Vocational and Professional Nursing Education. The adoptedrepeal and new chapter were published inthe Texas Register on April 18, 2014, andbecame effective April 22, 2014.In the May 23, 2014, issue of the TexasRegister, the Board proposed amendments to §213.32, concerning CorrectiveAction Proceedings and Schedule ofAdministrative Fines, and §213.34, concerning the Deferred Disciplinary ActionPilot Program. The amendments wereproposed under the authority of theOccupations Code Chapter 301, Subchapter N and §301.151, as well as the generalauthority of Senate Bill (SB) 1415,enacted by the 81st Legislature, RegularSession, and SB 1058, enacted by the 83rdLegislature, Regular Session, effectiveSeptember 1, 2013. Amendments to§213.32 are necessary to specify additional types of violations for which acorrective action may be imposed.Amendments to §213.34 are necessary forconsistency with the newly enactedlegislation and to implement deferreddiscipline as a permanent disciplinaryoption under the Board’s rules.The Board also proposed amendments to§214.9, concerning Program of Studynecessary to clarify two of the existingprovisions of the section regarding majorcurriculum changes and eligibility for newprogram proposals. The Board alsoproposed amendments to §215.9, concerning Program of Study. The amendmentswere proposed under the authority of theOccupations Code §301.151 and§301.157(b) and are necessary to clarifythe existing provisions of the sectionregarding major curriculum changes andeligibility for new program proposals andto address potential changes in nursingprogram curriculum as a result of SB 215(effective September 1, 2013) and SB 497(effective June 14, 2013), enacted by the83rd Legislature, Regular Session. TheComment period ended June 23, 2014.In the May 30, 2014, issue of the TexasRegister, the Board proposed the repeal ofChapter 221, §§221.1 -221.4 and §§221.6 221.17, concerning Advanced PracticeNurses. This repeal is necessary becausethe Board is proposing a new chapterconcerning advanced practice registerednurses (APRNs). The proposed newchapter, 22 TAC Chapter 221, §§221.1 221.15, reorganizes and/or clarifies theexisting provisions of Chapter 221,codifies existing Board policy in rule, andaligns the chapter’s provisions with theAPRN Consensus Model (ConsensusModel) and the National Council StateBoard of Nursing (NCSBN) model rules.The Comment period ends June 30, 2014.The Board is also holding a public hearingon Thursday, July 3, 2014, to receive publiccomments on proposed new Chapter 221,§§221.1-221.15, relating to AdvancedPractice Registered Nurses. This hearing isdesigned to provide an opportunity fornurses and others to comment on theproposed new chapter. The hearing willtake place on Thursday, July 3, 2014,from 1:00 PM - 3:00 PM, or until allcomments are received, if sooner, inRoom 100, in the William P. HobbyBuilding, located at 333 Guadalupe,Austin, Texas 78701.In the June 6, 2014, issue of the TexasRegister, the Board proposed new§213.35 pertaining to Knowledge, Skills,Training, Assessment and Research(KSTAR) Pilot program. The new rule isproposed under the authority of theOccupations Code §301.1605(a) and§301.453. The new rule will effectuate atwo-year pilot program designed toevaluate the use of individualizedcompetency assessments and targetedremediation plans as a form of disciplinary action for nursing practice violationsof the Nursing Practice Act (NPA).The KSTAR pilot disciplinary ordersmay be offered as an alternative toconventional disciplinary sanctions ofwarning with probationary stipulations asauthorized by §301.453 of the Occupations Code under appropriate circumstances. The pilot will permit theevaluation of this alternative form ofdiscipline to determine if individualizedcompetency assessments combined witha designed remedial plan can effectivelyaddress competency questions andreduce the need for extended probationand monitoring of disciplined nurses.The Comment period ends July 7, 2014.Nursing Education Actions - April 2014 Board MeetingApproved on Consent:Consideration of Notification of Voluntary Closing of a Nursing Education Program: American Medical Institute Vocational Nursing (VN) Education Programin Houston, Platt College VN EducationProgram in Dallas, and Universal HealthServices School VN Education Programin Fort Worth.Received Reports on:Status of New Nursing Education Programs and Active and Potential Proposals;Status of Programs with Sanctions;Communication Activities with NursingEducation Programs; and Update onHoward Payne University BaccalaureateDegree Nursing (BSN) Education Program joining Patty Hanks Shelton Schoolof Nursing BSN Education Program inAbilene.Approved Reports of Regular SurveyVisit:Concorde Career Institute VN EducationProgram in Arlington.Changed Program Approval Status fromFull with Warning Approval to Full Approval:Dallas Nursing Institute VN EducationProgram in Dallas; andKaplan School of Nursing VN EducationProgram in Corpus Christi.3Changed Program Approval Statusfrom Full Approval to Full with Warning Approval:Galen College of Nursing VN EducationProgram in San Antonio; Vista CollegeVN Education Program in El Paso;Kaplan College VN Education Programin San Antonio; Western Texas CollegeVN Education Program in Snyder; andQuest College VN Education Programin San Antonio.Changed Program Approval Statusfrom Full with Warning to Conditional:Fortis College VN Education Programin Houston.continued on page 5

July 2014Texas Board of Nursing BulletinVolume 45, No. 3Questions & Answers: Continuing NursingEducation RequirementsNursing Jurisprudence & EthicsQuestion: What is the new requirement related to nursing jurisprudenceand ethics continuing nursing education (CNE)?Answer: All nurses are required tocomplete at least two contact hours innursing jurisprudence and ethics prior tothe end of every third licensure renewalcycle. The contact hours must beapproved as CNE. The nursing jurisprudence and ethics course must includeinformation about the Texas NursingPractice Act; the Texas Board of Nursing(BON) rules, including Rule §217.11,Standards of Nursing Practice; the TexasBON Position Statements; principles ofnursing ethics; and professional boundaries. This requirement cannot be metthrough an approved national nursingcertification. The Board rules in Chapter216, related to Continuing Competency,were amended to reflect these newrequirements and became effectiveFebruary 23, 2014.Question: When do I need to complywith the new targeted CNE in nursingjurisprudence and ethics?Answer: This requirement is effective forlicensure renewal cycles that begin afterJanuary 1, 2014. For example, considera licensure cycle that began December 1,2012, with a renewal date of November30, 2014. The start of this licensure cycleis prior to January 1, 2014; therefore, anursing jurisprudence and ethics courseis not required in order to renew thelicense by the end of November 2014.However, this nurse is required tocomplete at least two contact hours innursing jurisprudence and ethics between December 1, 2014, and November 30, 2020; again between December1, 2020 and November 30, 2026; andcontinue to comply with the requirementbefore the end of every third two-yearlicensing cycle.Another example is a nursing license thatexpires in January 2015. The new CNErequirement begins with the licensurecycle starting February 1, 2015. Sincethe requirement must be met before theend of each third licensure cycle, thenurse can choose anytime betweenFebruary 1, 2015, and January 31, 2021,to meet the requirement and thencontinue to do so prior to the end of eachthird two year licensure renewal cycle.A nurse may consider this CNErequirement either as once every thirdrenewal cycle or a once every six yearrequirement. Be aware that a two yearlicensure cycle begins on the first day ofthe month after the nurse’s birth monthand ends on the last day of the nurse’sbirth month two years later. Whenconsidering how to time the six year timeframe, begin with the first licensure cyclethat starts on or after January 1, 2014.Keep in mind that it is not six years fromwhen you last took the course and mustbe within the three licensure cycles to bevalid.Question: Is the new nursing jurisprudence and ethics requirement for onecourse in nursing jurisprudence andethics or do I have to take twoseparate courses, one course innursing jurisprudence and one coursein nursing ethics?Answer: You may take a combinednursing jurisprudence and ethics course,or you may take separate courses innursing jurisprudence and nursing ethics.However, you must complete at least acombined total of two contact hours onthese topics. Please be aware that thecourse or courses taken must includeinformation on the Texas NursingPractice Act; the BON Rules, includingRule §217.11, Standards of NursingPractice; the Texas BON PositionStatements; principles of nursing ethics;and professional boundaries [Rule§216.3 (g)].Question: Where do I begin to lookfor continuing nursing educationcourses in nursing jurisprudence andethics? Does anybody offer these inTexas? With my busy schedule, arethere any courses offered online?Answer: Board staff recommends aninternet search using the search terms“continuing nursing education jurisprudence ethics” for a listing of possible4continuing nursing education courses onTexas nursing jurisprudence and ethicscourses. Please be sure the coursecontains information related to the TexasNursing Practice Act, the Board’s rules,including Rule §217.11, Standards ofNursing Practice; the Board’s positionstatements; principles of nursing ethics;and professional boundaries.The Board has two courses that meet thenew continuing nursing education requirements for nursing jurisprudenceand ethics. The first is an all dayworkshop titled, “Protecting YourPatients and Your Practice” (awardsseven contact hours) and the second isthe “Online Interactive Course: Nursing Regulations for Safe Practice”(awards two contact hours). To learnmore about these two courses and toregister online, visit the BON CourseCatalog at https://www.bon.texas.gov/catalog/Please be aware that the prep course forthe nursing jurisprudence exam is notapproved for continuing nursing education as it is designed for applicants forlicensure who need to take and pass thenursing jurisprudence exam.Question: If I am enrolled in a collegecredit course that includes nursingjurisprudence and ethics may I use itto fulfill the new requirement?Answer: The course must be part of acurriculum leading to an academicdegree in nursing or must relate directlyto your area of practice [Rule §216.5(1)].The content must relate to nursingjurisprudence and nursing ethics andmust include the Texas Nursing PracticeAct, BON rules including Rule §217.11,Standards of Nursing Practice; the TexasBON Position Statements; principles ofnursing ethics; and professional boundaries [Rule §216.3 (g)].Question: I recently obtained anational nursing certification in myarea of practice. Will my nationalnursing certification count towardsthe new requirement for nursingjurisprudence and ethics? Answer:Certification may not be used to fulfillthe CNE requirements [Rule §216.3 (g)].continued on next page

July 2014Questions and AnswersTexas Board of Nursing BulletinVolume 45, No. 3- continuedGeriatrics CNEQuestion: What is the new requirement related to geriatric continuingeducation and when do I need tocomply?Answer: With this new targeted education requirement, all nurses whosepractice includes older adult or geriatricpopulations must complete at least twocontact hours related to the older adult orgeriatric care every licensure renewalcycle. The content must includeinformation about elder abuse, agerelated memory changes and diseaseprocesses, including chronic conditions,and end of life issues. Other content,such as information related to healthmaintenance and health promotion of theolder adult or geriatric populations maybe included. These contact hours areincluded in the required 20 contact hoursper licensure renewal cycle.This new requirement is effective withlicensure renewal cycles that start afterJanuary 1, 2014. For example, if anurse’s practice includes care of geriatricpatients or older adults and if the nurse’slicense expires in January 2015, thisrequirement begins with the licensurecycle February 1, 2015, to January 31,2017, and continues in every licensurecycle thereafter. Another example is, fora licensure cycle that began February 1,2013, the geriatric requirement does notneed to be met until the licensure cyclebeginning February 1, 2015, throughJanuary 31, 2017. This geriatricrequirement must be obtained everylicensure cycle thereafter.An advanced practice registered nursemay use continuing medical education tomeet this requirement.Question: How do I know if I need tocomply with geriatric continuingeducation?Answer: In most practice settings nursesmay encounter and provide care forpatients who are older adults or geriatric.A specific age range for older adults andgeriatric patients has not been identifiedin association with the required continuing education. A nurse whose practiceincludes older adult or geriatric popula-tions is required to complete either twocontact hours or achieve, maintain, orrenew an approved national nursingcertification in this area.Question: Can you please give someexamples of practice settings and whoneeds to complete the geriatriccontinuing education?First example: An occupational healthnurse has employees ranging in age fromteenagers to the oldest worker of age 75.Literature sources use various ages toidentify the older adult or geriatricpopulations with age ranges from 50 to75 years of age; therefore the occupational health nurse would be required tocomplete the geriatric continuing nursingeducation each licensure cycle.Second example: A school nurse is oftencalled upon to assist employees, parentsand grandparents of school children.Some of the grandparents and possiblysome of the school employees might beconsidered older adult or geriatric, thusthe school nurse’s nursing practice wouldinclude older adults or geriatrics and theschool nurse would be required tocomplete the geriatric continuing education.Third example: A nurse working in aneonatal intensive care unit in a hospitalmay not be required to provide anynursing practice related to older adults orgeriatric patients due to other resourcesavailable in the hospital. As long as thenurse’s practice does not include olderadults or geriatrics, the nurse would notbe required to complete the geriatricrequirement.Fourth example: A registered nurse doingtelephonic case management providingpatient education and/or counseling and/or telephonic triage services over thetelephone for patients of all agesincluding older adults and geriatricpopulations is practicing nursing and isrequired to complete the continuingeducation related to the older adult orgeriatric population [please see NursingPractice Act Section 301.002 (2)(A); forLVNs please see the Frequently AskedQuestion - LVNs Performing Triage/Telephonic Nursing/Being On-Call].5Question: I recently obtained anational nursing certification in myarea of practice. Will my nationalnursing certification count towardsthe new requirement for older adultgeriatric education?Answer: It depends. If your certificationis in geriatric nursing and from anapproved national certification accreditation agency recognized by the Board,such as the Accreditation Board forSpecialty Nursing Certification(ABSNC), then certification may beused to meet this education requirement[Rule §216.3(h)(2)]. An example of anapproved certification includes theAmerican Nurses Credentialing Center’sGerontological Nurse certification.Nursing Education Actions- continued from page 3Received Reports on:NCLEX-PN Examination PassRates for 2013; Task Force to StudyImplications of Growth in TexasNursing Education Programs; and Updates Related to the Texas HigherEducation Coordinating Board and theTexas Workforce Commission.*Granted initial program approvalstatus:Texas Lutheran University BSN Education Program in Seguin; andClarendon College Associate DegreeNursing Education Program inPampa.Approved Adoption of Repeal ofChapter 227:Pertaining to Pilot Programs for Innovative Applications to Vocationaland Professional Nursing Education.(Also see Summary of Actions, page 3)Approved Proposed Amendments toChapters 214.9 and 215.9:Proposed §214.9, Pertaining to Program of Study and §215.9, Pertainingto Program of Study approved byBoard. (Also see Summary of Actions, page 3)

July 2014Texas Board of Nursing BulletinVolume 45, No. 3What is Deferred Discipline?Deferred Discipline is a type of lesspunitive discipline authorized by theTexas Legislature to resolve minorviolations of the Nursing Practice Act(NPA) and Board Rules.Minorviolations are those which can appropriately be resolved through Agreed Orderswith sanctions includingFine, Remedial Educationwith/without Fine, orWarning with/withoutStipulations and/or Fine.Unlike other Agreed Orders with these samesanctions, Agreed Ordersfor Deferred Disciplinecan eventually becomeconfidential and removedfrom the public recordafter a specified deferralperiod, currently 5 years, if the nursesuccessfully completes all the terms ofthe order and has no subsequentviolations.Because Deferred Discipline can onlyresolve minor violations, conduct that isintentional or unethical, including fraud,theft, deception, lying, falsification,criminal conduct, and sexual conduct, isspecifically excluded. Additionally,Agreed Orders for Deferred Disciplinecannot be offered to nurses who havealready been the subject of a BoardOrder, to nurses involved in a contestedcase matter before the State Office ofAdministrative Hearings (SOAH), or tonurses who have eligibility issues.During the specified deferral period,Agreed Orders for Deferred Disciplineare, for all practical purposes, treated thesame as other Agreed Orders – Theyshow as current discipline on thelicensure record until the stipulatedrequirements are met, they must bereported in accordancewith federal requirements, and they areprovided to the publicupon request. However, upon successfulcompletion of the stipulations, terms, and deferral period, AgreedOrders for DeferredDiscipline are removedfrom the public recordand become confidential by state law. Although removed fromthe public record at that time, there maybe limited circumstances in whichdisclosures of Agreed Orders forDeferred Discipline are required orauthorized by law.Enrollingan RN-to-BSN Program?CNE Requirements - Consideringcontinued frompreviousinpageWith the national movement to increase the number of BSN-preparednurses, many registered nurses areseeking the RN-to-BSN Program thatis right for them. Board Staff encourage RNs to consider these factors before enrolling in a program:1. The college or university offeringthe degree must have legalauthority to award the degree.This authority is granted to themby their regional or nationalaccreditation organization. Theregional accreditation organizationthat accredits most degreegranting schools in Texas is theSouthern Association of Collegesand Schools. Online programsmay be accredited by anotherregional accreditationorganization. Career schools andcolleges may be accredited by oneof the national accreditationorganizations such as theAccrediting Bureau of HealthEducation Schools.2. Inquire whether the nursingprogram holds nursing accreditationfrom the Commission on CollegiateNursing Education. This means thenursing curriculum has beenevaluated based upon specificstandards and the education isconsidered a quality education.Nursing accreditation is importantif the nurse wishes to proceedtoward a master’s degree or adoctoral degree.3. Carefully review the requiredcourses to see if they offer aneducation that matches your careerpath and will enhance yourprevious nursing education. If youare hoping to build on yournursing skills, make sure thecourse requirements provide theopportunity.4. Make sure that the format fordelivery suits your learning style(online, face-to-face, hybrid) andfits into your lifestyle (day,6evening, weekend classes). Findout their policies for withdrawaland readmission in case there areemergencies.5. Investigate the costs of theprogram and develop a budgetplan to make sure you have theresources.6. Decide that this is something youare doing for YOU and make thebest of the experience. Thedegree should be more than just apiece of paper; it should make adifference in your nursingexpertise.ReminderBeginning April 1, 2014, the Board ofNursing began issuing a separate license number for Advanced PracticeRegistered Nurses. For more information, see the January 2014 Boardof Nursing Bulletin.

July 2014Texas Board of Nursing BulletinVolume 45, No. 3Continuing Competency Workshops and Webinars - 2014The T

rosters for nursing schools, or graduation . NANCY LYNN JAMES Nancy Lynn James, aka Nancy Lynn Hughes, secured employment as a . 22 TAC Chapter 221, §§221.1 - 221.15, reorganizes a