Texas nurse practice agreement

What is included in your state practice agreement?

The purpose of this document is to provide a framework for the development and implementation of an NPA. It will be used by all nurses who are involved in providing nursing care, including those working as RNs, LPNs, CNAs, CENs, etc., at any level within the health-care system. This includes hospitals, clinics, home health agencies, long term acute care facilities, skilled nursing facilities or other settings where patients receive medical/nursing services.

Purpose: To ensure that patient safety is maintained throughout the continuum of care provided by registered nurses, licensed practical nurses, certified nursing assistants, clinical enginers, and others who work with patients on a daily basis.

Background: Registered Nurses have been identified as one of the most important members of the healthcare team because they are responsible for direct patient care. They must maintain their knowledge base through continuing education programs offered by professional associations such as the American Association of Critical Care Nursing. In addition, it has become increasingly evident that there is no single model which can adequately address the needs of every patient population. Therefore, each setting requires its own unique approach to meet the specific requirements of the individual patient’s condition. For example, some patients require more intensive monitoring than others; therefore, different levels of staffing may be required depending upon the type of unit being utilized.

  The same holds true when considering the various types of equipment available to assist in meeting these varying demands. As a result, many areas of specialization have developed over time. These include critical care units, emergency departments, operating rooms, surgical suites, neonatal nurseries, pediatric ICUs, cardiac catheterization labs, dialysis centers, rehabilitation wards, psychiatric units, hospice units, and so forth. Each area of specialty offers specialized training opportunities for nurses wishing to pursue additional certification. However, not all specialties offer the opportunity to obtain advanced degrees. Some disciplines do not even allow entry into certain subspecialty positions without first obtaining board certification. Thus, the need exists for a comprehensive plan designed specifically for the particular environment in which the nurse works.

Scope: All nurses employed in the provision of direct patient care should adhere to the principles outlined in this document. Although this document focuses primarily on the role of the registered nurse, it also applies to all other categories of staff listed above.

Definitions: A “Nurse Practice Agreement” refers to a written statement outlining the responsibilities of both parties regarding the delivery of quality patient care. An “NPA” is defined as a Nurse Practice Agreement between two individuals or organizations.

Agency Responsibilities: Agency personnel shall comply with the following guidelines:

1) Ensure that policies and procedures related to the operation of the agency are consistent with the provisions of this document.

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