Becoming an Advanced Practice Registered Nurse (APRN) in Texas- Certification, Licensing, and Scope of Practice

Becoming an Advanced Practice Registered Nurse (APRN) in Texas- Certification, Licensing, and Scope of Practice

Certification and Licensure as an APRN in the State of Texas

For one to get licensed as an APRN in the State of Texas, one must apply and submit all appropriate documents to the Texas Board of Nurses. Applications that are correct, complete, and are submitted with all the needed documents required are expedited. (Texas Board of Nurses, 2024).

Application Process for Certification in Texas State

The application process for certification involves meeting the requirements and providing all required documents. First, the applicant is required to pay $100 for only APRN licensure and $150 if they are applying for APRN licensure with prescriptive authority, which is all nonrefundable (Texas Board of Nurses, 2024). Then, the applicant needs to have RN licensure from a state that is part of the Nursing Licensure Compacts for LVNs and RNs or Texas RN licensure. The applicant then needs to complete an APRN educational program accredited by an institute or organization known by the Board that is in line with the requirements. (Texas Board of Nurses, 2024).

Furthermore, a national certification in the responsibility and population focus area consistent with the applicant’s advanced practice nursing (APN) educational preparation is required. The applicant needs to have completed not less than 400 hours of practice in their advanced practice role or complete their APN educational program within the last two years (Texas Board of Nurses, 2024). Alternatively, the applicant should complete not less than 20 hours of continuous education in nursing in their advanced roles or completion of their APN educational program within the last two years. After adhering to this requirement and submitting the relevant documents, it takes about 30 days to review the documents and issue a license (Texas Board of Nurses, 2024).

Texas State’s Board of Nursing Websites

The official website of the Texas State of Nursing is the Texas Board of Nursing (Links to an external site) (Texas Board of Nurses, 2024).

How Texas State Defines the Scope of Practice of an NP

Texas State defines the scope of practice as evolving through knowledge acquisition, experience, evidence-based practice, changes in the health care system, and technological development. The scope of practice allows APRNs to have collaborative agreements with physicians to practice, prescribe medication, including controlled substances, have autonomous practice in certain settings, and meet continuing education requirements (Texas Board of Nurses, 2024).

Texas State Practice Agreement

The Practice Agreement defines the supervision and collaboration level needed by the collaborating physician, the extent of the NP’s prescriptive authority, the scope of practice for the NP, protocols for handling emergencies, and requirements for documentation, record keeping, and patient information sharing between the NP and collaborating physician. Furthermore, the practice agreement may include a process for periodic review and renewal of the collaborative agreement and conditions in which either party can terminate the agreement (Texas Board of Nurses, 2024).

How to Get a DEA License

One gets a DEA license by filling out an official order form obtained from the official website of the U.S. Department of Justice (Texas State Board of Pharmacy, 2024).

Prescription Monitoring Program

The State of Texas has the Texas Prescription Monitoring Program, which is handled by the Texas State Board of Pharmacy. The board monitors and collects outpatient prescription information for Schedule V, IV, III, and II controlled substances. (Texas State Board of Pharmacy, 2024)

Prescriptive Authority

The State of Texas requires APRNs to have a DEA registration and must have a physician delegate prescriptive authority for control substances to prescribe controlled substances. Moreover, APRNs are not allowed to prescribe controlled substances under schedules III to V to individuals aged two years and older of a 90-day supply. Also, according to the Texas Board of Nurses (2024), APRNs prescribing for pain should meet the care standards outlined in clinical guidelines.

References

Texas Board of Nurses. (2024). Texas Board of Nursing – Advanced Practice Registered Nurse. Texas.gov. https://www.bon.texas.gov/applications_advanced_practice_registered_nurse.asp.html#:~:text=Completion%20of%20an%20advanced%20practice

Texas State Board of Pharmacy. (2024). Texas Prescription Monitoring Program (PMP) AWARxE. Www.pharmacy.texas.gov. https://www.pharmacy.texas.gov/PMP/aware.asp#:~:text=The%20Texas%20PMP%20is%

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How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in the state of Texas?
What is the application process for certification in Texas state?
What is Texas State’s Board of Nursing website?

Becoming an Advanced Practice Registered Nurse (APRN) in Texas- Certification, Licensing, and Scope of Practice

How does Texas state define the scope of practice of a nurse practitioner?
What is included in the Texas state practice agreement?
How do you get a DEA license?
Does Texas state have a prescription monitoring program (PMP)?
How does Texas state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?