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Know the Texas BON Scope of Practice Decision Making Model (DMM): 2. Is the activity or intervention authorized by a valid order? 3. Is the activity or intervention consistent with current policies & procedures in your employing organization or facility? 4. Is performing the activity or intervention consistent with current A) evidence‐based practice findings and/or guidelines or B) scope of practice/position statements from national nursing organizations? 5. Is there documented evidence of your current competence (education, knowledge, skills, abilities, experience, and judgements) to perform the activity or intervention safely & effectively, in accordance the accepted nursing "standard of care"? 6. Would a reasonable & prudent nurse perform the activity or intervention in a similar circumstance? 7. Are you prepared to accept accountability for the provision of safe care & the outcome of the care rendered? 8. If you are an LVN, will adequate supervision be available? (Skip if you are an RN.) IF ALL YES: You may proceed with performance of the activity or intervention in accordance with prevailing standards of safe nursing care. IF ANY NO: STOP What is the Texas Occupation Code Chapter 301? correct answers - Defines LVN/LPN: "Vocational nursing" means a directed scope of nursing practice, including the performance of an act that requires 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 vocational nursing. The term does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures. Vocational nursing involves: (A) collecting data and performing focused nursing assessments of the health status of an individual; (B) participating in the planning of the nursing care needs of an individual; (C) participating in the development and modification of the nursing care plan; (D) participating in health teaching and counseling to promote, attain, and maintain the optimum health level of an individual; (E) assisting in the evaluation of an individual's response to a nursing intervention and the identification of an individual's needs; and (F) engaging in other acts that require education and training, as prescribed by board rules and policies, commensurate with the nurse's experience, continuing education, and demonstrated competency.


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