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Texas Health Steps is healthcare for children birth through age 20 who have Medicaid. Texas Health Steps gives your child free medical checkups starting at birth, and free dental checkups starting at 6 months of age. Checkups can help find health problems before they get worse and harder to treat.
RULE 217.11. Standards of Nursing Practice. The Texas Board of Nursing is responsible for regulating the practice of nursing within the State of Texas for Vocational Nurses, Registered Nurses, and Registered Nurses with advanced practice authorization.
An RN and/or an APRN can pronounce death when: a patient is not receiving artificial means of life support; a properly documented do-not-resuscitate/out of hospital do-not-resuscitate physicians order exists; and.
Once enrolled in Medicaid, provider can enroll in Texas Health Steps. The application form can be downloaded an application form from the Texas Medicaid Healthcare Partnership website. Click here to see the Texas Health Steps application form, which also includes all prerequisites for Texas Health Steps providers.
Private duty nursing (PDN) is a benefit of Texas Health Steps for children and adolescents birth through 20 years who meet medical necessity criteria and require individualized, continuous, skilled health care beyond the level provided by a home health skilled nursing or home health aide visit.
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Like New Jersey, Texas, Maine, and New York allow RNs to pronounce patients in all settings. Virginia allows RNs in hospitals or nursing facilities to pronounce death under certain conditions. Many other states allow RNs to pronounce death in the home, hospice, and long-term-care facility.
The authority of a licensed RN (or advanced practice nurse) to pronounce death is based on state law(s). The nurse practice act and rules may contain this authority or the board of nursing may issue a statement that allows this role for RNs in the state.
One does not substitute for the other. If you have an active and unencumbered LVN license in addition to an RN license, then you can work as an LVN if you choose and if the state nurse practice act does not prohibit this.

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