Texas CE Requirements
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CE Requirements in Texas

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Every two years upon licensure renewal, APRNs are required to complete 20 contact hours of Continuing Education (CE) appropriate to their advanced practice role and population focus area. Within the 20 contact hours that are required, there are a number of targeted CE requirements that apply to some or all APRNs. In 2019 during the 86th Legislative Session, there were four additions to these targeted CE requirements noted below with an asterisk.

In addition to 20 contact hours, an APRN who holds prescriptive authority must complete at least 5 additional contact hours of CE in pharmacotherapeutics. This is above and beyond the 20 hours required for all APRNs. Please note: there is no longer a requirement to complete 3 additional contact hours of CE in controlled substances, as these hours were removed during the most recent Board of Nursing (BON) rule changes. With these changes, the new total contact hours for APRNs is now 25 hours for APRNs with prescriptive authority.

Please see details on the targeted CE requirements below. For information on APRN CE requirements overall, see the BON website here.

 

Pharmacotherapeutics

Board Rule §216.3(c)(3) requires an APRN who holds prescriptive authority to complete at least five additional contact hours of CE in pharmacotherapeutics within the licensing period. These hours are in addition to the 20 contact hours required for all APRNs.

 

APRN Targeted Requirements

*Pain Management & Prescription of Opioids

Board Rule §216.3 (c)(4) requires an APRN who has entered into a prescriptive authority agreement authorizing the prescribing of opioids to complete not less than two (2) hours of CE annually regarding safe and effective pain management related to the prescription of opioids and other controlled substances, including education regarding reasonable standards of care; the identification of drug-seeking behavior in patients; and effectively communicating with patients regarding the prescription of an opioid or other controlled substance. This requirement applies to the renewal of licensure on or after January 1, 2021. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs

*Prescription of Opioids

Board Rule §216.3(c)(5) requires an APRN whose practice includes the prescription of opioids to attend at least one (1) hour of CE annually covering best practices, alternative treatment options, and multi-modal approaches to pain management that may include physical therapy, psychotherapy, and other treatments. This requirement applies to the renewal of licensure on or after September 1, 2019, and expires on August 31, 2023. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs .

*Prescription Monitoring Program

Board Rule §216.3(c)(6) requires an APRN who was licensed prior to September 1, 2020, and authorized to receive information from the prescription monitoring program, to complete two (2) hours of CE related to approved procedures of prescribing and monitoring controlled substances no later than September 1, 2021. An APRN licensed after September 1, 2020, and authorized to receive information from the prescription monitoring program, must complete the CE no later than one year after the APRN's initial licensure date. This is a one-time education requirement. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs

Jurisprudence/Ethics

Board Rule Board 216.3 (g) requires an APRN to complete two (2) contact hours of CE relating to nursing jurisprudence and nursing ethics before the end of every third two-year licensing period (applies to renewal of licensure on or after January 1, 2014). The CE must contain information related to: the Texas Nursing Practice Act, the Board's rules, the Board's position statements, principles of nursing ethics, and professional boundaries. Continuing Medical Education (CME) cannot be used to fulfill this requirement. Only Continuing Nursing Education (CNE) is acceptable. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs

Older Adult or Geriatric Care

Board Rule 216.3(h) requires an APRN whose practice includes older adult or geriatric populations to complete at least 2 contact hours of CE relating to older adult or geriatric populations before the end of every licensing period. Th CE may contain information related to: elder abuse, age-related memory changes and disease processes (including chronic conditions), end of life issues, health maintenance, and health promotion. This requirement applies to the renewal of licensure after January 1, 2014. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs .

*Human Trafficking

Board Rule §216.3(i) requires a nurse, including an APRN, who provides direct patient care, to complete a human trafficking prevention course approved by the Health and Human Services Commission. This requirement applies to the renewal of a license on or after September 1, 2020. Contact hours completed for this requirement count towards completion of the 20 contact hours required for all APRNs.

 

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