Section 550.404 - Licensed Vocational Nurse Qualifications(a) An LVN providing services on behalf of a center must have at least the following qualifications and experience: (1) a valid LVN licensed under Texas Occupations Code, Chapter 301, with no disciplinary action;(2) valid certifications in Cardio Pulmonary Resuscitation and Basic First Aid; and(3) one of the following: (A) one year of pediatric specialty experience with emphasis on medically and technologically dependent minors obtained within the last consecutive five years; or(B) sufficient skills to meet the competency and training requirements described in subsection (b) of this section;(b) A center must adopt and enforce a written policy regarding an LVN who qualifies to provide services at the center under subsection (a)(3)(B) of this section. The policy must:(1) require an LVN qualified under subsection (a)(3)(B) of this section to complete a training program that is determined appropriate by the Director of Nursing and conducted by an RN on the LVN responsibilities described in § 550.405 of this division (relating to Licensed Vocational Nurse Responsibilities) and that includes hands-on training;(2) require, before performing the LVN responsibilities described in § 550.405 of this division, an LVN qualified under subsection (a)(3)(B) of this section to demonstrate competency in performing the responsibilities described in § 550.405 of this division, as determined by an RN;(3) describe procedures for increased supervision of an LVN qualified under subsection (a)(3)(B) of this section during the training program, competency evaluation, and for three months after completion of the competency evaluation to ensure the health and safety of minors; and(4) prohibit an LVN qualified under subsection (a)(3)(B) of this section from performing the responsibilities in § 550.405 of this division or being included in the nursing services staffing ratio as an LVN, as described in § 550.410 of this division (relating to Nursing Services Staffing Ratio), until the LVN completes the training program described in paragraph (1) of this subsection and demonstrates competency as described in paragraph (2) of this subsection.(c) An LVN must meet the requirements in § 550.415 of this division (relating to Staffing Policies for Staff Orientation, Development, and Training) and § 550.416 of this division (relating to Staff Development Program).26 Tex. Admin. Code § 550.404
The provisions of this §550.404 adopted to be effective September 1, 2014, 39 TexReg 6569; Transferred from Title 40, Chapter 15 by Texas Register, Volume 44, Number 15, April 12, 2019, TexReg 1875, eff. 5/1/2019