03/26/2025
We get calls frequently asking if a certain task or procedure is within a LVN, RN or APRN’s scope of practice.
The Nursing Practice Act (NPA)(https://www.bon.texas.gov/pdfs/law_rules_pdfs/nursing_practice_act_pdfs/NPA2023.pdf) and Board Rules and Regulations (https://www.bon.texas.gov/laws_and_rules_rules_and_regulations_current.asp.html) are written broadly so all nurses can apply them in various practice settings across the State. Because each nurse has a different background, knowledge, and level of competence, the Board does not have an all-purpose list of tasks that every nurse can or cannot perform, but we do have decision making models (DMMs) to help nurses determine if a particular task is within their scope!
For RNs and LVNs: Scope of Practice Decision-Making Model (DMM)(https://www.bon.texas.gov/pdfs/publication_pdfs/Scope%20of%20Practice%20Decision-Making%20Model%20-%20DMM.pdf)
For APRNs: APRN Decision-Making Model (https://www.bon.texas.gov/pdfs/APRN%20DMM.pdf)