(a) A RN providing services on behalf of a center must have at least the following qualifications and experience:
  (1) a valid RN license 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 previous 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 RN who qualifies to provide services at the center under subsection (a)(3)(B) of this section. The policy must:
  (1) require an RN 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 RN responsibilities described in §15.403 of this division (relating to Registered Nurse Responsibilities) and that includes hands-on training;
  (2) require, before performing the RN responsibilities described in §15.403 of this division, an RN qualified under subsection (a)(3)(B) of this section to demonstrate competency in performing the responsibilities described in §15.403 of this division, as determined by an RN;
  (3) describe procedures for increased supervision of an RN 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 RN qualified under subsection (a)(3)(B) of this section from performing the responsibilities in §15.403 of this division or being included in the nursing services staffing ratio as an RN, as described in §15.410 of this division (relating to Nursing Services Staffing Ratio), until the RN completes the training program described in paragraph (1) of this subsection and demonstrates competency as described in paragraph (2) of this subsection.
(c) An RN qualified under subsection (a)(3)(B) of this section must meet the requirements in §15.415 of this division (relating to Staffing Policies for Staff Orientation, Development, and Training) and §15.416 of this division (relating to Staff Development Program).

Source Note: The provisions of this §550.402 adopted to be effective September 1, 2014, 39 TexReg 6569; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875