Texas Register, Volume 38, Number 47, Pages 8313-8478, November 22, 2013 Page: 8,352
8313-8478 p. ; 28 cm.View a full description of this periodical.
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set ambitious and measurable school goals, targets, and strategies that
form the schools' strategic plans;
(II) with their leadership teams, regularly mon-
itor multiple data points to evaluate progress toward goals, adjusting
strategies that are proving ineffective;
(III) develop a year-long calendar and a daily
schedule that strategically use time to both maximize instructional
time and to create regular time for teacher collaboration and data
review;
(IV) are deliberate in the allocation of resources
(e.g., staff time, dollars, and tools), aligning them to the school prior-
ities and goals, and work to access additional resources as needed to
support learning; and
(V) treat central office staff as partners in achiev-
ing goals and collaborate with staff throughout the district to adapt poli-
cies as needed to meet the needs of students and staff.
(ii) In schools with effective leaders of strategic op-
erations, staff have access to resources needed to meet the needs of
all students. Staff understand the goals and expectations for students,
have clear strategies for meeting those goals, and have the capacity to
track progress. Members of the staff collaborate with the principal to
develop the school calendar. Teacher teams and administrator teams
meet regularly to review and improve instructional strategies and an-
alyze student data. Throughout the year, all staff participate in formal
development opportunities that build the capacity to identify and im-
plement strategies aligned to the school's improvement goals.
(B) Indicators.
(i) Strategic planning. The principal outlines and
tracks clear goals, targets, and strategies aligned to a school vision that
improves teacher effectiveness and student outcomes.
(ii) Maximized learning time. The principal imple-
ments daily schedules and a year-long calendar that plan for regular
data-driven instruction cycles, give students access to diverse and rig-
orous course offerings, and build in time for staff professional devel-
opment.
(iii) Tactical resource management. The principal
aligns resources with the needs of the school and effectively monitors
the impact on school goals.
(iv) Policy implementation and advocacy. The prin-
cipal collaborates with district staff to implement and advocate for dis-
trict policies that meet the needs of students and staff.
The agency certifies that legal counsel has reviewed the pro-
posal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office of the Secretary of State on November 8,
2013.
TRD-201305153
Cristina De La Fuente-Valadez
Director, Rulemaking
Texas Education Agency
Earliest possible date of adoption: December 22, 2013
For further information, please call: (512) 475-1497
TITLE 22. EXAMINING BOARDSPART 11. TEXAS BOARD OF NURSING
CHAPTER 225. RN DELEGATION TO
UNLICENSED PERSONNEL AND TASKS NOT
REQUIRING DELEGATION IN INDEPENDENT
LIVING ENVIRONMENTS FOR CLIENTS WITH
STABLE AND PREDICTABLE CONDITIONS
22 TAC 225.1 - 225.6, 225.8 - 225.15
The Texas Board of Nursing proposes amendments to Chapter
225, 225.1 - 225.6 and 225.8 - 225.11; and new 225.12 -
225.15. The amendments and new sections are necessary in
order to renumber the chapter sections and result in adding a
new 225.15, concerning RN Delegation to Unlicensed Person-
nel and Tasks not Requiring Delegation in Independent Living
Environments for Clients with Stable and Predictable Conditions.
The revisions include: correction of outdated references to the
Board of Nurse Examiners and legal citations; improved defini-
tions of RN delegation; expansion to the lists of tasks that may be
designated as Health Maintenance Activities (HMAs), including
RN discretion to identify HMAs not specifically listed; clarification
of minimum standards when delegating, including responsibil-
ity of nurse administrators; clarification of the duty to document
proper assessment in support of decision making; specifying the
duty to collaborate with the client when there is disagreement;
and expanding the list of tasks that may be delegated, including
reference to emergency delegation and RN discretion to identify
delegable tasks not specifically listed or prohibited. Elsewhere
in this issue of the Texas Register, the Texas Board of Nursing
proposes the repeal of 225.12 - 225.14 so those rules can be
replaced.
The 77th Texas Legislature (2001) passed House Bill 456,
amending 531.051, Texas Government Code, which required
the Board of Nursing to form a task force to review nurse
delegation for those with functional disabilities in independent
living environments. After the formation and consideration
of the recommendations of the task force in 2001 and 2002,
the Board adopted Chapter 225 in 2003. These rules have
not been amended since their adoption on February 19, 2003
(February 14, 2003, issue of the Texas Register (28 TexReg
1386)). Since 2003, 531.051, Texas Government Code has
been amended several times by the Legislature. Additionally,
the 82nd Legislature (2011) passed Senate Bill 1857, which
amended Chapter 161 of the Texas Health and Safety Code, by
adding Subchapter D-1, additionally affecting nurse delegation
and self-administered medications.
In October 2011, to address the dynamic nature of nurse del-
egation and statutory amendments, the Board of Nursing ap-
proved the formation of a new advisory task force to review 22
TAC Chapter 225 and develop new recommendations. The task
force consisted of the following members: Texas School Nurse
Organization, AARP Consumer, Hospice Austin, Texas Depart-
ment of Aging and Disability Services, Developmental Disabili-
ties, American Disabled for Attendant Programs Today of Texas,
and Disability Rights Texas (Formerly Advocacy, Inc.).
After several meetings and deliberations, the Task Force made
recommendations in September 2013 for Board consideration.
The Board subsequently reviewed and approved those recom-
mendations at its October 2013 Board meeting and proposed
the rules outlined herein.38 TexReg 8352 November 22, 2013 Texas Register
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Texas. Secretary of State. Texas Register, Volume 38, Number 47, Pages 8313-8478, November 22, 2013, periodical, November 22, 2013; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth379965/m1/40/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.