note the following important information related to required training modules - The Immunizations, Hearing
and Vision Screening, and the Oral Health for Primary Care Providers modules are currently unavailable pending updates. Registered nurses (RNs) in the process of completing required training while these modules are unavailable are encouraged to
complete them once they become available again. RNs using the THSteps optional
Verification of Registered Nurse (RN) Competency to Perform Texas Health Steps
(THSteps) Checkups form for documentation of completion of required training
modules should indicate on their form that these modules were not available
during the time of their training. Texas Health Steps encourages RNs to
regularly check this website for important information, and to sign up for email
updates at HHSC GovDelivery.
RNs without CNS, NP, or CNM certification may provide THSteps medical checkups only under direct physician supervision, meaning the physician is either on site during the checkup or immediately available to furnish assistance and direction to the RN during the checkup. Prior to performing THSteps checkups, the RN must complete required training modules developed by THSteps. A complete list of all required modules, as well as access to required training modules, is available on the THSteps Online Provider Education (OPE) internet at Courses by Topic (Scroll down to Required Courses for Texas Health Steps Nurses). The RN or the RN’s employer must maintain documentation of course completion in the employee’s record. Online modules are updated regularly to include new content. RNs that have completed the required modules previously are encouraged, but not required to retake online modules.
Prior to delegating a complete THSteps medical checkup to an RN, the delegating physician must establish the RN’s competency to perform the service. The delegating physician provider is responsible for the direct supervision of the RN performing the delegated service and remains responsible for any service provided to the client. Additional information can be found in the Texas Medicaid Provider Procedures Manual (TMPPM), Children’s Services Handbook, Section 220.127.116.11 Requirements for Registered Nurses Who Provide Medical Checkups.
THSteps developed the optional Verification of Registered Nurse (RN) Competency to Perform Texas Health Steps (THSteps) Checkups form for documentation of completion of required training modules. The RN or the RN’s employer must maintain documentation of course completion in the employee’s record.
Texas Board of Nursing - https://www.bon.texas.gov/index.asp
Laws & Rules - Nursing Practice Act - https://www.bon.texas.gov/laws_and_rules_nursing_practice_act.asp