Occ. Code Section 301.354
Nurse First Assistants; Assisting at Surgery by Other Nurses
(a)In this section, “nurse first assistant” means a registered nurse who:
(1)has completed a nurse first assistant educational program approved or recognized by an organization recognized by the board; and
(A)certified in perioperative nursing by an organization recognized by the board; or
(B)recognized by the board as an advanced practice nurse and qualified by education, training, or experience to perform the tasks involved in perioperative nursing.
(b)Unless the person is a nurse first assistant, the person may not use:
(1)the title “nurse first assistant” or “registered nurse first assistant”;
(2)the abbreviation “R.N.F.A.”; or
(3)any other title or abbreviation that implies to the public that the person is qualified as a nurse first assistant under this section.
(c)A health maintenance organization or an insurer, including an insurer offering a preferred provider benefit plan, may not, by contract or any other method, require a physician to use the services of a nurse first assistant.
(d)A nurse who is not a nurse first assistant may assist a physician, podiatrist, or dentist in the performance of surgery if the nurse:
(1)assists under the direct personal supervision and in the physical presence of the physician, podiatrist, or dentist;
(2)is in the same sterile field as the physician, podiatrist, or dentist;
(3)is employed by:
(A)the physician, podiatrist, or dentist;
(B)a group to which the physician, podiatrist, or dentist belongs; or
(C)a hospital licensed or owned by the state; and
(4)is qualified by education, training, or experience to perform the tasks assigned to the nurse.
(e)A patient or third-party insurer may not be billed separately for the services performed by a nurse described by Subsection (d).
Section 301.354 — Nurse First Assistants; Assisting at Surgery by Other Nurses,
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.301.htm#301.354 (accessed Nov. 25, 2023).