TX HHS Form 1591. Provider Advocate Committee (PAC) Acting as the Client's Responsible Adult

The Provider Advocate Committee (PAC) Form 1591 is a crucial document issued by the Texas Health and Human Services (HHS), which enables the committee to act as the Client's Responsible Adult (CRA) in situations where an individual lacks decision-making capacity regarding their healthcare. This form outlines the requirements for PAC approval of delegation of tasks by a Registered Nurse (RN) to unlicensed personnel.

The purpose of this form is to ensure that the delegation of tasks is done in accordance with the Texas Board of Nursing's (BON) regulations, specifically TAC 22, Part II, §225.1(a)(2). The PAC membership must consist of at least an assessing RN, a program provider's CEO/designee, and a person responsible for service delivery oversight. The committee reviews delegation decisions annually or when changes in the individual's condition warrant a revision.

This form is essential for healthcare providers to ensure compliance with BON regulations and promote patient safety. By completing Form 1591, PAC members can approve or deny delegation of tasks based on the individual's condition, nursing plan, and level of supervision required. The committee's decision-making process ensures that patients receive appropriate care while maintaining regulatory compliance.