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Tom had the enema bag full already, and placed it on a hook above the bed. Francine laid on the edge of the bed, nude, with her legs drawn up to her chest. Tom inserted the nozzle, and opened the flow of warm water from the bag. Francine furrowed her brows and began to whimper slightly, her bowels filling up steadily. Francine Had become able to hold large amounts of fluid in her bowels, and had learned to retain it, if Tom wished her to, for a period of time up to a half an hour, or sometimes a little longer.

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The Texas Board of Nursing is responsible for regulating the practice of nursing within the State of Texas for Vocational Nurses, Registered Nurses, and Registered Nurses with advanced practice authorization. The standards of practice establish a minimum acceptable level of nursing practice in any setting for each level of nursing licensure or advanced practice authorization. Failure to meet these standards may result in action against the nurse's license even if no actual patient injury resulted. Standards of Nursing Practice. The licensed vocational nurse practice is a directed scope of nursing practice under the supervision of a registered nurse, advanced practice registered nurse, physician's assistant, physician, podiatrist, or dentist.

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