Organizations needs to have responsibility to the public and who it serves. The specialized organization must develop standards of practices to keep practices universal to all who practice. The American Nurses Association has responsibility for coming up with scopes and standards of practice and enforcing these practices for all professional nurses. These scopes of practices are used as universal guidelines for all specialties in nursing (Nursing Scope Standards, 2010). The Standards of Professional Nursing Practice is for all registered nurses, regardless of role, population, or specialty, are expected to perform competently. The process for developing nursing standard of practices uses the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. These questions need to be used to get a complete picture of every aspect the practice will effect (ANA,2010a, p 13). Registered nurses actively working in the United States have three certified resources that notify their thinking and decision-making and direct their practice. First, Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) lists the nine succinct provisions that establish the ethical framework for registered nurses across all roles, levels, and settings. Second, Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) conceptualizes nursing practice, gives the social framework of nursing, and provides the description of nursing (Nursing Scope Standards, 2010).According to Texas board of nursing the standard of practice is still varies from state to state, all this are still govern by board that oversees the design and institution of regulations that are written to promote compliance to the law. The state of Texas is part of compact state among the fifty states, also provision of quarterly publication of Texas board of nursing and implementation of prescription drug monitoring and more.