|(a) General. Continuing education requirements for renewal shall be fulfilled each renewal period. (1) The initial period shall begin with the date the department issues the certificate and end on the last day of the birth month at the time of renewal. (2) A respiratory care practitioner must complete 24 hours of continuing education acceptable to the department during each renewal period. (3) A clock hour shall be 50 minutes of attendance and participation in an acceptable continuing education experience. (4) A retired respiratory care practitioner who is approved by the department for renewal in accordance with §140.209(i) of this title (relating to Certificate Renewal) may complete reduced continuing education requirements equal to half of the number of continuing education hours required for renewal for a certified respiratory care practitioner. (b) Types of acceptable continuing education. Continuing education must be in skills relevant to the practice of respiratory care and must have a direct benefit to patients and clients and shall be acceptable if the experience falls in one or more of the following categories: (1) respiratory care course work seminars, workshops, review sessions, or other organized educational programs completed at or though any respiratory care education program; (2) participation in any program (e.g., in-service educational training programs, institutes, seminars, workshops and conferences) which is: (A) directly related to the profession of respiratory care; (B) instructor directed; and (C) approved, recognized, accepted, or assigned continuing education credits by professional organizations or associations or offered by a federal, state, or local government entity. (3) instruction or teaching in programs set out in paragraphs (1) and (2) of this subsection. (4) up to twelve credit hours during each renewal period of self-directed study to include Internet-based or computer-based studies, journals, including a post-test, which meets the requirements described in paragraph (2)(A) and (C) of this subsection. (c) Determination of clock hours. The department shall credit continuing education experiences as follows. (1) Completion of course work at or through a respiratory care educational program as set out in subsection (b)(1) of this section shall be credited on the basis of 15 clock hours for each semester hour successfully completed for credit or audit, evidenced by a certificate of successful completion or official transcript. (2) Parts of programs, activities, workshops, seminars, sessions, etc., which meet the criteria of subsection (b)(1) or (2) of this section shall be credited on a one-for-one basis with one clock hour for each clock hour spent in the continuing education activity. (3) Teaching in programs which meet the department's criteria as set out in subsection (b)(3) of this section shall be credited on the basis of two clock hours for each hour actually taught. Continuing education credit will be given only once for teaching a particular course. (4) Passing the certified respiratory therapist recredentialing examination shall be credited on the basis of ten clock hours. (5) Passing the written registry examination for advanced respiratory therapy practitioners for credentialing or recredentialing shall be credited on the basis of nine clock hours. (6) Passing the registered respiratory therapist clinical simulation examination for credentialing or recredentialing shall be credited on the basis of nine clock hours. (7) Passing the National Board for Respiratory Care, Inc. (NBRC) pediatric specialty examination shall be credited on the basis of ten clock hours. (8) Successful completion of the initial course in advanced cardiac life-support, pediatric advanced life-support, the neonatal advanced life-support course, basic trauma life-support, or pre-hospital trauma life-support shall be credited on the basis of 12 clock hours. Recertification courses shall be credited for the number of hours actually completed during the recertification course, but shall not count for more than 12 hours. (9) Passing the certification examination for entry level pulmonary function technologists or the registry examination for advanced pulmonary function technologists for credentialing shall be credited on the basis of ten clock hours. (10) Passing the registration examination offered by the Board of Registered Polysomnographic Technologists shall be credited on the basis of ten clock hours. (d) Reporting of continuing education. Each practitioner shall be responsible for reporting to the department the continuing education activities completed. (1) A practitioner shall report the number of hours of continuing education completed during the renewal period. If requested by the department, each practitioner shall submit proof of completion of the required continuing education activity to the department at the time of certificate renewal, or at other times as directed by the department. (2) If required by the department, each continuing education activity filed by a practitioner must be accompanied by appropriate documentation of the continuing education claimed as follows: (A) for a program attended, signed certification by a program leader or instructor of the practitioner's participation in the program by certificate, or letter on letterhead of the sponsoring agency, or official continuing education validation form or official transcript of the sponsoring agency accompanied by a brochure, agenda, program, or other applicable information, indicating content of the program; (B) for teaching or instruction in approved programs, a letter on sponsoring agency's letterhead giving name of program, location, dates, and subjects taught, and giving total clock hours of teaching or instruction; (C) for completion of course work at or through respiratory care education programs, a certificate of successful completion or an official transcript. (e) Activities unacceptable as continuing education. The department may not grant continuing education credit to any practitioner for: (1) education incidental to the regular professional activities of a practitioner such as learning occurring from experience or research; (2) organization activity such as serving on committees or councils or as an officer in a professional organization; (3) any program or activity which is not approved in accordance with subsection (b)(2) of this section; (4) any experience which does not fit the types of acceptable continuing education in subsection (b) of this section; (5) activities which have been completed more than once during the continuing education period. (f) Failure to complete required continuing education. A practitioner who has failed to complete the requirements for continuing education as specified in subsection (a) of this section shall return the certificate and identification cards to the department and shall not advertise or represent himself or herself as a respiratory care practitioner in any manner. The person may renew the certificate in accordance with §140.209(d) of this title or reapply for a new certificate. (g) Other miscellaneous provisions. (1) Audiovisual programs may be accepted by the department if such a program represents one of the instructional methods or strategies rather than constituting the entire program and provided the program meets the criteria as set out in subsection (b) of this section. (2) A practitioner who also holds a current license, registration, or certification in another health care profession or a current license, registration, or certification as a respiratory care practitioner in another state, territory, or country may satisfy the continuing education requirements for renewal in Texas with hours counted toward renewal of another license, registration, or certification as long as all of the hours meet all of the requirements of this section. (3) Continuing education extensions are based on hardships and will be considered and granted by the department on a case by case basis. (4) The department may conduct random audits of continuing education completed by practitioners to determine compliance with this section. (5) No continuing education hours may be carried over from one renewal period to another renewal period.