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“... t to a standing order, approved protocol for drug therapy, collaborative drug management, or comprehensive medication management, in response to a public health emergency or in other circumstances in which the practitioner may issue a non-patient-specific prescription;
for a drug under a research pr ... ”
“... ain coaching, acupuncture, chiropractic, physical therapy, massage, and exercise/movement; or
collaborative care or other behavioral health integration services such as evidenced-based cognitive behavioral therapy interventions for mental health and pain reduction, medication management and opioid w ... ”
Description: Acupuncture 2002 January, Educ Min
Document: ... recommend to the full Board to approve Auricular Therapy Diagnosis in Psychology for three general credit hours. Ms. Smith moved, Dr. Newbold seconded, and the motion passed to recommend to the full Board to approve Oncology in 3 rd World for three general credit hours. Ms. Smith moved, Dr. Newbold ...
Description: Acupuncture 2002 November, Educ Min
Document: ... ) Modern scientific interpretation of acupuncture therapy - 2 CAEs General cc) Computerized Pulse and Tongue Examinations - 2 CAEs General dd) TCM supportive therapy for Chemotherapy and Radiotherapy 2 CAEs Herbal ee) How to Improve Your Results With Difficult - 3 CAEs Herbal/1 CAE General ff) Ocula ...
Description: Acupuncture 2003 February, Education Min
Document: ... Herbal Products (3.9 herbal credits) Track 2: a) Korean Hand Theory - A Micro-system for Needle-Free Pain Management (5 general OM credits) b) Course Overview: Who Am I? Identifying the Five Constitutional Types in Chinese Medicine (7.8 general OM credits) c) Awakening the Healing Power of Qi: Ten ...
Description: Acupuncture 2003 July, Lic Cmte Min
Document: ... s in two other states and an unrestricted massage therapy license in the State of Texas. Following discussion, Mr. Garcia moved, Mr. Ho
seconded, and the motion passed to recommend to the full Board that Applicant #AC-8's application be approved for an acupuncture license.
Applicant #AC-12 appear ...
Description: Acupuncture 2003 October, Education
Document: ... credits) 27. Instant Pain Relief with FHT: Finger Hand Therapy (English, Chinese)(4 general credits) 28. Instant Pain Relief with FHT: Finger Hand Therapy (Practical Training)(English, Chinese)(5 general credits) The Committee reviewed the courses provided by the American Association of Oriental Med ...
Description: Acupuncture 2004 July, Education
Document: ... neral) The Tao of Healthy Eating: Chinese Dietary Therapy (15 hours general) Treating Chronic Digestive Disorders with Chinese Medicine (15 hours herbal) Treating Allergies & Autoimmune Diseases with Chinese Medicine (15 hours herbal) How to make $100,000 Per Year Practicing Acupuncture (6 hours gen ...
Description: Acupuncture 2004 May, Education Minutes
Document: ... e Medical Consultants, P.C. titled Medical Qigong Therapy for Cancer. Following discussion, Dr. Rascoe moved, Ms. Smith seconded, and the motion passed to recommend to the full Board the approval of the courses: Precautions and Ethical Considerations (1 hour ethics); Treating Side Effects (4 hours h ...
Description: Acupuncture 2005 May, Education
Document: ... ickness (1 general, 1 herbal); Ocular Acupuncture Therapy Part I & II (8 general); Chinese Medicine and Autoimmune Disease (3 general, 5 herbal); Facial Diagnosis (9 general); An Ethical Framework for Decision Making in Complementary and Alternative Medicine (1 ethics); and TCM Treatment of Carpal T ...
Description: Acupuncture 2005 October, Education
Document: ... Successful Treatment with Acupuncture and Herbal Therapy (1 herbal hour); Gastro-esophageal Reflux Disease Can Be Treated Successfully with Acupuncture and Herbal Therapy (1 herbal hour); Chinese Medical Ethics (1 ethic hour); Basics of Western Medicine Series: Infectious Diseases (15 general hours ...
Description: Acupuncture 2006 May, AI 3 CAE Action Taken
Document: ... otations
Academy of Oriental Medicine at Austin
Korean Hand Therapy: Correspondence Therapy for Instant Pain Relief
Approved Denied Deferred
Academy of Oriental Medicine at Austin
Hari Program: Waho Pulse Balancing Technique and Locating Live Acupuncture Points June 11, 2006 Hari Program: Refin ...
Description: Acupuncture 2007 February, AI 346 CAE Action Taken
Document: ... -9015 Will@merrittacupuncture.com
Title
Cupping Therapy
Toyohari Basic Training Program
Toyohari Basic Training Program
Toyohari Basic Training Program
Mei Zen Cosmetic Cosmetic Acupuncture Seminars, Inc 1331 Vine St Denver, CO 80206 (303) 349Acupuncture System for the 2932http://www.cosmetica ...
Description: Acupuncture 2007 May, AI 6 CAE Guidelines
Document: ... en Elixir Alchemy Golden Needle Gynecology Hakomi Hand Therapy Hari Headache Hepatitis Herbal Drug Interactions Herbal tea Herpes High cholesterol HIV Holistic Hua Tuo Wu Hyperlipoproteinemia Hyperplasia Hypertension Hyperthyroid Hypothyroid I Ching Imagery Imaging Immune Infectious Disease Infertil ...
Description: Acupuncture 2007 May, AI 345 CAE Action Taken
Document: ... ic Points Beginning Series
General
36 General
Korean American Acupuncture Association in Texasc/o Karen T Askew, Attorney8235 Douglas Ave, Ste 1111Dallas, TX 75225(214) 373 4888kavista@airmail.net
Ethics Updated
Ethics
3
Ethics Korean American Acupuncture Association in Texas c/o Karen T Ask ...
Description: Acupuncture 2008 June, Staff CAE Approvals
Document: ... edicine
Herbal
2.5
Herbal
2.5
Master Tung's Hand and Foot General Acupuncture Robert Chu, La.C., QME, PhD 2502 E. Washington Blvd. Pasadena, CA 91104 (626) 487-1815 chusauli@hotmail.com
16
General
16
Description: Acupuncture 2009 October, Education
Document: ... ham moved to recommend to the full board that the Korean Acupuncture Association in Texas (KAAT) not be accepted as an approved provider. Factors contributing to this recommendation include that KAAT has not had new courses approved every year for three continuous years. Mr. Chernly seconded. All vo ...
“... a-related patient care, including the transfer or hand-off of care from a CRNA to an AA through an order (standing or patient-specific) or protocol. A CRNA or AA cannot set-up or independently delegate a hand-off or step-down process.While the Nursing Act places responsibility for patient hand-off o ... ”
What are the general rules related to AAs/CRNAs?
The authority to delegate is found in Chapter 157 of the Texas Occupations Code, and Title 22 of the Texas Administrative Code, Section 193. A physician is allowed to delegate certain duties to a qualified and properly trained person acting under the physician’s supervision:
1) if in the opinion of the delegating physician the act can be properly and safely performed by the person to whom the medical act is delegated;
2) the act is performed in its customary manner; and
3) the performance of the act by the delegate is not in violation of any other statute.
It is clear that AAs can be delegated certain tasks under Chapter 157. The question is the extent allowable of such delegation. The key provision that needs to be examined is likely “not in violation of any other statute.”
Although the Nursing Act describes what a CRNA can do in regard to anesthesia, there is overlap of regulation of CRNAs between the Medical Board and Nursing Board. CRNAs are subject to physician delegation under the Medical Practice Act. The delegating physician can limit what a CRNA is allowed to provide under a Prescriptive Authority Agreement (PAA) or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
The level of supervision required for any AA (or any delegated provider) is determined based on training, knowledge, and experience, as determined by the physician. For CRNAs, whether any level of physician supervision is required will depend upon those same factors, in addition to applicable federal and state statutes, regulations, bylaws, and ethical standards, if any. However, AAs and CRNAs cannot practice independently and require physician delegation. A hospital or facility can set their own standards, policies, etc., related to delegation and supervision as long as it does not violate Chapter 157, board rules, or other applicable federal and state statutes and regulations. Although AAs most commonly work under an anesthesiologist physician, any physician may supervise and delegate to AAs; however, the standard of care must be met and the delegating physician remains responsible for the AA’s actions.
One difference between an AA and CRNA is the ability to order and prescribe dangerous and controlled substances to patients for anesthesia and anesthesia-related services. Under section 157.058, a CRNA pursuant to the physician’s order and in accordance with facility policies or bylaws may select, obtain, and administer those drugs appropriate to accomplish the order. The physician’s order for anesthesia or anesthesia-related services is not required to specify a drug, dose, or administration technique.
As previously stated, the Nursing Act describes what a CRNA can do in regard to anesthesia. However, the delegating physician or facility can limit what a CRNA is allowed to provide under a PAA or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
While AAs are not allowed to select drugs, determine dose, or administration technique for anesthesia or anesthesia-related services without specification by the supervising physician through an order, they perform many of the other same key duties performed by CRNAs. These duties include conducting preoperative physical exams, administering medications, evaluating and responding to life-threatening situations, setting up external and internal monitors, and implementing general and site-specific anesthetic techniques.
Another area of concern relates to handing-off patient care from CRNAs to AAs. RNs have the authority to delegate certain nursing tasks to unlicensed individuals; however, a CRNA and AA do not have any specific delegation authority concerning anesthesia tasks. A physician has the authority to delegate the process of anesthesia-related patient care, including the transfer or hand-off of care from a CRNA to an AA through an order (standing or patient-specific) or protocol. A CRNA or AA cannot set-up or independently delegate a hand-off or step-down process.
While the Nursing Act places responsibility for patient hand-off on a CRNA, if the physician orders a hand-off process from CRNA to AA, and this is memorialized in orders, protocols, etc., then the CRNA does not have the authority to determine the AA is not competent. The reason is that the physician has already made the determination of competency under Chapter 157.001.
Because the CRNA’s authority also arises through the delegating physician, and is not independent of that physician, a CRNA cannot override a physician Order related to this hand-off scenario. If this hand-off became an issue, the CRNA would have a defense (absolute) because the physician has already determined the competency of the AA to accept this patient.
“... the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already. ”
How do I change my address with the Texas Medical Board?
As part of the “My TMB” system, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees.
To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website (near the “search” box), and create an account if you do not have one already.
“... ves and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. Whil ... ”
Why does the application ask about my mental and physical health status?
The Board understands that medical or mental health treatment is a normal part of many people's lives and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. While the application does include a question pertaining to impairment, the question has been thoughtfully written to limit overly broad probing language that might dissuade health professionals from seeking treatment and reporting their conditions.
“... ves and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. Whil ... ”
Why am I asked about my mental and physical health status during renewal?
The Board understands that medical or mental health treatment is a normal part of many people's lives and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. While the renewal process does include a question pertaining to impairment, the question has been thoughtfully written to limit overly broad probing language that might dissuade health professionals from seeking treatment and reporting their conditions.