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“... by the Texas State Board of Acupuncture Examiners based on a review and recommendation of the course content by the Education Committee of the board (see “List of Current Approved Courses” below),
are offered by Approved Providers (see “List of Current Approve ... ”
“... edication assisted tapering and weaning, computer-based training pain 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 me ... ”
Description: Press Release September 28, 2006 A (PDF File)
Document: ... pension is effective immediately.
The action was based on evidence of Dr. Shadman's abuse or intemperate use of illegal and illicit controlled substances, specifically cocaine.
The length of a temporary suspension is indefinite and it remains in effect until the board takes further action.
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Description: Press Release October 01, 2008 A (PDF File)
Document: ... uing threat to the public welfare. The action was based on the panel's findings of violations of a 2008 Mediated Agreed Order, which required, among other provisions, that Dr. Anderson submit to random alcohol and drug screenings to ensure abstinence; participate in Alcoholics Anonymous programs and ...
Description: Press Release October 09, 2006 A (PDF File)
Document: ... ension was effective immediately.
The action was based on the following: Dr. Byrnes was arrested for making terroristic threats toward his wife; he was indicted in Anderson County for insurance fraud; he was arrested in Anderson County for criminal failure to pay child support; he had a positive te ...
Description: Press Release October 10, 2006 A (PDF File)
Document: ... ed physicians.
Actions included three violations based on quality of care; four actions based on unprofessional conduct; one action based on inappropriate conduct involving physician-patient relationships; four actions based on inadequate medical records; one action based on impairment due to physi ...
Description: Press Release October 11, 2004 (PDF File)
Document: ... spension is effective immediately. The action was based on Dr. Mailman's failure to comply with an Agreed Order entered in October 2002 that revoked his license, stayed the revocation, and placed him on probation for 10 years in order to monitor substance abuse problems. The Agreed Order required re ...
Description: Press Release October 12, 2005 (PDF File)
Document: ... administrative penalty of $1,000. The action was based on allegations that Dr. Amjadi overcharged for providing copies of medical records for one patient and failed to timely respond to a request from the Board for copies of medical records. BERG, MICHAEL W., M.D., HARLINGEN, TX, Lic. #F3683 On Oct ...
Description: Press Release October 12, 2007 A (PDF File)
Document: ... nt a threat to the public welfare. The action was based on the panel's finding that Dr. Fontenot failed to comply with a Mediated Nonpublic Agreed Rehabilitation Order entered into between Dr. Fontenot and the Board on September 7, 2001. Dr. Fontenot had voluntarily ceased practice in August, 1997, ...
Description: Press Release October 13, 2004 (PDF File)
Document: ... a $3,000 administrative penalty. This action was based upon allegations that Dr. Baisden made sexually inappropriate remarks and overtures to two co -workers and an individual conducting business at Dr. Baisden's place of employment. BENNETT, JOHN SCOTT, D.O., LULING, TX, Lic. #G4820 On October 8, ...
Description: Press Release October 15, 2004 A (PDF File)
Document: ... spension is effective immediately. The action was based on Dr. Hall-Herpin's indictment for providing narcotic medications to individuals for cash payments, writing prescriptions to individuals whose names Dr. Hall-Herpin had taken from the telephone book, and writing prescriptions for individuals w ...
Description: Press Release October 16, 2008 A (PDF File)
Document: ... physicians. The actions included three violations based on quality of care; two actions based on unprofessional conduct; one action based on violation of probation or prior order; one action that terminated a prior suspension; two actions based on other states' actions; one action based on inadequat ...
Description: Press Release October 21, 2003 (PDF File)
Document: ... licensure and disciplinary matters. Chapter 192, Office-Based Anesthesia. Amendments to §§192.2-192.4 and 192.6 regarding general cleanup of the sections and to create a process for biennial registration consistent with Senate Bill 104. Chapter 196, Voluntary Surrender of a Medical License. Amendme ...
Description: Press Release October 21, 2005 (PDF File)
Document: ... sician in training renewals. Fee requirements for Office Based Anesthesia site registration. Chapter 178, Complaints, to include amendments to 178.2 Definitions, 178.4 Complaint Initiation, 178.5 Complaint Evaluation, 178.6 Complaint Filing, 178.7 Complaint Resolution, and 178.8 Appeals regarding th ...
Description: Press Release October 26, 2005 (PDF File)
Document: ... pension was effective immediately. The action was based on Dr. Jones impairment and substance abuse. Dr. Jones was relieved of duty at the Lamb Healthcare Center when he was found with needle track marks in his arms, dilated pupils and slurred speech. Records at the LHC pharmacy indicated he was obt ...
Description: Press Release October 28, 2004 (PDF File)
Document: ... uing threat to the public welfare. The action was based on Dr. Mitchell's failure to comply with his Agreed Order dated April 14, 2003, which required that he have his patient records monitored by another physician. At a Show Compliance Proceeding on September 10, Dr. Mitchell informed the Board tha ...
Description: Press Release October 28, 2005 A (PDF File)
Document: ... spension is effective immediately. The action was based on the panels finding that Dr. ONeals treatment of three patients fell below the standard of care, resulting in the patients deaths. On June 2, 2005, Dr. ONeal administered a Meyers cocktail, an intravenous solution of saline and vitamins, to a ...
“No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care ... ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“... te data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement
“... nts can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint. ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety. ”
What is the TMB definition of an analgesic and anxiolytics?
Board rule 173 defines analgesic and anxiolytics as shown below:
Narcotic Analgesics-- Opioid or opioid-like dangerous or scheduled drugs that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).
Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety.
“... s not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without prope ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.