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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: PA Board 2007 March, Licensure
Document: ... ng, the supervising physician will submit to this office a log showing time worked and an evaluation to board staff regarding the applicant's work performance. If this evaluation is favorable, the applicant's name may be placed on a list of applicants who have met all requirements for licensure to b ...
Description: PA Board 2003 May, Lic Min
Document: ... tement and answered committee members' questions. Based on the fact that Applicant #PA-32 does not meet the requirement set out in Chapter 185.4(d) of the Board Rules regarding active practice as a Physician Assistant, Mr. Bendeck moved, Mr. Deter seconded, and the motion passed to recommend to the ...
Description: PA Board 2005 May, Licensure
Document: ... otion passed to recommend to the full board that, based on the fact that the applicant does not meet the requirement set out in Board rule 185.4(d) regarding active practice as a Physician Assistant, Applicant #386 be issued a temporary license with an expiration date that will allow the applicant t ...
Description: PA Board 2007 May, Al 03 548
Document: ... ng, the supervising physician will submit to this office a log showing time worked and an evaluation to board staff regarding the applicants work performance. If this evaluation is favorable, the applicants will be offered a nonpublic rehabilitation order for a period of four years, and the applican ...
Description: PA Board 2007 May, Licensure
Document: ... , the supervising physician will
submit to this office a log showing time worked and an evaluation to board staff regarding the applicants work performance. If this evaluation is favorable, the applicants will be offered a non-public rehabilitation order for a period of four years, and the applica ...
Description: PA Board 2002 November, Full Board Min
Document: ... bursement program that had been received from the Office of Rural Community Affairs. No action was needed. Agenda item #7, rehabilitation orders, was considered. Mr. Deter moved, Dr. Benold seconded, and the motion passed to go into executive session at 12:50 p.m. for consideration of possible rehab ...
Description: PA Board 2005 November, Licensure
Document: ... endeck moved to recommend to the full board that, based on the fact that the applicant does not meet the requirement set out in Board rule 185.4(d) regarding active practice as a Physician Assistant, Applicant #434 be issued a temporary license with an expiration date that will allow the applicant t ...
Description: PA Board 2006 November, Full Board
Document: ... the supplemental grant approved by the Governor's office. Dr. Patrick gave a report on proposed and approved rule changes as mandated by the Sunset Commission. The board discussed the need for a standing stakeholder group to meet once a year concerning rules. Dr. Patrick requested direction for Jame ...
Description: PA Board 2006 November, Licensure
Document: ... ng, the supervising physician will submit to this office a log showing time worked and an evaluation to board staff regarding the applicant's work performance. If this evaluation is favorable, a temporary license will be issued for a period of time to allow the applicant's name to be placed on a lis ...
Description: PA Board 2007 November, Full Board Minutes
Document: ... ley made a motion nominating Dr. Mitchell for the office of Secretary of the Board. The motion was seconded by Dr. Koo. All voted in favor.
Agenda item #16, Adjourn. There being no further agenda items, the meeting adjourned at 2:40 p.m.
Description: PA Board 2007 November, Licensure Committee
Document: ... nd working as a medical assistant in a physicians office from December 2005 to December 2006; currently working as a medical assistant, and keeping current with CME. Mr. Reyna seconded the motion. All voted in favor. The motion passed.
Applicant #589 appeared before the Committee with counsel in ex ...
Description: Medical Board 2006 April, Finance
Document: ... and Renewal Fees, regarding Texas Online fees for office-based anesthesia, and new Section 175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Ms. Shackelford presented to the committee the proposed changes to Chapter 175, Fees, to include amendments to ...
Description: Medical Board 2006 April, Executive
Document: ... ns related to (a) fentanyl abuse and addiction in anesthesia providers, nurses, residents, practicing physicians and (b) unnecessary, over-zealous, and incompetent spinal decompression and instrumentation 4.) the possibility of the Texas Medical Board developing a program to investigate peer review ...
Description: Medical Board 2006 April, Ad Hoc Study
Document: ... sible action regarding amendments to Chapter 192, Office Based Anesthesia to include amendments to the chapter title, 192.1, Definitions, 192.2, Provision of Anesthesia in Outpatient Settings, 192.3, Compliance with Office-Based Anesthesia Rules, 192. 4, Registration, 192.5, Inspections, 192.6, Requ ...
Description: Acupuncture 2001 April, Full Board Min
Document: ... ared and presented at the September board meeting based on scheduling changes that the Medical Board makes that would impact the Acupuncture Board. Agenda item #10, regarding energy flow exercise, was next. Following a recommendation by Mrs. Shackelford that the board postpone the issue until the ne ...
“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.