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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: Rule Changes Effective January 20, 2014
Document: ... e” and “
military veteran”
based on the passage of SB 162 and SB
949 (83
rd
Reg. Session)
that
amended Chapters 55 and 155 of the Tex. Occ. Code
.
22 TAC §163.2
The Amendment to
§
163.2, related to Full Texas Medical License,
deletes §163.2(d) of this this r ...
Description: Rule Changes Effective January 23, 2014
Document: ... t of a
practice quality plan.
CHAPTER 192.
OFFICE BASED ANESTHESIA
22 TAC §192.2
The amendment revises language in subsection (b)(1) providing that rules under Chapter 192 do not
apply to outpatie
nt settings in which only local anesthesia, peripheral nerve blocks, or both are used i ...
Description: Rule Changes Effective June 5, 2014
Document: ... y spouse” “military veteran” based on SB0162 (83
rd
Reg. Session)that amended Chapters 55 of
the Texas Occupatio
ns Code to credit certain verified service, training, or education for applicants with
military experience and to create an expedited licensure process for milita ...
Description: Medical Board 2014 - June - Full Board Minutes
Document: ... M
anagement
P
revention
conducted
by the State Office of Risk Management
and presented the Internal
Audit report for fiscal year 2014 on Finance.
Legislative Appropriations
Request Update.
Fiscal Year 2016
-
2017 Legislative
Appropriations Request
p
olicy letter
requirements were di ...
Description: TMB Legislative Appropriations Request FY 16-17
Document: ... r Fiscal Years 20Submitted to the Governor’s Office of Budget, Planning & Policyand the Legislative Budget BoardbytheTexas Medical Board Original Submission: July 28, 2014
Table of ContentsTitleSchedule
Page #
Administrator’s Statement p. 1 Organizational Chart p ...
Description: PA Board 2014 August - Licensure Committee Minutes
Document: ... izona Regulatory Board of Physician
Assistants
based upon unprofessional conduct
and
inappropriate prescribing
.
Dr. Reis
seconded
Mr. Cooper and Dr. Reis voted for the motion.
Mr. Rush voted against the
motion. T
he motion passed
.
Applicant #1523
appeared before the Committee
, ...
Description: TMB Employee Benefits at a Glance (08/2014)
Document: ... s premiums through
payroll deduction; premium is based
on coverage selected
Flexible Benefits
-
TexFlex Accounts
(Health Care and
Dependent Care)
All TMB employees even if not
enrolled in state health
insurance
To pay for planned out
-
of
-
pocket health and
day care costs tax
-
free; ...
Description: TMB suspends Pasadena surgical assistant
Document: ... aw, the Surgical Assistant Act and Board rules.
Based on these findings of fact, the panel finds an imminent peril to public health, safety, or
welfare that requires immediate effect of an Or
der of Temporary Suspension.
The temporary suspension remains in place until the Board takes further ac ...
Description: LMRT Documentation Checklist & Eligibility Requirements
Document: ... the
L
MRT Licensure Committee
may be required based on the
amount of time out of practice.
ā
Active Practice Statement
A statement explaining how the applicant has kept
current with the medical radiologic technology field,
employment plans, and
any CE
courses in the past
th ...
Description: Medical Board 2014 - August - Licensure Committee Minutes
Document: ... tion as set forth above.
This recommendation is based on intemperate use of alcohol or drugs that could endanger the pu
blic.
Ms.
Southard
seconded the motion.
All voted in favor. The motion passed.
The committee directed staff
that for purposes of licensure applicants whether appearing ...
Description: Medical Board 2014 - August - Finance Committee Minutes
Document: ... der. She
mentioned
that
the
Comptrollerās Office
certified the projected
biennial
revenue
estimates and relea
sed the lapsed funds for agency use.
Agenda Ite
m #
3
,
Legislative Appropriations Request Update.
Ms. Robinson addressed the
Legislative Appropriations Request (LAR) ...
Description: Sample Physician Application
Document: ... address once your application is
received in our office.
If this is not the email address you want to use, create a new log in with
the correct email address. You will receive instructions to access our online messaging system
at this email within 2 business days of application submission.
...
Description: TMB disciplines 41 physicians at August meeting, adopts rule changes
Document: ... d found Dr. Bowers should have admitted a patient based on the
subsequent development of worsening presenting clinical symptoms.
Jackson, James Don, Jr., M.D., Lic. No. J3124, Palestine
On August 29, 2014, the Board and Jame
s Don Jackson, Jr., M.D., entered into a Mediated Agreed Order publi ...
Description: TMB restricts Garland physician
Document: ... as a physician
.
The temporary restriction was based o
n the panelās findings that on March 6, 2014, Dr. Flynn
was arrested on charges that included an alleged violation of T
exas Penal Code, 21.02, which
the Board learned of at the time Dr. Flynn completed his license renewal in August 2014. ...
Description: Physician Statistics 2014 Sept - Physicians In and Out of State
Document: ... 13676
69499
Statistics are included for location (based on practice address), degree, number of
licensees who are Texas, U.S. or foreign medical graduates, method of licensure, gender,
type of license held and race/Hispanic origin*.
* We are still in the process of transitioning from ethnic orig ...
“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.