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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: Medical Board - 2015- January - Emergency Board Meeting *Minutes adopted at February 2015 Full Board Meeting
Document: ... egal representative from the Attorney General’s Office adequate time to
prepare the required legal documents, if an appeal is approved by the Board.
Agenda item #3,
Discussion, recommendation and possible action regarding
emergency Board rule 22 T.A.C.
§190.8(l)(L). Violation Guidelin ...
Description: Spreadsheet of current Surgical Assistant Licensees
Document: ... ith recommended treatment. The Board's action was based on Ms. Coffey's habitual use of drugs to the extent that she could not safely perform as a surgical assistant. On April 1, 2010, the Board entered an Order of Automatic Suspension for an indefinite period against David Flores, S.A., and it wil ...
Description: IT Qualification Data Sheet form
Document: ... ion, to the Texas Medical Board's Human Resources Office.
Example:
Two years of customer service experience working directly with public
While employed at ABC department store, I performed customer service duties including: greeting customers and helping them find the perfect suit, taking their m ...
Description: TMB disciplines 45 physicians at February meeting, adopts rule changes
Document: ... nt general cleanup of
the rule.
CHAPTER 192. OFFICE
-
BASED ANESTHESIA SERVICES
§192.2, Provision of Anesthesia Servi
ces in Outpatient Settings
The Amendments to §192.2, relating to
Provision of Anesthesia Services in Outpatient Settings
, add lang
uage related to
requirements on stock ...
Description: PA Board 2014 December - Full Board Minutes
Document: ... aving a Physician Assistant/Medical Board Liaison based on the
improvement of communication between both Boards. A
fter discussion, the board
T
EXAS
P
HYSICIAN
A
SSISTANT
B
OARD
D
ECEMBER
5
,
201
4
3
directed staff to provide
Medical Board meeting dates to PA board members
for
po ...
Description: Rule Changes Effective March 16, 2015
Document: ... t general cleanup of the rule.
CHAPTER 192. OFFICE
-
BASED ANESTHESIA SERVICES
§192.2, Pr
ovision of Anesthesia Services in Outpatient Settings
The Amendments to §192.2, relating to
Provision of Anesthesia Services in Outpatient Settings
, add
language related to requirements on stoc ...
Description: Medical Board 2015 - February - Full Board Minutes
Document: ... s conducted for the expert panelists.
A
web
based training will be
available to expert panelists on the agency website in the near future for those who were
not able to atte
nd.
Agenda item #5, Public Information Update.
Ms. Goode and Mr. Schneider
reiterated
on the information that ...
Description: Medical Board 2015 - April - Licensure Committee Minutes
Document: ... ical Education in Ethics
This recommendation is based on
submitting a false statement to the Board
.
Dr. Arambula
seconded the
motion.
All voted in favor.
The motion passed.
Applicant #
16
49
appeared before the Committee
, with counsel,
in executive session. In open session,
...
Description: TMB disciplines 29 physicians at April meeting, adopts rule changes
Document: ... pre
-
populated data, described as data that is
based on actual findings from assessments, evaluations, examinations, or diagnostic results. The amendments to Rule
165.1(a) will result in: 1) having m
edical records that consistently contain required elements, regardless of method used
to make s ...
Description: Acupuncture 2015 - May - Licensure Committee Minutes
Document: ... f
AA or NA attendance
This recommendation is based on
the applicant’s 2004 felony
deferred adjudication
for
prescription fraud
and past treatment for substance abuse.
Factors contributing to this
recommendation include the applicant’s current involvement
in AA and
no evidence o ...
Description: Physician Statistics 2015 May - Physicians by Specialty
Document: ... UTRITION
6
0
0
6
OBSTETRICAL ANESTHESIA
1
0
0
1
OBSTETRICS
25
2
0
27
OBSTETRICS & GYNECOLOGICAL SURGERY
114
15
0
129
OBSTETRICS AND GYNECOLOGY
2891
188
0
3079
OCCUPATIONAL ENVIRONMENTAL MEDICINE
33
5
0
38
OCCUPATIONAL MEDICINE
252
29
0
281
ONCOL ...
Description: Physician Statistics 2015 May - Physicians In and Out of State
Document: ... ncelled.
Statistics are included for location (based on practice address), degree, number of licensees
RACE
TOTAL
of Hispanic origin
non Hispanic originunknown origin
AMERICAN INDIAN OR ALASKA NATIVE
10
82
0
92
ASIAN
17
10386
0
10403
BLACK OR AFRICAN AMERICAN
16
3049
0
3065
NATIVE HAWAIIAN OR OT ...
Description: Rule Changes Effective May 20, 2015
Document: ... pre
-
populated data,
described as data that is based on actual findings from assessments, evaluations, examinations, or
dia
gnostic results. The amendments to Rule 165.1(a) will result in: 1) having medical records that
consistently contain required elements, regardless of method used to make s ...
Description: Acupuncture Board's CPT Code Billing Position Statement
Document: ... actice standards among acupuncturists in general, based upon educational standards from the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM), National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) job task analysis, and conventions of acupuncture pract ...
Description: TMB suspends Dallas physician
Document: ... the
Texas
Physician
Health Program
(TXPHP) based on Dr. Ewell
’
s self
-
report of being unsafe to
practice due to a recent relapse of a mental or
physic
al
condition
.
A temporary suspension hearing with notice will
be held as soon as
practicable with 10 days'
notice to Dr.
E ...
“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.