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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 2021 - August - Licensure Committee Minutes
Document: ... an unrestricted license.
This
recommendation is based on the
Applicant’s completion of the A
dult Cardiac Surgery Fellowship at
Massachusetts General Hospital and
the
Cardiac Surgery Fellowship at Brigham and Women’s
Hospital.
Mr. Agarwal
seconded
the motion. All voted in favor ...
Description: TMB restricts Beaumont physician (Wu)
Document: ...
hospital
privileges while under investigation. Based
on the
reporting, Dr.
Wu was the subject of complaints made by nursing staff for placing his hands
under patient cov
ers during administration of anesthesia.
The temporary
restriction
remains in place until the Board takes further ac ...
Description: TMB suspends San Antonio physician (Glass)
Document: ... e subject of a hospital’s disciplinary action
based
upon inappropriate sexual conduct with a patient.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to Dr.
Glass
, unless the hearing is specifically waived by Dr.
Glass
.
The temp ...
Description: TMB disciplines 27 physicians at August meeting, adopts rule changes
Document: ... depression. Patient’s wife called Dr.
Burt’s office letting staff know the patient could be vulnerable to self
-
harm bu
t staff only recommended the patient go
to Alamo Health for mental care, rather than urging the patient to seek care at an emergency room.
Cox, Derrick Dione, M.D., Lic. ...
Description: TMB disciplines 35 physicians at December meeting
Document: ... of the standard of care and treatment of a home
-
based patient.
Rao, Seshagiri, M.D., Lic. No. G0803, Plano
On December 10, 2021, the Board and Seshagiri Rao, M.D., entered into an Agreed Voluntary Surrender Order in which
Dr. Rao agreed to voluntarily surrender his Texas medical license in ...
Description:
Document: SubmittGovernor’s Office Budget Division, e Legislativudget Board
Table of Contents
Summary of Budget By Strategy……………………………………………………………………………...2.A. ...
Description: Medical Board 2022 - March - Licensure Committee Minutes
Document: ... a +ealthcare 1etworN
.
*ranite Anesthesia
.
*reater +ill &ountry +ealthcare Alliance
.
*reater +ouston )oundation for 0edical 5esearch and (ducation
.
*ulf &oast +ealth &enter, ,nc.
.
*ulf &oast 0edicus
& ...
Description: Medical Board 2022 - March - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Item 04: Enforcement Report; Agenda Item 07: List of Potential Expert Panelist; Agenda Item 11: Legal Dismissals; Agenda Item 11: Case List
Document: ... econded to rantthe appeal for case numberand 8286 based on new evidenpresented. The motion carried.Dr. Bahtiamoved and Dr. Vanderweideseconded to denythe appeal for case number 2The motion carried.Dr. Vanderweidemoveand . Barnesseconded denythe appeal for case number 22357.The motion carried.
Dr. Z ...
Description: TMB disciplines 31 physicians at March meeting
Document: ... er resolves a formal complaint filed at the State Office of
Administrative Hearings.
Small, Henry Normal, M.D., Lic. No. H3942, Houston
On March 4, 2022, the Board and Henry Norman Small, M.D., entered int
o an Agreed Order requiring him to have his
practice monitored by another physician fo ...
Description: TMB Strategic Plan FY 23-27 (2022)
Document: ... t with
over
-
all agency budget considerations. Based on dat
a from the past
three fiscal years where the first expert panelist review concluded that
there was no Standard of Care issue, the
TMB
estimates it could
save at least $120,000 per fiscal year on reviews.
Funds saved by elimina ...
Description: TMB disciplines 27 physicians at June meeting, adopts rule changes
Document: ... cardiac catheterization patient before discharge based upon the delayed nature of the bleeding, the
nature of the procedure, and the patient’s comorbidities.
Peel, Garrett Keith, M.D., Lic. No. N3987, Leander
On June 10,
2022, the Board and Garrett Keith Peel, M.D., entered into an Agreed ...
Description: TMB lifts temporary suspension of Plano physician (Harden)
Document: ... ’s (Lic. No. G0424) Texas medical license.
Based on the evidence, the Board panel did not find Dr. Harden’s continued prac
tice of
medicine would constitute a continuing threat to the public welfare.
The order lifts the temporary suspension of Dr. Harden’s license entered on January ...
Description: TMB Legislative Appropriations Request FY 24-25
Document: ... ordance with Article IX, Section
Chief Executive Office
r
or Presiding Judge
Board or Commission Chair
Signature
Signature
Printed Name
Printed Name
Title
Title
Date
Date
Chief Financial Officer
Signature
Printed Name
Title
Date
Amounts Agency Submission, Version 1 ...
Description: TMB suspends Austin physician (Slater)
Document: ... ve immediately.
The Board panel found that based on the evidence, Dr. Slater was impaired while at work at St.
David’s Medical Center and finds an imminent peril to the public
health, safety, or welfare.
A temporary suspension hearing with notice will be held as soon as practicable wi ...
Description: TMB disciplines 25 physicians at August meeting
Document: ... er resolves a formal complaint filed at the State Office
of Administrative Hearings.
Ortiz, Raynaldo R., Jr., M.D., Lic. No. H9000, Richardson
On August 19, 2022, the Board and Raynaldo R. Ortiz, Jr., M.D., entered into an Agreed Order req
uiring him to have his
practice monitored by another ...
“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.