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“... 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 July 14, 2006 (PDF File)
Document: ... eed order of temporary suspension. The action was based on the following violations of the Medical Practice Act: Dr. Okose failed to maintain adequate medical records that are complete, contemporaneous and legible for 13 patients; he failed to treat these patients according to the generally accepted ...
Description: Press Release July 28, 2004 (PDF File)
Document: ... e hearing, but did not attend. The suspension was based on allegations that included terroristic threats made by Dr. Bergman to a staff attorney of the Board of Medical Examiners; failure to keep complete and accurate records of purchases and disposal of controlled substances; failure to cooperate w ...
Description: Press Release July 30, 2010 (PDF File)
Document: ... spension is effective immediately. The action was based on the following findings: On July 16, 2010, a Montgomery County law enforcement officer stopped Dr. Sabates after observing Dr. Sabates driving erratically and at speeds over 100 miles per hour. Dr. Sabates, dressed in scrubs, stated he was on ...
Description: Press Release July 31, 2006 (PDF File)
Document: ... care adequately for his patients. The action was based on the following allegations: that Mr. Hammock created numerous fictitious entries in patient charts to coincide with narcotic prescriptions he had previously ordered under these patients' names; that he wrote or ordered narcotic prescriptions ...
Description: Press Release August 01, 2007 A (PDF File)
Document: ... pension is effective immediately.
The action was based on Dr. Woodward s impairment following a type of seizure in March, 2006; physical changes revealed in a neurological examination; an apparent suicide attempt in December, 2006; evidence that he was confused, paranoid and delusional; self-prescr ...
Description: Press Release August 05, 2008 A (PDF File)
Document: ... uing threat to the public welfare. The action was based on the panel's review of Dr. Crandall's treatment of 13 patients. The panel found the following: Dr. Crandall failed to practice medicine in an acceptable manner consistent with public health and welfare; failed to meet the standard of care; fa ...
Description: Press Release August 06, 2004 A (PDF File)
Document: ... Orthopedic Surgery in Dallas. The restriction was based on evidence of Dr. Key's physical impairments that adversely affect his fitness to practice surgery. The order requires consultation on major surgeries, the presence of an assistant surgeon on all major surgeries and monitoring reports on all m ...
Description: Press Release August 10, 2007 B (PDF File)
Document: ... utive director to suspend Dr. Maldonado s license based on the violations of his agreed order. This suspension is indefinite and it remains in effect until further action by the board.
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The Texas Medical Board, the state agency that regulates physicians, physician assistants, surgical assistan ...
Description: Press Release August 12, 2005 (PDF File)
Document: ... uing threat to the public welfare. The action was based on Dr. Fernandez's failure to comply with previous orders requiring him to complete an education plan recommended by the Colorado Personalized Education for Physicians (CPEP) program and practicing as an emergency room physician in violation of ...
Description: Press Release August 14, 2006 (PDF File)
Document: ... uing threat to the public welfare. The action was based on evidence of Dr. Maewal's inability to practice medicine with reasonable skill and safety because of a mental or physical condition. The temporary suspension hearing took place Thursday, August 10, and the suspension was effective immediately ...
Description: Press Release August 15, 2007 A (PDF File)
Document: ... pension is effective immediately.
The action was based on the following findings: Dr. McClellan was on probation under the terms of an agreed order of December 10, 2004, which required that he have a chaperone present when examining female patients. He saw a patient on May 14 without a chaperone an ...
Description: Press Release August 16, 2004 (PDF File)
Document: ... ing threat to th e public welfare. The action was based upon two separate incidents. First, Dr. Watson was sent home for reportedly working in the emergency room after taking cocaine. Following that incident, he consented to a drug screen, which was positive for cocaine. In the second incident, Dr. ...
Description: Press Release August 20, 2002 (PDF File)
Document: ... nst Dr. Grotti, formerly of Fort Worth, was taken based on two incidents that occurred at John Peter Smith Hospital in 2000 and 2001. In one case, Dr. Grotti acknowledged that she occluded a patient's endotracheal tube, an act which, according to the temporary suspension order, "demonstrated callous ...
Description: Press Release August 20, 2003 (PDF File)
Document: ... guidelines, and sanction guidelines. Chapter 192, Office-Based Anesthesia: Amendments to 192.2, 192.3, 192.4, and 192.6 for general cleanup and to create a process for biennial registration. Chapter 196, Voluntary Surrender of a Medical License: Amendments to 196.1, 196.2 and 196.3 for general clean ...
Description: Press Release August 20, 2004 (PDF File)
Document: ... ed with the exception of §190.16(6). Chapter 192, Office-Based Anesthesia. Amendments to §§192.3-4 relating to compliance with office-based anesthesia rules and registration. Chapter 193, Standing Orders Delegation. Amendments to §193.11, Use of Lasers, regarding continuing education on the use of l ...
“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 192 defines analgesic and anxiolytics as shown below:
Analgesics--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.