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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 August 20, 2009 A (PDF File)
Document: ... oard takes further action. The board's action was based on evidence that Dr. Campbell's Drug Enforcement Administration prescribing authority was suspended based on a DEA finding that she was an imminent danger to the public. Further, on the date Dr. Campbell was notified of the DEA suspension, she ...
Description: Press Release August 25, 2008 B (PDF File)
Document: ... epresentative spoke on his behalf. The action was based on the following findings:
Dr. Massey was the subject of an investigation based on a complaint that he was prescribing human growth hormone and other substances without medical necessity. Board staff sent several subpoenas to Dr. Massey ...
Description: Press Release August 28, 2009 (PDF File)
Document: ... n August 2006. The actions included 40 violations based on quality of care; 12 actions based on unprofessional conduct; 10 nontherapeutic prescribing violations; 13 actions based on inadequate medical records violations; two actions based on impairment due to alcohol or drugs; four actions based on ...
Description: Press Release August 30, 2007 A (PDF File)
Document: ... ensed physicians.
Actions included 11 violations based on quality of care; seven actions based on unprofessional conduct; five actions based on violation of probation or prior board orders; four actions based on inadequate medical records violations; three actions based on impairment due to alcohol ...
Description: Press Release August 31, 2005 (PDF File)
Document: ... rescriptions for such medications. The action was based on allegations Dr. Arauz violated Board rules relating to requirements for standing delegation orders. ASHLEY, IAN MARCUS, M.D., WACO, TX, Lic. #K6528 On August 26, 2005, the Board and Dr. Ashley entered into an Agreed Order assessing an admini ...
Description: Press Release August 31, 2006 (PDF File)
Document: ... e board's history. Actions included 24 violations based on quality of care; 12 actions based on unprofessional conduct; three actions based on nontherapeutic prescribing; two actions based on inappropriate conduct involving physician-patient relationships; eight actions based on inadequate medical r ...
Description: Press Release September 02, 2010 (PDF File)
Document: ... ed physicians. The actions included 33 violations based on quality of care; eight actions based on unprofessional conduct; 11 actions based on inadequate medical records violations; 14 voluntary surrenders; five revocations/suspensions; one action based on peer review actions; one based on failure t ...
Description: Press Release September 06, 2000 (PDF File)
Document: ... t to 175.1 relating to fees for the
practice of office-based anesthesia and late applications for biennial recertification. Chapter 177, Certification of Non-profit Health Organizations: proposed 177.7(3) to provide for late fees for renewal of non-profit health organizations and adjust time frame ...
Description: Press Release September 08, 2011 (PDF File)
Document: ... safety or welfare. The Board has determined that based on a recent court ruling, it must
provide individuals with hearings that are recorded and allow for cross examination before Cease and Desist Orders may be issued.
DISCIPLINARY ACTIONS
QUALITY OF CARE Abernathy, Stephen W., M.D., Lic. No. K3 ...
Description: Press Release September 10, 2004 (PDF File)
Document: ... spension is effective immediately. The action was based on the findings that on August 20, Dr. Boyles and his wife were using cocaine, and his wife died of an overdose. Dr. Boyles admitted to the dru g use and confessed to cleaning up the house before the police arrived. The confession was videotape ...
Description: Press Release September 10, 2008 A (PDF File)
Document: ... ed physicians. The actions included 12 violations based on quality of care; six actions based on unprofessional conduct; three actions based on violation of probation or prior board order; nine actions based on inadequate medical records violations; five actions based on impairment due to alcohol or ...
Description: Press Release September 12, 2006 (PDF File)
Document: ... uing threat to the public welfare. The action was based on the following findings of fact: Dr. Silva prescribed Prozac and Strattera in a nontherapeutic manner to a seven-year-old and failed to diagnose and treat medicationinduced toxicity, resulting in the patient being hospitalized with suicidal a ...
Description: Press Release September 14, 2011 (PDF File)
Document: ... ate of the entry of the Order. The 2010 Order was based on the Board's finding that Dr. Rice: failed to meet the standard of care; aided and abetted the practice of medicine by a person not licensed by the Board; and failed to supervise adequately the activities of those acting under her supervision ...
Description: Press Release September 18, 2003 (PDF File)
Document: ... st Dr. Bennett, a general practitioner, was taken based on allegations relating to improper nontherapeutic prescribing, prescribing with an expired DPS registration, and failure to provide medical records as required to support the long-term prescribing of narcotics, controlled substances and danger ...
Description: Press Release September 19, 2006 A (PDF File)
Document: ... n of the license. The action against Dr. Mack was based on allegations that she prescribed large amounts of potentially addictive narcotics; failed to provide reasonable justification for the narcotics prescribed; failed to identify drug-seeking behavior; and failed to properly document and appropri ...
“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.