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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 October 26, 2005 (PDF File)
Document: ... pension was effective immediately. The action was based on Dr. Jones impairment and substance abuse. Dr. Jones was relieved of duty at the Lamb Healthcare Center when he was found with needle track marks in his arms, dilated pupils and slurred speech. Records at the LHC pharmacy indicated he was obt ...
Description: Press Release October 28, 2004 (PDF File)
Document: ... uing threat to the public welfare. The action was based on Dr. Mitchell's failure to comply with his Agreed Order dated April 14, 2003, which required that he have his patient records monitored by another physician. At a Show Compliance Proceeding on September 10, Dr. Mitchell informed the Board tha ...
Description: Press Release October 28, 2005 A (PDF File)
Document: ... spension is effective immediately. The action was based on the panels finding that Dr. ONeals treatment of three patients fell below the standard of care, resulting in the patients deaths. On June 2, 2005, Dr. ONeal administered a Meyers cocktail, an intravenous solution of saline and vitamins, to a ...
Description: Press Release October 29, 2008 A (PDF File)
Document: ... spension is effective immediately. The action was based on the panel's finding of Dr. Henderson's inability to safely practice medicine due to intemperate use of drugs or alcohol, or mental or physical disability. The panel also found that Dr. Henderson had aided and abetted the unlicensed practice ...
Description: Press Release October 29, 1999 (PDF File)
Document: ... and retired from the practice of medicine. Action based on physician s inability to comply with a prior Agreed Order due to health conditions. Parry, Darrell B., D.O., Prescott, AZ, Lic. #H3278 An Agreed Order was entered on 10-15-99 suspending the physician s license. Action due to impairment due ...
Description: Press Release October 30, 2000 (PDF File)
Document: ... late non-profit recertification applications and office-based anesthesia registration. Chapter 186, Supervision of Physician Assistant Student s, rule review and extensive rewrite of chapter. Chapter 192, Office-Based Anesthesia, amendments to 192.4 regarding sitebased registration. Chapter 193, S ...
Description: Press Release October 31, 2007 A (PDF File)
Document: ... spension is effective immediately. The action was based on the following: Dr. Arroyo submitted to a drug and alcohol screening on October 19. On October 29, the board received a laboratory report showing that Dr. Arroyo's hair specimen tested positive for cocaine and cocaine metabolites. The length ...
Description: Press Release November 05, 2010 (PDF File)
Document: ... ed physicians. The actions included 11 violations based on quality of care; nine violations based on unprofessional conduct; four based on other states' action; one based on peer review actions; one based on criminal convictions; eight voluntary surrenders; one suspension; three revocations; 10 base ...
Description: Press Release November 06, 2006 A (PDF File)
Document: ... or was he represented by counsel.
The action was based on the following: Dr. Byrnes was arrested for making terroristic threats toward his wife; he was indicted in Anderson County for insurance fraud; he was arrested in Anderson County for criminal failure to pay child support; he had a positive te ...
Description: Press Release November 07, 2002 (PDF File)
Document: ... c welfare. The action against Dr. Brown was taken based on his use of alcohol or drugs in an intemperate manner that, in the opinion of the Board, could endanger the lives of patients. The length of a temporary suspension order is indefinite and the order remains in effect until the board takes furt ...
Description: Press Release November 08, 2006 A (PDF File)
Document: ... pension is effective immediately.
The action was based on the fact that Dr. Baker performed spine surgery, Kyphoplasty, on October 10, in violation of an agreed order approved by the board on October 6 restricting him from performing any spine surgery. Dr. Baker's attorney attended the October 6 bo ...
Description: Press Release November 09, 2010 (PDF File)
Document: ... f Temporary Suspension with Notice of Hearing was based on Dr. Luna's restriction of his Arizona medical license and indictment by a grand jury in the United States District Court in Arizona on September 2, 2010, on five counts of knowingly distributing child pornography through interstate commerce. ...
Description: Press Release November 13, 2002 (PDF File)
Document: ... nsing of doctors, nurses, and other key providers based on both competence and knowledge of safety practices." In 1998, the Americ an Board of Medical Specialties examined how to assess physician competence and determined that all 24 of its specialty boards would demand retesting of their diplomates ...
Description: Press Release November 13, 2009 (PDF File)
Document: ... ed physicians. The actions included 19 violations based on quality of care; 12 actions based on unprofessional conduct; three nontherapeutic prescribing violations; nine actions based on inadequate medical records violations; one action based on a peer review action; two actions based on failure to ...
Description: Press Release November 17, 2011 (PDF File)
Document: ... §163.1, relating to Definitions, amends language based on passage of House Bill 1380 (82nd Regular Session) that amended Chapter 155 of the Texas Occupations Code and changed the current graduate medical training requirement for graduates of foreign medical schools from three years to two years for ...
“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.