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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: LCDC/Substance Abuse Counselor II
Document: ... tes and rules governing the agencySkills inuse of office equipment and computersAbility to research the facts in medical record against the reportsAbility to plan, organize, and carry out multiple tasks and meet deadlinesAbility to communicate tactfully and effectively both orally and in writingAbil ...
Description: Medical Radiologic Technology Board Full Board Minutes (February 4, 2022)
Document: ... t the end of the 6 months.This recommendation was based on the active practice remedy matrix created by the Medical Radiologic Technology Board. The applicant is appealing the active practice recommendation. The applicantappealed the determination to the Board andpresented a brief summary and the me ...
Description: Initial Certification 162.001(b) Nonprofit Health Organization Instructions
Document: ... ctually agree to complywith those directivesFOR OFFICE USE ONLYLicensure Staff: _________________________________________ Date: ________________ Committee Approval Date: ________________ Board Approval Date: ____________________ Comments:
Description: Legislative Update – 85th Legislature (2017, Regular & 1st Called Sessions)
Document: ... eneral Appropriations Act to
address
funding
based on continuation
.
08/11/17
SB 11
(Perry)
Do Not
Resuscitate
Orders
(DNRs)
C
larifies
requirements for the authorization, execution, and revocation of
DNR order
s
used in a
health care facility, including a hosp ...
Description: ... ure that you receive all communications from this office, please notify us of all address changes.
Document:
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Description: Pain Management Clinics - Current
Document: ... NTERVENTIONAL PAIN ASSOCIATES - LOCATION 2 TX-AN ANESTHESIA & PAIN MANAGEMENT, LLP FIRST CHOICE WELLNESS CENTER PHASE II, LLC UNIHEALTH MEDICAL CLINIC, LLC PAIN CENTER AUSTIN LINDA C SMITH, MD HARPER WELLNESS & REHAB CENTER MAX CARE COMPLETE CLINIC DEFINITIVE REHAB & PAIN MANAGEM ...
Description: Note: Courses listed fulfill Medical Ethics/Professional Responsibility requirements for registration but are not automatically acceptable for fulfillment of CME Ethics requirements for disciplinary orders.
Document: ... X 77901
joseph_crisp@chs.net The Ethics of Value Based Purchasing 1 lecture 20/01/2012 20/01/2014
Emergency Medicine Consultants, Ltd
ATTN: Martha Bearden, Event Planner
625 Trails End Court
Hurst, TX 76054
mbearden@emdocs.com Risk Management: Avoiding Medical System Failures 1 lecture 23/01 ...
Description: Application to have a certifying board recognized for purposes of advertising.
Document: ... structions
1)
Physicians
or
physician
-
based
certifying
boards
on
behalf
of
members
must
receive
approval
from
the
Texas
Medical
Board
in
order
to
advertise
certification
by
an
organization
that
is
not
a
member
of
the
American
...
Description: Medical Board 2014 - February - Licensure Committee Minutes
Document: ... ible
for
a
license
.
This recommendation is based on
unprofessional conduct
and disciplinary action taken by a health care
entity.
Further, Dr. Bhatia
moved
to re
commend to the full Board that upon receipt within one
calendar year of a request for a physician
-
in
-
training permit f ...
Description: Medical Board 2014 - February - DPRC - Agenda Item 02 - TX PHP Report
Document: ... mittee. The
participant met with her group, Star Anesthesia prior to the PHR
committee meeting and I was present. At that time great concern
was raised over her health and medications.
Last Friday I infor
med Star Anesthesia of the uncooperative
nature of the Oct PHR meeting with the
partic ...
Description: Medical Board 2013 - December- Full Board Minutes
Document: ... Robin
son gave an update on reaching out to State Office
of Administrative Hearings regarding options for mediations.
CPEP
.
Ms. Robinson report that CPEP is interested in making a presentation at a
future board meeting.
Agenda item #5,
Medical Director
Report.
a. ...
Description: Physician Statistics 2014 Jan - Physicians In and Out of State
Document: ... anuary 2014
Statistics are included for location (based on practice address), degree, number of
licensees who are Texas, U.S. or foreign medical graduates, method of licensure, gender,
type of license held and race/Hispanic origin*.
* We are still in the process of transitioning from ethnic orig ...
Description: Rule Changes Effective November 7, 2013
Document: ... authority agreements
when
exercised in facilit
y based practices in h
ospitals or long term care facilities, subject to certain
limitations
,
and in practices serving medically underserved populations. Prescribing under prescriptive
authority agreements pursuant to this section eliminates former ...
Description: Acupuncture 2013 - May- Full Board Meeting Minutes
Document: ... ed
a draft letter to the Attorney General’s office requesting
reconsideration of
Dan
Morales Attorney General opinion. After
discussion,
Ms. Drain moved, Mr. Graham seconded
to
forward the letter as
drafted
to the
Attorney General
After discussion,
a hand
vote was
taken
and the moti ...
Description: Acupuncture 2013 - February - Full Board Meeting Minutes
Document: ... ndance record to the Governor’s Appointment
Office.
Agenda item #6,
Discussion, recommendation, and possible action regarding a
request
for an Attorney General’s opinion related to advertising as herbal pharmacies.
Ms.
Robinson reported
the feedback received from a stakeholder member ...
“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.