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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 2008 - December - Licensure Committee Meeting Minutes
Document: ... ttee regarding this section of the rules 9. 192.2 Office Based Anesthesia Services Provision of Anesthesia Services in Outpatient Settings no changes were presented to the committee regarding this section of the rules
Item 9b Texas State Board of Acupuncture Examiners Rules. There were none.
Agend ...
Description: Medical Board 2008 - February - Minutes of the Disciplinary Process Review Committee
Document: ... oncerning a meeting held between board staff, the Office of the Inspector General, and the Office of the Attorney General. A discussion was had with the committee concerning the supervision requirements related to prescriptive medical devices. The question was posed to the board as to whether a maxi ...
Description: Medical Board 2008 - June - Minutes of the Disciplinary Process Review Committee
Document: ... C. 168.3. Billing for Anatomic Pathology Services Based on comments received by stakeholders, it was determined that additional work would be needed on the rule. No action was taken. Ms. Fredricks moved, and Ms. Raggette seconded; the motion passed at 11:30 a.m. to go into Executive Session delibera ...
Description: Medical Board 2008 - June - Finance Committee Meeting Minutes
Document: ... , notice was received from the State Comptrollers office that the mileage rate would be increasing to .585 cents per mile to be effective on July 1, 2008. However, it is the agencies discretion as to imposing that rate. Ms. Cuellar, Mrs. McFarland, and Ms. Attebury all stressed the importance of pro ...
Description: Medical Board 2008 - June - Full board Committee Meeting Minutes
Document: ... aed medical records, and a complaint at the State Office of Administrative Hearings.
Agenda item #8, Consideration and Approval of Non-Public Rehabilitation Orders and Modification Request/Termination request of Non-Public Rehabilitation Orders. Mr. Turner moved, Dr. Oswalt seconded, and the motion ...
Description: Medical Board 2008 - June - Standing Orders Committee Meeting Minutes
Document: ... waiver request be denied. This recommendation was based on Dr. Reinhardts failure to prove that compliance would cause an
undue burden without a corresponding benefit to patient care. Dr. Oswalt seconded the motion. All voted in favor. The motion passed.
Agenda item 3 - regarding a report on waiv ...
Description: Medical Board 2008 - October - Licensure Committee - Action Item Agenda Item 3c1 Applicant #720 Executive Director Proposed Public Administrative Penalty Order October 9, 2008
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for licensure, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2008 - October - Licensure Committee - Action Item Agenda Item 3c1 Applicant #721 Executive Director Proposed Public Administrative Penalty Order October 9, 2008
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for licensure, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2008 - October - Licensure Committee - Action Item Agenda Item 3c1 Applicant #722 Executive Director Proposed Public Administrative Penalty Order October 9, 2008
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for licensure, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2008 - October - Licensure Committee Meeting Minutes
Document: ... tion include that another state board took action based on the applicants personal relationship with a patient. Dr. Benavides seconded the motion. Dr. Kalafut recused herself. Dr. Benavides, Ms. Southard; Mr. Turner; Mr. Webb; and Dr. Zeitler voted in favor. The motion passed.
2
Applicant #717 ap ...
Description: Medical Board 2008 - October - Standing Orders Committee Meeting Minutes
Document: ... waiver request be denied. This recommendation was based on Dr. McNeills failure to prove that compliance would cause an undue burden without a corresponding benefit to patient care. Dr. Oswalt seconded the motion. All voted in favor. The motion passed.
Agenda item 3 - regarding a report on waivers ...
Description: Medical Board 2009 - April - Licensure Committee - Action Item Agenda Item 2c1 Applicant #756 Executive Director Proposed Public Administrative Penalty Order April 2, 2009
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for a license, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2009 - April - Licensure Committee - Action Item Agenda Item 2c1 Applicant #753 Executive Director Proposed Public Administrative Penalty Order April 2, 2009
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for a license, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2009 - April - Licensure Committee - Action Item Agenda Item 2c2 Applicant #757 Executive Director Proposed Public Administrative Penalty Order April 2, 2009
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for a training permit, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
Description: Medical Board 2009 - April - Licensure Committee - Action Item Agenda Item 2c1 Applicant #772 Executive Director Proposed Public Administrative Penalty Order April 2, 2009
Document: ... iolation of Texas Occupations Code 164.052(a)(1), based on the submission of a false or misleading statement in an application for a license, as authorized by Section 165.001, Texas Occupations Code. The applicant has agreed to and signed this proposed order.
...
“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.