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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 2011 - April - Licensure Committee Meeting Minutes
Document: ... stance abuse; disciplinary history with the board based on substance abuse, including licensure suspension based on intemperate use of alcohol; criminal history including two arrests for driving while under the influence; and time out of the active practice of medicine since 2003. Factors contributi ...
Description: Medical Board 2011 - April - Public Information/Profile Committee Meeting Minutes
Document: ... nding appeal of an Open Records Decision from the Office of Attorney General pertaining to disclosure of certain confidential information pertaining to holders of physician- in-training and visiting physician permits. Agenda item #6, the meeting adjourned at 3:12 p.m.
...
Description: Medical Board 2011 - August - Finance Committee Meeting Minutes
Document: ... anguage regarding the charging of additional fees based on an applicant or licensees method of payment. Ms. Robinson clarified that payments made online are subject to a convenience fee as required by the Department of Information Resources. This fee is directly forwarded to the online payment syste ...
Description: Medical Board 2011 - August - Licensure Committee Meeting Minutes
Document: ... the public; action taken by a health care entity based on unprofessional conduct or professional incompetence likely to harm the public; and submission of a false statement to the Board on an application for licensure. Factors contributing to this recommendation include prior to applicants Texas me ...
Description: Medical Board 2011 - August - Public Information/Profile Committee Meeting Minutes
Document: ... Ms. Mitchell also provided a brief summary of the Office of the Attorney General opinions received in the past year.
Agenda item #4, the meeting adjourned at 9:59 a.m.
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 9: Modifications to Board Rules - 22 TAC 163 - Licensure
Document: ... es that the applicant is ineligible for licensure based on one or more of the statutory or regulatory provisions listed in paragraphs (1) - (5) of this subsection, the applicant may appeal that decision to the Licensure Committee before completing other licensure requirements for a determination by ...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 9: Modifications to Board Rules - 22 TAC 167 - Reinstatement and Reissuance
Document: ... f and the applicant which may include medical and office records, x-rays, pictures, film recordings of all kinds, audio and video recordings, diagrams, charts, drawings, and any other illustrative or explanatory materials which in the discretion of the board's representative(s) are relevant to the p ...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 9: Modifications to Board Rules - 22 TAC 171 - Postgraduate Training Permits
Document: ... e before an administrative law judge of the State Office of Administrative Hearings and shall comply with the Administrative Procedure Act, the rules of the State Office of Administrative Hearings and the board. The board shall, after receiving the administrative law judge's proposed findings of fac ...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 9: Modifications to Board Rules - 22 TAC 172 - Temporary and Limited Licenses
Document: ... in another state, territory, or Canadian province based on a professional boundary violation, unless otherwise determined eligible by the Board. (2) Visiting physician temporary permits for participation in the KSTAR program shall be valid for the length of the program. The executive director of the ...
Description: Medical Board 2011 - August - Licensure Committee - Agenda Item 9: Modifications to Board Rules - 22 TAC 184 - Surgical Assistants
Document: ... e before an administrative law judge of the State Office of Administrative Hearings and shall comply with the Administrative Procedure Act and its subsequent amendments and the rules of the State Office of Administrative Hearings and the board. The board shall, after receiving the administrative law ...
Description: ... em 9: Modifications to Board Rules - 22 TAC 192 - Office-Based Anesthesia Services
Document: ... e, Title 22, Part 9
Proposed Changes
Chapter 192
Office-Based Anesthesia Services Page 1 of 8
Draft July 22, 2011
V2-192-Draft
§192.1. Definitions. The following words and terms, when used in this chapter, shall have the following meanings, unless the contents indicate otherwise. (1) ACLS--Adva ...
Description: Medical Board 2011 - February - Full Board Committee Meeting Minutes
Document: ... t a chiropractor seeking to do manipulation under anesthesia ("MUA"). Mari and Dr. Zeitler will review this letter. Copies of the letter should be sent to: Texas Society of Anesthesiologists; Texas Board of Nursing; Texas Hospital Association; Texas Medical Association; and DSHS for notification to ...
Description: Medical Board 2011 - February - Licensure Committee Meeting Minutes
Document: ... possible action regarding request for approval of office-based anesthesia CME courses. This item was postponed until the April Board meeting.
Agenda Item 13 - Discussion, recommendation, and possible action regarding requests for conversion of licenses to administrative medicine licenses for physic ...
Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 9c - Board Rule 175 - Fees, Penalties and Forms
Document: ... 809. (C) Additional biennial registration fee for office -based anesthesia--$210 (includes surcharge of $10). (2) Physician Assistant Registration Permits: (A) Initial annual permit (includes surcharges of $10)--$257.50. (B) Subsequent annual permit (includes surcharges of $6)--$253.50. (3) Acupunct ...
Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 9a - Board Rule 164 - Physician Advertising
Document: ... nt a rehearing. The request for rehearing must be based on information not previously presented to or considered by the board. (6) A certifying board approved by the board under this subsection must be reviewed every five years from the date of initial approval and the board must obtain information ...
“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.