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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 “Board Approved CAE Courses” tab below),
are offered by Approved Providers (see “Board Approved CAE Providers&rdquo ... ”
“... d for AOA Category 1-A credit; or
approved by TMA based on standards established by AMA for its Physician's Recognition Award.
Medical Ethics and/or Professional Responsibility
At least 2 of the 24 formal hours must involve the study of medical ethics and/or professional responsibility.&nbs ... ”
“... e my prescriptive authority agreement or facility-based protocol if a licensing board asks to see it?
What is the difference between medication orders and prescriptions?
How many miles from my delegating physician can my practice site be?
What are the Texas Medical Board’s requirements f ... ”
“... c filing, the Texas Medical Board may take action based on the violation. (See Tex. Health and Safety Code, §193.005)
Texas Electronic Vital Events Registrar (TxEVER) supports all vital events operations, including reporting, registration, and amendments of births and deat ... ”
“The Office of General Counsel provides legal counsel to the Boards and agency staff and is also responsible for drafting rules, serving as hearings counsel in informal disciplinary hearings, responding to questions about agency rules and laws, and responding to Open Records requests.
&n ... ”
“... a political organization or candidate running for office. 2. The third party’s site contains; a. Misleading or unsubstantiated claims, b. Conflicts with the purpose of TMB, or 3. Does not meet one or more of the criteria set forth in this policy.
Link Re ... ”
“... escription Monitoring Program (PMP) fee, and a $5 Office of Patient Protection fee for the first year, with an additional $1 charged for any subsequent year. These fees are required by statute and cannot be pro-rated. The remaining amount is required by the TMB and prorated for each permit length.
& ... ”
“... http://www.tmb.state.tx.us . We have a public web based verification system that is run in-house located on our website. To access this database choose the link “Look up a License” from our home page. This database will provide links to view Board Orders for most licensees, where applica ... ”
“... individual application processing time will vary based on the complexity of the application. The processing time clock begins when the applicant has submitted all initial documents and has moved to the second step. Factors that increase the processing time are answering “yes” to a ... ”
“... nformation and Services 1-800-222-1222
State Office of Rural Health (Texas Dept. of Agriculture)
Texas Department of State Health Services , (512) 458-7111
Texas Department of State Health Services, Licensing and Certification Division,(512) 834-6628
Texas Optometry Board, (512) ... ”
“... c filing, the Texas Medical Board may take action based on the violation. (See Tex. Health and Safety Code, §193.005)
Texas Electronic Vital Events Registrar (TxEVER) supports all vital events operations, including reporting, registration, and amendments of births and death records.
To register ... ”
“...
Individual application processing time will vary based on the complexity of the application. The processing time clock begins when the applicant has submitted all initial documents and has moved to the second step. Factors that increase the processing time are answering “yes” to a ... ”
“... gibility for licensure; conducting investigations based on complaints filed against physicians; and exercising authority to cancel, revoke, suspend, or otherwise limit the license of any physician upon proof of violation of the Texas Occupations Code (the Medical Practice Act) and/or the&n ... ”
“... ards. Sometimes more items will be required based on information obtained from the new documentation. Once new documentation has been received by your analyst please allow at least 3 to 5 business days for review of the documentation and your file to be updated. All processing timef ... ”
“... gibility for licensure; conducting investigations based on complaints filed against physician assistants to determine if a licensee is in violation the Texas Occupations Code (Chapter 204, the Physician Assistant Licensing Act) and/or the Board's rules; and exercising the authority to ... ”
Description: TMB Bulletin March 2012
Document: ... ronic Death Registry was being designed, the DSHS Office of General Counsel realized that this practice circumvented inquest procedures set forth in the Code of Criminal Procedure. So, the system was programmed to not allow a doctor to mark the manner of death as anything other than "natural." Paper ...
Description: TMB Bulletin January 2012
Document: ... al exercises the physician's
CONTINUED NEXT PAGE
Office-Based Anesthesia Event Reporting, p. 2 Acupuncture Ed, p. 3 Formal Complaints, p. 4 Rule Changes, p. 9 New Licensees, p. 14 Disciplinary Actions, p. 26
Safeguarding, cont'd
independent medical judgment in providing care to patients. In addit ...
Description: TMB Bulletin December 2012
Document: ... c filing, the Texas Medical Board may take action based on the violation. To register for electronic filing, follow this link: http://www.dshs.state.tx.us/vs/field/ If you have problems registering, send an email to helpTER@dshs.state.tx.us or call the TER Help Desk line at 8889637111 ext. 349 ...
Description: Rule Changes December 30, 2007
Document: ... ating the name of the Board and references to the Office of the Attorney General; and 199.5, Notice of Ownership Interest in a Niche Hospital, specifies that physicians who have an ownership interest in a niche hospital must report that interest to the Department of State Health Services.
...
Description: Rule Changes December 18, 2011
Document: ... a program participant is on leave from a program based on military leave or family leave not related to the PIT holder's medical condition. http://www.sos.state.tx.us/texreg/archive/December92011/adopted/22.EXAMINI NG%20BOARDS.html#252 Chapter 180. TEXAS PHYSICIAN HEALTH PROGRAM AND REHABILITATION ...
Description: Rule Changes December 4, 2011
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 ...
Description: Rule Changes November 30, 2009
Document: ... 163.2, relating to Full Texas Medical License, is based on House Bill 3674 passed by the 81st Legislature to allow applicants for licensure to demonstrate board certification to satisfy requirements relating to substantial equivalence of medical education and permits applicants who are foreign gradu ...
Description: Rule Changes November 30, 2003
Document: ... till pending adoption by the board.) Chapter 192, Office-Based Anesthesia. Amendments to §§192.2-192.4 and 192.6 regarding general cleanup of the sections and the creation of a process for biennial registration consistent with Senate Bill 104 of the 78th Legislature. Chapter 193, Standing Delegation ...
Description: Rule Changes November14, 2000
Document: ... late non-profit recertification applications and office-based anesthesia registration. Chapter 186, Supervision of Physician Assistant Students - rule review and extensive rewrite of the chapter. Chapter 192, Office-Based Anesthesia - proposed amendments to §192.4 regarding site-based registration. ...
Description: Rule Changes October 03, 2010
Document: ... s determined that the clarification is necessary, based on the interpretation of Texas Occupations Code §157.0711(b-1) to not apply to CRNAs who are providing anesthesia services through the use of medication orders. http://www.sos.state.tx.us/texreg/archive/September242010/adopted/22.EXAMINING%20BO ...
Description: Rule Changes September 28, 2006
Document: ... and Renewal Fees, regarding Texas Online fees for office-based anesthesia, and new 175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Chapter 179, Investigations, new 179.8, providing for alcohol and drug screening during an investigation for substance ...
Description: Rule Changes September 19, 2010
Document: ... lating to Employment Guidelines, deletes language based on recent statutory changes, and clarifies that a physician may supervise more than five physician assistants if granted a waiver by the Texas Medical Board. Amendment to §185.22, relating to Impaired Physician Assistants, establishes requireme ...
Description: Rule Changes September 12, 2004
Document: ... d with the except ion of §190.16(6). Chapter 192, Office-Based Anesthesia. Amendments to §§192.3-4 relating to compliance with office-based anesthesia rules and registration. Chapter 193, Standing Orders Delegation. Amendments to §193.11, Use of Lasers, regarding continuing education on the use of l ...
Description: Rule Changes July 04, 2012
Document: ... es (FTLs) shall be determined ineligible for FTLs based on the same reasons for ineligibility for full licensure.
The amendment to §172.15, relating to Public Health License, provides that any clinical medicine performed under public health license may not count toward active practice requirements ...
Description: Rule Changes June 29, 2006
Document: ... elating to changes mandated by SB419 Chapter 192, Office Based Anesthesia to include amendments to 192.1, to include amendments to the chapter title, 192.1, Definitions, 192.2, Provision of Anesthesia in Outpatient Settings, 192.3, Compliance with Office -Based Anesthesia Rules, 192.4, Registration, ...
“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.