- My TMB |
- Contact Us |
-
-
“... 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: Acupuncture 2014 - October - Licensure Committee Minutes
Document: ... ed acupuncture schools. It
was also
noted that based on staff’s resea
rch it appears that only one applicant who has been
required to work under the supervised temporary license has had difficulties in meeting the
Board’s requirements.
There being no further business, the meeting was ...
Description: Medical Board 2014 - August - Full Board Minutes
Document: ... ugust 1, 2014 Physician Assistant Board meeting.
Based on the
qualitative
improvement between both boards the Medical
Board/Physician Assistant Liaison program will
be discontinued.
Agenda item #8, Discussion, recommendation, and possible action rel
ating to the use
of zohydro.
Mr. Blec ...
Description: District Review Committee Member Biographies
Document: ... stant to the President and Deputy Director of the Office of Presidential Personnel. Burley received a Bachelor of Arts in Political Science from Clemson University.Celeste Caballero, M.D.Celeste Caballero, M.D., of Lubbock is a pediatrician with Covenant Medical Group. She is a member of the America ...
Description: PA Board 2016 April - Licensure Committee Minutes
Document: ... dmitted as a party in a hearing
before the State Office of Administrative Hearings or contested case before the phys
ician assistant board.
(16) Physician assistant
--
A person licensed as a physician assistant by the Texas Physician Assistant
Board.
(17) Prescriptive authority agreement
--
A ...
Description: TMB disciplines 39 physicians at November meeting, adopts rule changes
Document: ... age (TOEFFL) test
score requirement for Internet Based Testing (iBT®), reflecting TOEFFL’s new test score scale, and deleting the outdated
referenced to TOEFFL’s former
test score scale. The amendment is made so that the TOEFFL test requirement correctly
references TOEFFL’s current test s ...
Description: Medical Board 2014 - November - Licensure Committee Minutes
Document: ...
clinic
certificat
ion
.
This recommendation is based on the a
pplicant
being under current
investigation by the Board; and the a
pplicant being subject to disciplinary action by
the board for conduct that was a result of inappropriately presc
ribing, dispensing, administering,
supplying, or s ...
Description: Rule Changes Effective December 7, 2014
Document: ... uage (TOEFFL) test score requirement for Internet Based Testing (iBT®), reflecting TOEFFL’s
new test score scale, and deleting the outdated referenced to TOEFFL’s former
test score scale. The
amendment is made so that the TOEFFL test requirement correctly references TOEFFL’s current test
...
Description: TMB Suspends Houston physician
Document: ... rescriptions obtained at Dr. Green’s
clinic.
Based on these findings, the panel determined Dr. Green is
a continuing th
reat to both patients
and the public.
The temporary suspension remains in place until the Board takes further action.
# # #
...
Description: Acupuncture 2015 - January - Licensure Committee Minutes
Document: ... trative Procedure Act, and the rules of the State Office of Administrative Hearings.
Chapters 187 and 190 of this title (relating
to Procedural Rules and Disciplinary Guidelines)
shall be applied to acupuncturists to the extent applicable. If the provisions of Chapter 187 or
Chapter 190 conflict ...
Description: Physician Statistics 2015 Jan - Physicians In and Out of State
Document: ... ncelled.
Statistics are included for location (based on practice address), degree, number of licensees
held and race/Hispanic origin.
RACE
TOTAL
of Hispanic
origin
non Hispanic origin
unknown origin
AMERICAN INDIAN OR ALASKA
NATIVE
9
79
88
ASIAN
16
10051
10067
BLACK OR AFRICAN AMERICAN
16
29 ...
Description: TMB disciplines 27 physicians at March meeting
Document: ... er resolves a formal complaint filed at the State Office of
Administrative Hearings.
Dott, Kenneth Wayne, D.O., Lic. No. H8008, Irving
On M
arch 3, 2023, the Board and Kenneth Wayne Dott, D.O., entered into an Agreed Order requiring him to within
seven days surrender his DEA controlled subst ...
Description: Medical Board 2015 - February - Executive Committee Minutes
Document: ... poses of Section
2262.0535.
The Comptroller’s office
provides an abbreviated contract management course training
for members of governing bodies of state agencies in accordance with statute.
After discussion,
Ms.
Southard moved, Dr. McNeese seconded, and the motion passed to accept
for t ...
Description: Medical Board 2015 - February - Licensure Committee Minutes
Document: ... certification
be
denied. This recommendation is based on t
Mr. Denton
seconded the motion.
All voted in favor. The
motion passed
.
Applicant #1
618
did not
appear
before the Committee,
but was represented by counsel
in executive
session
on
appeal
of
the
sure Committeeâ ...
Description: Medical Board - 2015- January - Emergency Board Meeting *Minutes adopted at February 2015 Full Board Meeting
Document: ... egal representative from the Attorney General’s Office adequate time to
prepare the required legal documents, if an appeal is approved by the Board.
Agenda item #3,
Discussion, recommendation and possible action regarding
emergency Board rule 22 T.A.C.
§190.8(l)(L). Violation Guidelin ...
Description: Spreadsheet of current Surgical Assistant Licensees
Document: ... ith recommended treatment. The Board's action was based on Ms. Coffey's habitual use of drugs to the extent that she could not safely perform as a surgical assistant. On April 1, 2010, the Board entered an Order of Automatic Suspension for an indefinite period against David Flores, S.A., and it wil ...
“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.