- My TMB |
- Contact Us |
-
-
“... 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: Press Release April 20, 2011 (PDF File)
Document: ... safety or welfare. The Board has determined that based on a recent court ruling, it must provide individuals with hearings that are recorded and allow for cross examination before cease and desist orders may be issued. Since cease and desist orders require immediate effect to allow the Board to pro ...
Description: Press Release April 21, 2005 (PDF File)
Document: ... spension is effective immediately. The action was based on Dr. Eargle's nontherapeutic prescribing in the treatment of seven patients, two of whom died. The allegations include prescribing large doses of hydrocodone, Soma, Xanax and other drugs without taking an adequate medical history, conducting ...
Description: Press Release April 21, 2008 A (PDF File)
Document: ... mith had violated previous orders. The action was based on Dr. Smith's positive drug screen for marijuana (cannabinoid) metabolites on March 10, in violation of his October 7, 2005, Agreed Order, which required Dr. Smith to abstain from the consumption of alcohol, dangerous drugs or controlled subst ...
Description: Press Release April 21, 2010 (PDF File)
Document: ... ed physicians. The actions included 10 violations based on quality of care; five actions based on unprofessional conduct; two nontherapeutic prescribing violations; five actions based on inadequate medical records violations; two actions based on advertising violations; two voluntary surrenders; one ...
Description: Press Release April 30, 2008 A (PDF File)
Document: ... d with notice on Monday, April 28. The action was based on the panel's finding that Dr. Zayas was responsible for weight -loss clinics in Houston, Corpus Christi, San Antonio, The Woodlands, Kingwood and Victoria, where diet drugs are provided to patients without Dr. Zayas ever seeing the patients o ...
Description: Press Release May 01, 2002 (PDF File)
Document: ... uspended the license of Scott Shaw McNeill, M.D., based on evidence and information that his continuance in the practice of medicine would constitute a continuing threat to public welfare. The temporary suspension is based on habitual use of alcohol, unprofessional conduct, and violation of a prior ...
Description: Press Release May 03, 2007 A (PDF File)
Document: ... ension was effective immediately.
The action was based on the following: Dr. White's inability to practice medicine with reasonable skill and safety due to substance abuse (cocaine); disciplinary action by his peers (suspension of his privileges at East Texas Medical Center); intemperate use of dru ...
Description: Press Release May 04, 2005 (PDF File)
Document: ... esent at the hearing with counsel. The action was based on the following: On February 27, Dr. Blessing allegedly assaulted his wife by slamming her head against the floor, pulling her hair and striking her head and ribcage; threatened her with a gun; and told her he was going to kill her. She report ...
Description: Press Release May 05, 2009 (PDF File)
Document: ... rd currently has a complaint pending at the State Office of Administrative Hearings alleging that Dr. Dotson had failed to comply with other provisions of the 2008 order and other previous orders and that he had failed to practice medicine in an acceptable professional manner consistent with public ...
Description: Press Release May 08, 2007 A (PDF File)
Document: ... ing threat to the public welfare.
The action was based on Dr. Halbert's prescribing controlled substances to a family member on an ongoing basis without thorough physical examination and without maintaining adequate medical records; self-prescribing of controlled substances; prescribing to a known ...
Description: Press Release May 17, 2006 (PDF File)
Document: ... uing threat to the public welfare. The action was based on the following: providing false information to the board; inability to practice with reasonable skill and safety due to substance abuse; intemperate use of alcohol or drugs; unprofessional conduct. The findings resulted from Dr. Prince's havi ...
Description: Press Release May 17, 2007 A(PDF File)
Document: ... e immediately.
The action against Dr. Chavez was based on the findings that he allowed Mr. Cano, a surgical assistant, to perform approximately 32 breast augmentation and/or liposuction procedures from February to April of this year. Dr. Chavez was not present, nor did he supervise the procedures p ...
Description: Press Release May 17, 2007 B (PDF File)
Document: ... pension is effective immediately.
The action was based on the following findings: Dr. Hernandez's pattern of practice constitutes nontherapeutic prescribing of narcotics, benzodiazepines and muscle relaxant medications; his records lack adequate documentation, histories and physicals, rationale for ...
Description: Press Release May 17, 2010 (PDF File)
Document: ... ive, defraud or injure the public. The action was based on Dr. Waller's violation of a 2009 order entered into with the board that required Dr. Waller to complete 20 hours of CME in medical record-keeping within one year, and pass with a score of 75 or higher the Medical Jurisprudence Exam within on ...
Description: Press Release May 21, 2002 (PDF File)
Document: ... s as mandated by HB 1183 of the 77th Legislature. Based on comments received, 184.4 will be withdrawn.
Proposed Rule Changes The Board proposed the following rule changes for publication in the Texas Register and comment: Chapter 163, Licensure. Proposed change to 163.1(12) adding definition langu ...
“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.