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“... 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 May 21, 2007 A (PDF File)
Document: ... failure to comply with the order.
The action was based on findings that Dr. Wheeler failed to comply with an earlier order in which he was ordered to make monthly payments toward an administrative penalty and to perform 100 hours of community service. In addition, Dr. Wheeler failed to notify the b ...
Description: Press Release May 24, 2010 (PDF File)
Document: ... spension is effective immediately. The action was based on the following findings: In November 2008, the Drug Enforcement Administration began investigating Dr. O'Neal due to suspicious prescribing. The DEA found Dr. O'Neal had prescribed for 40 to 50 of his patients significant quantities of methad ...
Description: Press Release May 27, 2008 A (PDF File)
Document: ... the lobby area of the William P. Hobby Jr. State Office Building, 333 Guadalupe Street. July 1 and 2 Fort Worth, Both sessions will be conducted at the University of North Texas Health Science Center, 3500 Camp Bowie Boulevard. The sessions will be conducted in Luibel Hall on the second floor of ...
Description: Press Release May 30, 1997 (PDF File)
Document: ... tal protection division of the Attorney General's Office. She is a graduate of Vanderbilt University and earned her law degree from the University of Houston Law Center. Mrs. Turner is being reappointed to the Board. Board proposes Rule Amendments During committee meetings, Board members discussed v ...
Description: Press Release June 02, 2008 A (PDF File)
Document: ... suspension took effect on May 28. The action was based on the following findings: A pee r review of Dr. Louis' performance called into question the 71-year- old physician's current level of cognitive functioning. A TMB panel reviewed five patient records and a transcript of a proceeding during whic ...
Description: Press Release June 02, 2008 B (PDF File)
Document: ... suspension took effect on May 28. The action was based on the following findings: On September 5, 2007, Dr. Vu pleaded no contest to three counts of indecent assault in the Court of Common Please of Crawford County, Pennsylvania, Criminal Division. The three counts involved improper sexual contact ...
Description: Press Release June 03, 2009 (PDF File)
Document: ... ed physicians. The actions included 15 violations based on quality of care; 11 actions based on unprofessional conduct; two nontherapeutic prescribing violations; six agreed orders based on inadequate medical records violations; one action based on impairment due to alcohol or drugs or mental/physic ...
Description: Press Release June 04, 2010 (PDF File)
Document: ... fective immediately. The temporary suspension was based on Dr. Cavender's inability to pr actice with reasonable skill and safety to patients as a result of illness or as a result of a mental or physical condition; unprofessional conduct; behaving in a disruptive manner toward medical personnel or o ...
Description: Press Release June 04, 2010 B (PDF File)
Document: ... rs with no refills. The temporary restriction was based on the determination that Dr. Patrick engaged in a pattern of nontherapeutic prescribing, including 21,000 prescriptions over a 19-month period, including more than 200 prescriptions while he was out of the country. Another 400 prescriptions we ...
Description: Press Release June 08, 2006 (PDF File)
Document: ... censed physicians. Actions included 14 violations based on quality of care; three actions based on unprofessional conduct; two actions based on nontherapeutic prescribing; one action based on inappropriate conduct involving physician-patient relationships; three actions based on inadequate medical r ...
Description: Press Release June 09, 2005 (PDF File)
Document: ... administrative penalty of $1,000. The action was based on allegations that Dr. Adams failed to respond to requests from another physician to supply medical records. BARRERA, RODOLFO CANTU, D.O., AUSTIN, TX, Lic. #F3737 On June 3, 2005, the Board and Dr. Barrera entered into an Agreed Order requirin ...
Description: Press Release June 10, 2004 (PDF File)
Document: ... ved the licensure applications of 471 physicians. Office of Rural Community Affairs sponsors HealthFind: Rural Texas' Annual Healthcare Recruiting Event HealthFind brings healthcare professionals and rural communities together to meet and explore practice opportunities September 10-11 at the Hyatt R ...
Description: Press Release June 10, 2010 (PDF File)
Document: ... ed physicians. The actions included 24 violations based on quality of care; three actions based on unprofessional conduct; 11 actions based on inadequate medical records; one action based on advertising violations; 13 voluntary surrenders/voluntary suspensions; four revocations/suspensions; three te ...
Description: Press Release June 14, 2007 A (PDF File)
Document: ...
Medical Board actions included seven violations based on quality of care; two actions based on unprofessional conduct; three actions based on violation of probation or prior board orders; two actions based on criminal convictions; one action based on peer review actions; three actions based on ina ...
Description: Press Release June 14, 2007 B (PDF File)
Document: ... ing threat to the public welfare.
The action was based on Dr. Kern s failure to comply with previous agreed orders entered into with the board. In a June 3, 2005, order, the board suspended Dr. Kern s license based on findings that Dr. Kern had self-injected drugs in front of patients and staff; ha ...
“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.