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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: TMB Bulletin February 2025
Document: ... tandard of care. Ketamine and O�ce-Based Anesthesia The Board also sought to clarify its regula�on of ketamine treatments. Under the rules, ketamine treatments fall under o�ce-based anesthesia rules. A more robust review of the various therapeu�c u ...
Description: TMB Approves New Emergency Rule Related to Issuance of Prescriptions
Document: ... with advice and direction from the Governor’s
Office,
adopted rules on an emergency basis
related to the issuance of certain prescriptions
during the COVID
-
19
disaster
.
The
new
amendments
to
Title 22, Chap
ter 174.5
,
which went into
effect
November 3
, 2020 at
12:0
1
...
Description: Medical Board 2020 - August - Full Board Minutes
Document: ... orking from homewithat least 25% going into the office at least one day a weekAfter September 1, 2020, the mandate for most staff to work from home is liftedNo action was taken on this agenda item.Agenda Item #1, Medical Director Report. Dr. Bredt reported that there are now nearlyexpert panelists ...
Description: TMB FY 20 Internal Audit Plan
Document: ... to address the agency’s highest risk areas, based on prior audits conducted within the agency and input from TMBmanagement.
Internal Audit Report
Report Date
Current Status
Internal Audit over RegistrationJuly 20, 2020
This report was issued August
11
, 2020.
There were four findings ident ...
Description: TMB FY 21 Annual Internal Audit Report
Document: ... offer is declined then the case is taken to State Office of AdministrativeHearings(SOAH)trialconducted.Afterthetrial,proposalfordecision(PFD)and findings of fact and conclusions of law are prepared by SOAH. Sanction determinations are made by TMB, but any sanction must be made with consideration for ...
Description: Medical Board 2020 - December - Licensure - Committee Minutes
Document: ... hall limit their medical practice, including any
office and inpatient practice,
to a group or an institutional setting approved in advance by the Executive Director of
the Board. Applicant shall provide a copy of this Order to the group or institutional
setting administrator.
•
Applican ...
Description: Medical Board 2021 - June - Full Board Minutes
Document: ... or ketamine and the applicability of officebased anesthesia rules.After discussion, the Board directed staff to include the question of the applicability of officebased anethesia rules to the use of nitrous oxide and ketamine in the rule review process. Agenda Item #9, Consideration and approval of ...
Description: Legislative Update - 87th Legislature (2021)
Document: ... r medical services related to an organ transplant based on a disability.
•
Permits disciplinary action by the regulatory agency that issued a license, ce
rtificate, or other
authority to a health care provider who commits the violation.
9/1/
21
HB 1
39
(
Buckley
)
O
ccupational
lic ...
Description: TMB disciplines 26 physicians at December meeting, adopts rule changes
Document: ... r resolves a formal complaint filed at the State
Office of Administrative Hearings.
Cordes, Brett McCormack, M.D., Lic. No. N1594, Manvell
On December 4, 2020, th
e Board and Brett McCormack Cordes, M.D., entered into an Agreed Order of Voluntary
Suspension͕ suspending Dr. Cordes’ Texas m ...
Description: TMB disciplines 49 physicians at March meeting
Document: ... res was arrested by
the Montgomery County DA’s Office on felony charges relating to nontherapeutic prescribing of controlled substances
to one patient.
NONTHERAPEUTIC PRESCRIBING
Jain, Nisha, M.D., Li
c. No. M1789, Dallas
On March 5, 2021, the Board and Nisha Jain, M.D., entered into a ...
Description: STATE OF TEXAS APPLICATION FOR EMPLOYMENT
Document: ... ed training or skills you possess and machines or office equipment you can use, such as calculators, printing or graphics equipment, computer equipment, types of software and hardware. (Attach additional page, if necessary.)
Approximately how many words per minute do you type? Sign Language (If ...
Description: Compliance Officer – Dallas Region
Document: ... b functions are performed in a standard homebased office environentand require:Regular and punctual attendanceFrequent use of personal computer, copiers, printers, and telephonesFrequent sittingFrequently working under deadlines, as a team member, and in direct contact with othersMust have secureAT& ...
Description: Medical Board 2021 - August - Licensure Committee Minutes
Document: ... an unrestricted license.
This
recommendation is based on the
Applicant’s completion of the A
dult Cardiac Surgery Fellowship at
Massachusetts General Hospital and
the
Cardiac Surgery Fellowship at Brigham and Women’s
Hospital.
Mr. Agarwal
seconded
the motion. All voted in favor ...
Description: TMB restricts Beaumont physician (Wu)
Document: ...
hospital
privileges while under investigation. Based
on the
reporting, Dr.
Wu was the subject of complaints made by nursing staff for placing his hands
under patient cov
ers during administration of anesthesia.
The temporary
restriction
remains in place until the Board takes further ac ...
Description: TMB suspends San Antonio physician (Glass)
Document: ... e subject of a hospital’s disciplinary action
based
upon inappropriate sexual conduct with a patient.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to Dr.
Glass
, unless the hearing is specifically waived by Dr.
Glass
.
The temp ...
“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.