Texas Jurisprudence Exam When do you have to report child abuse? To whom? - ✔48 hours Department of family and protective services. Class B misdemeanor if you fail to report What (Non diseases) must be reported to TX Dpt of Health - ✔Spinal cord injuries TBI Submersion What diseases must be reported to TX Dpt of Health and how fast? - ✔TB, Pertussis ONE day Gonorrhea, syphilis, chlamydia, chancroid 7 days What must be reported to local law enforcement? - ✔Unnatural/unnexplained death, suicide. OD and gunshots What type of bad is elder abuse - ✔failure to report- Class A Misdemeanor How long to issue birth certificate - ✔5 days How long to issue death certificate - ✔10 days How much CME do you need? - ✔48hrs q2 years What kind of CME - ✔24hrs formal and 24hrs informal; 2 hours medical ethics/professional responsibility How long do you have to report name changes or address changes to the board? - ✔30 days Who is on the Texas Medical Board? - ✔19 people- 9MD's 3DOs 7lay people How do you qualify to be on the board? - ✔Practicing for 5 years, active in peer review for 3 years preceeding Radioactive material - ✔Need a license Telemedicine requirements - ✔You need a TX telemed license (needs JP exam) need to be licensed in good standing in your home stateand board certified
Contiguous states? - ✔OK AR LA and NM MDs can order home health and hospice for TX pts without a special license Podiatrists - ✔Can't admit patients must have MD/DO to do it Midlevels - ✔Can have up to 7 full time outpt midlevels (or equivalent. No limit in remote/medically underserved areas though MD must be remotely available and visit every 10 days Can prescribe III, IV scheduled II IF in hospital > 24 hours or hospice Losing your license - ✔If indicted for felony, license is suspended If convicted, it is revoked What generates a review of your license - ✔named in 3 lawsuits within a 5 year period of time Illegal use of DEA - ✔Class C misdemeanor Class C Misdemeanor - ✔Promoting suicide but they don't follow through False use of DEA reporting nursing home elder abuse (how long do you have) - ✔within 48 hours orally written complaint within 5 days Schedule I drugs - ✔Heroin LSD Marijuana Ecstasy Schedule II - ✔Cocaine MOST opiates- morphine, fentanyl, dilaudid, HYDROcodone Stimulants- adderall, ritalin, amphetamines CanNOT be refilled must fill within 21 days or void NPs can prescribe in hospital, ER, hospice Schedule III - ✔Codeine containing things (Tylenol #3) Ketamine Anabolic Steroids, Testosterones NPs can prescribe these Can be refilled up to 5 times Void after 6 months Schedule IV - ✔Soma/muscle relaxants
BZDs, Ambien Tramadol Modafinil NPs can prescribe these Can be refilled up to 5 times Void after 6 months Schedule V - ✔Robitussin AC Lomotil Lyrica NPs can prescribe these How long must you keep records of controlled substances? - ✔2 years What can surrogate decision makers NOT do? - ✔They can't pick a new surrogate They can't do proxy consent for abortion, ECT or psychosurgery EXCEPTIONS: - court appointed guardian for ECT if pt can no longer care for basic needs - abortion for unemancipated minors where court acts as a temporary guardian - Involuntary mental health admission (psychiatrist and court determines this) When patients are 'committed' /hospitalized, how long do they have to request hearing? - ✔Thye have the right to request a probable cause hearing within 72 hours to try to get released What happens if someone files an application for court ordered substance abuse treatment of another person? - ✔After 2 MD's examine the patient to assess for chemical dependency the hearing is conducted within 2 weeks how long must you keep charts - ✔Adults - 7 years Kids - 7 years or 21; the longer of the two Supplying medical records to patients - ✔must supply within 15 days can charge patient $25 for first 20 pages, then 50 cents per page after that When must a gestational agreement be signed - ✔gestational agreement must be signed at least 15 days bfore transfer of sperm/embryo HIPAA violation fine - ✔HIPAA violation fine is $100 per violation no more than 25 grand per year Fine for illegal abortion (eg. unemancipated minor) - ✔10,000 Who investigates HIPAA violations - ✔1. HHS secretary is in charge of investigating HIPAA violations
Who must be informed of 3rd semester abortion - ✔Texas dept of health Who can order an autopsy - ✔Medical examiner, justice of the peace or consent of family When do you not need consent to test for HIV - ✔Needle stick suspected rapist pt is getting surgery or is a needle stick risk and they have high risk behavior