Texas Medical Jurisprudence Exam Review Who is in TSBME? - ✔9 MDs, 3 DOs, and 6 public members Who are public members? - ✔Persons in non healthcare business. First offense for practicing medicine without a license? - ✔Class A Misdemeanour Second offense for practicing without a license? - ✔3rd degree felony What happens if you practicing without a license and it causes physical or psychological harm? - ✔3rd degree felony What happens if you practicing without a license and it causes financial harm? - ✔State jail felony What is a capital felony? - ✔Life or death penalty What is a first degree felony? (MURDER) - ✔Jail term 5-99 years; fine up to $10,000 What is a second degree felony? - ✔Jail term 2-20 years; fine up to $10,000. What is a third degree felony? - ✔Jail term 2-10 years; fine up to $10,000 What is a class A misdemeanor? (violate MPA, adult) - ✔Fine not to exceed $4,000; Jail no longer than 1 year. What is a class B misdemeanor? (baby, child) - ✔Fine up to $2,000; Jail up to 180 days What is a class C misdemeanor? - ✔Fine up to $500. All felonies and misdemeanors are considered criminal? (T/F) - ✔True What can be used for CME credit? (3 things) - ✔1.) Board certification/re-certification 2.)CME from previous licensure period (only 48 hours can be carried forward). 3.) Part time volunteer service in an underserved area. How many hours of CME are required per year? - ✔24 hours If you do not have 24 hours of CME credit in one year, what is an alternative? - ✔If within the preceding 36 months, the licensee becomes Board certified or re-certified
Of the 24 hours of CME credit, what should it be composed of? - ✔1.) One half of it must be from formal course (12 hours) approved by the board. 2.) At least 1 hour of it should be medical ethics or professional responsibility. 3.) The remaining can be self-study and/or volunteer in underprivileged area Which of the prescribing practices is not consistent with public health and welfare? (3) ✔1.) Steroids for body building (not injury related) 2.) Failure to properly monitor blood levels of drugs as indicated 3.) Administering subtherapeutic doses of medications How long do you have to challenge TSBME action in state district court? - ✔Within 30 days of the boards final action on a board order. Name 3 actions the TSBME can take? - ✔1.) It can require a physician to practice under the supervision of another physician. 2.) It can suspend a license to practice. 3.) It can require the physician to submit to treatment for psychiatric illness What action cannot be taken by TSBME? - ✔It CANNOT suspend a SPECIALTY board certification. What disciplinary action the TSBME may take? (3) - ✔1.) Denial of license 2.) Require supervision of practice 3.) Fine TSBME may not grant probation to a physician whose license is restricted due to felony conviction UNDER the Texas Controlled Substances Act. However when are exceptions made? - ✔If the probation is in the best interest of the public. Texas law provides protection from liability for any person providing information to a medical peer review committee? (T/F) - ✔True. The health care quality improvement act requires health care entities report an adverse action to national practitioner data bank if that action meets what criteria? (3) - ✔1.) The action resulted from a FROM a formal peer review process 2.) The action limits the physician privileges 3.) The action concerns professional incompetence or misconduct The physician on whom adverse action is contemplated may surrender privileges in lieu of an investigation or action and thereby avoid a report to the national practitioner data bank. - ✔FALSE How many days do you have to inform the TMB of a case of child abuse/neglect - ✔48 hours
How many days do you have to inform the TMB in issuing a birth certificate - ✔5 days How many days do you have to inform the TMB of issuing a death certificate? - ✔10 days How many days do you have to report to the TMB in the case of most communicable diseases? - ✔7 days ( 1 day for TB or pertussis) How many days do you have to inform the TMB about supplying medical records? ✔15 days The Texas Medical Board is responsible for - ✔Issuing licenses and all the of the disciplinary actions associated with taking them away What is the Texas Medical Practice Act? - ✔Everything doctors must adhere to when practicing medicine in Texas. And all laws only apply to Texas licensed physicians while practicing in Texas, or outsiders providing telemedicine services to patients in Texas What doctors are excluded from the Texas Medical Practice Act - ✔Podiatrists, dentists, optometrists, nurses, or medical students. Non-compensated emergency care is also exempt (covered by the Good Samaritan Law) What is the license criteria? - ✔Complete college (60 credits), have an MD or DO, Pass the USMLE steps 1-3 (within the past 7 yrs) and the JP exam, complete your intern year Any U.S. trained graduate finished with the steps an apply for a full Texas medical license after completing their - ✔Internship Corollary - ✔If you quit your residency after internship, you can still practice as fully licensed physician in Texas (though not board certified in a specialty) What happens if your license is expired for more than 30 days? - ✔$75 fee What happens if your license expires after 365 days? - ✔$145 You have to reapply for the license and retake the JP exam - ✔What happens if your license is expired for more than 2 years or longer? You are practicing medicine without a license and committing a third degree felony ✔What if you still continue practicing 30 days after license expires? 30 days - ✔How many days do you have to let the board know of any name and practice changes?
The ability to take care of patients - ✔What is physician competency measured by? By a hospital - ✔How can competency be relevant to credentialing ? DO's not being MD's, punishing a physician for working at other hospitals, only accepting certain insurances, ONLY COMPETENCY - ✔A hospital cannot discriminate against The TMB - ✔If the governing body of a hospital is forced to take action against a physician that affects the privileges or longer than 30 days, who must be notified? No, but you do need a special Texas telemedicine license - ✔Do you need a full Texas Medical license to practice telemedicine in Texas? Taking the JP exam, license is in good standing in another state, board certified in your specialty, not actually physically or acting in the state of Texas - ✔What does the Texas telemedicine license include? OK,AR, LA, NM can order home health hospice services for patients in Texas without a special telemedicine license - ✔What are some contiguous states for telemedicine? Yes (usually applies to radiologists) - ✔Do you need an additional license to transport, produce, use radioactive materials? No -fault no-lawsuit system for the payment of work related injuries, the employee will get money regardless of whose fault it was, where any doctor can perform a visit be you need a certificate of registration and be on he approved by the Texas Department of Insurance list to be evaluated - ✔What is worker's comp? Resident practice under a physician in training (PIT) and institution specific - ✔What is the PIT permit? Yes, only if you are in good standing and having no suspensions, restrictions, or felony charges - ✔Will the TMB accept another state's medical licensure without requiring additional action? No, they must be admitted under a DO or MD - ✔Can podiatrists admit patients? 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/unexplained death, suicide, OD and gunshots Failure to report elder abuse is what level offense? - ✔Class A Misdemeanor How long to issue birth certificate - ✔5 days How long to issue death certificate - ✔10 days How long do you have to report name changes or address changes to the board? - ✔30 days How do you qualify to be on the board? - ✔Practicing for 5 years, active in peer review for 3 years preceding Telemedicine requirements - ✔You need a TX telemed license (needs JP exam) need to be licensed in good standing in your home state and board certified Contiguous states? - ✔OK AR LA and NM MDs can order home health and hospice for TX pts without a special license 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? - ✔They 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 before 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 - ✔HHS secretary is in charge of investigating HIPAA violations Who must be informed of 3rd trimester 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 Healing Arts Identification Act - ✔1. Must identify medical branch (MD, DO, DPM, etc.) 2. Board certified is not required but if listing board certification must list which board (e.g. pediatrics, neurology, cardiology, etc.) Corporate Practice of Medicine Doctrine - ✔Business owned by non-physicians cannot profit from practice of medicine What are the Allowed and Not-Allowed Partnerships in medicine? - ✔ALLOWED: - Physician and PA (PA must be minority interest) - Physician and Podiatrist
- Physician and Optometrist - Physician and non-physician for a non-profit corporation - Non-physician owned non-profit corporation Not-ALLOWED: - Physician and non-physician spouse FOR PROFIT - Physician and psychology What is a PPO vs HMO? - ✔PPO: Providers provides services to a group for fee for service HMO: Providers agree to provide health care on a prepaid basis 1. An HMO may not use financial incentive for the purpose of _______ patient's medical care 2. A Dr. may be ______ for failure to treat a patient in an HMO 3. Physicians cannot be ______ from staff privileges while in an HMO - ✔1. Limiting 2. Liable 3. Excluded 1. (T/F) There is a list of approved workers comp providers who are certified by the Texas Department of Insurance 2. (T/F) Any physician can provide emergency services for initial injured workers eval ✔1. True 2. True What would prevent you from practicing under the Standard License? - ✔1. Restricted or suspended license in an another state 2. Under investigation for a felony 3. If convicted, a suspended license cannot be reissued What is the Fifth Pathway? - ✔A graduate from a foreign medical school must do a 5th year of supervised training in a US Medical School prior to residency What is a Physician in Training? - ✔Allows for residency or fellowship training in Texas. Must be submitted 90 days before starting When are you required to have a special medical license? - ✔When transferring radioactive material (this does include workers comp doctors, which requires a certification but not a license)
When is a Special Purpose License not required for provider treating patients outside of Texas? - ✔1. Episodic consulting physician 2. A doc in a contiguous state (e.g. Oklahoma) ordering home health orders 3. A physician in another state providing consultation to a Texas medical school What are the Biennial requirements for CME? - ✔1. 48 hrs of CME (1/2 formal (sponsored with certificate) and 1/2 informal (self reporting) 2. 2 hours of ethics When should misdemeanors be reported? - ✔Simple misdemeanors like driving under the influence would be reported at the time of re-licensing Simple misdemeanors with MORAL TURPITUDE (e.g. driving under the influence and have possession of illegal drugs) must be reported within 30 days NOTE: Name or address changes must be reported within 30 days ____ degree felony to practice w/o a valid license - ✔3rd degree (T/F) If your > 2 years out from an expired license you will have to reply and take the Texas JP exam again? - ✔True What must be reported within 30 days. - ✔1. Name/address change 2. Misdemeanor with moral turpitude 3. Medicare or Medicaid fraud 4. Restriction (T/F) When in a rural area may even dispense dangerous drugs when there is no pharmacy, and may even be reimbursed for the cost of supply without obtaining a license to practice pharmacy - ✔True How do you correct error on paper records? - ✔Mark or identify the mistake by drawing one line through the error, initial and date it, and then clearly identify the correction or amendment. Can you advertise about any of the following? - superiority over another physician - waiving co-payments or deductibles - advertising about a subject that is unverifiable (e.g. cure for incurable disease) ✔Cannot do any of these (T/F) Texas Law does not allow third trimester abortions of viable unborn children except when the physician concludes in good faith that the abortion is necessary to prevent the death of the mother, or is substantial risk of serious impairment to the physical or mental health of the mother, or if the fetus has a severe and irreversible abnormality as identified through reliable diagnostic procedures. - ✔True
What are the exceptions for a possessing a child and transferring for a thing of value? ✔A. Child placing agency pays a fee for transfer of care B. Reimbursement of legal or medical expenses C. Pregnancy related care (T/F) Health care workers who are infected with HIV, or infected with Hepatitis B and are HBeAg positive generally may not perform an exposure prone procedure (what are the exceptions?) - ✔True (if an expert review panel reviews What is the renewal for a physician leaves the state and doesn't renew his or her license: - ✔• A. > 1 year = cancelled license • B. 1-2 years = the physician must reapply as if getting a new license, but it does state the board may reissue a new license to a person whose license was automatically cancelled without examination if it was less than 2 years. • C. > 3 years = physician must apply for a new license and take the JP exam again. Can the TMB reissue a medical license after a felony? - ✔No - under the Texas controlled substances act How often is the DEA renewal? - ✔3 years MPA act applies to? - ✔Only doctors in Texas - not anyone else Who is responsible for tasks delegated by an MD? - ✔The physician Can PA/NP prescribe schedule 2 drugs? - ✔No, but only in certain circumstances (facility) How many years do you have to take the USMLE? - ✔7 years Can an MD with HIV do surgery or exposure prone procedures? - ✔No, only if there is a hospital policy for them and they include that in the consent with the patient (also applies to HBV) What limitations do NP/PA have when prescribing schedule III drugs? - ✔None When can out of state physicians do things? - ✔Episodic consultations (same specialty), for medical school, home health orders for contiguous states Advertising rules? - ✔No false claims, comparisons, no testimonials, no waiving of copayments
Rules for expired licenses? - ✔License cancelled after 1 yr, 1-2 years can petition, 3 years must reapply How often do you renew medical license? - ✔2 years Can you advertise that you are board eligible? - ✔No What is the charge for practicing medicine without a license? - ✔3rd degree felony What can't the board limit for advertising? - ✔Size, duration, name or branding Fee for late renewal in >30 days? >90 days? - ✔75 dollars, 150 dollars How long to notify board for convictions with moral turpitude? - ✔30 days When to notify board for convictions without moral turpitude? - ✔Just when you renew How long do you have to protest a license suspension? - ✔30 days How long do you have to report medicaid fraud or narcotic violations? - ✔30 days (these are like moral turpitude) Who can initiate a disciplinary action/report? - ✔Anyone What is the rule for charging for lab fees? - ✔Amount must be on bill, name and address How much money can you charge for pain and suffering? - ✔250,000 dollars How many PA's can you have? - ✔7 if in private practice, but unlimited if in ER or in hospital setting What are examples that may end up in non-disciplinary actions? - ✔Self reporting of abuse, mental illness, discovery of a dangerous limitation Can the board post your misgivings from the military or another state or country? ✔Yes What is res ipsa loquitur? - ✔Basically that the guilt is obviously on the MD, you don't need an expert witness Who is responsible for the actions of nurses for example in a practice setting? - ✔MD in the clinic, but the hospital is responsible in that setting
Does the board report deferred adjudication? - ✔Yes How should you change reporting rules for deferred adjudication? - ✔None, just report the same. So 30 days or each renewal depending on moral turpitude. Who can bill as a first assist? - ✔Only certified first assists Where does the complaint information need to be posted? - ✔Bills, registration forms, applications, contracts What stipulations does the good samaritan rule apply? - ✔Must have no duty to treat and not bill a fee for services file a complaint with TMB - must clearly display procedure in office, and bills, and registration forms, or contractions , English and Spanish - ✔ Are physicians required to carry malpractice insurance? - ✔No, and you don't even need to notify the board If you have insurance, do you need to notify the board about a malpractice claim? ✔No, the insurance will do it. You need to do it if you don't have insurance. 30 days... What does EMTALA mean for the ER? - ✔Initial stabilization of a life threatening illness, active labor, can only transfer upwards. When can you transfer out an unstable patient? - ✔When the benefits outweighs the risks What is the conviction for falsely accusing someone to board? - ✔Class A misdemeanor Punishments for violation of EMTALA? - ✔50,000 dollars and loss of CMS payments When does the board need to report to employer of its action against you? - ✔The next business day Who can you notify about HIV test results despite confidentiality? - ✔TDSHS and spouse What happens if you get 3 claims in 5 years. - ✔Review of events, possible suspension of license What are the most common reasons for malpractice? - ✔Poor records, self-criticism, ghost surgery, poor communication
How long does the plaintiff have to notify MD before suing? - ✔60 days. What is the statue of limitation for suing? - ✔2 years from breach, or 2 years from discovery, or 2 years after 18 years old Does an informed consent need every risk? - ✔Reasonable patient concerns What level of evidence do you need to be found guilty? - ✔Preponderance of the evidence How many days do you have to produce medical records for a suit? - ✔45 days What if you forgot to include certain information on a consent? - ✔Negligence, not assault or battery How many days until an expert review is needed for a suit? - ✔120 days When can a child consent? - ✔Military, emancipated, STD, drug addiction, pregnant, suicide How much money can exemplary damages be? - ✔Not to exceed 750,000 dollars, or 200,000 whichever is greater When does confidentiality not apply? - ✔When disclosure is authorized by law, billing, or patient imminent danger to self or others What are the convictions for violations of board decisions, solicitation, kickbacks. ✔Class A misdemeanors Who is next for consent for a child if parents not available in emergency? - ✔Adult sibling What drug overdoses need to be reported? - ✔Only those on the penalty group 1 list opiates, PCP, LSD, rophynol, ketamine Who is the next decision maker for an adult? - ✔Spouse Who keeps the triplicates? - ✔MD for 2 yrs, pharmacy for 2 yrs, DPS within 30 days What happens when a spouse disagrees with an advanced directives? - ✔Advanced directive rules Can you give refills for schedule 2 drugs? - ✔No
How many refills can you give for schedule 3-5 drugs? - ✔5 max (or 6 months out) Ways to get your DEA suspended? - ✔Felony, not record keeping, loss of medical license Which tests must be given to pregnant women? - ✔HIV, HBV, syphilis (at first visit and birth) What conviction if you use your DEA for an illegal purpose? - ✔Class C misdemenor How far do you need to be from a pharmacy to charge for medication dispensing? - ✔15 miles and a town <2500, or county <5000 What is special about newborn screening for PKU and thyroid? - ✔Needs parental consent What happens if you give pain medications to a habitual user? - ✔Revocation of license How long to file birth report? - ✔5 days How much meds can a pharmacist give if unable to reach a doc and patient is suffering? - ✔72 hours If parents decline vaccines, can an MD be liable? - ✔No What conviction for transferring a child for money? - ✔3rd degree felony Termination of a patient relationship? - ✔Notification, reasoning, termination date (30 days), provide sources, offer to transfer records What is the omnibus act? - ✔Authorizes NP/PA in underserved areas to administer drugs and practice while physicians need to be available, responsible and do chart reviews and monthly meetings. How long to release medical records when requested? - ✔15 days, can only withhold if they thing it would be deleterious How long to hospitals need to keep records? - ✔10 years Conviction for encouragement of suicide? - ✔Class C misdemeanor, felony if it happens Who can consent for child organ donation if parents not around - ✔Adult sibling
What is a dangerous drug? - ✔A drug that isn't schedule 1-5 and is not safe for selfmedication (OTC) Are physicians liable for civil suits for EMTALA violation? - ✔No, only the hospital What is the hierarchy of decision making? - ✔Advanced directive, spouse, majority decision of adult children Penalty for HIPAA violation? - ✔Civil - 100 dollar per violation, 25,000 dollars per person per year, Criminal 50k and prison and 250k if intent to sell. spouse cannot be partner - ✔Right to participate in care, make decisions, informed consent, formulate directive, confidentiality, records Must one report spousal abuse? - ✔No but must document findings, offer support, give information Medical business law prohibits? - ✔Non-physicians from profiting from the practice of medicine How long do you have to report to CPS? - ✔48 hours Conviction for fail to report elderly abuse? - ✔Class A misdemeanor How soon does an MD need to assess a patient in emergency detention? - ✔12 hours (this can last for 48 hours) Conviction for breach of HIV results? - ✔Class A misdemeanor What if a patient knowingly spreads a communicable disease? - ✔Class B misdemeanor How long does a pediatrician need to keep records? - ✔until 21 years old or for 7 years, whichever is longer What if no family is available for a child? - ✔An adult with written authorization is OK What can't advanced directives say? - ✔Abortions, mental health services, convulsive treatment, psychosurgery What if we change an advanced directive? - ✔Class A misdemeanor Can the state prohibit 1st TM abortions? - ✔No
Can one withhold life sustaining procedures? - ✔Yes, but can't be pregnant, and not feeding or medications (must be witness by 2 people not related to patient) Conviction for testing for HIV without consent? - ✔Class A misdemeanor What is a downside to LLC? - ✔Franchise tax susceptible Can podiatrist or optometrist join an LLC? - ✔Yes Can a psychologist join an LLC with a psychiatrist? - ✔No Key word for PPO - ✔fee for service Key word for HMO - ✔pre-paid enrollees Failure to report child abuse - ✔Class B misdemeanor Failure to report elder abuse - ✔Class A misdemeanor Do parents need to consent to w/u for child abuse? - ✔No, but if child is >16 they can refuse What agency do you report abuse to? - ✔DPRS T/F Nursing home residents must have an exam at least once per year - ✔T Sexual assault victim should report to authorities within: - ✔96hrs # of mandatory unannounced inspections of nursing homes per year? - ✔2 per year gestational agreement must be signed how far in advance? - ✔15 days before T/F: Live born child of attempted abortion can be removed from parent custody? ✔True What can a minor do before having an abortion if she doesn't want parents/guardian to know about it? - ✔Can apply for a court order to allow her to provide sole consent. Who investigates HIPPA investigations? - ✔Secretary of HHS For criminal sanctions (i.e. intentional violations) of HIPAA violations, fine is____for knowingly misusing PHI____for offense committed under false pretenses____for
offense committed with intent to profit/harm - ✔up to $50,000 or 1 yr in prison if knowingly violate; up to $100,000 or 5 yrs if offense committed under false pretense; up to $250,000 or 10 yr in prison if offense committed with intent to profit/harm Indications for mental health arrest/detention? - ✔1) pt has mental illness 2) risk of harm to self/others 3) harm imminent unless admit pt 4) restraint cant be accomplished without emerg detention Sexual assault is what degree felony? - ✔2rd If no family to give consent for autopsy who can give? - ✔Texas Dept of Criminal Justice To meet informed consent for abortion what 3 items must be included - ✔-name of physician -risk of infection -probability of inc risk of cancer associated with terminating preg 3 things you must do if you are treating injuries that you think are caused by family violence - ✔1) document evidence upon which you believe injuries are caused by domestice violence 2) tell pt of nearest family violence shelter 3) give pt notice ab patients rights against aggressor Preliminary Exam under the Mental Health Code must include - ✔-nature of disorder -risk or harm that pt's behavior could cause & that this risk/harm is imminent -statement saying that emergency detention is least restrictive means of restraint if intellectually impaired adult under the care of a doesn't have legal guardian nor surrogate decision maker, then who can make tx decisions? - ✔Surrogate consent committee Commitment hearing must be set by county judge within WHAT TIME FRAME of filing of the petition for court-ordered tx - ✔14 days Probable cause hearing shall be held no later than _____ after the hour when protective custody of chemically dependent indiv begins - ✔72hrs FDA or _____ can approve the use of a new drug (which is any drug thats NOT generally recognized safe or effective) - ✔Texas Health Commissioners Rx for schedule III or IV drugs cant be filled/refilled > ____months after date of issue ✔6
In order to handle radioactive material must have license/exemption from: - ✔Dept of State Health Services OR Texas Natural Resource Conservation Commission Performing autopsy under invalid order is: - ✔Class B Misdemeanor Mutilating or concealing a corpse - ✔Class A misdemeanor Breach in confidentiality regarding HIV status - ✔$5000 fine Penalty for willfully releasing or disclosing a test result to unauthorized person includes ✔actual damages, civil penalty of 5000-10,000, court costs of person bringing forth claim Blood bank cannot report name of HIV+ individual to anyone - ✔True; can report they have communicable disease to other blood banks, can tell hospital anonymous donor was HIV+