16 Tex. Admin. Code § 115.1 - Definitions
The following words and terms when used in this chapter have the following meaning unless the context clearly indicates otherwise.
(1) Act--The Texas Midwifery Act, Texas
Occupations Code, Chapter 203.
(2)
Advisory Board--The Midwives Advisory Board appointed by the presiding officer
of the Commission with the approval of the Commission.
(3) Appropriate health care facility--The
Department of State Health Services, a local health department, a public health
district, a local health unit or a physician's office where specified tests can
be administered and read, and where other medical/clinical procedures normally
take place.
(4) Basic midwifery
education course --A course approved by the department to fulfill the education
requirement for obtaining an initial midwife license.
(5) Collaboration--The process in which a
midwife and a physician or another licensed health care professional of a
different profession jointly manage the care of a woman or newborn according to
a mutually agreed-upon plan of care.
(6) Commission--The Texas Commission of
Licensing and Regulation.
(7)
Compensation--Direct or indirect payment of anything of monetary value, except
payment or reimbursement of reasonable, necessary, and actual travel and
related expenses.
(8)
Consultation--The process by which a midwife, who maintains responsibility for
the woman's care, seeks the advice of a physician or another licensed health
care professional or member of the health care team of a different
profession.
(9) CPR
certification--Official documentation of successful completion of a course in
cardiopulmonary resuscitation issued by:
(A)
the American Heart Association, for health care providers;
(B) the Red Cross, for the professional
rescuer;
(C) the National Safety
Council, for healthcare providers and the professional rescuer; or
(D) any other provider of a CPR course for
health care providers currently accepted by the Department of State Health
Services' Office of EMS/Trauma Systems Coordination.
(10) Department--The Texas Department of
Licensing and Regulation.
(11)
Direct supervision--Real-time, in-person observation and guidance by a
preceptor who is physically present and immediately available to provide any
necessary assistance and personally respond to any emergency.
(12) Executive director--The executive
director of the department.
(13)
Health authority--A physician who administers state and local laws regulating
public health under the Health and Safety Code, Chapter 121, Subchapter
B.
(14) Local health unit--A
division of a municipality or county government that provides limited public
health services as provided by the Health and Safety Code, §
121.004.
(15) MANA--The Midwives Alliance of North
America.
(16) MEAC--The Midwifery
Education Accreditation Council.
(17) NARM--The North American Registry of
Midwives.
(18) Newborn care--The
care of a child for the first six weeks of the child's life.
(19) Normal childbirth--The labor and vaginal
delivery at or close to term (37 up to 42 weeks) of a pregnant woman whose
assessment reveals no abnormality or signs or symptoms of
complications.
(20) Physician--A
physician licensed to practice medicine in Texas by the Texas Medical
Board.
(21) Postpartum care--The
care of a woman for the first six weeks after the woman has given
birth.
(22) Preceptor--an
individual who provides direct supervision of a student and is:
(A) a midwife licensed in Texas;
(B) a certified nurse-midwife, as defined in
the Act; or
(C) a physician
licensed in Texas and actively engaged in the practice of obstetrics in an
out-of-hospital setting.
(23) Public health district--A district
created under the Health and Safety Code, Chapter 121, Subchapter E.
(24) Referral--The process by which a midwife
directs the client to a physician or another licensed health care professional
who has current obstetric or pediatric knowledge and who is working under
supervision and delegation of a physician.
(25) Retired midwife--A person holding a
retired voluntary charity care status license under §115.16.
(26) Standing delegation orders--Written
instructions, orders, rules, regulations or procedures prepared by a physician
and designated for a patient population, and delineating under what set of
conditions and circumstances actions should be instituted, as described in the
rules of the Texas Medical Board in 22 Texas Administrative Code, Chapter 193
(relating to Standing Delegation Orders).
(27) Student--A person performing activities
under a basic midwifery education course or a preceptorship to fulfill the
requirements for a midwife license or certification by NARM.
(28) Transfer--The process by which a midwife
relinquishes care of the client for pregnancy, labor, delivery, or postpartum
care or care of the newborn to a physician or another licensed health care
professional who has current obstetric or pediatric knowledge and who is
working under the supervision and delegation of a physician.
(29) Voluntary charity care--Midwifery care
provided without compensation and with no expectation of
compensation.
Notes
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