26 Tex. Admin. Code § 511.52 - Surgical Services within the Scope of the Practice of Emergency Medicine
(a) A limited
services rural hospital (LSRH) shall limit the surgical procedures performed at
the LSRH to procedures the governing body approved upon the medical staff's
recommendation.
(b) Adequate
supervision of surgical procedures conducted in the LSRH shall be:
(1) a responsibility of the governing
body;
(2) recommended by medical
staff; and
(3) provided by
appropriate medical staff.
(c) An LSRH shall only perform surgical
procedures when:
(1) a physician, dentist,
podiatrist, or other practitioner licensed to perform surgical procedures in
Texas performs the procedure;
(2)
the governing body granted privileges to the physician, dentist, podiatrist, or
other practitioner, practicing within the scope of their license and education,
to perform surgical procedures;
(3)
the LSRH's medical staff recommended the surgical procedure; and
(4) the governing body has medically reviewed
the physician's, dentist's, podiatrist's, or other practitioner's documented
education, training, experience, and current competence.
(d) An LSRH shall periodically review
surgical procedures to be performed in the LSRH as part of the peer review
portion of the LSRH's quality assessment and performance improvement program by
physically observing planned surgical procedures.
(e) An LSRH shall incorporate an appropriate
patient history, physical examination, and pertinent preoperative diagnostic
studies into the patient's medical record before surgical procedures.
(f) Unless otherwise provided by law, the
LSRH shall discuss the proposed surgical procedure's necessity or
appropriateness, as well as any available alternative treatment techniques,
with the patient or the patient's legally authorized representative, as
applicable, before the surgical procedure.
(g) Unless otherwise provided by law, the
LSRH shall obtain the informed consent of the patient or, if applicable, of the
patient's legally authorized representative before a surgical procedure is
performed. When the LSRH is unable to obtain informed consent before an
emergency surgery, the LSRH shall document in the patient's medical record the
reason or reasons why the LSRH was unable to obtain the informed
consent.
(h) With the exception of
those tissues exempted by the governing body after medical review, a
pathologist shall examine tissues removed and sign or authenticate the report
of the examination for the patient's medical record.
(i) A description of the findings and
techniques of surgical procedures shall be accurately and completely
incorporated into the patient's medical record immediately after the procedure
by the physician or practitioner who performed the procedure. If the
description is dictated, an accurate written summary shall be immediately
available to the physicians and practitioners providing patient care and shall
become a part of the patient's medical record.
(j) The LSRH shall allow patients who have
received anesthesia, other than solely topical anesthesia, to leave the
facility only in the company of a responsible adult, unless the physician,
physician assistant, or an advanced practice registered nurse writes an order
that the patient may leave without the company of a responsible
adult.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.