Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 511 - LIMITED SERVICES RURAL HOSPITALS › Subchapter A - GENERAL PROVISIONS › Section 511.2 - Definitions

Current through Reg. 49, No. 28; July 12, 2024
The following words and terms, when used in this chapter,
					 shall have the following meanings.
(1)
				  Act--The Texas Hospital Licensing Law, Texas Health and Safety Code (HSC),
				  Chapter 241.
(2) Actual harm--A
				  negative outcome that compromises a patient's physical, mental, or emotional
				  well-being.
(3) Advance
				  directive--A directive, as that term is defined by HSC §166.031 (relating
				  to Definitions), an out-of-hospital do not resuscitate (DNR) order as that term
				  is defined by HSC §166.081 (relating to Definitions), or a medical power
				  of attorney under HSC Chapter 166, Subchapter D (relating to Medical Power of
				  Attorney).
(4) Advanced practice
				  registered nurse (APRN)--A registered nurse authorized by the Texas Board of
				  Nursing to practice as an advanced practice registered nurse in Texas. The term
				  includes a nurse practitioner, nurse midwife, nurse anesthetist, and clinical
				  nurse specialist. The term is synonymous with "advanced nurse
				  practitioner."
(5) Adverse
				  event--An event that results in unintended harm to the patient by an act of
				  commission or omission rather than by the underlying disease or condition of
				  the patient.
(6) Applicant--A
				  person who seeks a limited services rural hospital (LSRH) license from the
				  Texas Health and Human Services Commission (HHSC) and is legally responsible
				  for the operation of the LSRH, whether by lease or ownership.
(7) Attending physician--A physician selected
				  by or assigned to a patient who has primary responsibility for a patient's
				  treatment and care.
(8)
				  Available--When referring to on-site personnel, on the premises and able to
				  rapidly perform hands-on care in an emergency situation.
(9) Biological indicators--Commercially
				  available microorganisms (e.g., United States Food and Drug Administration
				  approved strips or vials of Bacillus species endospores).
(10) Cardiopulmonary resuscitation--Any
				  medical intervention used to restore circulatory or respiratory function that
				  has ceased.
(11) Chemical
				  dependency services--A planned, structured, and organized program designed to
				  initiate and promote a person's chemical-free status or to maintain the person
				  free of illegal drugs. It includes the application of planned procedures to
				  identify and change patterns of behavior related to or resulting from chemical
				  dependency that are maladaptive, destructive, or injurious to health, or to
				  restore appropriate levels of physical, psychological, or social functioning
				  lost due to chemical dependency.
(12) Competent--Possessing the ability, based
				  on reasonable medical judgment, to understand and appreciate the nature and
				  consequences of a treatment decision, including the significant benefits and
				  harms of and reasonable alternatives to a proposed treatment
				  decision.
(13) Comprehensive
				  medical rehabilitation--The provision of rehabilitation services that are
				  designed to improve or minimize a person's physical or cognitive disabilities,
				  maximize a person's functional ability, or restore a person's lost functional
				  capacity through close coordination of services, communication, interaction,
				  and integration among several professions that share responsibility to achieve
				  team treatment goals for the person.
(14) Contaminated linen--Linen that has been
				  soiled with blood or other potentially infectious materials or may contain
				  sharps.
(15) Dentist--A person
				  licensed to practice dentistry by the Texas State Board of Dental Examiners.
				  This includes a doctor of dental surgery or a doctor of dental
				  medicine.
(16) Dietitian--A person
				  who is currently licensed by the Texas Department of Licensing and Regulation
				  as a licensed dietitian or provisional licensed dietitian, or who is a
				  registered dietitian with the Academy of Nutrition and Dietetics.
(17) Do not resuscitate (DNR) order--An order
				  issued under HSC Chapter 166, Subchapter E (relating to Health Care Facility
				  Do-Not-Resuscitate Orders), instructing a health care professional not to
				  attempt cardiopulmonary resuscitation on a patient whose circulatory or
				  respiratory function ceases.
(18)
				  Emergency medical condition--A medical condition manifesting itself by acute
				  symptoms of sufficient severity (including severe pain, psychiatric
				  disturbances or symptoms of substance abuse) such that the absence of immediate
				  medical attention could reasonably be expected to result in one or all of the
				  following:
(A) placing the health of the
				  individual (or with respect to a pregnant individual, the health of the
				  pregnant individual or her unborn child) in serious jeopardy;
(B) serious impairment to bodily
				  functions;
(C) serious dysfunction
				  of any bodily organ or part; or
(D)
				  with respect to a pregnant individual who is having contractions:
(i) that there is inadequate time to safely
				  transfer to another hospital before delivery; or
(ii) that transfer may pose a threat to the
				  health or safety of the pregnant individual or the unborn child.