Texas Administrative Code › Title 25 - HEALTH SERVICES › Part 1 - DEPARTMENT OF STATE HEALTH SERVICES › Chapter 133 - HOSPITAL LICENSING › Subchapter A - GENERAL PROVISIONS › Section 133.2 - 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, unless the context clearly indicates
					 otherwise.
(1) Act--The Texas Hospital
				  Licensing Law, Health and Safety Code (HSC), Chapter 241.
(2) Action plan--A written document that
				  includes specific measures to correct identified problems or areas of concern;
				  identifies strategies for implementing system improvements; and includes
				  outcome measures to indicate the effectiveness of system improvements in
				  reducing, controlling or eliminating identified problem areas.
(3) Advanced practice registered nurse
				  (APRN)--A registered nurse who is currently licensed and authorized by the
				  Texas Board of Nursing to practice as a nurse practitioner, nurse-midwife,
				  nurse anesthetist, or clinical nurse specialist.
(4) 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.
(5) Applicant--The person legally responsible
				  for the operation of the hospital, whether by lease or ownership, who seeks a
				  hospital license from the department.
(6) Attending physician--A physician selected
				  by or assigned to a patient who has primary responsibility for a patient's
				  treatment and care.
(7)
				  Available--When referring to on-site personnel, on the premises and able to
				  rapidly perform hands-on care in an emergency situation.
(8) Cardiopulmonary resuscitation--Any
				  medical intervention used to restore circulatory or respiratory function that
				  has ceased.
(9) 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, but is not limited to, 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.
(10) 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.
(11) 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.
(12) Comprehensive medical rehabilitation
				  hospital--A general hospital that specializes in providing comprehensive
				  medical rehabilitation services, including surgery and related ancillary
				  services.
(13) Comprehensive
				  medical rehabilitation unit--An identifiable part of a hospital which provides
				  comprehensive medical rehabilitation services to patients admitted to the
				  unit.
(14) Cooperative
				  agreement--An agreement among two or more hospitals for the allocation or
				  sharing of health care equipment, facilities, personnel, or services.
(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) Department--The Department of State
				  Health Services, 1100 West 49th Street, Austin, Texas 78756-3199.
(17) Dietitian--A person who is currently
				  licensed by the Texas State Board of Examiners of Dietitians as a licensed
				  dietitian or provisional licensed dietitian, or who is a registered dietitian
				  with the American Dietetic Association.
(18) Director--The hospital licensing
				  director, Department of State Health Services.
(19) Do Not Resuscitate (DNR) order--An order
				  issued in a hospital under Health and Safety Code, 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.
(20) 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 woman, the health of the woman 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 woman who is
				  having contractions:
(i) that there is
				  inadequate time to effect a safe transfer to another hospital before delivery;
				  or
(ii) that transfer may pose a
				  threat to the health or safety of the woman or the unborn child.