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Texas Jurisprudence Exam Part 2

Medicine40 CardsCreated 4 months ago

This deck covers key questions and answers from the Texas Jurisprudence Exam, focusing on regulations and procedures related to medical practice in Texas.

How many days do you have to notify the DPS of any change in your information (name, address, tel., etc.)?

7 days
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Key Terms

Term
Definition
How many days do you have to notify the DPS of any change in your information (name, address, tel., etc.)?
7 days
Can you have your DPS suspended and keep your DEA or vice versa?
No, they are interconnected
For schedules 2-5 drugs, can you just put the number of pills on prescription?
No, number and number spelled out
Do you have to put intended use on prescription?
Yes
With how many days of a schedule 2-5 drug can a patient be discharged from the hospital?
7 days; only if the drug was already rx in the hospital
What kind of prescription pad do you need for schedule 2 drugs? Can you use stickers?
Official DPS form; no stickers

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TermDefinition
How many days do you have to notify the DPS of any change in your information (name, address, tel., etc.)?
7 days
Can you have your DPS suspended and keep your DEA or vice versa?
No, they are interconnected
For schedules 2-5 drugs, can you just put the number of pills on prescription?
No, number and number spelled out
Do you have to put intended use on prescription?
Yes
With how many days of a schedule 2-5 drug can a patient be discharged from the hospital?
7 days; only if the drug was already rx in the hospital
What kind of prescription pad do you need for schedule 2 drugs? Can you use stickers?
Official DPS form; no stickers
Can a physician prescribe schedule 2 over the phone?
Yes, for emergencies, and only for the duration of emergency
How many days does the physician have to mail the schedule's emergency prescription to the pharmacy?
7 days
How many days does the patient have to fill schedule 2 prescriptions?
7 days
Can you refill a schedule 2 prescription? How about schedule 3-5?
No for schedule 2. Max 5 refills for schedules 3-5.
Who can call in prescription from a physician's office?
Any qualified DESIGNATED person
Can they call in schedule 2?
Only physician in emergencies
Can a physician prohibit substitutions for generics?
Yes
From whom and how do you order schedule 2? Schedules 3-5?
Schedule 2 on triplicate order form from distributor; schedules 3-5 regular form from wholesaler
What drugs do you need to keep records on? How are the records kept? How often do you need to do inventory? Do you need to submit the records? How long do you have to keep the last inventory list?
If dispensed in office, then all dangerous drugs, schedule drugs and samples; separate records for schedule 1+2; inventory every 2 years; records are not submitted; keep records for 2 years
Who can inspect your drugs?
TMB, DPS, attorney general for the DEA
What is the method of ordering and accounting for drug samples?
Written and signed request by physician; must keep inventory and drug logs
Can you repackage samples?
No
Do you need to keep records on samples?
Yes, just like other meds
Can a physician buy and rebottle? Any exceptions?
No, except for rural areas (less than 5000 population of town or 2500 of municipality, closest pharmacy > 15 miles)
To give anesthesia, how often do you have to register with the board?
Every 2 years
What life support competency do surgeons and anesthesiologists need?
ACLS, PALS, or board-approved course
How many and what competency levels of healthcare providers do you need in all settings?
At least 2 physicians with advanced competency
How many days do you have to report office-based anesthesia-related complications?
15 days
What is considered an anesthesia-related complication?
Admission to hospital within 24 hours or death within 72 hours
What is considered intractable pain?
Pain where cause of pain cannot be removed and where relief or cure has not been found
Can a hospital forbid a physician to give dangerous drugs or controlled substances for treatment of intractable pain?
No
Can the board take disciplinary action against a physician for giving dangerous or controlled substances to a patient with intractable pain?
No
What must the physician document prior to treatment of intractable pain?
Understanding between physician and patient about treatment; dose, type, frequency of medication; consultation with psychologist, psychiatrist, addictions expert
Can you guarantee that a drug will work?
No
Who can be part of a confidential communication?
Persons involved, furthering interest of the patient, and those participating in diagnosis or treatment, e.g., patients, doctors, translators, nurses, etc
Is the billing record confidential?
No, billing record is NOT part of medical record
In a criminal proceeding, is the physician-patient privilege communication confidential?
NO (except for mental health records); judicial ruling should be obtained
In a criminal proceeding, are records of alcohol and drug abuse confidential?
Yes
Does the physician confidentiality apply to court or administrative proceedings brought by the patient against a physician?
No
Can the physician violate confidentiality if he/she thinks he or someone else is in danger?
Yes, must report that to law enforcement agency (NOT for mental health)
What information must a release of medical records include?
Type of records, reason, and person to whom to release
How many days (hospital) or business days (physician) does a hospital/physician have to provide medical records when they are requested?
Physician has 15 business days, hospital has 15 days
What is 'therapeutic privilege,' when can it be used, who has access to the information, and what is the protocol the physician must follow?
If physician thinks that information would be harmful to the patient, it can be withheld; in writing, copy in the chart; films or tests must be released to patient representative
Can the physician charge for medical records and films? For an affidavit? Does he have to give the information if the patient does not pay? What does he do if the patient does not pay?
Yes, can charge $25 for first 20 pages, then 15¢ per page plus postage; notarization $15, films $8; patient MUST pay to get records, 10-day notice