Exam (elaborations) Texas JP

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 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 No 7/12/25, 2:20 PM Texas JP Exam 2/50 pain? 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? Person 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 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 Physician has 15 business days, hospital has 15 days 7/12/25, 2:20 PM Texas JP Exam 3/50 records when they are requested? What is theraputic privilege when can it be used, who has access to the information, and at 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 fir furst 20 pages, then 15 cents per page plus postage; notarization $15, films $8; patient MUST pay to get records, 10-day notice Can yuo charge a patient requesting records in order to apply for disability or public aid? How any copies are patients entitiled to? Can you charge if federal agency is requesting records? No; one copy; no How many years does a physician MD have to keep records for adults? for minors? How many years do hospitals have to keep records for adults? for minors? 7 years for adults, 7 years or until age 21; hospital 10 years Can a physician or hospital get rid of records after the required years if these records might be part of a litigation? No 7/12/25, 2:20 PM Texas JP Exam 4/50 Can you relate information without patient consent for treatment? Billing? To report abuse? To law enforcement? For funeral directions? For worker's comp? Yes, all of the above What is the miinimum necessary standard for a medical release? It protects health care information unless it is required to be released (investigation, law enforcement, authorized release, participating care providers, HIPAA compliant release) Does a patient have the right to see his/her own record? Can he/she ask for amendments to the records? Yes; yes, they can request amendments What is the Texas medical record privacy act? Is it like HIPAA? It is the state equivalent of HIPAA Within how many days must a hospital send an itemized bill to patients? Is this mandatory? Or done by request? When must the hospital inform patients of this option? Upon request, within 30 business days; hospital must inform patient of availability of itemized bill Can medical records be obtained with a subpoena? Does this include substance- abuse records? Yes; no Are substance abuse records admissible during criminal proceedings? No, unless the crime is EXTREMELY serious Is HIV information confidential? Yes Can you break confidentiality in order to Yes 7/12/25, 2:20 PM Texas JP Exam 5/50 tell a spouse that his/her spouse is HIV positive? Can you break confidentiality to tell a partner about notification program? Yes Are blood bank records confidential? Yes If a blood bank finds a donor with an infectious disease, can they call other blood banks and tell them the name of the donor and the disease? They can tell name of donor, NOT disease If a blood bank finds that blood outbound to hospitals is HIV positive, can they call the hospitals and give name of the donor? Type of disease? Yes, but not names or other identifying information Is genetic information confidential? Yes Can patients have access to the results of their genetic testing? Yes What king of crime is the unauthorized release of records? MisdemeanorN Can the Texas Medical Board (TMB) show preference to a specific school of medicine such as medicine v. osteopathy? No What does the Medical Practice Act (MPA) regulate? The practice of medicine