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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 550LICENSING STANDARDS FOR PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS
SUBCHAPTER APURPOSE, SCOPE, LIMITATIONS, COMPLIANCE, AND DEFINITIONS
RULE §550.5Definitions

      (iv) for a medical condition diagnosed by a physician; and

    (B) not used as a restraint to modify or control behavior.

  (84) Protocol of care--A comprehensive, interdisciplinary plan of care that includes the medical physician's plan of care, nursing care plan and protocols, psychosocial needs, and therapeutic and developmental service needs required by a minor and family served.

  (85) Psychologist--A person who has a valid license under Texas Occupations Code, Chapter 501, as a psychologist.

  (86) Psychosocial treatment--The provision of skilled services to a minor under the direction of a physician that includes one or more of the following:

    (A) assessment of alterations in mental status or evidence of suicide ideation or tendencies;

    (B) teaching coping mechanisms or skills;

    (C) counseling activities; or

    (D) evaluation of a plan of care.

  (87) Public health disaster declaration--A governor's announcement based on a determination by the Department of State Health Services that there exists an immediate threat from a communicable disease that:

    (A) poses a high risk of death or serious long-term disability to a large number of people; and

    (B) creates a substantial risk of public exposure because of the disease's high level of contagion or the method by which the disease is transmitted.

  (88) Quiet time--A behavior management technique used to provide a minor with an opportunity to regain self-control, where the minor enters and remains for a limited period of time in a designated area from which egress is not prevented.

  (89) Recovery--Activities implemented during and after a disaster response, including a public health disaster response, designed to return a center to its normal operations as quickly as possible.

  (90) Relocation--The closing of a center and the movement of its business operations to another location.

  (91) Respiratory therapist--A person who has a valid license under Texas Occupations Code, Chapter 604, as a respiratory care practitioner.

  (92) Response--Actions taken immediately before an impending disaster or during and after a disaster, including a public health disaster, to address the immediate and short-term effects of the disaster.

  (93) Restraint--Physical restraint, chemical restraint, or mechanical restraint.

  (94) RN--Registered nurse. A person who has a valid license under Texas Occupations Code, Chapter 301, to practice professional nursing.

  (95) RN delegation--Delegation of tasks by an RN in accordance with 22 TAC Chapter 224 (relating to Delegation of Nursing Tasks by Registered Professional Nurses to Unlicensed Personnel for Clients with Acute Conditions or in Acute Care Environments).

  (96) Sedation--The act of allaying nervous excitement by administering medication that commonly induces the nervous system to calm. Sedation is a protective device.

  (97) Social worker--A person who has a valid license under Texas Occupations Code, Chapter 505, as a social worker.

  (98) Speech-language pathologist--A person who has a valid license under Texas Occupations Code, Chapter 401, as a speech-language pathologist.

  (99) Substantial compliance--A finding in which a center receives no recommendation for enforcement action after an inspection.

  (100) Supervision--Authoritative procedural guidance by a qualified person that instructs another person and assists in accomplishing a function or activity. Supervision includes initial direction and periodic inspection of the actual act of accomplishing the function or activity.

  (101) Support services--Social, spiritual, and emotional care provided to a minor and a minor's parent by a center.

  (102) THSC--Texas Health and Safety Code.

  (103) Total census--The total number of minors with active plans of care at a center.

  (104) Transition support--Planning, coordination, and assistance to move the location of services provided to a minor from a center to the least restrictive setting appropriate.

  (105) Violation--A finding of noncompliance with this chapter or THSC Chapter 248A resulting from an inspection.

  (106) Volunteer--An individual who provides assistance to a center without compensation other than reimbursement for actual expenses.


Source Note: The provisions of this §550.5 adopted to be effective September 1, 2014, 39 TexReg 6569; amended to be effective September 28, 2016, 41 TexReg 7512; amended to be effective October 11, 2017, 42 TexReg 5492; amended to be effective October 28, 2018, 43 TexReg 7186; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1875

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