| (v) there is a single chief medical officer for all
of the hospital locations under the license who reports directly to
the governing body and who is responsible for all medical staff activities
of the hospital;
(vi) each hospital location to be included under the
license that is geographically separate from the other hospital locations
contains at least one nursing unit for inpatients which is staffed
and maintains an active inpatient census, unless providing only diagnostic
or laboratory services, or a combination of diagnostic or laboratory
services, in the building for hospital inpatients; and
(vii) each hospital that is to be included in the license
complies with the emergency services standards:
(I) for a general hospital, if the hospital provides
surgery or obstetrical care or both; or
(II) for a special hospital, if the hospital does not
provide surgery or obstetrical care.
(48) Presurvey conference--A conference held with department
staff and the applicant or the applicant's representative to review
licensure rules and survey documents and provide consultation prior
to the on-site licensure inspection.
(49) Psychiatric disorder--A clinically significant
behavioral or psychological syndrome or pattern that occurs in an
individual and that is typically associated with either a painful
syndrome (distress) or impairment in one or more important areas of
behavioral, psychological, or biological function and is more than
a disturbance in the relationship between the individual and society.
(50) Quality improvement--A method of evaluating and
improving processes of patient care which emphasizes a multidisciplinary
approach to problem solving, and focuses not on individuals, but systems
of patient care which might be the cause of variations.
(51) Registered nurse (RN)--A person who is currently
licensed by the Texas Board of Nursing for the State of Texas as a
registered nurse or who holds a valid registered nursing license with
multi-state licensure privilege from another compact state.
(52) SAFE-ready facility--A facility designated by
the Health and Human Services Commission as a sexual assault forensic
(53) Sexual assault forensic examiner--A certified
sexual assault nurse examiner or a physician with specialized training
on conducting a forensic medical examination.
(54) Sexual assault survivor--An individual who is
a victim of a sexual assault, regardless of whether a report is made
or a conviction is obtained in the incident.
(55) Special hospital--An establishment that:
(A) offers services, facilities, and beds for use for
more than 24 hours for two or more unrelated individuals who are regularly
admitted, treated, and discharged and who require services more intensive
than room, board, personal services, and general nursing care;
(B) has clinical laboratory facilities, diagnostic
X-ray facilities, treatment facilities, or other definitive medical
(C) has a medical staff in regular attendance; and
(D) maintains records of the clinical work performed
for each patient.
(56) Stabilize--With respect to an emergency medical
condition, to provide such medical treatment of the condition necessary
to assure, within reasonable medical probability, that no material
deterioration of the condition is likely to result from or occur during
the transfer of the individual from a facility, or that the woman
has delivered the child and the placenta.
(57) Surgical technologist--A person who practices
surgical technology as defined in Health and Safety Code, Chapter
(58) Transfer--The movement (including the discharge)
of an individual outside a hospital's facilities at the direction
of any person employed by (or affiliated or associated, directly or
indirectly, with) the hospital, but does not include such a movement
of an individual who has been declared dead, or leaves the facility
without the permission of any such person.
(59) Universal precautions--Procedures for disinfection
and sterilization of reusable medical devices and the appropriate
use of infection control, including hand washing, the use of protective
barriers, and the use and disposal of needles and other sharp instruments
as those procedures are defined by the Centers for Disease Control
and Prevention (CDC) of the Department of Health and Human Services.
This term includes standard precautions as defined by CDC which are
designed to reduce the risk of transmission of blood borne and other
pathogens in hospitals.
(60) Violation--Failure to comply with the licensing
statute, a rule or standard, special license provision, or an order
issued by the executive commissioner of health and human services
(executive commissioner) or the executive commissioner's designee,
adopted or enforced under the licensing statute. Each day a violation
continues or occurs is a separate violation for purposes of imposing
|Source Note: The provisions of this §133.2 adopted to be effective June 21, 2007, 32 TexReg 3587; amended to be effective December 9, 2010, 35 TexReg 10716; amended to be effective November 11, 2012, 37 TexReg 8809; amended to be effective September 14, 2014, 39 TexReg 7140; amended to be effective September 20, 2018, 43 TexReg 5952; amended to be effective February 2, 2020, 45 TexReg 555