| (26) Medical services--Services provided or delegated
by a physician acting within the scope of the physician's practice,
as described in Texas Occupations Code Title 3, Subtitle B (the Medical
Practice Act).
(27) Mental illness--An illness, disease, or condition
(other than epilepsy, dementia, substance-related and addictive disorders,
or intellectual disability) that:
(A) substantially impairs an individual's thought,
perception of reality, emotional process, or judgment; or
(B) grossly impairs an individual's behavior as demonstrated
by recent disturbed behavior.
(28) Minor--An individual under 18 years of age.
(29) Monitoring--One or more staff members observing
a patient on a continual basis or at pre-determined intervals and
intervening when necessary to protect the patient from harming self
or others.
(30) Neurological screening--A screening to assess
an individual's neurological functioning.
(31) Nosocomial infection--A hospital-acquired infection
of a patient.
(32) Nursing services--Services provided by, assigned
to an LVN by, or delegated to unlicensed assistive personnel (UAP)
by an RN acting within the scope of the RN's practice, as described
in Texas Occupations Code Chapter 301.
(33) Nursing staff--Staff members of a hospital who
are registered nurses, licensed vocational nurses, or UAP.
(34) Occupational therapist--An individual who is licensed
as an occupational therapist by the Texas Board of Occupational Therapy
Examiners in accordance with Texas Occupations Code Chapter 454.
(35) Pre-admission screening professional (PASP)--A
staff member whose responsibilities include conducting a pre-admission
screening and who is:
(A) a physician;
(B) a physician assistant;
(C) a registered nurse;
(D) a licensed psychologist;
(E) a psychological associate;
(F) a licensed social worker;
(G) a licensed professional counselor; or
(H) a licensed marriage and family therapist.
(36) Patient--An individual who has been admitted to
a hospital and has not been discharged.
(37) Physician--An individual who is licensed as a
physician by the Texas Medical Board in accordance with Texas Occupations
Code Chapter 155 or otherwise authorized to perform medical acts under
that chapter.
(38) Physician assistant--An individual who is licensed
as a physician assistant by the Texas Physician Assistant Board in
accordance with Texas Occupations Code Chapter 204.
(39) Pre-admission screening--The clinical process
used to gather information from a prospective patient, including a
medical history, any history of substance use, and the problem for
which the prospective patient is seeking treatment, to determine if
a physician should conduct an admission examination.
(40) Prospective patient--An individual:
(A) for whom a request for voluntary admission has
been made, in accordance with §568.22(a) of this chapter (relating
to Voluntary Admission); or
(B) who has been accepted by a hospital for a preliminary
examination, in accordance with §568.23(a) of this chapter (relating
to Emergency Detention).
(41) Psychological associate--An individual who is
licensed as a psychological associate by the Texas Behavioral Health
Executive Council in accordance with Texas Occupations Code Chapter
501.
(42) Psychological services--Services provided by a
psychologist or psychological associate acting within the scope of
the psychologist's practice, as described in Texas Occupations Code
Chapter 501.
(43) Psychologist--An individual who is licensed as
a psychologist by the Texas State Behavioral Health Executive Council
in accordance with Texas Occupations Code Chapter 501.
(44) Registered nurse (RN)--An individual who is licensed
as an RN by the Texas Board of Nursing in accordance with Texas Occupations
Code Chapter 301.
(45) Sentinel event--Any of the following occurrences:
(A) the death of a patient;
(B) the serious physical injury of a patient;
(C) the serious psychological injury of a patient;
or
(D) circumstances that present the imminent risk of
death, serious physical injury, or serious psychological injury of
a patient.
(46) Social services--Services provided by:
(A) a licensed master social worker or licensed social
worker acting within the scope of the social worker's practice, as
described in Texas Occupations Code Chapter 505; or
(B) a licensed professional counselor acting within
the scope of the professional counselor's practice, as described in
Texas Occupations Code Chapter 503.
(47) Stabilize--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 hospital
or, if the emergency medical condition for a woman is that she is
in labor, that the woman has delivered the child and the placenta.
(48) Staff members--All personnel of a hospital including
full-time and part-time employees, contractors, students, volunteers,
and professionals granted privileges by the hospital.
(49) Substance-related disorder--The use of one or
more drugs, including alcohol, which significantly and negatively
impacts one or more major areas of life functioning and which currently
meets the criteria for substance-related and addictive disorders as
described in the DSM. May also be known as a substance use disorder,
substance abuse disorder, or addictive disorder.
(50) TAC--The Texas Administrative Code.
(51) Therapeutic activity--One of the following structured
activities designed to develop, restore or maintain a patient's optimal
level of physical and psychosocial functioning:
(A) recreational therapy provided by a therapeutic
recreation specialist;
(B) physical therapy, speech therapy, or occupational
therapy, provided by a licensed staff member acting within the scope
of the staff member's practice;
(C) art therapy provided by a staff member who is a
Board-Certified Art Therapist;
(D) music therapy provided by a staff member who is
a Board-Certified Music Therapist; or
(E) psychosocial or leisure activities provided by
qualified staff members.
(52) Therapeutic recreation specialist--An individual
who is certified as a therapeutic recreation specialist by the Texas
Consortium for Therapeutic Recreation/Activities Certification or
a certified therapeutic recreation specialist by the National Council
for Therapeutic Recreation Certification.
(53) Treating physician--A physician who coordinates
and oversees the implementation of a patient's treatment plan.
(54) Unit--A discrete and identifiable area of a hospital
that includes patients' rooms or other patient living areas and is
separated from another similar area:
(A) by a locked door;
(B) by a floor; or
(C) because the other similar area is in a different
building.
(55) Unlicensed assistive personnel (UAP)--An individual,
not licensed as a health care provider, who provides certain health
related tasks or functions in a complementary or assistive role to
a registered nurse in providing direct patient care or carrying out
common nursing functions.
(56) Voluntary patient--A patient who is receiving
inpatient mental health treatment based on an admission made in accordance
with:
(A) §568.22 of this chapter (relating to Voluntary
Admission); or
(B) §568.26 of this chapter (relating to Voluntary
Treatment Following Involuntary Admission).
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