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RULE §193.3Exclusion from the Provisions of this Chapter

The provisions of this chapter shall not restrict physicians from authorizing the provision of patient care by use of pre-established programs under the following circumstances listed in paragraphs (1) - (6) of this section:

  (1) where a patient is institutionalized and the care is to be delivered in a hospital, nursing home, or other institution which has an organized medical staff which has authorized or approved standing delegation orders or standing medical orders;

  (2) where care is rendered in an emergency. Emergency care is that care provided to a person who is unconscious, ill, or injured, when the reasonable apparent circumstances require prompt decisions and actions in care and when the necessity of immediate care is so reasonably apparent that any delay in the rendering of care or treatment would seriously worsen the physical condition or endanger the life of the person;

  (3) where care is rendered as a part of disaster relief and charges for the services are not made;

  (4) where limitation from civil liability is provided under the Texas Civil Practice and Remedies Code, §74.151;

  (5) where first aid care is provided at the site of an injury or as an interim measure prior to transfer of the patient to a medical facility where medical services are available;

  (6) where care rendered is provided by licensed health professional acting within the scope of the licensed profession as defined by Texas Occupations Code Annotated.

Source Note: The provisions of this §193.3 adopted to be effective November 7, 2013, 38 TexReg 7711

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