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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 133HOSPITAL LICENSING
SUBCHAPTER JHOSPITAL LEVEL OF CARE DESIGNATIONS FOR NEONATAL AND MATERNAL CARE
RULE §133.182Definitions

The following words and terms, when used in this subchapter, shall have the following meanings, unless the context clearly indicates otherwise.

  (1) Attestation--A written statement, signed by the Chief Executive Officer of the facility, verifying the results of a self-survey represent a true and accurate assessment of the facility's capabilities required in this subchapter.

  (2) Birth weight--The weight of the neonate recorded at time of birth.

    (A) Low birth weight--Birth weight less than 2500 grams (5 lbs., 8 oz.);

    (B) Very low birth weight (VLBW)--Birth weight less than 1500 grams (3 lbs., 5 oz.); and

    (C) Extremely low birth weight (ELBW)--Birth weight less than 1000grams (2 lbs., 3 oz.).

  (3) CAP--Corrective Action(s) Plan. A plan for the facility developed by the Office of EMS/Trauma Systems Coordination that describes the actions required of the facility to correct identified deficiencies to ensure compliance with the applicable designation requirements.

  (4) Commission--The Health and Human Services Commission.

  (5) Department--The Department of State Health Services.

  (6) Designation--A formal recognition by the executive commissioner of a facility's neonatal or maternal care capabilities and commitment, for a period of three years.

  (7) EMS--Emergency medical services used to respond to an individual's perceived need for immediate medical care.

  (8) Executive commissioner--The executive commissioner of the Health and Human Services Commission.

  (9) Gestational age--The age of a fetus or embryo at a specific point during a woman's pregnancy.

  (10) High-risk Infant--A newborn that has a greater chance of complications because of conditions that occur during fetal development, pregnancy conditions of the mother, or problems that may occur during labor and/or birth.

  (11) Immediate supervision--The supervisor is actually observing the task or activity as it is performed.

  (12) Immediately--Without delay.

  (13) Infant--A child from birth to 1 year of age.

  (14) Lactation consultant--A health care professional who specializes in the clinical management of breastfeeding.

  (15) Maternal--Pertaining to the mother.

  (16) NCPAP--Nasal continuous positive airway pressure.

  (17) Neonate--An infant from birth through 28 completed days after.

  (18) NMD--Neonatal Medical Director.

  (19) NPM--Neonatal Program Manager.

  (20) Neonatal Resuscitation Program (NRP)--A resuscitation course that was developed and is administered jointly by the American Heart Association/American Academy of Pediatrics.

  (21) Office--Office of Emergency Medical Services (EMS)/Trauma Systems Coordination.

  (22) PCR--Perinatal Care Region.

  (23) Perinatal--Of, relating to, or being the period around childbirth, especially the five months before and one month after birth.

  (24) POC--Plan of Correction. A report submitted to the office by the facility detailing how the facility will correct any deficiencies cited in the survey report or documented in the self-attestation.

  (25) Premature/prematurity--Birth at less than 37 weeks of gestation.

  (26) Postpartum--The six-week period following delivery.

  (27) QAPI Program--Quality Assessment and Performance Improvement Program.

  (28) RAC--Regional Advisory Council as described in §157.123 of this title (relating to Regional Emergency Medical Services/Trauma Systems).

  (29) Supervision--Authoritative procedural guidance by a qualified person for the accomplishment of a function or activity with initial direction and periodic inspection of the actual act of accomplishing the function or activity.

  (30) TSA--Trauma Service Area as described in §157.122 of this title relating to (Trauma Service Areas).

  (31) Urgent--Requiring immediate action or attention.


Source Note: The provisions of this §133.182 adopted to be effective June 9, 2016, 41 TexReg 4011

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