Texas Register, Volume 35, Number 6, Pages 711-960, February 5, 2010 Page: 788
711-960 p. ; 28 cm.View a full description of this periodical.
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(63) Pyrogen--A fever producing substance. Pyrogens are
most often lipopolysaccharides of gram-negative bacterial origin.
(64) Quality assessment and performance improvement
(QAPI)--An ongoing program which measures, analyzes, and tracks
quality indicators related to improve health outcomes. The program
implements improvement plans and evaluates the implementation
until resolution is achieved.
(65) Registered nurse (RN)--A person who is currently li-
censed by the Texas Board of Nursing as a registered nurse, or who
holds a valid registered nursing license with multi-state licensure priv-
ilege from another compact state.
(66) Self-care patients--In-center patients who perform all
or part of their dialysis treatments.
(67) Social worker--A person who:
(A) is currently licensed as a social worker under the
Occupations Code, Chapter 505, and holds a master's degree from a
graduate school of social work accredited by the Council on Social
Work Education; or
(B) has worked for at least two years as a social worker,
one year of which was in a dialysis facility or transplantation program
prior to September 1, 1976, and has established a consultative relation-
ship with a social worker who has a master's degree from a graduate
school of social work accredited by the Council on Social Work Edu-
cation.
(68) Sorbent regeneration system--A system that regener-
ates dialysate by passing the dialysate through substances that restore
the dialysate to a condition comparable to fresh dialysate.
(69) Station--An area in the facility in which a patient re-
ceives in-center dialysis treatment, or dialysis instruction, (i.e., home
hemodialysis training, or peritoneal dialysis training).
(70) Statute--The Health and Safety Code, Chapter 251.
(71) Supervising nurse (also may be known as the director
of nursing)--A registered nurse who:
(A) has at least 18 months experience as an RN, which
includes at least 12 months experience in dialysis which has been ob-
tained within the last 24 months; or
(B) has at least 18 months experience as an RN, and
holds a current certification from a nationally recognized board in
nephrology nursing or hemodialysis.
(72) 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 accomplish-
ing the function or activity. Immediate supervision means the supervi-
sor is actually observing the task or activity as it is performed. Di-
rect supervision means the supervisor is on the premises but not nec-
essarily immediately physically present where the task or activity is
being performed. Indirect supervision means the supervisor is not on
the premises but is accessible by two-way communication and able to
respond to an inquiry when made, and is readily available for consul-
tation.
(73) Technical supervisor--The supervisor of the facility's
mechanical, reuse and water treatment systems.
(74) Training--The learning of tasks through on-the-job ex-
perience or instruction by an individual who has the capacity through
education or experience to perform the task or activity to be delegated.(75) Ultrafilter--A membrane filter with a pore size in the
range 0.001 to 0.05 micron (pm). Performance is usually rated in terms
of a nominal molecular weight cut off (MWCO), which is defined as
the smallest molecular weight species for which the filter membrane
has more than 90% rejection. Ultrafilters with a nominal MWCO of
20,000 or less are generally adequate for endotoxin removal.
(76) Water distribution systems--Components to include
any storage tanks and piping used to distribute the product water
from the purification cascade to or from its point of use, including
individual hemodialysis machines, dialyzer reprocessing equipment,
and dialysate concentrate preparation systems.
(77) Water treatment system--A collection of water purifi-
cation devices and associated piping, pumps, valves, gauges, etc., that
together produce purified water for hemodialysis applications and de-
liver it to the point of use.
(78) Working day--Any day of the calendar week exclud-
ing Saturday or Sunday or holidays.
This agency hereby certifies that the proposal has been reviewed
by legal counsel and found to be within the agency's legal author-
ity to adopt.
Filed with the Office of the Secretary of State on January 22,
2010.
TRD-201000277
Lisa Hernandez
General Counsel
Department of State Health Services
Earliest possible date of adoption: March 7, 2010
For further information, please call: (512) 458-7111 x6972
SUBCHAPTER B. APPLICATION AND
ISSUANCE OF A LICENSE
25 TAC 117.11 - 117.19
STATUTORY AUTHORITY
The new sections are authorized by Health and Safety Code,
251.003, concerning rules and minimum standards to protect
and promote the public health and welfare by providing for
the issuance, renewal, denial, suspension, and revocation
of each license; Health and Safety Code, Chapter 251; and
Government Code, 531.0055, and Health and Safety Code,
1001.075, which authorize the Executive Commissioner of the
Health and Human Services Commission to adopt rules and
policies necessary for the operation and provision of health and
human services by the department and for the administration
of Health and Safety Code, Chapter 1001. Review of the rules
implements Government Code, 2001.039.
The new sections affect the Health and Safety Code, Chapters
251 and 1001; and Government Code, Chapter 531.
,117.11. General Requirements for a License.
(a) A facility shall obtain a license prior to admitting patients.
(b) A facility shall prominently and conspicuously display the
license in a public area of the licensed premises that is readily visible
to patients, employees, and visitors.
(c) A facility license shall not be altered.35 TexReg 788 February 5, 2010 Texas Register
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Texas. Secretary of State. Texas Register, Volume 35, Number 6, Pages 711-960, February 5, 2010, periodical, February 5, 2010; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth101170/m1/76/: accessed April 24, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.