Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 193 - STANDING DELEGATION ORDERS
Section 193.18 - Pronouncement of Death

Universal Citation: 22 TX Admin Code ยง 193.18

Current through Reg. 49, No. 38; September 20, 2024

(a) Purpose. These rules are promulgated under the authority of the Medical Practice Act, § 157.001, to allow physicians to receive information from Texas licensed vocational nurses through electronic communication for the purpose of making a pronouncement of death. Electronic communication includes, but is not limited to telephone, facsimile transmission, or electronic mail.

(b) Do not resuscitate order. A do not resuscitate (DNR) order must be kept in the patient's file.

(c) Required information. In order to make a pronouncement of death through electronic communication, a physician must receive, at a minimum, the following information regarding the condition of the patient:

(1) absence of palpable pulse for a minimum of 60 seconds;

(2) absence of discernible blood pressure for a minimum of 60 seconds;

(3) absence of evidence of respiration for a minimum of 60 seconds;

(4) absence of evidence of heartbeat for a minimum of 60 seconds; and

(5) other information as the physician may require.

(d) Follow-up by physician. If a physician makes a pronouncement of death based on information received pursuant to subsection (c) of this section, the physician retains responsibility for all acts related to this pronouncement.

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