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

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

   1. (A) Low birth weight--Birth weight less than 2500 grams (5 lbs., 8 oz.);
   2. (B) Very low birth weight (VLBW)--Birth weight less than 1500 grams (3 lbs., 5 oz.); and
   3. (C) Extremely low birth weight (ELBW)--Birth weight less than 1000grams (2 lbs., 3 oz.).
3. (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. (4) Commission--The Health and Human Services Commission.
5. (5) Department--The Department of State Health Services.
6. (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. (7) EMS--Emergency medical services used to respond to an individual's perceived need for immediate medical care.
8. (8) Executive commissioner--The executive commissioner of the Health and Human Services Commission.
9. (9) Gestational age--The age of a fetus or embryo at a specific point during a woman's pregnancy.
10. (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. (11) Immediate supervision--The supervisor is actually observing the task or activity as it is performed.
12. (12) Immediately--Without delay.
13. (13) Infant--A child from birth to 1 year of age.
14. (14) Lactation consultant--A health care professional who specializes in the clinical management of breastfeeding.
15. (15) Maternal--Pertaining to the mother.
16. (16) NCPAP--Nasal continuous positive airway pressure.
17. (17) Neonate--An infant from birth through 28 completed days after.
18. (18) NMD--Neonatal Medical Director.
19. (19) NPM--Neonatal Program Manager.
20. (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. (21) Office--Office of Emergency Medical Services (EMS)/Trauma Systems Coordination.
22. (22) PCR--Perinatal Care Region.
23. (23) Perinatal--Of, relating to, or being the period around childbirth, especially the five months before and one month after birth.
24. (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. (25) Premature/prematurity--Birth at less than 37 weeks of gestation.
26. (26) Postpartum--The six-week period following delivery.
27. (27) QAPI Program--Quality Assessment and Performance Improvement Program.
28. (28) RAC--Regional Advisory Council as described in §157.123 of this title (relating to Regional Emergency Medical Services/Trauma Systems).
29. (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. (30) TSA--Trauma Service Area as described in §157.122 of this title relating to (Trauma Service Areas).
31. (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.