Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 193 - STANDING DELEGATION ORDERS
Section 193.6 - Delegation of Prescribing and Ordering Drugs and Devices
Universal Citation: 22 TX Admin Code ยง 193.6
Current through Reg. 49, No. 38; September 20, 2024
(a) Pursuant to § 157.0511 of the Act, a physician's authority to delegate the prescribing or ordering of a drug or device is limited to:
(1) nonprescription
drugs;
(2) dangerous drugs;
and
(3) controlled substances to
the extent provided in subsections (b) and (c) of this section.
(b) A physician may delegate the prescribing or ordering of a controlled substance only if:
(1) the prescription is for a controlled
substance listed in Schedule III, IV, or V as established by the commissioner
of the Department of State Health Services under Chapter 481 of the Texas
Health and Safety Code;
(2) the
prescription, including a refill of the prescription, is for a period not to
exceed 90 days;
(3) with regard to
the refill of a prescription, the refill is authorized after consultation with
the delegating physician and the consultation is noted in the patient's chart;
and
(4) with regard to a
prescription for a child less than two years of age, the prescription is made
after consultation with the delegating physician and the consultation is noted
in the patient's chart.
(c) A physician may delegate the prescribing or ordering of a controlled substance listed in Schedule II as established by the commissioner of the Department of State Health Services under Chapter 481, Health and Safety Code, only:
(1) in a
hospital facility-based practice under § 157.054 of the Act, in accordance
with policies approved by the hospital's medical staff or a committee of the
hospital's medical staff as provided by the hospital bylaws to ensure patient
safety, and as part of the care provided to a patient who:
(A) has been admitted to the hospital for an
intended length of stay of 24 hours or greater; or
(B) is receiving services in the emergency
department of the hospital; or
(2) as part of the plan of care for the
treatment of person who has executed a written certification of a terminal
illness, has elected to receive hospice care, and is receiving hospice
treatment from a qualified hospice provider.
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