When signing prescription drug orders at a facility-based practice site, the advanced practice registered nurse shall:

1. (1) maintain Protocols or other written authorization developed in accordance with facility medical staff policies and review the authorizing documents with the appropriate medical staff at least annually;
2. (2) sign or co-sign prescription drug orders in the facility in which the delegating physician is the medical director, the chief of medical staff, the chair of the credentialing committee, or a department chair; or a physician who consents to the request of the medical director or chief of the medical staff to delegate; and
3. (3) sign or co-sign prescription drug orders for the care or treatment of only those patients for whom physicians have given their prior consent.

Source Note:The provisions of this §222.10 adopted to be effective November 26, 2003, 28 TexReg 10502; amended to be effective February 14, 2010, 35 TexReg 866.