When carrying out or signing prescription drug orders at a site serving a medically underserved population, the advanced practice nurse shall:

1. (1) maintain Protocols or other written authorization, reviewing the authorizing documents with the physician and updating signatures of agreement at least annually;
2. (2) have access to the delegating physician or alternate delegating physician for consultation, assistance with medical emergencies, or patient referral;
3. (3) provide a daily status report to the physician on any problems or complications encountered that are not covered by protocol; and
4. (4) shall be available during on-site visits by the physician which shall occur at least every 10 business days that the advanced practice nurse is on site providing care.

Source Note:The provisions of this §222.5 adopted to be effective February 25, 2001, 26 TexReg 1512.