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

1. (1) maintain Protocols or other written authorization that must be reviewed and signed by both the advanced practice registered nurse and the delegating physician 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) be available during on-site visits by the physician which shall occur at least once every 10 business days that the advanced practice registered nurse is on site providing care.

Source Note:The provisions of this §222.7 adopted to be effective November 26, 2003, 28 TexReg 10502; amended to be effective February 14, 2010, 35 TexReg 866.