1. (a) When delegating any medical act, a delegating physician must comply with Chapter 157 of the Act. Delegation must be through written protocols or prescriptive authority agreements depending on the type of delegate and the medical acts being delegated.

2. (b) General standards for Standing Delegation Orders, Standing Medical Orders, and Protocols require:

   1. (1) development and approval by the delegating physician or in accordance with facility bylaws and policies;
   2. (2) the order or protocol to be in writing and signed by the delegating physician;
   3. (3) a description of the specific instructions, orders, protocols, or procedures to be followed,
   4. (4) a notation of the level of supervision required, unless specified by other law;
   5. (5) plans for addressing patient emergencies;
   6. (6) annual review signed by the delegating physician; and
   7. (7) maintenance at the facility or practice site.
3. (c) These requirements may be different or modified as set out in the specific subchapters below. The specific provisions in a subchapter control over the general standards.

Source Note:The provisions of this §169.2 adopted to be effective January 9, 2025, 50 TexReg 342.