1. (a) The facility shall provide pharmaceutical and therapeutic items in accordance with accepted professional principles and federal and state laws and regulations.
2. (b) Facility staff shall administer medications only when the patient's physician, attending physician, physician assistant (PA) or an advanced practice registered nurse (APRN) orders the medication. Facility staff shall administer medication as ordered.
3. (c) The sponsoring physician shall document and authenticate or countersign all physician, PA, or APRN orders within 15 calendar days from the date the physician, PA or APRN gave the order.
4. (d) The facility shall properly store and safeguard medications maintained in the facility in enclosures of sufficient size, which are not accessible to unauthorized individuals. The facility shall maintain refrigerators used for medication storage with documentation of the appropriate temperatures for such storage.
5. (e) A facility shall maintain emergency medications, as specified by the medical director, to treat the emergency needs of patients.
6. (f) Facility staff shall not prepare medications for administration in the patient's immediate treatment area. The medication preparation area shall include a work counter and a sink in an area to prevent contamination of medicines being prepared for administration.
7. (g) Facility staff shall not take medication vials to a patient station. Facility staff shall not puncture more than once intravenous medication vials labeled for single use.
8. (h) Facility staff shall label medications not given immediately with the patient's name, medication name, dosage prepared, and initials of the staff member preparing the medication. Facility staff shall protect medications not given immediately to prevent contamination and casual access of the prepared medications to unauthorized individuals. The facility staff who prepared the medication shall administer the medication.
9. (i) Facility staff shall not draw saline from the IV bag or tubing in use for the patient and shall prepare saline in a clean medication preparation area separate from potentially contaminated items and surfaces.
10. (j) Licensed nurses, physician assistants, or physicians shall administer all medications except intravenous normal saline, intravenous heparin, subcutaneous lidocaine, topical lidocaine, and oxygen, which may be administered as part of a routine hemodialysis treatment by dialysis technicians qualified according to §507.72 of this chapter (relating to Training Curricula and Instructors) and §507.73 of this chapter (relating to Competency Evaluation). Such administration by dialysis technicians shall comply with Texas Occupations Code Chapter 157 (relating to Authority of Physician to Delegate Certain Medical Acts).

Source Note:The provisions of this §507.47 adopted to be effective December 23, 2025, 50 TexReg 8289.