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Texas Occupations Code - Section 157.0541. Prescribing At Alternate Sites

Legal Research Home > Texas Lawyer > Occupations Code > Texas Occupations Code - Section 157.0541. Prescribing At Alternate Sites

§ 157.0541. PRESCRIBING AT ALTERNATE SITES.  (a) In this 
section, "alternate site" means a practice site:
		(1)  where services similar to the services provided at 
the delegating physician's primary practice site are provided;  and
		(2)  located within 60 miles of the delegating 
physician's primary practice site.
	(b)  At an alternate site, a physician licensed by the board 
may delegate to an advanced practice nurse or physician assistant, 
acting under adequate physician supervision, the act of 
administering, providing, or carrying out or signing a prescription 
drug order as authorized through a physician's order, a standing 
medical order, a standing delegation order, or another order or 
protocol as defined by the board.
	(c)  Physician supervision is adequate for the purposes of 
this section if the delegating physician:
		(1)  is on-site with the advanced practice nurse or 
physician assistant at least 20 percent of the time;
		(2)  reviews at least 10 percent of the medical charts 
at the site;  and    
		(3)  is available through direct telecommunication for 
consultation, patient referral, or assistance with a medical 
emergency.
	(d)  An alternate physician may provide appropriate 
supervision to an advanced practice nurse or physician assistant 
under this section on a temporary basis as provided by board rule.
	(e)  The combined number of advanced practice nurses and 
physician assistants to whom a physician may delegate under this 
section and at a primary practice site under Section 157.053 may not 
exceed three physician assistants or advanced practice nurses or 
the full-time equivalent of three physician assistants or advanced 
practice nurses.

Added by Acts 2001, 77th Leg., ch. 112, § 2, eff. May 11, 2001.  
Amended by Acts 2003, 78th Leg., ch. 88, § 6, eff. May 20, 2003.

Last modified: August 10, 2007