22 Tex. Admin. Code § 221.14 - Nurse-Midwives Providing Controlled Substances
(a) In this section "provide" means to
supply, for a term not to exceed 48 hours, one or more unit doses of a
controlled substance for the immediate needs of a patient;
(b) An advanced practice registered nurse
recognized by the Board as a nurse-midwife may provide one or more unit doses
of a controlled substance during intra-partum or immediate post-partum care
subject to the following conditions:
(1)
Physician delegation of authority to provide controlled substances must be made
through a physician's order, medical order, standing delegation order,
prescriptive authority agreement, or protocol that requires adequate and
documented availability for access to medical care. Delegation may not include
the use of a prescription sticker or the use or issuance of an official
prescription form or the authority to issue an electronic prescription under
§
481.075,
Health and Safety Code;
(2) The
physician's orders, medical orders, standing delegation orders, prescriptive
authority agreements, or protocols must require the reporting of or monitoring
of each patient's progress, including complications of pregnancy and delivery
and the administration and provision of controlled substances by the
nurse-midwife to the patient;
(3)
Delegation is limited to seven nurse-midwives or physician assistants or their
full-time equivalents and the designated facility at which the nurse-midwife or
physician assistant provides care; and
(4) The controlled substance must be supplied
in a suitable container that is labeled in compliance with the applicable drug
laws and must include:
(A) the patient's name
and address;
(B) the drug to be
provided;
(C) the name, address,
and telephone number of the physician;
(D) the name, address, and telephone number
of the nurse-midwife; and
(E) the
date.
Notes
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