| (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.
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