# 22 Tex. Admin. Code § 222.6: 22 TAC § 222.6. Prescribing at Facility-Based Practices

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_6

## Section

- **Citation:** 22 Tex. Admin. Code § 222.6
- **Heading:** 22 TAC § 222.6. Prescribing at Facility-Based Practices
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 22 EXAMINING BOARDS / Part 11 TEXAS BOARD OF NURSING / Chapter 222 ADVANCED PRACTICE REGISTERED NURSES WITH PRESCRIPTIVE AUTHORITY / 22 TAC § 222.6

## Text

(a) An APRN with full licensure and a valid prescriptive
 authorization number may order or prescribe a drug or device at a
 facility based practice pursuant to a prescriptive authority agreement
 or through protocols or other written authorization developed in accordance
 with facility medical staff policies.
(1) If ordering or prescribing at a facility based
 practice pursuant to a prescriptive authority agreement, the APRN
 must maintain a prescriptive authority agreement that meets the requirements
 of §222.5 (relating to Prescriptive Authority Agreement) of this
 chapter.
(2) If ordering or prescribing at a facility based
 practice pursuant to protocols or other written authorization developed
 in accordance with facility medical staff policies, the APRN must:
(A) review the authorizing documents with the appropriate
 medical staff at least annually;
(B) order or prescribe drugs and devices in a hospital
 based facility in which the delegating physician is the medical director,
 the chief of medical staff, the chair of the credentialing committee,
 or a department chair, or a physician who consents to the request
 of the medical director or chief of the medical staff to delegate;
(C) order or prescribe drugs and devices in a long
 term care facility in which the delegating physician is the medical
 director; and
(D) order or prescribe drugs and devices for the care
 or treatment of only those patients for whom physicians have given
 their prior consent.
(b) Protocols or other written authorization is authorization
 to provide medical aspects of patient care that are agreed upon and
 signed by the APRN and the physician, reviewed and signed at least
 annually, and maintained in the practice setting of the APRN. Protocols
 or other written authorization shall be defined to promote the exercise
 of professional judgment by the APRN commensurate with his/her education
 and experience. Protocols or other written authorization need not
 describe the exact steps that the APRN must take with respect to each
 specific condition, disease, or symptom and may state types or categories
 of drugs or devices that may be ordered or prescribed.
(c) A facility based physician may not be prohibited
 from delegating the prescribing or ordering of drugs or devices to
 an APRN under §157.0512, Occupations Code or §222.5 of this
 chapter at other practice locations, including hospitals or long term
 care facilities, provided that the delegation at those locations complies
 with all of the requirements of §157.0512 and §222.5 of
 this chapter.

## Nearby sections

- [22 Tex. Admin. Code § 222.1 22 TAC § 222.1. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_1.md)
- [22 Tex. Admin. Code § 222.2 22 TAC § 222.2. Approval for Prescriptive Authority](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_2.md)
- [22 Tex. Admin. Code § 222.3 22 TAC § 222.3. Renewal of Prescriptive Authority](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_3.md)
- [22 Tex. Admin. Code § 222.4 22 TAC § 222.4. Minimum Standards for Prescribing or Ordering Drugs and Devices](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_4.md)
- [22 Tex. Admin. Code § 222.5 22 TAC § 222.5. Prescriptive Authority Agreement](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_5.md)
- [22 Tex. Admin. Code § 222.6 22 TAC § 222.6. Prescribing at Facility-Based Practices](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_6.md)
- [22 Tex. Admin. Code § 222.7 22 TAC § 222.7. Authority to Order and Prescribe Non-prescription Drugs, Dangerous Drugs, and Devices](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_7.md)
- [22 Tex. Admin. Code § 222.8 22 TAC § 222.8. Authority to Order and Prescribe Controlled Substances](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_8.md)
- [22 Tex. Admin. Code § 222.9 22 TAC § 222.9. Conditions for Obtaining and Distributing Drug Samples](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_9.md)
- [22 Tex. Admin. Code § 222.10 22 TAC § 222.10. Enforcement](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_10.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T22_P11_C222_S222_6. Check the current official text before relying on it. Not legal advice.