Texas Codes

Tex. Occ. Code § 157.055 (2026)

Orders And Protocols

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Sec. 157.055. ORDERS AND PROTOCOLS. A protocol or other order shall be defined in a manner that promotes the exercise of professional judgment by the advanced practice registered nurse and physician assistant commensurate with the education and experience of that person. Under this section, an order or protocol used by a reasonable and prudent physician exercising sound medical judgment:

(1) is not required to describe the exact steps that an advanced practice registered nurse or a physician assistant must take with respect to each specific condition, disease, or symptom; and

(2) may state the types or categories of medications that may be prescribed or the types or categories of medications that may not be prescribed.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by:

Acts 2013, 83rd Leg., R.S., Ch. 418 (S.B. 406), Sec. 6, eff. November 1, 2013.

Notes of Decisions
Cited in 2 cases, 2007–2019 · leading case: Simonson v. Keppard, 225 S.W.3d 868 (Tex. App.—Dallas 2007).
Simonson v. Keppard, 225 S.W.3d 868 (Tex. App.—Dallas 2007). · cites it 2× “1(12); TEX. OCC.CODE § 157.055. Thus, they can have no bearing on whatever *891 standard of care ultimately governs.”
El Paso Healthcare Sys., Ltd. v. Santiago Monsivais, No. 08-18-00043-CV, 2019 WL 5616973 (Tex. App.—El Paso Oct. 31, 2019). “TEX.OCC. CODE ANN. § 157.001 (“A physician may delegate to a qualified and properly trained person acting under the physician’s supervision any medical act that a reasonable and prudent physician would find within the scope of sound medical judgment to delegate if, in the…”
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