(972) 528-8188

Love Me Aesthetics LLC

Policy   on Standing Delegation Orders

Section: MedSpa’s   Delegation Policy

Responsible:   Kasie Duncan MSN, RN and Collaborating Provider 

Subject:   Standing Orders

Responsible   Entity: Love Me Aesthetics LLC

I. Title: 

Standing Delegation Orders 

II. Policy: 

Standing Delegation Orders for a specific service shall be approved by the Owner of Love Me Aesthetics, Kasie Duncan MSN, RN and the Collaborative Physician.

All Physician Assistants (PA-C), Family Nurse Practitioners (FNP-C) Registered Nurses (RN) who administer treatment as outlined by the standing delegation order sets shall be employed or contracted by Love Me Aesthetics LLC and have completed education and obtained a certificate to show compliance with educational requirements per the Texas Board of Nursing (BON) and Texas State Board of Medical Examiners (TSBME). 

Use of standing delegation orders will be documented in each client’s electronic medical record at time of use. 

Twelve (12) stipulations are delineated in the BON Position Statement for Initiating Physician Standing Orders and the standing delegation orders.

In order to carry out a standing order, standing orders must be congruent with the requirements specified by the Board of Nursing (BON) and Texas State Board of Medical Examiners (TSBME) as stated below: 

1. Include a written description of the method used in developing and approving them  and any revision thereof.

2. Standing delegation orders will be in writing, dated, and signed by the Collaborative Physician. 

3. Specify which acts require a particular level of training or licensure and under what circumstances they are to be performed. 

4. State specific requirements which are to be followed by people acting under the same delegated order in performing functions.

5. Specify any experience, training, and/or education requirements for those persons who shall perform such orders.

6. Establish a method for initial and continuing evaluation of the competence of those authorized to perform the same.

7. Provide a method of maintaining a written record of those persons authorized to perform the same.  

8. Specify the scope of supervision required for performance of same, for example, immediate supervision of a physician, or certificate of completion for education and training with specific order. 

9. Set forth any specialized circumstances under which a person performing the same is to immediately communicate with the patient’s physician concerning the patient’s condition.

10. State limitations on setting, if any, in which the plan is to be performed. 

11. Specify patient record-keeping requirements which shall, at a minimum, provide for accurate and detailed information regarding each patient visit; personnel involved in treatment and evaluation on each visit; drugs, or medications administered, prescribed or provided; and such other information which is routinely noted on patient charts and files by physicians in their offices.

12. Provide for a method of periodic review, which shall be at least annually, of such plan including the effective date of initiation and the date of termination of the plan after which date the physician shall issue a new plan. 

III. Procedures 

Development and approval of a standing delegation order: 

1. Requests for new standing delegation orders via electronic templates. Information contained within this template will include Name of procedure covered by the standing delegation order, identification of patient population/set of symptoms when standing order is applicable, required experience, training and or competencies for staff administrating standing delegated order, parameters for immediate notification of physician and signature of authorizing physician. The standing delegation order will be entered into the EMR immediately by the PA, NP, or RN and a co-signed by the physician within 48 hours. 

2. Owner of Love Me Aesthetics LLC will review best practices as reflected in nationally recognized evidence-based guidelines with the authorizing physician to ensure standing delegation order meets current medical practice standards. 

3. Standing delegation orders are reviewed and approved by clinical Collaboration Physician and Loved Me Aesthetics owner prior to implementation. In addition, those orders containing medications will also be approved by Love Me Aesthetics LLC Owner and Collaborative Physician.

4. Copies of approved standing delegated orders will be electronically stored on the Clinical Content webpage. This copy will display the approving physician signature and date of approval. 

5. Adverse events associated with the order will be reported to the Collaborating Physician immediately via phone call or phone text.  

IV.  Relevant Federal and State Statutes 

22 Texas Administrative Code §193.2(19) 

22 Texas Administrative Code §193.4 

V. Dates Approved or Amended 

Originated: 01/10/2023

Reviewed with   Changes

Reviewed   without Changes every two years (if no change in the first year).

VI. Contact Information 

Love Me Aesthetics LLC (Kasie Duncan MSN, RN) (972) 322-7335