(a) Supervision shall be continuous, but shall not be construed as necessarily requiring the constant physical presence of the supervising physician at a place where physician assistant services are performed while the services are performed. Telecommunication shall always be available.     
      (b) It is the obligation of each physician and physician assistant to ensure that:      
        (1) the physician assistant's scope of practice is identified;       
        (2) delegation of medical tasks is appropriate to the physician assistant's level of competence;       
        (3) the methods of access to and communicating with the supervising physician is defined;       
        (4) a process for evaluation of the physician assistant's performance is established; and       
        (5) the physician assistant is licensed to practice and has a current registration permit. The physician assistant must immediately notify his or her supervising physician(s) of any change in licensure status, including, but not limited to: permit expiration, license cancellation, or entry of a disciplinary order.       
      (c) A physician assistant may have more than one supervising physician.     
      (d) Physician assistants must utilize mechanisms which provide medical authority when such mechanisms are indicated, including, but not limited to, prescriptive authority agreements, standing delegation orders, standing medical orders, protocols, or practice guidelines.     
     Source Note:        The provisions of this §185.14 adopted to be effective November 3, 2002, 27 TexReg 10027; amended to be effective June 5, 2014, 39 TexReg 4255; amended to be effective July 19, 2018, 43 TexReg 4747