Alabama Administrative Code
Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS
Chapter 540-X-11 - GUIDELINES FOR THE USE OF LASERS AND OTHER MODALITIES AFFECTING LIVING TISSUE
Section 540-X-11-.04 - Delegation And Supervision

(a) Ensuring that patients are adequately informed and, prior to treatment, have signed consent forms that outline Risks, Benefits, Alternatives, and Complications, including the disclosure of reasonably foreseeable side effects and complications that may result from the non-ablative treatment, as well as the name of the device and the procedure;

(b) Responsibility for the formulation or approval of a written protocol that meets the requirements of these rules and responsibility for any patient-specific deviation from the protocol;

(c) Substantive review and authorization, at least annually, of the written protocol and any patient-specific deviations from the protocol regarding care provided to a patient under the protocol on a schedule defined in the written protocol;

(d) Ensuring that any Level 1 or 2 Delegate has read and signed the facility's policies and procedures, written protocols for delegation, and these rules regarding the safe use of non-ablative devices;

(e) Prompt receipt of information from the Level 1 or 2 Delegate concerning any problem or complication encountered with any treatment;

(f) On-site or locally remote supervision for non-ablative treatments performed by Level 1 and 2 Delegates consistent with these rules, the training and experience of the delegate performing the procedure, and the risk of harm to the patient;

(g) Personal evaluation and care for complications that arise; and

(h) Evaluation of the technical skills of the Level 1 or 2 Delegate performing non-ablative treatments on an ongoing basis by formally documenting and reviewing at least annually the Level 1 or 2 Delegate's ability to perform the following: