Current through August 31, 2023
01.
Requirements for Supervised Practice. (3-28-23)
a. Duration and Setting of Supervised
Practice. A year of supervised experience is defined as a minimum of one
thousand (1000) hours of supervised service provision acquired during not less
than twelve (12) months and no more than a thirty-six (36) calendar month
period. The first year of supervised experience must be accredited only after
acquiring the equivalent of one (1) year of full-time graduate study. A second
year must be obtained post-doctorly. (3-28-23)
b. Qualifications of Supervisors. Supervising
psychologists must be licensed and in good standing. (3-28-23)
c. Amount of Supervisory Contact. One (1)
hour per week of face-to-face individual contact per forty (40) hours of
applicable experience is a minimum. (3-28-23)
d. Evaluation and Accreditation of Supervised
Practice. At the conclusion of the supervisory period, the supervisor will
submit a written evaluation on a Board approved form.
(3-28-23)
02.
Supervision of Provisional Certification Holder. Prior to
application for a certification of prescriptive authority, a provisional
certification holder must complete two (2) years, including a minimum of two
thousand (2,000) hours of satisfactory prescribing under a supervision
agreement with a licensed physician. (3-28-23)
a. Number of Patients. A minimum of fifty
(50) separate patients who are seen for the purpose of evaluation and treatment
with those medications that are within the formulary established in these
rules. (3-28-23)
b. Supervision for
Pediatric or Geriatric Patients. Prior to application for certification of
prescriptive authority for pediatric patients or geriatric patients, a
provisional certification holder must complete one (1) year, including a
minimum of one thousand (1,000) hours of satisfactory prescribing under a
supervision agreement with a licensed physician. The one (1) year of
satisfactory prescribing for a pediatric or geriatric population may be counted
as one (1) year of the two (2) years of satisfactory prescribing required to
qualify for certification of prescriptive authority. (3-28-23)
c. Credit Toward Certification. The one (1)
year of satisfactory prescribing for a pediatric or geriatric population may be
counted as one (1) year of the two (2) years of satisfactory prescribing
required to qualify for certification of prescriptive authority.
(3-28-23)
d. Number of Patients.
One (1) year of satisfactory prescribing includes a minimum of twenty-five (25)
separate patients in the population for which the prescribing psychologist
seeks to prescribe and who are seen for the purpose of evaluation and treatment
with those medications that are within the formulary established in Section
200 of these rules. For a
prescribing psychologist who seeks to prescribe for pediatric patients, a
minimum of ten (10) separate patients must be twelve (12) years of age or
younger and a minimum of ten (10) separate patients must be between thirteen
(13) years of age and seventeen (17) years of age.
(3-28-23)
03.
Standards of Practice for Prescriptive Authority. A prescribing
psychologist who issues a prescription for medication to a patient must
collaborate with the patient's licensed medical provider if the patient has one
and follow community standard of care. (3-28-23)
a. Licensed Medical Provider. The prescribing
psychologist must document that the psychologist has made every reasonable
effort to encourage the patient to maintain or establish a relationship with a
licensed medical provider. (3-28-23)
b. Education. Only prescribe formulary drugs
or devices for conditions for which the prescribing psychologist is
educationally prepared and for which competence has been achieved and
maintained. (3-28-23)
c.
Patient-Prescriber Relationship. Only issue a prescription for a legitimate
medical purpose arising from a patient-prescriber relationship as defined in
Section 54-1733, Idaho Code.
(3-28-23)
d. Patient Assessment.
Obtain adequate information about the patient's health status to make
appropriate decisions based on the applicable standard of care and the best
available evidence. (3-28-23)
e.
Collaboration with Other Health Care Professionals. Recognize the limits of the
prescribing psychologist's own knowledge and experience and consult with and
refer to other licensed medical providers as appropriate. (3-28-23)
f. Documentation. Maintain documentation
adequate to justify the care provided including, but not limited to, the
information collected as part of the patient assessment, the prescription
record, provider notification, and the follow-up care plan. (3-28-23)
g. Emergencies. If a prescribing psychologist
determines that an emergency exists that may jeopardize the health or wellbeing
of the patient, the prescribing psychologist may, without prior consultation
with the patient's licensed medical provider, prescribe psychotropic
medications or modify an existing prescription for psychotropic medication
previously written for that patient by that prescribing psychologist. The
prescribing psychologist must consult with the licensed medical provider as
soon as possible. The prescribing psychologist must document in the patient's
psychological evaluation/treatment records the nature and extent of the
emergency and the attempt(s) made to contact the licensed medical provider
prior to prescribing or other reason why contact could not be made.
(3-28-23)
h. Disaster Areas. If a
prescribing psychologist is working in a declared emergency/disaster area, the
on-site medical staff can serve as the evaluating licensed medical provider.
(3-28-23)
04.
Formulary. A prescribing psychologist may not prescribe any
opioid-controlled substance medication, unless pursuant to
21 U.S.C
823(g). A prescribing
psychologist may not prescribe medication to treat a primary endocrine,
cardiovascular, orthopedic, neurologic, gynecologic, obstetric, metabolic,
hematologic, respiratory, renal, gastrointestinal, hepatic, dermatologic,
oncologic, infectious, ophthalmologic, or rheumatologic illness or disorder.
(3-28-23)
05.
Use of Service
Extenders. To evaluate whether a specific act is within the scope of
psychology practice in or into Idaho, or whether an act can be delegated to
other individuals under their supervision, a licensee of the Board must
independently determine whether: (3-28-23)
a.
Express Prohibition. The act is expressly prohibited by the Idaho Psychologist
Act, Title 54, Chapter 23, Idaho Code; rules of the Idaho Board of Psychologist
Examiners; or any other applicable state or federal laws or regulations.
(3-28-23)
b. Education, Training,
and Experience. The act is consistent with the licensee or service extender's
education, training, and experience. (3-28-23)
c. Standard of Care. Performance of the act
is within the accepted standard of care that would be provided in a similar
setting by a reasonable and prudent licensee or service extender with similar
education, training, and experience. (3-28-23)
d. Scope of Service Extenders. The scope of
practice of service extenders includes only those duties and responsibilities
identified in a written supervision agreement. (3-28-23)
e. Supervised Practice. A signed supervision
agreement between a licensed psychologist(s) and service extender(s) must
include: (3-28-23)
i. The parties to the
agreement and authorized scope of practice for each service extender;
(3-28-23)
ii. The direct
supervision methods including regular supervisory sessions and chart review;
and (3-28-23)
iii. The procedures
for emergency consultation, and if necessary, any patient monitoring
parameters. (3-28-23)
iv.
Documentation. The licensed psychologist will maintain documentation of the
supervision agreements for not less than three (3) years for each service
extender and submit to the Board upon request.
(3-28-23)