Current through Register Vol. 50, No. 9, September 20, 2024
A. The supervising physician (SP) is
responsible for the supervision, control, and direction of the physician
assistant (PA) and retains responsibility to the patient for the competence and
performance of the PA.
B. An SP may
delegate medical services identified as core competencies by the National
Commission on Certification of Physician Assistants or its successors ("core
competencies"), under general supervision as defined in
§1503. A of this
Part.
C. An SP may delegate certain
medical services beyond core competencies to a PA provided:
1. the SP is trained and qualified in and
performs the service in the course and scope of his or her practice. If the
service is provided in a hospital the SP and the PA shall be credentialed to
provide the service. PA credentialing shall be in the manner specified in
Subparagraph C.5.a of this Section;
2. the SP delegates the service to a PA who
has obtained additional training and has documented the ability to perform the
service safely and effectively; and
3. the SP provides a level of supervision
appropriate to the risk to the patient and the potential for complications
requiring the physician's personal attention;
4. credentials file
. A
primary SP ("PSP") shall maintain a credentials file for each PA for whom he or
she serves as a PSP and at least annually assess and document therein the PA's
performance as evidenced by the PSP's dated signature. The credentials file
shall include a list of services beyond core competencies that the PA may
perform and with respect to each shall also document:
a. the PA's training in the
service;
b. the PA's ability to
provide or perform the service safely and effectively; and
c. the protocols to be followed for the
service;
5. a PSP who is
employed or under contract with a hospital is not required to maintain a
credentials file for a PA, who is also employed or under contract with the same
hospital provided:
a. that the PA is
individually credentialed by the medical staff organization of the hospital,
based on established criteria similar to those utilized for physicians, which
takes into consideration the PA's training and qualifications to provide or
perform a service beyond core competencies safely and effectively;
and
b. the PSP annually reviews,
dates and signs the PA's credentials file.
D. An SP may not serve as a PSP for more than
eight PAs.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
37:1270(B)(6),
R.S.
37:1360.23(D) and (F), and
R.S.
37:1360.31(B)(8).
