Louisiana Administrative Code
Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS
Part XLV - Medical Professions
Subpart 3 - Practice
Chapter 45 - Physician Assistants
Section XLV-4511 - Mutual Obligations and Responsibilities
Universal Citation: LA Admin Code XLV-4511
Current through Register Vol. 50, No. 9, September 20, 2024
A. The physician assistant and supervising physician shall:
1. within 15 days notify the
board, in writing, of:
a. the termination of
the physician assistant's supervision relationship with a supervising physician
or supervising group of physicians;
b. the retirement or withdrawal from active
practice by the supervising physician; and
c. any other change in the employment,
functions, activities, services or the nature or extent of delegation of
prescriptive authority of the physician assistant or the manner or location of
their performance;
2.
comply with reasonable requests by the board for personal appearances and/or
information relative to the functions, activities and performance of the
physician assistant and supervising physician;
3. insure that each individual to whom the
physician assistant provides patient services is expressly advised and
understands that the physician assistant is not a licensed physician;
4. insure that with respect to patient
encounters, all activities, functions, services, treatment measures, medical
devices or medication prescribed or delivered to the patient by the physician
assistant are properly documented in written form in the patient's record by
the physician assistant as evidenced by compliance with the clinical practice
guidelines established by the supervising physician and physician assistant;
5. insure that in those instances
where a physician assistant with prescriptive authority has a primary practice
site that is different from that of the supervising physician, that the
supervising physician:
a. visits the
physician assistant's primary practice site at least weekly during regular
office hours and provides consultation to the physician assistant on any
issues, complications or other matters relating to the physician assistant's
prescriptions for medication or medical devices;
b. personally sees any patient requiring
physician follow-up; and
c.
verifies that the prescriptive authority delegated to the physician assistant
is being utilized in accordance with the clinical practice guidelines or
protocols that are in place.
6. maintains a written agreement in
compliance with
R.S.
37:1360.22(8), that includes
a statement that the physician shall exercise supervision over the physician
assistant in accordance with
R.S.
37:1360.21 et seq.
B. The physician assistant and supervising physician shall bear equal and mutual responsibility for producing the following documentation upon an official inspection conducted by a duly authorized representative of the board:
1. a
copy of the physician assistant's notice of intent to practice, listing all
physicians authorized and designated to supervise the physician assistant;
and
2. any written practice
agreement defining the scope of practice of the physician assistant including:
a. any clinical practice guidelines
prescribed by the supervising physician;
b. the medical procedures which the
supervising physician has authorized the physician assistant to
perform;
c. any group practice
arrangements; and
d. a list of the
locations where the physician assistant may be working at any given
time;
3. clinical
practice guidelines or protocols and any written practice agreement shall be
annually reviewed, updated as appropriate, and signed by the physician
assistant and supervising physician.
C. The physician assistant and supervising physician shall bear equal and reciprocal obligations to insure strict compliance with the obligations, responsibilities and provisions set forth in the rules of this Chapter, and to immediately report any violation or noncompliance thereof to the board.
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1270(B)(6), 37:1360.23(D) and (F), and 37:1360.31(B)(8).
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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