For the purpose of these rules, the following definitions will
(1) Direct Physician
Supervision - Direct physician supervision shall mean that the physician is in
the physical presence of the patient being treated and is directly observing
the use of the modality by a delegate.
(2) Energy Source - any therapeutic source
which can cause a scar or change in live tissue.
(3) Level 1 Delegate - A Level 1 Delegate is
a Mid-level Practitioner who is authorized in a written job description or
collaborative protocol to use a specific laser/pulsed light device or other
energy source, chemical or other modality for non-ablative procedures, as
designated in the written job description or collaborative protocol and who has
met the educational requirements for a Level 1 Delegate stated in these
(4) Level 2 Delegate - A
Level 2 Delegate is any person, other than a Level 1 Delegate, who has met the
educational requirements for Level 2 Delegates stated in these rules.
(5) Mid-level Practitioner - A Mid-level
Practitioner is an assistant to physician, as defined in Ala. Code §
or an advanced practice nurse.
Non-ablative Treatment - Non-ablative treatment shall include any laser/intense
pulsed light treatment or other energy source, chemical or modality that is not
expected or intended to remove, burn, or vaporize tissue. This shall include
treatments related to laser hair removal.
(7) On-site Supervision - On-site supervision
shall mean continuous supervision in which the supervising physician is in the
same building as the appropriate, properly trained delegate. All treatments and
procedures must be performed under the licensed physician's direction and
immediate personal supervision-i. e., the physician is physically present on
the premises and immediately available at all times that the non-physician is
on duty, and the physician retains full responsibility to patients and the
Board for the manner and results of all services rendered.
(8) Physician - A physician licensed by the
Medical Licensure Commission of the State of Alabama.