Ala. Admin. Code r. 540-X-11-.02 - Definitions

For the purpose of these rules, the following definitions will apply:

(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 rules.
(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 § 34-24-290, or an advanced practice nurse.
(6) 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.


Ala. Admin. Code r. 540-X-11-.02
New Rule: Filed August 16, 2007; effective September 20, 2007.

Authors: Alabama Board of Medical Examiners ad hoc Committee: Jorge A. Alsip, M.D.; Kenneth W. Aldridge, M.D.; Michael S. Clinton, M.D., Deason C. Dunagan, M.D.; Edward C. Facundus, M.D.; Steven P. Furr, M.D.; K. Michael Hites, P.A.; Wonsuck Kim, M.D.; Elizabeth S. Martin, M.D.; Diantha Miller, CRNP; Gary D. Monheit, M.D.; Arthur F. Toole, III, M.D.; and the Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975, §§ 34-24-50, 34-24-51, 34-24-53.

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