Ala. Admin. Code r. 540-X-7-.25 - Functions And Activities Of A Physician Assistant (P.A.)
(1) There shall be
at all times a direct continuing and close supervisory relationship between the
physician assistant and the physician to whom that assistant is registered. The
supervising physician shall at all times be responsible for the activities of
the physician assistant.
(2) The
physician assistant shall provide medical services within the education,
training, and experience of the physician assistant that are delegated by the
supervising physician. These services include, but are not limited to:
(a) Obtaining patient histories and
performing physical examinations ;
(b) Ordering and/or performing diagnostic and
therapeutic procedures;
(c)
Formulating a working diagnosis;
(d) Developing and implementing a treatment
plan;
(e) Monitoring the
effectiveness of therapeutic interventions;
(f) Assisting at surgery;
(g) Offering counseling and education to meet
patient needs; and
(h) Making
appropriate referrals.
(3) The job description in the form specified
in Appendix B to Chapter 7 is approved by the Board as a model job description
which shall be acceptable to the Board if submitted by a qualified applicant
for registration in compliance with these Rules.
(4) Requests for changes in the job
description of the assistant, including addition of specialized duties and
tasks, shall be submitted, in writing, by the supervising physician to the
Board for prior approval.
(5)
Should the supervising physician contemplate a request for additional duties
for the assistant for addition to the assistant's Job Description, a written
request shall be submitted to and approved by the Board prior to any additional
duty or procedure being performed by the assistant.
(6) When any addition of a duty or procedure
to the assistant's Job Description is contemplated, a written request for
training of the assistant in the duty or procedure shall be submitted to and
approved by the Board prior to the assistant actually receiving any training in
the duty or procedure.
(7) In the
event of a national emergency duly declared by Federal officials or in the
event of a natural disaster or state emergency duly declared by the Governor, a
physician assistant may provide emergency medical treatment without immediate
physician supervision or direction to patients within the affected areas of the
state, provided that the treatment is within the scope of the assistant's
education, training and approved job description. The physician assistant in
such circumstance shall make reasonable efforts to inform his supervising
physician of the location and type of emergency medical services being provided
and shall act in conformance with the direction of local medical supervisors.
The authority granted under this paragraph shall extend only for the duration
of the declared national emergency or state emergency or natural
disaster.
(8) A physician assistant
may write admission orders for inpatients and nursing home patients as directed
by the supervising physician and subsequent orders in accordance with
established guidelines and institutional policies.
Notes
Author: Alabama Board of Medical Examiners
Statutory Authority: Code of Ala. 1975, ยงยง 34-24-290, et. seq.
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