Haw. Code R. § 16-85-49 - Degree of supervision

(a) The supervising physician shall:

(1) Possess a current unrestricted Hawaii license to practice medicine and surgery that is in good standing with the board;

(2) Submit a statement that the supervising physician will direct and exercise supervision over any subordinate physician assistant in accordance with this subchapter and recognizes that the supervising physician retains full professional and legal responsibility for the performance of the physician assistant and the care and treatment of the patient;

(3) Permit the physician assistant to be utilized in any setting authorized by the supervising physician including, but not limited to, clinics, hospitals, ambulatory centers, patient homes, nursing homes, other lodging, and other institutional settings;

(4) Provide adequate means for direct communication between the physician assistant and the supervising physician; provided that where the physical presence of the supervising physician is not required, the direct communication may occur through the use of technology which may include but is not limited to, two way radio, telephone, fax machine, modem, or other telecommunication device;

(5) Personally review the records of each patient seen by the physician assistant within seven working days;

(6) Designate an alternate supervising physician in the physician's absence;

(7) Supervise no more than two physician assistants at any one time; and

(8) Be authorized to allow the physician assistant to prescribe, dispense, and administer medications and medical devices to the extent delegated by the supervising physician and subject to the following requirements:

(A) Prescribing and dispensing of medications may include Schedule III through V and all legend medications. No physician assistant may prescribe Schedule II medications;

(B) A physician assistant who has been delegated the authority to prescribe Schedule III through V medications shall register with the Drug Enforcement Administration (DEA);

(C) Each prescription written by a physician assistant shall include the name, address, and phone number of the supervising physician and physician assistant. The printed name of the supervising physician shall be on one side of the form and the printed name of the physician assistant shall be on the other side. A physician assistant who has been delegated the authority to prescribe shall sign the prescription next to the printed name of the physician assistant;

(D) A physician assistant employed or extended privileges by a hospital or extended care facility may, if allowed under the bylaws, rules, and regulations of the hospital or extended care facility, write orders for medications Schedule II through V, for inpatients under the care of the supervising physician;

(E) The board of medical examiners shall notify the pharmacy board in writing, at least annually or more frequently if required by changes, of each physician assistant authorized to prescribe;

(F) A physician assistant may request, receive, and sign for professional samples and may distribute professional samples to patients; and

(G) All dispensing activities shall comply with appropriate federal and state regulations.

(b) The supervising physician or physicians and the physician assistant shall notify the board within ten days of severance of supervision or employment of the physician assistant.

Notes

Haw. Code R. § 16-85-49

[Eff 6/30/81; am and comp 7/27/87; comp 10/28/89; comp 8/25/90; am and comp 12/22/97] (Auth: HRS §§ 453-5.1, 453-5.3) (Imp: HRS §§ 453-5.1, 453-5.3, 460-1)

The amended version of this section by Hawaii Administrative Rules Listing of Filings, 2015-01, June, eff.6/22/2015 is not yet available.