Iowa Admin. Code r. 481-780.8 - Supervision requirements
(1)
Notification requirements. Physician assistants shall use the board -approved
forms to notify the board of the identity of their supervising physicians at
the following times:
a. Prior to beginning
practice in Iowa.
b. At the time of
license renewal. The physician assistant shall notify the board of the identity
of each of the physician assistant 's supervising physicians and of any change
in the status of the supervisory relationships during the physician assistant 's
current biennium. In addition, the physician assistant shall maintain a list of
supervising physicians to provide to the board upon request.
c. At the time of license
reactivation .
(2) The
physician assistant shall maintain documentation of current supervising
physicians, which shall be made available to the board upon request.
(3) A physician assistant who provides
medical services shall be supervised by one or more physicians; but a physician
shall not supervise more than five physician assistants at the same
time.
(4) It shall be the
responsibility of the physician assistant and a supervising physician to ensure
that the physician assistant is adequately supervised. Upon agreeing to
supervise a physician assistant , a supervising physician will be advised that
the physician 's name will be listed with the board as a supervising physician .
In regard to scheduling, the physician assistant may not practice if
supervision is unavailable, except as otherwise provided in Iowa Code chapter
148C or these rules, and must be in compliance with the requirement that no
more than five physician assistants shall be supervised by a physician at the
same time, pursuant to subrule 780.8(3). The physician assistant and the
supervising physician are each responsible for knowing and complying with the
supervision provisions of these rules.
a.
Patient care provided by the physician assistant shall be reviewed with a
supervising physician on an ongoing basis as indicated by the clinical
condition of the patient. Although every chart need not be signed nor every
visit reviewed, nor does the supervising physician need to be physically
present at each activity of the physician assistant , it is the responsibility
of the supervising physician and physician assistant to ensure that each
patient has received the appropriate medical care.
b. Patient care provided by the physician assistant
may be reviewed with a supervising physician in person, by telephone or by
other telecommunicative means.
c.
When signatures are required, electronic signatures are allowed if:
(1) The signature is transcribed by the signer into an
electronic record and is not the result of electronic regeneration;
and
(2) A mechanism exists allowing
confirmation of the signature and protection from unauthorized
reproduction.
d. When
the physician assistant is being trained to perform new medical procedures, the
training shall be carried out under the supervision of a physician or another
qualified individual. Upon completing the supervised training, a physician
assistant may perform the new medical procedures if delegated by a supervising
physician , except as otherwise provided in Iowa Code chapter 148C or these
rules. New medical procedures may be delegated to a physician assistant after a
supervising physician determines that the physician assistant is competent to
perform the task.
Notes
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