N.J. Admin. Code § 13:35-2B.10 - Supervision
(a) A physician assistant shall engage in
practice only under the supervision of a physician .
(b) Supervision of a physician assistant
shall be continuous but shall not be construed as necessarily requiring the
physical presence of the supervising physician , provided that the supervising
physician and physician assistant maintain contact through electronic or other
means of communication.
(c) The
supervisory ratio shall be no more than four physician assistants to one
physician at any one time. Upon application to the Board , the Board may alter
the supervisory ratios.
1. The supervisory
ratio shall not limit the number of physician assistants with whom a
supervising physician may enter into a delegation agreement.
(d) A supervising physician may
assign physician assistants under his or her supervision to a physician
designee, who shall be responsible for the practice of the physician assistant
during the assignment.
(e) It is the
obligation of each supervising physician and physician assistant to ensure
that:
1. The physician assistant's scope of
practice is identified;
2.
Delegation of medical tasks is appropriate to the physician assistant's level
of competence;
3. The relationship
of, and access to, the supervising physician is defined; and
4. A process for evaluation of the physician
assistant's performance is established.
(f) A physician assistant shall sign a
separate written delegation agreement with each supervising physician who
delegates medical services in accordance with the provisions of
N.J.A.C.
13:35-2B.4(c).
1. A written delegation agreement may be
executed by a single-specialty physician practice, provided it is signed by all
of the delegating physicians supervising the physician assistant.
2. In the case of a multi-specialty physician
practice, a written delegation agreement may be executed for each physician
specialty within the practice, provided it is signed by all of the delegating
physicians supervising the physician assistant in that specialty area. Nothing
in this section shall authorize the execution of a global written delegation
agreement between a physician assistant and a multi-specialty physician
practice.
3. The delegation
agreement shall:
i. State that the physician
will exercise supervision over the physician assistant in accordance with the
provisions of P.L. 1991, c. 378 (
N.J.S.A.
45:9-27.10et seq.), and this
subchapter;
ii. Be signed and dated
annually by the physician and the physician assistant and updated as necessary
to reflect any changes in the practice or the physician assistant's role in the
practice;
iii. Be kept on file at
the practice site, be provided to the Physician Assistant Advisory Committee ,
and be kept on file by the Committee ; and
iv. At a minimum, include the following
provisions:
(1) The physician assistant's role
in the practice, including any specific aspects of care that require prior
consultation with the supervising physician ;
(2) A determination of whether the
supervising physician requires personal review of all charts and records of
patients and countersignature by the supervising physician of all medical
services performed under the delegation agreement, including prescribing and
administering medication as authorized under
N.J.A.C.
13:35-2B.12. This provision shall state the
specified time period in which a review and countersignature shall be completed
by the supervising physician . If no review and countersignature is necessary,
the agreement must specifically state such provision; and
(3) The locations of practice where the
physician assistant may practice under the delegation agreement, including
licensed facilities in which the physician authorizes the physician assistant
to provide medical services.
4. Notwithstanding this subsection, a
supervising physician , in his or her discretion, may require a written
delegation agreement with the physician assistant for all delegated medical
services.
Notes
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