N.Y. Comp. Codes R. & Regs. Tit. 10 § 94.2 - Supervision and scope of duties
(a) A
licensed physician assistant or a registered specialist assistant may perform
medical services but only when under the supervision of a physician. Such
supervision shall be continuous but shall not necessarily require the physical
presence of the supervising physician at the time and place where the services
are performed. The licensed physician assistant or registered specialist
assistant shall retain records documenting the continuous supervision by the
physician who is responsible for such supervision .
(b) Medical acts, duties and responsibilities
performed by a licensed physician assistant or registered specialist assistant
must:
(1) be assigned to him or her by the
supervising physician ;
(2) be
within the scope of practice of the supervising physician ; and
(3) be appropriate to the education, training
and experience of the licensed physician assistant or registered specialist
assistant.
(c) No
physician may employ or supervise more than four licensed physician assistants
and two registered specialist assistants in his or her private
practice.
(d) No physician may
supervise more than six licensed physician assistants or registered specialist
assistants or any combination thereof in a hospital setting, no matter if the
licensed physician assistants or registered specialist assistants are employed
or contracted by a hospital .
(e)
Prescriptions, certifications and medical orders may be issued by a licensed
physician assistant as provided in this subdivision when assigned by the
supervising physician:
(1) A licensed
physician assistant may issue prescriptions for a patient who is under the care
of the physician respon- sible for the supervision of the licensed physician
assistant. The prescription shall be issued in accordance with Section 281 and
Article 33 of the Public Health Law and Part 80 of this Title, written on the
blank form of the supervising physician and shall include the name, address and
telephone number of the supervising physician and the name of the licensed
physician assistant. The prescription shall also bear the name, the address,
the age of the patient and the date on which the pre- scription was issued
.
(2) A licensed physician
assistant , in good faith and acting within his or her lawful scope of practice,
and to the extent assigned by his or her supervising physician, may prescribe
controlled substances as a practitioner under Article 33 of the Public Health
Law, to patients under the care of such physician responsible for his or her
supervision . Licensed physician assistants may issue prescriptions for
controlled substances under section
3306 of the Public Health Law provided that
such prescriptions shall be issued in accordance with Section 281 and Article
33 of the Public Health Law and Part 80 of this Title.
(3) The licensed physician assistant shall
sign all such prescriptions with his or her own name followed by the letters
P.A. and his or her State Education Department license number, except that an
electronic prescription must contain the electronic signature of the licensed
physician assistant and shall include the name, address and telephone number of
the supervising physician.
(4) A
licensed physician assistant employed or extended privileges by a hospital may,
if permissible under the bylaws, policies and procedures of the hospital, issue
prescriptions for controlled substances listed under section
3306 of the Public Health Law on official
New York State prescription forms issued to the hospital. Such prescriptions
shall be issued in accordance with Section 281 and Article 33 of the Public
Health Law and Part 80 of this Title and must include the imprinted name of the
licensed physician assistant and the name of the physician responsible for his
or her supervision.
(5) A licensed
physician assistant employed or extended privileges by a hospital may, if
permissible under the bylaws, policies and procedures of the hospital, write
medical orders, including those for controlled substances, for inpatients under
the care of the physician responsible for his supervision . Countersignature of
such orders may be required if deemed necessary and appropriate by the
supervising physician or the hospital, but in no event shall countersig- nature
be required prior to execution.
(6)
A licensed physician assistant , in good faith and acting within his or her
lawful scope of practice, and to the extent assigned by his or her supervising
physician, may register as a practitioner under Part 1004 of this Title to
issue patient certifications for medical marihuana, to those patients under the
care of such supervising physician.
(f) A physician supervising or employing a
licensed physician assistant or registered specialist assistant shall remain
medically responsible for the medical services performed by the licensed
physician assistant or registered specialist assistant whom such physician
supervises or employs.
(g)
Qualified individuals may be registered as specialist assistants in the
following categories:
(1) Orthopedic
assistant. A specialist assistant registered in this category is an individual :
(i) who satisfactorily completed a program
for the training of orthopedic assistants approved by the New York State
Department of Educa- tion; or
(ii)
who possesses equivalent education, training and experience. Training and
experience while in military service which led to an orthope- dic specialist,
orthopedic cast room technician, or orthopedic clinic techni- cian rating and
two years of satisfactory experience as an orthopedic assistant working under
the supervision of an orthopedic surgeon within the past five years; or
completion of medical corps school and five years of satisfactory experience as
an orthopedic assistant working under the supervision of an orthopedic surgeon
within the past eight years may be considered equivalent education, training
and experience for the purpose of registration in this category.
(2) Urologic assistant. A
specialist assistant registered in this category is an individual :
(i) who satisfactorily completed a program
for the training of urologic assistants approved by the New York State
Department of Education; or
(ii)
who possesses equivalent education, training and experience. Training and
experience while in military service which led to a urology surgical technician
or urological technician or clinical specialist rating and two years of
satisfactory experience as a urologic assistant working under the supervision
of an urologist within the past five years; or completion of medical corps
school and five years of satisfactory experience as an urologic assistant
working under the supervision of an urologist within the past eight years may
be considered equivalent education, training and ex- perience for the purpose
of registration in this category.
(3) Acupuncture. A specialist assistant
registered in this category shall be employed or supervised only by a physician
authorized to administer acupuncture in accordance with the rules and
regulations of the New York State Department of Education and is an individual:
(i) who satisfactorily completed a program of
training in acupuncture approved by the New York State Department of Education;
or
(ii) who possesses equivalent
education and training acceptable to the New York State Department of
Education; and
(iii) in addition to
satisfying the requirements of subparagraphs (i) and (ii) of this paragraph has
completed at least five years of experience in the use of acupuncture
acceptable to the New York State Department of Education.
(4) Radiologic assistant. A specialist
assistant in this category is an individual :
(i) who is licensed as a radiologic
technologist by the New York State Department of Health; and
(ii) who satisfactorily completed a program
for the training of radiologic assistants approved by the New York State
Education Department .
Notes
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