Ohio Admin. Code 4730-2-04 - Period of on-site supervision of physician-delegated prescriptive authority
(A) The following definitions are applicable
to this rule:
(1) "Supervision" means the
supervising physician maintains oversight of the physician assistant's
prescriptive decisions and provides timely review of prescriptions written by
the physician assistant.
(2)
"On-site supervision" means the supervising physician is required to be
physically present within the facility where the physician assistant is
practicing and available for consultation. The supervising physician is not
necessarily required to personally evalute
evaluate a
patient to whom a physician assistant is providing service.
(3) "Supervising physician" includes a
primary supervising physician in instances where the physician assistant has
supervision agreements with multiple supervising physicians and one supervising
physician is designated to have primary responsibility for the supervision of
the physician assistant's prescribing activities during the on-site supervision
period.
(B) Except as
provided in division (B) of section
4730.44 of the Revised Code, the
first five hundred hours of a physician assistant's exercise of
physician-delegated prescriptive authority shall be under the on-site
supervision of a supervising physician with whom the physician assistant has a
supervision agreement.
(1) The supervising
physician shall review and evaluate the physician assistant's competence,
knowledge, and skill in pharmacokinetic principles and the application of these
principles to the physician assistant's area of practice. The supervising
physician shall document the review and evaluation by signing patient charts in
a legible manner or documenting the review and evaluation by the use of an
electronically generated signature provided that reasonable measures have been
taken to prevent the unauthorized use of the electronically generated
signature.
(2) The supervising
physician shall maintain a record evidencing that the physician assistant has
completed at least five hundred hours of on-site supervision and make the
record available to the board upon request.
(C) On-site supervision period hours
completed may be transferred to an on-site supervision period under a
subsequent supervising physician pursuant to the following criteria:
(1) Hours completed may be transferred, not
more than one time, when both of the following criteria are met:
(a) The initial supervising physician
provides written verification of the activities and number of hours
successfully completed by the physician assistant during the period;
and
(b) The subsequent supervising
physician approves the transfer of the period hours.
(2) Hours completed under the supervision of
the subsequent supervising physician may be transferred to an on-site
supervision period under a third supervising physician only upon the board's
approval when all of the following conditions are met:
(a) The subsequent supervising physician
provides both of the following:
(i) Written
verification of the activities and number of hours successfully completed
during the period to date; and
(ii)
Written explanation of why the transfer of hours is being requested;
(b) The third supervising
physician approves the transfer of the hours;
(c) The failure to transfer the hours would
result in undue hardship to the physician assistant; and
(d) The granting of the transfer would not
jeopardize patient care.
(D) Where the exemption of division (B) of
section 4730.44 of the Revised Code is
claimed, the supervising physician shall maintain documentation establishing
that the physician assistant practiced with prescriptive authority in the other
jurisdiction for not less than one thousand hours. The
documenation
documentation may include a letter from one or more
physiicans
physicians who supervised the physician assistant's
prescribing in that jurisdiction verifying that the physician assistant
practiced with prescriptive authority in that jurisdiciton
jurisdiction for not less than one thousand hours or a
letter from an appropriate facility administrator verifying that the physician
assistant practiced with prescriptive authority for not less than one thousand
hours based upon documentation in the physician assistant's personnel
file.
Notes
Promulgated Under: 119.03
Statutory Authority: 4730.39, 4730.07
Rule Amplifies: 4730.44
Prior Effective Dates: 10/31/2007, 11/30/2018
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