49 Pa. Code § 25.171 - Generally
(a) The physician
assistant shall, under appropriate direction and supervision by a physician,
augment the physician's data gathering abilities to assist the supervising
physician in reaching decisions and instituting care plans for the physician's
patients. The physician assistant shall have as a minimum, the knowledge and
competency to perform the following functions and should under appropriate
supervision be permitted by the Board to perform them. This list is not
intended to be specific or all-inclusive:
(1)
Screen patients to determine need for medical attention.
(2) Review patient records to determine
health status.
(3) Take patient
history.
(4) Perform a physical
examination.
(5) Perform a
development screening examination on children.
(6) Record pertinent information
data.
(7) Make decisions regarding
data gathering and appropriate management and treatment of patients being seen
for the initial evaluation of a problem or the follow-up evaluation of a
previously diagnosed and stablized condition.
(8) Prepare patient summaries.
(9) Initiate request for commonly performed
initial laboratory studies.
(10)
Collect specimens for and carry out commonly performed blood, urine and stool
analyses and cultures.
(11)
Identify normal and abnormal findings on history, physical examination and
commonly performed laboratory studies.
(12) Initiate appropriate evaluation and
emergency management for emergency situations, for example, cardiac arrest,
respiratory distress, injuries, burns, hemorrhage.
(13) Perform clinical procedures such as:
(i) Venipuncture.
(ii) Intradermal tests.
(iii) Electrocardiogram.
(iv) Care and suturing of minor
lacerations.
(v) Casting and
splinting.
(vi) Control of external
hemorrhage.
(vii) Application of
dressings and bandages.
(viii)
Administration of medications with the exception of controlled substances,
whole blood and blood components.
(ix) Removal of superficial foreign
bodies.
(x) Cardio-pulmonary
resuscitation.
(xi) Audiometry
screening.
(xii) Visual
screening.
(xiii) Carrying out
aseptic and isolation techniques.
(14) Provide counseling and instruction
regarding common patient problems.
(b) The tasks physician assistants may
perform are those which require technical skills, execution of standing orders,
routine patient care tasks and such diagnostic and therapeutic procedures as
the supervising physician may wish to delegate to the physician assistant after
the supervising physician has satisfied himself as to the ability and
competence of the physician assistant. The supervising physician may, with due
regard to the safety of the patient and in keeping with sound medical practice,
delegate to the physician assistant, subject to prior approval by the Board,
such medical procedures and other tasks as are usually performed within the
normal scope of the supervising physician's practice and subject to the
limitations set forth in this subchapter, the act and the training and
expertise of the physician assistant.
Notes
The provisions of this § 25.171 issued under section 506 of The Administrative Code of 1929 (71 P. S. § 186); and sections 10(h) and (p) and 16 of the Osteopathic Medical Practice Act (63 P. S. §§ 271.10(h) and (p) and 271.16).
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