(1) Supervision is
defined as the active and continuous overview of the orthopedic physician
assistant's services to ensure that the supervising orthopedic physician's
directions and orders are being implemented properly. The constant physical
presence of the orthopedic physician is not required so long as the supervising
orthopedic physician and the orthopedic physician assistant are, or can be,
immediately in contact with each other by radio, telephone, or
telecommunications while the services are being provided. An appropriate degree
of supervision includes personal and regular (at least weekly) review of all
patient records by the supervising orthopedic physician, as indicated by the
A supervising orthopedic physician may supervise a maximum of two (2)
orthopedic physician assistants.
(3) An orthopedic physician assistant may
provide only those services which are commensurate with the orthopedic
physician assistant's education, training, and experience.
(4) An orthopedic physician assistant may not
make any definitive diagnosis or prescribe any treatment program except as set
forth in the written protocol and procedures which have been established by the
supervising orthopedic physician in consultation with the orthopedic physician
(5) An orthopedic
physician assistant may not write prescriptions for any drugs and may not use
prescriptions which have been pre-signed by the supervising orthopedic
physician or anyone else.
orthopedic physician assistant may dispense only those medications which have
been contemporaneously approved for a patient by the supervising orthopedic
Tenn. Comp. R. & Regs.
Original Rule filed July
10, 1997; effective September 23, 1997. Amendment filed June 10, 1998;
effective October 28, 1998.
Authority: T.C.A. §§
4-5-204, 63-19-104, 63-19-201,
63-19-203, 63-19-204, 63-19-205, 63-19-206, 63-19-207, and 63-19-208.