(a) Supervision shall be continuous, but shall not
be construed as necessarily requiring the constant physical presence
of the supervising physician at a place where physician assistant
services are performed while the services are performed. Telecommunication
shall always be available.
(b) It is the obligation of each 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 methods of access to and communicating with
the supervising physician is defined;
(4) a process for evaluation of the physician assistant's
performance is established; and
(5) the physician assistant is licensed to practice
and has a current registration permit. The physician assistant must
immediately notify his or her supervising physician(s) of any change
in licensure status, including, but not limited to: permit expiration,
license cancellation, or entry of a disciplinary order.
(c) A physician assistant may have more than one supervising
physician.
(d) Physician assistants must utilize mechanisms which
provide medical authority when such mechanisms are indicated, including,
but not limited to, prescriptive authority agreements, standing delegation
orders, standing medical orders, protocols, or practice guidelines.
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Source Note: The provisions of this §185.14 adopted to be effective November 3, 2002, 27 TexReg 10027; amended to be effective June 5, 2014, 39 TexReg 4255; amended to be effective July 19, 2018, 43 TexReg 4747 |