4730-1-02 Physician assistant practice.

(A) A physician assistant shall practice under the supervision, control, and direction of a supervising physician with whom the physician assistant has a supervision agreement approved by the board.

(1) The physician assistant may enter into supervision agreements with any number of supervising physicians.

(2) The physician assistant's practice shall be in a practice setting in which the supervising physician routinely practices.

(3) In a health care facility that includes an emergency department, the physician assistant who does not routinely practice in the emergency department, may, on occasion, be sent to the emergency department by a supervising physician who does not routinely practice in the emergency department for the purpose of assessing and managing a patient, provided the supervising physician is available to come to the emergency department upon request.

(4) The services a physician assistant is authorized to perform shall be services within the supervising physician's normal course of practice and expertise, and which are consistent with the board-approved physician supervisory plan or the policies of the health care facility in which the physician and physician assistant are practicing.

(B) The scope of practice of the physician assistant is determined as follows:

(1) In a health care facility:

(a) The policies of the health care facility, as may be limited by the particular supervising physician who is providing the supervision, may authorize the physician assistant to provide any or all of the services listed in division (A) of section 4730.09 of the Revised Code;

(b) The policies of the health care facility, as may be limited by the particular supervising physician who is providing supervision, may authorize the physician assistant to assist in surgery in the health care facility;

(c) The policies of the health care facility, as may be limited by the particular supervising physician who is providing supervision, may authorize the physician assistant to provide any other services permitted by the policies of the health care facility, except where performance of a service is prohibited by any provision of Chapter 4730. of the Revised Code;

(d) The policies of the health care facility, as may be limited by the particular supervising physician who is providing supervision, may authorize the physician assistant to order or direct the execution of procedures or techniques by a registered nurse or licensed practical nurse without the need for co-signature by the supervising physician;

(e) The policies of the health care facility, as may be limited by the particular supervising physician who is providing supervision, may authorize the physician assistant to administer, monitor, or maintain local anesthesia as a component of a procedure the physician assistant is performing or as a separate service when the procedure requiring local anesthesia is to be performed by the physician assistant's supervising physician or another person; and

(f) The policies of the health care facility, as may be limited by the particular supervising physician who is providing supervision, may authorize the physician assistant to perform routine visual screening, provide medical care prior to or following eye surgery, or assist in the care of diseases of the eye.

(2) In an office-based practice:

(a) The board approved physician supervisory plan or the board approved special services plan for the particular supervising physician may authorize the physician assistant to provide any or all of the services listed in division (A) of section 4730.09 of the Revised Code;

(b) The board approved physician supervisory plan or the board approved special services plan for the particular supervising physician may authorize the physician assistant to administer, monitor, or maintain local anesthesia as a component of a procedure the physician assistant is performing or as a separate service when the procedure requiring local anesthesia is to be performed by the physician assistant's supervising physician or another person;

(c) The board approved physician supervisory plan or the board approved special services plan for the particular supervising physician may authorize the physician assistant to order or direct the execution of procedures or techniques by a registered nurse or licensed practice nurse without the need for co-signature by the supervising physician;

(d) The board approved physician supervisory plan or the board approved special services plan for the particular supervising physician may authorize the physician assistant to perform routine visual screening, provide medical care prior to or following eye surgery, or assist in the care of diseases of the eye; and

(e) The board approved physician supervisory plan or the board approved special services plan for the particular supervising physician may authorize the physician assistant to provide any service approved by the board as a special service in the physician supervisory plan, pursuant to section 4730.17 of the Revised Code.

(3) A physician assistant shall not perform any of the following activities regardless of the practice setting:

(a) Prescribe any drug or device to perform or induce an abortion, or otherwise perform or induce an abortion;

(b) Administer, monitor, or maintain any form of anesthesia except for local anesthesia; or

(c) Engage in the practice of optometry, except to the extent of authorization to perform routine visual screening, provide medical care prior to or following eye surgery, or assist in the care of diseases of the eye.

(C) The physician assistant shall include the following information with each medical order written:

(1) The physician assistant shall sign the form on which the order or order set is written, and record the time and date that the order is written; and

(2) The physician assistant shall include the name of the physician under whose supervision the physician assistant was practicing at the time the order was written.

R.C. 119.032 review dates: 03/19/2014 and 03/19/2019
Promulgated Under: 119.03
Statutory Authority: 4730.07
Rule Amplifies: 4730.02 , 4730.03 , 4730.08 , 4730.09 , 4730.091 , 4730.21
Prior Effective Dates: 10/31/2007