3 CCR 713-46.2 - EXPANDED DELEGATION

A. In addition to any delegation authorized by the Medical Practice Act including, but not limited to, section 12-240-107(3)(l), C.R.S., or Colorado Medical Board Rule 800 3 CCR 713-30, physicians are authorized to delegate services in hospitals and inpatient settings as follows:
1. Physicians may delegate medical services within their scope of practice to the following Colorado Licensed Professionals working in a hospital or inpatient facility:
a. Podiatrists
b. Optometrists
c. Chiropractors
d. Veterinarians
e. Dentists
f. Physical Therapists
g. Physical Therapy Assistants
h. Occupational Therapists
i. Occupational Therapy Assistants
j. Speech-Language Pathologists
k. Surgical Assistants
l. Surgical Technologists
m. Volunteer Retired Nurses
n. Nurse Aides
o. Temporary IMG Licensees
2. Physicians may delegate services within their scope of practice to the following unlicensed persons working in a hospital or inpatient facility:
a. Volunteer Nursing Students
b. Medical Assistants
3. Physicians are authorized to provide training to the Colorado licensed professionals and unlicensed persons set forth in this Rule, section 46.2.
4. In order to delegate services pursuant to this Rule, section 46.2(A)(1) and (2), the physician shall ensure, prior to the delegation, that the delegated service is within the knowledge, skill and training of the delegatee.
5. The physician shall ensure on-premises availability to provide direction and supervision of the delegatee.
6. The delegated services shall be routine, technical services, the performance of which do not require the special skill or decision making ability of a physician.
7. The prescription or selection of medications, performance of surgical or other invasive procedures and anesthesia services may not be delegated pursuant to this Rule 160.
B. In addition to any delegation authorized by the Medical Practice Act and section 25-3.5-207, C.R.S., and notwithstanding any limitations set forth in Colorado Medical Board Rules 400 3 CCR 713-7 or 800 3 CCR 713-30, physician assistants are authorized to delegate services in hospitals and inpatient settings as follows:
1. Physician assistants may delegate services within their scope of practice to the following Colorado Licensed Professionals working in a hospital or inpatient facility:
a. Podiatrists
b. Optometrists
c. Chiropractors
d. Veterinarians
e. Dentists
f. Physical Therapists
g. Physical Therapy Assistants
h. Occupational Therapists
i. Occupational Therapy Assistants
j. Speech-Language Pathologists
k. Surgical Assistants
l. Surgical Technologists
m. Volunteer Retired Nurses
n. Nurse Aides
2. Physician assistants may delegate services within their scope of practice to the following unlicensed persons working in a hospital or inpatient facility:
a. Volunteer Nursing Students
b. Medical Assistants
3. Physician assistants are authorized to provide training to the Colorado licensed professionals and unlicensed persons set forth in Rule 1.27(C)(1) and (2).
4. In order to delegate services pursuant to this Rule, section 46.2 , the physician assistant shall ensure, prior to the delegation, that the delegated service is within the knowledge, skill and training of the delegatee.
5. The physician assistant shall ensure on-premises availability to provide direction and supervision of the delegatee.
6. The delegated services shall be routine, technical services, the performance of which do not require the special skill or decision-making ability of a physician assistant.
7. The prescription or selection of medications, performance of surgical or other invasive procedures and anesthesia services may not be delegated pursuant to this Rule 160.

Notes

3 CCR 713-46.2
45 CR 16, August 25, 2022, effective 7/22/2022 45 CR 20, October 25, 2022, effective 9/22/2022 45 CR 23, December 10, 2022, effective 11/11/2022 46 CR 01, January 10, 2023, effective 12/10/2022 46 CR 02, January 25, 2022, effective 1/9/2023

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