Ga. Comp. R. & Regs. R. 360-32-.05 - Additional Requirements Regarding Physician Delegation to an APRN
(1) The delegating physician shall be
available for immediate consultation with the advanced practice registered
nurse. If the delegating physician is not available, the delegating physician
for purposes of consultation may designate another physician who concurs with
the terms of the nurse protocol agreement as provided in O.C.G.A.
43-34-25.
(2) The delegating physician shall document
and maintain a record of direct onsite observation of the practice of the APRN,
conducted at least once annually, except for physicians with protocols that
qualify under O.C.G.A. §
43-34-25(g.1). Additionally, the
delegating physician shall conduct a review of medical records on a quarterly
basis; this review may be conducted via telecommunications to monitor quality
of care being provided to the patients.
(3) The delegating physician shall make
certain that the medical acts provided by the APRN pursuant to the protocol
agreement are:
(a) Commensurate with the
education, training, experience, and competence of the APRN:
1. A delegating physician shall therefore
ensure that an APRN to whom he delegates prescriptive receives pharmacology
training appropriate to the delegating physician's scope of practice at least
annually. Documentation of such training shall be maintained by the physician
and provided to the Board upon request.
2. A delegating physician who fails to comply
with subparagraph (3)(a)1. of this rule by delegating prescriptive to an APRN
who has not received pharmacology training appropriate to the delegating
physician's scope of practice at least annually may be subject to disciplinary
action.
(b) Within the
scope of practice, specialty area or field and certification of the
APRN;
(c) Within the comparable
specialty area or field of the delegating physician; and
(d) Well documented in accurately maintained
patient specific medical records.
(4) The delegating physician is responsible
for all the medical acts performed by the APRN.
(5) A delegating physician shall notify the
Board within ten (10) working days of the date of termination of a nurse
protocol agreement with the delegating physician and APRN.
(6) In the event of the death or departure of
a delegating physician, an APRN must notify the Board within 7 days. If a
designated physician is available according to an approved protocol agreement,
he or she may serve as the delegating physician for up to 60 days (from the
date of death or departure) until a new protocol agreement is approved by the
Board. In the event that there is no designated physician, the APRN will not
have prescriptive authority until a new signed protocol agreement is submitted
to the Board.
(7) The Board may
request at any time to review the nurse protocol agreement and any supporting
documentation. Failure to provide this written information to the Board within
30 days shall be a basis for and may result in disciplinary action. The Board
may require changes in these documents if the Board determines that they do not
comply with O.C.G.A.
43-34-25 and/or accepted standards
of medical practice.
Notes
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