Nev. Admin. Code § 633.289 - Supervising physicians: Responsibilities
1. A
supervising physician is responsible for all of the activities related to the
performance of medical services conducted by the physician assistant whom he or
she supervises, including, without limitation:
(a)Obtaining the medical histories of
patients;
(b)Performing physical
examinations;
(c)Ordering and
performing diagnostic and therapeutic procedures;
(d)Implementing a treatment plan outlined by
a supervising physician;
(e)Monitoring the effectiveness of
therapeutic interventions;
(f)Assisting at surgery;
(g)Offering counseling and education to meet
the needs of patients;
(h)Making
appropriate referrals; and
(i)Pronouncing death, excluding the diagnosis
of the cause of death.
2.
The supervising physician shall ensure that:
(a)The physician assistant is clearly
identified to the patients as a physician assistant;
(b)The physician assistant performs only
those medical services which are specified in the written collaborating
agreement between the supervising physician and the physician assistant;
and
(c)The physician assistant
strictly complies with:
(1)The provisions of
the registration certificate issued to the physician assistant by the State
Board of Pharmacy pursuant to
NRS
639.1373; and
(2)The regulations of the State Board of
Pharmacy regarding controlled substances, poisons, dangerous drugs or
devices.
3. A
supervising physician:
(a)Except as otherwise
provided in NRS
633.469, shall provide supervision in person
at least once each month to the physician assistant.
(b)Must be available for consultation at all
times during which the physician assistant is performing medical
services.
(c)Shall review and
initial at least 10 percent of the charts of the patients of the physician
assistant at least four times each year.
(d)Shall develop and carry out a program to
ensure the quality of care provided by the physician assistant, which must
include, without limitation:
(1)An assessment
of the medical competency of the physician assistant;
(2)A review and initialing of selected
charts;
(3)An assessment of a
representative sample of the referrals or consultations made by the physician
assistant with other health professionals as required by the condition of the
patient;
(4)Direct observation of
the ability of the physician assistant to take medical histories from and
perform examinations of patients representative of those cared for by the
physician assistant; and
(5)Maintenance by the supervising physician
of accurate records and documentation regarding the program for each physician
assistant supervised.
4. A patient cared for by a physician
assistant for a recurring illness that is not a chronic illness must be
examined by the supervising physician of the physician assistant if the patient
does not show improvement within a reasonable period of
time.
Notes
NRS 633.291, 633.434, 633.466, 633.469
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