Med 8.07(2)(b)
(b) Performing, or assisting in performing, routine diagnostic studies as appropriate for a specific practice setting.
Med 8.07(2)(c)
(c) Performing routine therapeutic procedures, including, but not limited to, injections, immunizations, and the suturing and care of wounds.
Med 8.07(2)(d)
(d) Instructing and counseling a patient on physical and mental health, including diet, disease, treatment and normal growth and development.
Med 8.07(2)(e)
(e) Assisting the supervising physician in a hospital or facility, as defined in s.
50.01 (1m), Stats., by assisting in surgery, making patient rounds, recording patient progress notes, compiling and recording detailed narrative case summaries and accurately writing or executing orders under the supervision of a licensed physician.
Med 8.07(2)(f)
(f) Assisting in the delivery of medical care to a patient by reviewing and monitoring treatment and therapy plans.
Med 8.07(2)(g)
(g) Performing independently evaluative and treatment procedures necessary to provide an appropriate response to life-threatening emergency situations.
Med 8.07(2)(h)
(h) Facilitating referral of patients to other appropriate community health-care facilities, agencies and resources.
Med 8.07(2)(i)
(i) Issuing written prescription orders for drugs under the supervision of a licensed physician and in accordance with procedures specified in
s. Med 8.08 (2).
Med 8.07 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am. (2) (i),
Register, July, 1994, No. 463, eff. 8-1-94; am. (1) and (2) (intro.),
Register, October, 1996, No. 490, eff. 11-1-96; am. (1), (2) (intro.), (c), (e), (f) and (i),
Register, December, 1999, No. 528, eff. 1-1-00.
Med 8.08
Med 8.08
Prescribing limitations. Med 8.08(1)
(1) A physician assistant may not prescribe or dispense any drug independently. A physician assistant may only prescribe or dispense a drug pursuant to written guidelines for supervised prescriptive practice. The guidelines shall be kept on file at the practice site and made available to the board upon request.
Med 8.08(2)
(2) A physician assistant may issue a prescription order only if all the following conditions apply:
Med 8.08(2)(a)
(a) The physician assistant issues the prescription order only in patient situations specified and described in established written guidelines, including the categories of drugs for which prescribing authority has been authorized. The guidelines shall be reviewed at least annually by the physician assistant and his or her supervising physician.
Med 8.08(2)(b)
(b) The supervising physician and physician assistant determine by mutual agreement that the physician assistant is qualified through training and experience to issue a prescription order as specified in the established written guidelines.
Med 8.08(2)(d)
(d) The prescription orders prepared under procedures in this section contain all information required under s.
450.11 (1), Stats.
Med 8.08(3)(a)(a) A physician who supervises the prescribing practice of a physician assistant shall conduct a periodic review of the prescription orders prepared by the physician assistant to ensure quality of care. In conducting the periodic review of the prescriptive practice of a physician assistant, the supervising physician shall do at least one of the following:
Med 8.08(3)(a)1.
1. Review a selection of the prescription orders prepared by the physician assistant.
Med 8.08(3)(a)2.
2. Review a selection of the patient records prepared by the physician assistant practicing in the office of the supervising physician or at a facility or a hospital in which the supervising physician has staff privileges.
Med 8.08(3)(a)3.
3. Review by telecommunications or other electronic means the patient record or prescription orders prepared by the physician assistant who practices in an office facility other than the supervising physician's main office of a facility or hospital in which the supervising physician has staff privileges.
Med 8.08(3)(b)
(b) The supervising physician shall determine the method and frequency of the periodic review based upon the nature of the prescriptive practice, the experience of the physician assistant, and the welfare of the patients. The process and schedule for review shall indicate the minimum frequency of review and identify the selection of prescriptive orders or patient records to be reviewed.
Med 8.08 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; r. (3),
Register, July, 1994, No. 463, eff. 8-1-94; am. (1), (2) (intro.), (a), (b), (c), (d), (e) 1., 2. and 3.,
Register, October, 1996, No. 490, eff. 11-1-96; am. (1) to (2) (d), (e) 2. and 3.,
Register, December, 1999, No. 528, eff. 1-1-00;
CR 09-006: am. (1) and (2) (a), r. (2) (e), cr. (3)
Register August 2009 No. 644, eff. 9-1-09.
Med 8.09
Med 8.09
Employee status. No physician assistant may be self-employed. If the employer of a physician assistant is other than a licensed physician, the employer shall provide for, and may not interfere with, the supervisory responsibilities of the physician, as defined in
s. Med 8.02 (6) and required in
ss. Med 8.07 (1) and
8.10.
Med 8.09 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am.
Register, October, 1996, No. 490, eff. 11-1-96.
Med 8.10
Med 8.10
Employment requirements; supervising physician responsibilities. Med 8.10(1)
(1) No physician may concurrently supervise more than 2 physician assistants unless the physician submits a written plan for the supervision of more than 2 physician assistants and the board approves the plan. A physician assistant may be supervised by more than one physician.
Med 8.10(2)
(2) Another licensed physician may be designated by the supervising physician to supervise a physician assistant for a period not to exceed 8 weeks per year. Except in an emergency, the designation shall be made in writing to the substitute supervising physician and the physician assistant. The supervising physician shall file with the board a copy of the substitution agreement before the beginning date of the period of his or her absence.
Med 8.10(3)
(3) The supervising physician or substitute supervising physician shall be available to the physician assistant at all times for consultation either in person or within 15 minutes of contact by telecommunications or other electronic means.
Med 8.10(4)
(4) A supervising physician shall visit and conduct an on-site review of facilities attended by the physician assistants at least once a month. Any patient in a location other than the location of the supervising physician's main office shall be attended personally by the physician consistent with his or her medical needs.
Med 8.10 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am. (1),
Register, December, 1999, No. 528, eff. 1-1-00;
CR 09-006: am. (3)
Register August 2009 No. 644, eff. 9-1-09.
