PA 3.04(4) (4) The board may audit and review the practice of a physician assistant temporarily practicing without a collaborating physician under sub. (3) at any time during or after the collaborating physician's absence.
PA 3.04 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23; correction in (2), (3) (a), (b), (4) made under s. 35.17, Stats., Register July 2023 No. 811.
PA 3.05 PA 3.05 Minimum standards for patient health care records.
PA 3.05(1)(1)When patient healthcare records are not maintained by a separate entity, a physician assistant shall ensure patient health care records are maintained on every patient for a period of not less than 5 years after the date of the last entry, or for a longer period as may be otherwise required by law.
PA 3.05(2) (2) A patient health care record shall contain all of the following clinical health care information which applies to the patient's medical condition:
PA 3.05(2)(a) (a) Pertinent patient history.
PA 3.05(2)(b) (b) Pertinent objective findings related to examination and test results.
PA 3.05(2)(c) (c) Assessment or diagnosis.
PA 3.05(2)(d) (d) Plan of treatment for the patient.
PA 3.05(3) (3) Each patient health care record entry shall be dated, shall identify the physician assistant, and shall be sufficiently legible to allow interpretation by other health care practitioners.
PA 3.05 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23.
PA 3.06 PA 3.06 Standards for dispensing and prescribing drugs.
PA 3.06(1)(1)Prescriptive authority.
PA 3.06(1)(a) (a) A physician assistant may order, prescribe, procure, dispense, and administer prescription drugs, medical devices, services, and supplies.
PA 3.06(1)(b) (b) A physician assistant practicing under the supervision and direction of a podiatrist may issue a prescription order for a drug or device in accordance with guidelines established by the supervising podiatrist and the physician assistant.
PA 3.06(2) (2)Packaging. A prescription drug dispensed by a physician assistant shall be dispensed in a child-resistant container if it is a substance requiring special packaging under 16 CFR 1700.14 (1982) of the federal regulations for the federal poison packaging act of 1970.
PA 3.06(3) (3)Labeling. A prescription drug dispensed by a physician assistant shall contain a legible label affixed to the immediate container disclosing all of the following:
PA 3.06(3)(a) (a) The name and address of the facility from which the prescribed drug is dispensed.
PA 3.06(3)(b) (b) The date on which the prescription is dispensed.
PA 3.06(3)(c) (c) The name of the physician assistant who prescribed the drug.
PA 3.06(3)(d) (d) The full name of the patient.
PA 3.06(3)(e) (e) The generic name and strength of the prescription drug dispensed unless the prescribing physician assistant requests omission of the name and strength of the drug dispensed.
PA 3.06(3)(f) (f) Directions for the use of the prescribed drug and cautionary statements, if any, contained in the prescription or required by law.
PA 3.06(4) (4)Recordkeeping.
PA 3.06(4)(a)(a) Unless otherwise maintained by an organization, a physician assistant shall maintain complete and accurate records of each prescription drug received, dispensed, or disposed of in any other manner.
PA 3.06(4)(b) (b) Records for controlled substances shall be maintained as required by the federal controlled substances act and ch. 961, Stats.
PA 3.06 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23.
PA 3.07 PA 3.07 Informed consent.
PA 3.07(1)(1)Pursuant to s. 448.9785, Stats., a physician assistant shall communicate alternate modes of treatment to a patient.
PA 3.07(2) (2) Any physician assistant who treats a patient shall inform the patient about the availability of reasonable alternative modes of treatment and about the benefits and risks of these treatments. The reasonable physician assistant standard is the standard for informing a patient under this section. The reasonable physician assistant standard requires disclosure only of information that a reasonable physician assistant in the same or a similar medical specialty would know and disclose under the circumstances.
PA 3.07(3) (3) The physician assistant's duty to inform the patient under this section does not require disclosure of any of the following:
PA 3.07(3)(a) (a) Detailed technical information that in all probability a patient would not understand.
PA 3.07(3)(b) (b) Risks apparent or known to the patient.
PA 3.07(3)(c) (c) Extremely remote possibilities that might falsely or detrimentally alarm the patient.
PA 3.07(3)(d) (d) Information in emergencies where failure to provide treatment would be more harmful to the patient than treatment.
PA 3.07(3)(e) (e) Information in cases where the patient is incapable of consenting.
PA 3.07(3)(f) (f) Information about alternate modes of treatment for any condition the physician assistant has not included in the physician assistant's diagnosis at the time the physician assistant informs the patient.
PA 3.07(4) (4) A physician assistant's record shall include documentation that alternate modes of treatment have been communicated to the patient and informed consent has been obtained from the patient.
PA 3.07 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23.
PA 3.08 PA 3.08 Telemedicine and telehealth practice.
PA 3.08(1)(1)In this section:
PA 3.08(1)(a) (a) “Emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention will result in serious jeopardy to patient health, serious impairment of bodily functions, or serious dysfunction of a body organ or part.
PA 3.08(1)(b) (b) “Telehealth” has the meaning given in s. 440.01 (1) (hm), Stats.
PA 3.08(1)(c) (c) “Telemedicine” is analogous to and has the same meaning as “telehealth” in par. (b).
PA 3.08(2) (2) The rules in this section do not prohibit any of the following:
PA 3.08(2)(a) (a) Consultations between physician assistants, or between physician assistants and other medical professionals, or the transmission and review of digital images, pathology specimens, test results, or other medical data related to the care of patients in this state.
PA 3.08(2)(b) (b) Patient care in consultations with another healthcare provider who has an established provider-patient relationship with the patient.
PA 3.08(2)(c) (c) Patient care in on-call or cross-coverage situations in which the physician assistant has access to patient records.
PA 3.08(2)(d) (d) Treating a patient with an emergency medical condition.
PA 3.08(3) (3) A physician assistant-patient relationship may be established via telehealth.
PA 3.08(4) (4) A physician assistant who uses telemedicine in the diagnosis and treatment of a patient located in this state shall be licensed to practice as a physician assistant by the board.
PA 3.08(5) (5) A physician assistant shall be held to the same standards of practice and conduct including patient confidentiality and recordkeeping, regardless of whether health care services are provided in person or by telemedicine.
PA 3.08(6) (6) A physician assistant who provides health care services by telehealth is responsible for the quality and safe use of equipment and technology that is integral to patient diagnosis and treatment.
PA 3.08(7) (7) The equipment and technology used by a physician assistant to provide health care services by telehealth shall provide, at a minimum, information that will enable the physician assistant to meet or exceed the standard of minimally competent physician assistant practice.
PA 3.08 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23; corrections in (4) to (6) made under s. 13.92 (4) (b) 12., Stats., Register July 2023 No. 811.
Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.