Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 85 - MEDICAL EXAMINERS › Subchapter 6 - CERTIFYING PHYSICIAN ASSISTANTS › Section 16-85-49 - Degree of supervision

Current through June, 2024
(a) The supervising physician shall:
(1) Possess a current unrestricted Hawaii
				license to practice medicine and surgery that is in good standing with the
				board;
(2) Submit a statement that
				the supervising physician will direct and exercise supervision over any
				subordinate physician assistant in accordance with this subchapter and
				recognizes that the supervising physician retains full professional and legal
				responsibility for the performance of the physician assistant and the care and
				treatment of the patient;
(3)
				Permit the physician assistant to be utilized in any setting authorized by the
				supervising physician including, but not limited to, clinics, hospitals,
				ambulatory centers, patient homes, nursing homes, other lodging, and other
				institutional settings;
(4) Provide
				adequate means for direct communication between the physician assistant and the
				supervising physician; provided that where the physical presence of the
				supervising physician is not required, the direct communication may occur
				through the use of technology which may include but is not limited to, two way
				radio, telephone, fax machine, modem, or other telecommunication
				device;
(5) Personally review the
				records of each patient seen by the physician assistant within seven working
				days;
(6) Designate an alternate
				supervising physician in the physician's absence;
(7) Supervise no more than two physician
				assistants at any one time; and
(8)
				Be authorized to allow the physician assistant to prescribe, dispense, and
				administer medications and medical devices to the extent delegated by the
				supervising physician and subject to the following requirements:
(A) Prescribing and dispensing of medications
				may include Schedule III through V and all legend medications. No physician
				assistant may prescribe Schedule II medications;
(B) A physician assistant who has been
				delegated the authority to prescribe Schedule III through V medications shall
				register with the Drug Enforcement Administration (DEA);
(C) Each prescription written by a physician
				assistant shall include the name, address, and phone number of the supervising
				physician and physician assistant. The printed name of the supervising
				physician shall be on one side of the form and the printed name of the
				physician assistant shall be on the other side. A physician assistant who has
				been delegated the authority to prescribe shall sign the prescription next to
				the printed name of the physician assistant;
(D) A physician assistant employed or
				extended privileges by a hospital or extended care facility may, if allowed
				under the bylaws, rules, and regulations of the hospital or extended care
				facility, write orders for medications Schedule II through V, for inpatients
				under the care of the supervising physician;
(E) The board of medical examiners shall
				notify the pharmacy board in writing, at least annually or more frequently if
				required by changes, of each physician assistant authorized to
				prescribe;
(F) A physician
				assistant may request, receive, and sign for professional samples and may
				distribute professional samples to patients; and
(G) All dispensing activities shall comply
				with appropriate federal and state regulations.