Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 2 - Licensure and Certification › Chapter 15 - Physician Assistants › Section XLV-1503 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this
				  Chapter, the following terms shall have the meanings specified.
Advisory Committee
- the Louisiana State
					 Board of Medical Examiners Physician Assistants Advisory Committee constituted
					 under
					 R.S.
					 37:1270.1.
Applicant
-a person on whose behalf the
					 board has received an application for:
a. licensure as a physician assistant;
b. physician assistant registration for prescriptive
					 authority; or
c. registration by a physician to supervise a physician
					 assistant and/or to delegate prescriptive authority to a physician
					 assistant.
Approved Application
-all of the
					 information, representations, terms, restrictions, and documents contained in
					 or submitted with an application upon which the board has issued: a physician
					 assistant license; a physician assistant registration for prescriptive
					 authority; or a supervising physician registration of delegation of
					 prescriptive authority to a physician assistant.
Board
- the Louisiana State Board of
					 Medical Examiners.
Bona Fide Medication Sample
- a medication,
					 other than a controlled substance, packaged by the original manufacturer
					 thereof in such quantity as does not exceed a usual and reasonable therapeutic
					 dosage and provided at no cost to a physician or physician assistant for
					 administration or dispensation at no cost to the patient.
Controlled Substance
-for purposes of this
					 definition, any substance designated or that may hereafter be designated as a
					 schedule II, III, IV, or V controlled substance in
					 R.S.
					 40:964.
Drug
-a controlled substance or a legend
					 drug.
Legend Drug
-any drug or drug product
					 bearing on the label of the manufacturer or distributor as required by the Food
					 and Drug Administration, the statement "Caution: Federal law prohibits
					 dispensing without a prescription" or "Rx Only." For purposes of this
					 definition, legend drugs do not include controlled substances.
Locum Tenens Physician
- a supervising
					 physician approved and registered with the board under this Chapter, who
					 assumes the obligations and responsibilities of a primary supervising
					 physician.
Medical Device
-any instrument, apparatus,
					 implement, contrivance, or similar or related article, which is required under
					 federal law to bear the label "Caution: Federal or State law requires
					 dispensing by or on the order of a physician" and/or "Rx Only," or any other
					 designation required under federal law. For purposes of this Chapter a
medical device
shall not include medical lasers, microwave,
					 pulse light, radio frequency or any other such instrument, apparatus, implement
					 or similar equipment used for therapeutic or cosmetic purposes.
Medication
-except in these rules where its
					 use may indicate otherwise, is synonymous with
drug
, as
					 defined herein.
Multiple Supervising Physicians
- two or
					 more supervising physicians practicing in any professional or clinical
					 setting.
NCCPA
-National Commission on Certificate
					 of Physician Assistants or its successors.
Physician
- a person possessing a current
					 license to practice medicine in the state of Louisiana.
Physician Assistant
(
PA
)-a health care professional qualified by academic and
					 clinical education and licensed by the board to provide health care services at
					 the direction and under the supervision of a physician or a group of physicians
					 approved by the board as a supervising physician(s).
Physician Assistant-Certified (PA-C)
- a
					 physician assistant who is currently certified by the National Commission on
					 Certificate of Physician Assistants (NCCPA) or its successors.
Prescribe or Prescription
-a request or
					 order transmitted in writing, orally, electronically or by other means of
					 telecommunication, for a drug or medical device issued in good faith, in the
					 usual course of professional practice for a legitimate medical purpose, by a
					 licensed physician, or a physician assistant registered to prescribe medication
					 and/or medical devices under this Chapter, for the purpose of correcting a
					 physical, mental, or bodily ailment.
Prescriptive Authority
-the authority of a
					 physician assistant duly registered and approved by the board to prescribe
					 legend drugs and/or controlled substances and/or medical devices, to the extent
					 delegated by a supervising physician, in accordance with the registration on
					 file with the board and in compliance with the board's rules, §1501-1529 and
					 §4501-4513
Primary Practice Site
-the practice
					 location at which a supervising physician or physician assistant spends the
					 majority of time engaged in the performance of his profession.
Primary Supervising Physician
-a
					 supervising physician, approved and registered with the board as such under
					 this Chapter.
Protocol
or
Clinical Practice
					 Guidelines
or
Clinical Practice Guidelines or
					 Protocols
-a written set of directives or instructions regarding
					 routine medical conditions, to be followed by a physician assistant in patient
					 care activities. If prescriptive authority has been delegated to the physician
					 assistant by the supervising physician the clinical practice guidelines or
					 protocols shall contain each of the components specified by
					 §1527 The Advisory Committee shall
					 periodically publish and disseminate to supervising physicians and all
					 physician assistants, model forms and examples of clinical practice guidelines
					 and protocols. The supervising physician and physician assistant shall maintain
					 a written copy of such clinical practice guidelines and protocols, which shall
					 be made immediately available for inspection by authorized representatives of
					 the board.
Supervising Group of Physicians or Supervising
					 Group
- a professional partnership, professional corporation, or other
					 professional, physician-owned entity approved by and registered with the board
					 under this Chapter to supervise one or more physician assistants. For the
					 purposes of this definition the term
physician-owned entity
does not mean the type of entity defined in
					 R.S.
					 37:1360.22(3).
Supervising Physician
- a physician
					 approved by and registered with the board under this Chapter, as a primary
					 supervising physician or a locum tenens physician, to provide supervision to
					 one or more physician assistants.
Supervision
-responsible direction and
					 control, with the supervising physician assuming responsibility for the
					 services rendered by a physician assistant in the course and scope of the
					 physician assistant's employment, with respect to patients for whose care, or
					 aspect of care, the physician is responsible. Supervision shall not be
					 construed in every case to require the physical presence of the supervising
					 physician. However, the supervising physician and physician assistant must have
					 the capability to be in contact with each other by either telephone or other
					 telecommunications device. Supervision shall exist when the supervising
					 physician responsible for the care, or aspect of care of the patient, gives
					 informed concurrence of the actions of the physician assistant, whether given
					 prior to or after the action, and when a medical treatment plan or action is
					 made in accordance with written clinical practice guidelines or protocols set
					 forth by the supervising physician. Such guidelines or protocols shall require
					 that the physician assistant contact the supervising physician when there is a
					 question or uncertainty as to what should be done in a given case or when an
					 approved protocol does not address the clinical situation presented. The level
					 and method of supervision shall be at the physician and physician assistant
					 level, shall be documented and reviewed annually, and shall reflect the acuity
					 of the patient care and nature of the procedure.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1270(B)(6),
					 37:1360.23(D) and
					 (F).