Ohio Administrative Code › Title 4731 - State Medical Board › Chapter 4731-18 - Surgery Standards › Section 4731-18-03 - Delegation of the use of light based medical devices for specified non-ablative procedures

Current through all regulations passed and filed through July 1, 2024
(A)
								A physician may
			 delegate the application of a vascular laser for non-ablative dermatologic
			 procedures only if all the following conditions are met:
(1)
									The vascular
			 laser has been specifically cleared or approved by the United States food and
			 drug administration for the specific intended non-ablative dermatologic
			 procedure;
(2)
									The use of the vascular laser for the specific
			 non-ablative dermatologic use is within the physician's normal course of
			 practice and expertise;
(3)
									The physician has seen and evaluated the patient to
			 determine whether the proposed application of the specific vascular laser is
			 appropriate;
(4)
									The physician has seen and evaluated the patient
			 following the initial application of the specific vascular laser, but prior to
			 any continuation of treatment in order to determine that the patient responded
			 well to the initial application of the specific vascular laser;
(5)
									The person to
			 whom the delegation is made is one of the following:
(a)
										A physician
			 assistant licensed under Chapter 4730. of the Revised Code with whom the
			 physician has an effective supervision agreement; or,
(b)
										A registered
			 nurse or licensed practical nurse licensed under Chapter 4723. of the Revised
			 Code;
(6)
									For a physician assistant, the authorization must meet
			 the requirements of section
			 4730.21 of the Revised
			 Code.
(7)
									For a registered nurse or licensed practical nurse, the
			 physician must ensure that the person to whom the delegation is made has
			 received adequate education and training to provide the level of skill and care
			 required including;
(a)
										Eight hours of basic education that must include the
			 following topics: light based procedure physics, tissue interaction in light
			 based procedures, light based procedure safety including use of proper safety
			 equipment, clinical application of light based procedures, pre and
			 post-operative care of light based procedure patients, and reporting of adverse
			 events;
(b)
										Observation of fifteen procedures for each specific
			 type of vascular laser non-ablative procedure delegated. The procedures
			 observed must be performed by a physician for whom the use of this specific
			 vascular laser procedure is within the physician's normal course of practice
			 and expertise; and
(c)
										Performance of twenty procedures under the direct
			 physical oversight of the physician on each specific type of vascular laser
			 non-ablative procedure delegated. The physician overseeing the performance of
			 these procedures must use this specific vascular laser procedure within the
			 physician's normal course of practice and expertise;
(d)
										Satisfactory
			 completion of training shall be documented and retained by each physician
			 delegating and the delegate. The education requirement in paragraph (A)(7)(a)
			 of this rule must only be completed once by the delegate regardless of the
			 number of types of specific vascular laser procedures delegated and the number
			 of delegating physicians. The training requirements in paragraphs (A)(7)(b) and
			 (A)(7)(c) of this rule must be completed by the delegate once for each specific
			 type of vascular laser procedure delegated regardless of the number of
			 delegating physicians;
(8)
									For delegation to
			 a registered nurse or licensed practical nurse, the physician provides on-site
			 supervision at all times that the person to whom the delegation is made is
			 applying the vascular laser; and,
(9)
									For delegation to
			 a registered nurse or licensed practical nurse, the physician supervises no
			 more than two persons pursuant to this rule at the same time.