reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.144 - Responsibility of primary supervising physician

Current through Register Vol. 54, No. 28, July 13, 2024
A primary supervising physician shall assume the
						  following responsibilities. The supervisor shall:
(1) Monitor the compliance of all parties to
						the written agreement with the standards contained in the written agreement,
						the act and this subchapter.
(2)
						Advise any party to the written agreement of the failure to conform with the
						standards contained in the written agreement, the act and this
						subchapter.
(3) Arrange for a
						substitute supervising physician. (See §
												18.154 (relating to substitute
						supervising physician).)
(4) Review
						directly with the patient the progress of the patient's care as needed based
						upon the patient's medical condition and prognosis or as requested by the
						patient.
(5) See each patient while
						hospitalized at least once.
(6)
						Provide access to the written agreement upon request and provide clarification
						of orders and prescriptions by the physician assistant relayed to other health
						care practitioners.
(7) Accept full
						professional and legal responsibility for the performance of the physician
						assistant and the care and treatment of the patients.
The provisions of this §
														18.144 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P.S. §§
															422.8,
							 422.13 and
							 422.36).
This section cited in 49 Pa. Code §
														18.156 (relating to monitoring and
							 review of physician assistant
							 utilization).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.145 - Biennial registration requirements; renewal of physician assistant license

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						physician assistant shall register biennially according to the procedure in
						§
												16.15 (relating to biennial
						registration; inactive status and unregistered status).
(b) The fee for the biennial registration of
						a physician assistant license is set forth in §
												16.13 (relating to licensure,
						certification, examination and registration fees).
(c) To be eligible for renewal of a physician
						assistant license, the physician assistant shall complete continuing medical
						education as required by the NCCPA, including at least 2 hours of approved
						training in child abuse recognition and reporting in accordance with §
												16.108(b)
						(relating to child abuse recognition and reporting-mandatory training
						requirement), and maintain National certification by completing current
						recertification mechanisms available to the profession, identified on the
						NCCPA's web site as recognized by the Board. The Board recognizes certification
						through the NCCPA and its successor organizations and certification through any
						other National organization for which the Board publishes recognition of the
						organization's certification of physician assistants on the Board's web
						site.
(d) The Board will keep a
						current list of persons licensed as physician assistants. The list will
						include:
(1) The name of each physician
						assistant.
(2) The place of
						residence.
(3) The current business
						address.
(4) The date of initial
						licensure, biennial renewal record and current supervising physician.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 18.146 - Professional liability insurance coverage for licensed physician assistants

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A licensed
						physician assistant shall maintain a level of professional liability insurance
						coverage as required under section 36(f) of the act (63 P. S. §
													422.36(f)).
(b) Proof of professional liability insurance
						coverage may include:
(1) A certificate of
						insurance or copy of the declaration page from the applicable insurance policy
						setting forth the effective date, expiration date and dollar amounts of
						coverage.
(2) Evidence of a plan of
						self-insurance approved by the Insurance Commissioner of the Commonwealth under
						regulations of the Insurance Department in 31 Pa. Code Chapter 243 (relating to
						medical malpractice and health-related self-insurance plans).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.151 - Role of physician assistant

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
						The physician assistant practices medicine with physician supervision. A
						physician assistant may perform those duties and responsibilities, including
						the ordering, prescribing, dispensing, and administration of drugs and medical
						devices, as well as the ordering, prescribing, and executing of diagnostic and
						therapeutic medical regimens, as directed by the supervising
						physician.
(b) The physician
						assistant may provide any medical service as directed by the supervising
						physician when the service is within the physician assistant's skills, training
						and experience, forms a component of the physician's scope of practice, is
						included in the written agreement and is provided with the amount of
						supervision in keeping with the accepted standards of medical
						practice.
(c) The physician
						assistant may pronounce death, but not the cause of death, and may authenticate
						with the physician assistant's signature any form related to pronouncing death.
						If the attending physician is not available, the physician assistant shall
						notify the county coroner. The coroner has the authority to release the body of
						the deceased to the funeral director.
(d) The physician assistant may authenticate
						with the physician assistant's signature any form that may otherwise be
						authenticated by a physician's signature as permitted by the supervising
						physician, State or Federal law and facility protocol, if applicable.
(e) The physician assistant shall be
						considered the agent of the supervising physician in the performance of all
						practice-related activities including the ordering of diagnostic, therapeutic
						and other medical services.
The provisions of this §
														18.151 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
This section cited in 49 Pa. Code §
														18.142 (relating to written
							 agreements).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.152 - Prohibitions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician
						assistant may not:
(1) Provide medical
						services except as described in the written agreement.
(2) Prescribe or dispense drugs except as
						described in the written agreement.
(3) Maintain or manage a satellite location
						under §
													18.155 (relating to satellite
						locations) unless the maintenance or management is registered with the
						Board.
(4) Independently practice
						or bill patients for services provided.
(5) Independently delegate a task
						specifically assigned to him by the supervising physician to another health
						care provider.
(6) List his name
						independently in a telephone directory or other directory for public use in a
						manner which indicates that he functions as an independent
						practitioner.
(7) Perform
						acupuncture except as permitted by section 13(k) of the act (63 P. S. §
														422.13(k)).
(8) Perform a medical service without the
						supervision of a supervising physician.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.153 - Executing and relaying medical regimens

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician assistant may execute a
						written or oral order for a medical regimen or may relay a written or oral
						order for a medical regimen to be executed by a health care practitioner
						subject to the requirements of this section.
(b) As provided for in the written agreement,
						the physician assistant shall report orally or in writing, to a supervising
						physician, within 36 hours, those medical regimens executed or relayed by the
						physician assistant while the supervising physician was not physically present,
						and the basis for each decision to execute or relay a medical
						regimen.
(c) The physician
						assistant shall record, date and authenticate the medical regimen on the
						patient's chart at the time it is executed or relayed. When working in a
						medical care facility, a physician assistant may comply with the recordation
						requirement by directing the recipient of the order to record, date and
						authenticate that the recipient received the order, if this practice is
						consistent with the medical care facility's written policies. The supervising
						physician shall countersign the patient record within a reasonable time not to
						exceed 10 days, unless countersignature is required sooner by regulation,
						policy within the medical care facility or the requirements of a third-party
						payor.
(d) A physician assistant or
						supervising physician shall provide immediate access to the written agreement
						to anyone seeking to confirm the physician assistant's authority to relay a
						medical regimen or administer a therapeutic or diagnostic measure.
The provisions of this §
														18.153 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.154 - Substitute supervising physician

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the primary supervising physician is
						unavailable to supervise the physician assistant, the primary supervising
						physician may not delegate patient care to the physician assistant unless
						appropriate arrangements for substitute supervision are in the written
						agreement and the substitute physician is registered as a supervising physician
						with the Board.
(b) It is the
						responsibility of the substitute supervising physician to ensure that
						supervision is maintained in the absence of the primary supervising
						physician.
(c) During the period of
						supervision by the substitute supervising physician, the substitute supervising
						physician retains full professional and legal responsibility for the
						performance of the physician assistant and the care and treatment of the
						patients treated by the physician assistant.
(d) Failure to properly supervise may provide
						grounds for disciplinary action against the substitute supervising
						physician.
The provisions of this §
														18.154 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
This section cited in 49 Pa. Code §
														18.144 (relating to responsibility
							 of primary supervising physician); and 49 Pa. Code §
														18.156 (relating to monitoring and
							 review of physician assistant
							 utilization).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.155 - Satellite locations

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Registration of satellite location
. A physician assistant may
						not provide medical services at a satellite location unless the supervising
						physician has filed a registration with the Board.
(b)
Contents of statement
. A
						separate statement shall be made for each satellite location. The statement
						must demonstrate that:
(1) The physician
						assistant will be utilized in an area of medical need.
(2) There is adequate provision for direct
						communication between the physician assistant and the supervising physician and
						that the distance between the location where the physician provides services
						and the satellite location is not so great as to prohibit or impede appropriate
						support services.
(3) The
						supervising physician shall review directly with the patient the progress of
						the patient's care as needed based upon the patient's medical condition and
						prognosis or as requested by the patient.
(4) The supervising physician will visit the
						satellite location at least once every 10 days and devote enough time onsite to
						provide supervision and personally review the records of selected patients seen
						by the physician assistant in this setting. The supervising physician shall
						notate those patient records as reviewed.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.156 - Monitoring and review of physician assistant utilization

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Representatives of the Board will be
						authorized to conduct scheduled and unscheduled onsite inspections of the
						locations where the physician assistants are utilized during the supervising
						physician's office hours to review the following:
(1) Supervision of the physician assistant.
						See §§
													18.144 and
						18.154 (relating to responsibility
						of primary supervising physician; and substitute supervising
						physician).
(2) Presence of the
						written agreement and compliance with its terms. See §
													18.142 (relating to written
						agreements).
(3) Utilization in
						conformity with the act, this subchapter and the written agreement.
(4) Appropriate identification of physician
						assistant. See §
													18.171 (relating to physician
						assistant identification).
(5)
						Compliance with licensure and registration requirements. See §§
													18.141 and
						18.145 (relating to criteria for
						licensure as a physician assistant; and biennial registration requirements;
						renewal of physician assistant license).
(6) Maintenance of records evidencing patient
						and supervisory contact by the supervising physician.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.157 - Administration of controlled substances and whole blood and blood components

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In a hospital,
						medical care facility or office setting, the physician assistant may order or
						administer, or both, controlled substances and whole blood and blood components
						if the authority to order and administer these medications and fluids is
						expressly set forth in the written agreement.
(b) The physician assistant shall comply with
						the minimum standards for ordering and administering controlled substances
						specified in §
												16.92 (relating to prescribing,
						administering and dispensing controlled substances).
The provisions of this §
														18.157 issued under sections 8, 13
							 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
This section cited in 49 Pa. Code §
														18.151 (relating to role of
							 physician assistant).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.158 - Prescribing and dispensing drugs, pharmaceutical aids and devices

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Prescribing, dispensing and administration of drugs
.
(1) The supervising physician may delegate to
						the physician assistant the prescribing, dispensing and administering of drugs
						and therapeutic devices.
(2) A
						physician assistant may not prescribe or dispense Schedule I controlled
						substances as defined by section 4 of The Controlled Substances, Drug, Device,
						and Cosmetic Act (35 P. S. §
														780-104).
(3) A physician assistant may prescribe a
						Schedule II controlled substance for initial therapy, up to a 72-hour dose. The
						physician assistant shall notify the supervising physician of the prescription
						as soon as possible, but in no event longer than 24 hours from the issuance of
						the prescription. A physician assistant may write a prescription for a Schedule
						II controlled substance for up to a 30-day supply if it was approved by the
						supervising physician for ongoing therapy. The prescription must clearly state
						on its face that it is for initial or ongoing therapy.
(4) A physician assistant may only prescribe
						or dispense a drug for a patient who is under the care of the physician
						responsible for the supervision of the physician assistant and only in
						accordance with the supervising physician's instructions and written
						agreement.
(5) A physician
						assistant may request, receive and sign for professional samples and may
						distribute professional samples to patients.
(6) A physician assistant authorized to
						prescribe or dispense, or both, controlled substances shall register with the
						Drug Enforcement Administration (DEA).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › PHYSICIAN ASSISTANT UTILIZATION › Section 18.159 - Medical records

Current through Register Vol. 54, No. 28, July 13, 2024
The supervising physician shall timely review, not to
						  exceed 10 days, the medical records prepared by the physician assistant to
						  ensure that the requirements of §
												16.95 (relating to medical
						  records) have been satisfied.
The provisions of this §
														18.159 issued under sections 8, 13
							 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › MEDICAL CARE FACILITIES AND EMERGENCY MEDICAL SERVICES › Section 18.161 - Physician assistant employed by medical care facilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician assistant may be employed by
						a medical care facility, but shall comply with the requirements of the act and
						this subchapter.
(b) The physician
						assistant may not be responsible to more than three supervising physicians in a
						medical care facility.
(c) This
						subchapter does not require medical care facilities to employ physician
						assistants or to permit their utilization on their premises. Physician
						assistants are permitted to provide medical services to the hospitalized
						patients of their supervising physicians if the medical care facility permits
						it.
(d) Physician assistants
						granted privileges by, or practicing in, a medical care facility shall conform
						to policies and requirements delineated by the facility.
The provisions of this §
														18.161 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › MEDICAL CARE FACILITIES AND EMERGENCY MEDICAL SERVICES › Section 18.162 - Emergency medical services

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
						physician assistant may only provide medical service in an emergency medical
						care setting if the physician assistant has training in emergency medicine,
						functions within the purview of the physician assistant's written agreement and
						is under the supervision of the supervising physician.
(b) A physician assistant licensed in this
						Commonwealth or licensed or authorized to practice in any other state who is
						responding to a need for medical care created by a declared state of emergency
						or a state or local disaster (not to be defined as an emergency situation which
						occurs in the place of one's employment) may render care consistent with
						relevant standards of care.
The provisions of this §
														18.162 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › MEDICAL CARE FACILITIES AND EMERGENCY MEDICAL SERVICES › Section 18.163 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › MEDICAL CARE FACILITIES AND EMERGENCY MEDICAL SERVICES › Section 18.164 - Reserved

Current through Register Vol. 54, No. 28, July 13, 2024
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › IDENTIFICATION AND NOTICE RESPONSIBILITIES › Section 18.171 - Physician assistant identification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician assistant may not render
						medical services to a patient until the patient or the patient's legal guardian
						has been informed that:
(1) The physician
						assistant is not a physician.
(2)
						The physician assistant may perform the service required as the agent of the
						physician and only as directed by the supervising physician.
(3) The patient has the right to be treated
						by the physician if the patient desires.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › IDENTIFICATION AND NOTICE RESPONSIBILITIES › Section 18.172 - Notification of changes in employment

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The physician assistant is required to
						notify the Board, in writing, of a change in or termination of employment or a
						change in mailing address within 15 days. Failure to notify the Board, in
						writing, of a change in mailing address may result in failure to receive
						pertinent material distributed by the Board. The physician assistant shall
						provide the Board with the new address of residence, address of employment and
						name of registered supervising physician.
(b) The supervising physician is required to
						notify the Board, in writing, of a change or termination of supervision of a
						physician assistant within 15 days.
(c) Failure to notify the Board of changes in
						employment or a termination in the physician/physician assistant relationship
						is a basis for disciplinary action against the physician's license, supervising
						physician's registration and the physician assistant's license.
The provisions of this §
														18.172 amended under sections 8,
							 13 and 36 of the Medical Practice Act of 1985 (63 P. S. §§
															422.8,
							 422.13 and
							 422.36).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter D - PHYSICIAN ASSISTANTS › DISCIPLINE › Section 18.181 - Disciplinary and corrective measures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A physician assistant who engages in
						unprofessional conduct is subject to disciplinary action under section 41 of
						the act (63 P. S. §
													422.41).
						Unprofessional conduct includes the following:
(1) Misrepresentation or concealment of a
						material fact in obtaining a license or a reinstatement thereof.
(2) Commission of an offense against the
						statutes of the Commonwealth relating to the practice of physician assistants
						or regulations adopted thereunder.
(3) Commission of an act involving moral
						turpitude, dishonesty or corruption when the act directly or indirectly affects
						the health, welfare or safety of citizens of this Commonwealth. If the act
						constitutes a crime, conviction thereof in a criminal proceeding may not be a
						condition precedent to disciplinary action.
(4) Conviction of a felony or conviction of a
						misdemeanor relating to a health profession or receiving probation without
						verdict, disposition in lieu of trial or an accelerated rehabilitative
						disposition in the disposition of felony charges, in the courts of the
						Commonwealth, a Federal court or a court of another State, territory or
						country.
(5) Misconduct in practice
						as a physician assistant or performing tasks fraudulently, beyond its
						authorized scope, with incompetence, or with negligence on a particular
						occasion or negligence on repeated occasions.
(6) Performance of tasks as a physician
						assistant while the ability to do so is impaired by alcohol, drugs, physical
						disability or mental instability.
(7) Impersonation of a licensed physician or
						another licensed physician assistant.
(8) Offer, undertake or agree to cure or
						treat disease by a secret method, procedure, treatment or medicine; the
						treating, prescribing for a human condition, by a method, means or procedure
						which the physician assistant refuses to divulge upon demand of the Board; or
						use of methods or treatment which are not in accordance with treatment
						processes accepted by a reasonable segment of the medical profession.
(9) Violation of a provision of this
						subchapter fixing a standard of professional conduct.
(10) Continuation of practice while the
						physician assistant's license has expired, is not registered or is suspended or
						revoked.
(11) Delegating a medical
						responsibility to a person when the physician assistant knows or has reason to
						know that the person is not qualified by training, experience, license or
						certification to perform the delegated task.
(12) The failure to notify the supervising
						physician that the physician assistant has withdrawn care from a
						patient.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter E - PERFORMANCE OF RADIOLOGIC PROCEDURES BY AUXILIARY PERSONNEL › Section 18.201 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
ARRT
-The American Registry of Radiologic
						Technologists.
Auxiliary personnel
-Persons other than a
						medical doctor, osteopathic doctor, dentist, podiatrist or chiropractor.
Direct supervision
-Directly controlling
						the performance of a procedure by authorizing performance of that procedure
						only under the specific instructions of the medical doctor, and monitoring
						performance of the procedure to ensure compliance with those
						instructions.
Ionizing radiation
-Gamma rays and
						X-rays, alpha and beta particles, high-speed electrons, neutrons, protons and
						other nuclear particles. The term does not include ultrasound, sound or radio
						waves or visible, infrared or ultraviolet light.
Premises of a medical doctor
-A location
						at which the medical doctor practices medicine, other than a health care
						facility regulated by the Department of Health, the Department of Public
						Welfare or the Federal government.
Radiologic procedure
-The use of ionizing
						radiation for a diagnostic or therapeutic purpose.
The provisions of this §
													18.201 issued under sections 6 and
						  8 of the Medical Practice Act of 1985 (63 P. S. §§
														422.6 and
						  422.8).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter E - PERFORMANCE OF RADIOLOGIC PROCEDURES BY AUXILIARY PERSONNEL › Section 18.203 - Applications for examination

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 person may apply to take one or more of the following examinations by securing
					 an application from the Bureau of Professional and Occupational Affairs, and by
					 submitting the application and the fee required under §
											16.13 (relating to licensure,
					 certification, examination and registration fees) to Health Boards, Bureau of
					 Professional and Occupational Affairs, Post Office Box 2649, Harrisburg,
					 Pennsylvania 17105-2649:
(1) ARRT Examination
					 in Radiography.
(2) ARRT
					 Examination in Radiation Therapy Technology.
(3) ARRT Examination in Nuclear Medicine
					 Technology.
(4) ARRT Limited
					 Examination in Radiography.
(5)
					 ARRT Limited Examination in Radiography-Skull and Sinuses.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter E - PERFORMANCE OF RADIOLOGIC PROCEDURES BY AUXILIARY PERSONNEL › Section 18.204 - Effective date

Current through Register Vol. 54, No. 28, July 13, 2024
The Bureau of Professional and Occupational Affairs will
						begin accepting applications to take examinations set forth in §
											18.203(a) 
						(relating to applications for examination) prior to July 18, 1987. Under
						section 45 of the act (63 P. S. §
												422.45), on and after January 1, 1988, no
						auxiliary person may administer radiologic procedures on the premises of a
						medical doctor except as set forth in this subchapter and section 45 of the
						act.
The provisions of this §
													18.204 issued under sections 6 and
						  8 of the Medical Practice Act of 1985 (63 P. S. §§
														422.6 and
						  422.8); and section
						  812.1 of The Administrative Code
						  of 1929 (71 P. S. §
														279.3a).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.301 - Purpose

Current through Register Vol. 54, No. 28, July 13, 2024
This subchapter implements sections 13.1 and 36.1 of the
						act (63 P. S. §§
												422.13a
						and 422.36a), which were added by
						section 3 of the act of July 2, 1993 (P. L. 424, No. 60) to provide for the
						licensure of respiratory therapists.
The provisions of this §
													18.301 amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P. S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.302 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
AARC
-American Association for
						Respiratory Care, an organization which provides and approves continuing
						professional development programs.
AMA
-American Medical Association, an
						organization which provides and approves continuing professional development
						programs.
AOA
-American Osteopathic Association, an
						organization which provides and approves continuing professional development
						programs.
Act
-The Medical Practice Act of 1985
						(63
						P. S. §§
												422.1-422.5(a).
CoARC
-The Committee on Accreditation for
						Respiratory Care, an organization which accredits respiratory care
						programs.
CRTT
-The Certification Examination For
						Entry Level Respiratory Therapy Practitioners, a National uniform examination
						developed and administered by the NBRC for certified respiratory care therapy
						practitioners.
CSRT
-Canadian Society of Respiratory
						Therapists, an organization which provides and approves continuing professional
						development programs.
Continuing education hour
-Fifty minutes
						of continuing education.
JRCRTE
-The Joint Review Committee on
						Respiratory Therapy Education, which accredits respiratory care
						programs.
Respiratory care practitioner
-A person
						who has been certified in accordance with the act and this subchapter.
Respiratory therapist
-A person who has
						been licensed in accordance with the act and this subchapter.
The provisions of this §
													18.302 amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P. S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.304 - Licensure of respiratory therapists; practice; exceptions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A person may not practice or hold himself
					 out as being able to practice as a respiratory therapist in this Commonwealth
					 unless the person holds a valid, current temporary permit or license issued by
					 the Board, or the State Board of Osteopathic Medicine under Chapter 25
					 (relating to State Board of Osteopathic Medicine), or is exempted under section
					 13.1(e) of the act (63 P. S. §
												422.13a(e)) or section
					 10.1(e) of the
					 Osteopathic Medical Practice Act (63 P. S. §
												271.10a(e)).
(b) A person may not use the words "licensed
					 respiratory therapist" or "respiratory care practitioner," the letters "LRT,"
					 "RT" or "RCP" or similar words and related abbreviations to imply that
					 respiratory care services are being provided, unless the services are provided
					 by a respiratory therapist who holds a valid, current temporary permit or
					 license issued by the Board or the State Board of Osteopathic Medicine and only
					 while working under the supervision of a licensed physician.
The provisions of this §
													18.304 amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P. S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.305 - Functions of respiratory therapists

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Under section
					 13.1(d) of the
					 act (63 P. S. §
												422.13a(d)), a respiratory
					 therapist may implement direct respiratory care to an individual being treated
					 by either a licensed medical doctor or a licensed doctor of osteopathic
					 medicine, upon prescription or referral by a physician, certified registered
					 nurse practitioner or physician assistant, or under medical direction and
					 approval consistent with standing orders or protocols of an institution or
					 health care facility. This care may constitute indirect services such as
					 consultation or evaluation of an individual and also includes, but is not
					 limited to, the following services:
(1)
					 Administration of medical gases.
(2) Humidity and aerosol therapy.
(3) Administration of aerosolized
					 medications.
(4) Intermittent
					 positive pressure breathing.
(5)
					 Incentive spirometry.
(6)
					 Bronchopulmonary hygiene.
(7)
					 Management and maintenance of natural airways.
(8) Maintenance and insertion of artificial
					 airways.
(9) Cardiopulmonary
					 rehabilitation.
(10) Management and
					 maintenance of mechanical ventilation.
(11) Measurement of ventilatory flows,
					 volumes and pressures.
(12)
					 Analysis of ventilatory gases and blood gases.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.306 - Temporary permits

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A temporary
					 permit will be issued to an applicant, who is not yet a licensee, who submits
					 evidence satisfactory to the Board, on forms supplied by the Board, that the
					 applicant has met one or more of the following criteria:
(1) Has graduated from a respiratory care
					 program approved by the CoARC.
(2)
					 Is enrolled in a respiratory care program approved by the CoARC and expects to
					 graduate within 30 days of the date of application to the Board for a temporary
					 permit.
(3) Meets all applicable
					 requirements and is recognized as a credentialed respiratory therapist by the
					 NBRC.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.307 - Criteria for licensure as a respiratory therapist

Current through Register Vol. 54, No. 28, July 13, 2024
The Board will approve for licensure as a respiratory
						therapist an applicant who:
(1)
					 Submits evidence satisfactory to the Board, on forms supplied by the Board,
					 that the applicant has met one or more of the following criteria:
(i) Has graduated from a respiratory care
					 program approved by the CoARC and passed the entry level credentialing
					 examination as determined by the NBRC.
(ii) Holds a valid license, certificate or
					 registration as a respiratory therapist in another state, territory or the
					 District of Columbia which has been issued based on requirements substantially
					 the same as those required by the Commonwealth, including the examination
					 requirement.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.308 - Change of name or address

Current through Register Vol. 54, No. 28, July 13, 2024
A licensee shall inform the Board in writing within 10
						days of a change of name or mailing address.
The provisions of this §
													18.308 amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P.S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.309 - Renewal of licensure

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A
					 license issued under this subchapter expires on December 31 of every
					 even-numbered year unless renewed for the next biennium.
(b) Biennial renewal forms and other forms
					 and literature to be distributed by the Board will be forwarded to the last
					 mailing address given to the Board.
(c) To retain the right to engage in
					 practice, the licensee shall renew licensure in the manner prescribed by the
					 Board, complete the continuing education requirement set forth in §
											18.309a (relating to requirement
					 of continuing education) and pay the required fee prior to the expiration of
					 the current biennium.
(d) When a
					 license is renewed after December 31 of an even-numbered year, a penalty fee of
					 $5 for each month or part of a month of practice beyond the renewal date will
					 be charged in addition to the renewal fee.
The provisions of this §
													18.309 amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P.S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.309a - Requirement of continuing education

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The following continuing education requirements shall be completed each
					 biennial cycle:
(1) An applicant for biennial
					 renewal or reactivation of licensure is required to complete, during the 2
					 years preceding the application for renewal or reactivation, a minimum of 30
					 hours of continuing education as set forth in section 36.1(f)(2) of the act
					 (63
					 P.S. §
													422.36a(f)(2)).
(2) At least 10 continuing education hours
					 shall be obtained through classroom lecture, clinical presentation, real-time
					 web-cast or other live sessions where a presenter is involved.
(3) At least 10 continuing education hours
					 shall be obtained through traditional continuing education such as classroom
					 lecture, clinical presentation, real-time web-cast or other live sessions where
					 a presenter is involved. To qualify for credit, the provider shall make
					 available documented verification of completion of the course or
					 program.
(4) One continuing
					 education hour shall be completed in medical ethics, 1 continuing education
					 hour shall be completed in patient safety and at least 2 hours shall be
					 completed in child abuse recognition and reporting in accordance with §
												16.108(b)
					 (relating to child abuse recognition and reporting-mandatory training
					 requirement).
(5) Credit will not
					 be given for continuing education in basic life support, including basic
					 cardiac life support and cardiopulmonary resuscitation. In any given biennial
					 renewal period, a licensee may receive credit for no more than 8 continuing
					 education hours in advanced life support, including advanced cardiac life
					 support, neonatal advanced life support/neonatal resuscitation and pediatric
					 advanced life support.
(6) A
					 licensee will not receive continuing education credit for participating in a
					 continuing education activity with objectives and content identical to those of
					 another continuing education activity within the same biennial renewal period
					 for which credit was granted.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 18 - STATE BOARD OF › Subchapter F - RESPIRATORY THERAPISTS › Section 18.309b - Approved educational courses

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 The Board approves respiratory care continuing education programs designated
					 for professional development credits by the AARC, the AMA, the AOA and the
					 CSRT. The courses, locations and instructors provided by these organizations
					 for continuing education in respiratory care are deemed approved by the Board.
					 Qualifying AMA continuing education programs shall be in AMA PRA Category I as
					 defined in §
											16.1 (relating to definitions) and
					 qualifying AOA continuing education programs shall be in Category 1A and
					 1B.
(b) Advanced course work in
					 respiratory care successfully completed at a degree-granting institution of
					 higher education approved by the United States Department of Education which
					 offers academic credits is also approved for continuing education credit by the
					 Board. Advanced course work is any course work beyond the academic requirements
					 necessary for licensure as a respiratory therapist. Proof of completion of the
					 academic credits shall be submitted to the Board for determination of number of
					 continuing education hours completed.
(c) The Board will not accept courses of
					 study which do not relate to the clinical aspects of respiratory care, such as
					 studies in office management or practice building.
The provisions of this §
													18.309b amended under sections 8,
						  8.1, 13(c) and 13.1(c) of the Medical Practice Act of 1985 (63 P.S.
						  §§
														422.8,
						  422.8a,
						  422.13(c) and
						  422.13a(c)).