§ 54.1-2952. Supervision of assistants by licensed physician, or podiatrist;services that may be performed by assistants; responsibility of licensee;employment of assistants.
A. A physician or a podiatrist licensed under this chapter may apply to theBoard to supervise assistants and delegate certain acts which constitute thepractice of medicine to the extent and in the manner authorized by the Board.The physician shall provide continuous supervision as required by thissection; however, the requirement for physician supervision of assistantsshall not be construed as requiring the physical presence of the supervisingphysician during all times and places of service delivery by assistants. Eachteam of supervising physician and physician assistant shall identify therelevant physician assistant's scope of practice, including, but not limitedto, the delegation of medical tasks as appropriate to the physicianassistant's level of competence, the physician assistant's relationship withand access to the supervising physician, and an evaluation process for thephysician assistant's performance.
No licensee shall be allowed to supervise more than two assistants at any onetime.
Any professional corporation or partnership of any licensee, any hospital andany commercial enterprise having medical facilities for its employees whichare supervised by one or more physicians or podiatrists may employ one ormore assistants in accordance with the provisions of this section.
Activities shall be delegated in a manner consistent with sound medicalpractice and the protection of the health and safety of the patient. Suchactivities shall be set forth in a written practice supervision agreementbetween the assistant and the supervising health care provider and mayinclude health care services which are educational, diagnostic, therapeutic,preventive, or include treatment, but shall not include the establishment ofa final diagnosis or treatment plan for the patient unless set forth in thewritten practice supervision agreement. Prescribing or dispensing of drugsmay be permitted as provided in § 54.1-2952.1. In addition, a licensee isauthorized to delegate and supervise initial and ongoing evaluation andtreatment of any patient in a hospital, including its emergency department,when performed under the direction, supervision and control of thesupervising licensee. When practicing in a hospital, the assistant shallreport any acute or significant finding or change in a patient's clinicalstatus to the supervising physician as soon as circumstances require, andshall record such finding in appropriate institutional records. The assistantshall transfer to a supervising physician the direction of care of a patientin an emergency department who has a life-threatening injury or illness. Thesupervising physician shall review, prior to the patient's discharge, theservices rendered to each patient by a physician assistant in a hospital'semergency department. An assistant who is employed to practice in anemergency department shall be under the supervision of a physician presentwithin the facility.
Further, unless otherwise prohibited by federal law or by hospital bylaws,rules, or policies, nothing in this section shall prohibit any physicianassistant who is not employed by the emergency physician or his professionalentity from practicing in a hospital emergency department, within the scopeof his practice, while under continuous physician supervision as required bythis section, whether or not the supervising physician is physically presentin the facility. The supervising physician who authorizes such practice byhis assistant shall (i) retain exclusive supervisory control of andresponsibility for the assistant and (ii) be available at all times forconsultation with both the assistant and the emergency department physician.Prior to the patient's discharge from the emergency department, the assistantshall communicate the proposed disposition plan for any patient under hiscare to both his supervising physician and the emergency departmentphysician. No person shall have control of or supervisory responsibility forany physician assistant who is not employed by the person or the person'sbusiness entity.
B. No assistant shall perform any delegated acts except at the direction ofthe licensee and under his supervision and control. No physician assistantpracticing in a hospital shall render care to a patient unless the physicianresponsible for that patient has signed the protocol, pursuant to regulationsof the Board, to act as supervising physician for that assistant. Everylicensee, professional corporation or partnership of licensees, hospital orcommercial enterprise that employs an assistant shall be fully responsiblefor the acts of the assistant in the care and treatment of human beings.
(1973, c. 529, §§ 54-281.4, 54-281.5; 1975, cc. 508, 565; 1985, c. 316; 1988,c. 765; 1992, c. 793; 1996, c. 779; 2000, cc. 467, 497; 2002, c. 387; 2005,c. 662; 2008, c. 281.)
§ 54.1-2952. Supervision of assistants by licensed physician, or podiatrist;services that may be performed by assistants; responsibility of licensee;employment of assistants.
A. A physician or a podiatrist licensed under this chapter may apply to theBoard to supervise assistants and delegate certain acts which constitute thepractice of medicine to the extent and in the manner authorized by the Board.The physician shall provide continuous supervision as required by thissection; however, the requirement for physician supervision of assistantsshall not be construed as requiring the physical presence of the supervisingphysician during all times and places of service delivery by assistants. Eachteam of supervising physician and physician assistant shall identify therelevant physician assistant's scope of practice, including, but not limitedto, the delegation of medical tasks as appropriate to the physicianassistant's level of competence, the physician assistant's relationship withand access to the supervising physician, and an evaluation process for thephysician assistant's performance.
No licensee shall be allowed to supervise more than two assistants at any onetime.
Any professional corporation or partnership of any licensee, any hospital andany commercial enterprise having medical facilities for its employees whichare supervised by one or more physicians or podiatrists may employ one ormore assistants in accordance with the provisions of this section.
Activities shall be delegated in a manner consistent with sound medicalpractice and the protection of the health and safety of the patient. Suchactivities shall be set forth in a written practice supervision agreementbetween the assistant and the supervising health care provider and mayinclude health care services which are educational, diagnostic, therapeutic,preventive, or include treatment, but shall not include the establishment ofa final diagnosis or treatment plan for the patient unless set forth in thewritten practice supervision agreement. Prescribing or dispensing of drugsmay be permitted as provided in § 54.1-2952.1. In addition, a licensee isauthorized to delegate and supervise initial and ongoing evaluation andtreatment of any patient in a hospital, including its emergency department,when performed under the direction, supervision and control of thesupervising licensee. When practicing in a hospital, the assistant shallreport any acute or significant finding or change in a patient's clinicalstatus to the supervising physician as soon as circumstances require, andshall record such finding in appropriate institutional records. The assistantshall transfer to a supervising physician the direction of care of a patientin an emergency department who has a life-threatening injury or illness. Thesupervising physician shall review, prior to the patient's discharge, theservices rendered to each patient by a physician assistant in a hospital'semergency department. An assistant who is employed to practice in anemergency department shall be under the supervision of a physician presentwithin the facility.
Further, unless otherwise prohibited by federal law or by hospital bylaws,rules, or policies, nothing in this section shall prohibit any physicianassistant who is not employed by the emergency physician or his professionalentity from practicing in a hospital emergency department, within the scopeof his practice, while under continuous physician supervision as required bythis section, whether or not the supervising physician is physically presentin the facility. The supervising physician who authorizes such practice byhis assistant shall (i) retain exclusive supervisory control of andresponsibility for the assistant and (ii) be available at all times forconsultation with both the assistant and the emergency department physician.Prior to the patient's discharge from the emergency department, the assistantshall communicate the proposed disposition plan for any patient under hiscare to both his supervising physician and the emergency departmentphysician. No person shall have control of or supervisory responsibility forany physician assistant who is not employed by the person or the person'sbusiness entity.
B. No assistant shall perform any delegated acts except at the direction ofthe licensee and under his supervision and control. No physician assistantpracticing in a hospital shall render care to a patient unless the physicianresponsible for that patient has signed the protocol, pursuant to regulationsof the Board, to act as supervising physician for that assistant. Everylicensee, professional corporation or partnership of licensees, hospital orcommercial enterprise that employs an assistant shall be fully responsiblefor the acts of the assistant in the care and treatment of human beings.
(1973, c. 529, §§ 54-281.4, 54-281.5; 1975, cc. 508, 565; 1985, c. 316; 1988,c. 765; 1992, c. 793; 1996, c. 779; 2000, cc. 467, 497; 2002, c. 387; 2005,c. 662; 2008, c. 281.)
§ 54.1-2952. Supervision of assistants by licensed physician, or podiatrist;services that may be performed by assistants; responsibility of licensee;employment of assistants.
A. A physician or a podiatrist licensed under this chapter may apply to theBoard to supervise assistants and delegate certain acts which constitute thepractice of medicine to the extent and in the manner authorized by the Board.The physician shall provide continuous supervision as required by thissection; however, the requirement for physician supervision of assistantsshall not be construed as requiring the physical presence of the supervisingphysician during all times and places of service delivery by assistants. Eachteam of supervising physician and physician assistant shall identify therelevant physician assistant's scope of practice, including, but not limitedto, the delegation of medical tasks as appropriate to the physicianassistant's level of competence, the physician assistant's relationship withand access to the supervising physician, and an evaluation process for thephysician assistant's performance.
No licensee shall be allowed to supervise more than two assistants at any onetime.
Any professional corporation or partnership of any licensee, any hospital andany commercial enterprise having medical facilities for its employees whichare supervised by one or more physicians or podiatrists may employ one ormore assistants in accordance with the provisions of this section.
Activities shall be delegated in a manner consistent with sound medicalpractice and the protection of the health and safety of the patient. Suchactivities shall be set forth in a written practice supervision agreementbetween the assistant and the supervising health care provider and mayinclude health care services which are educational, diagnostic, therapeutic,preventive, or include treatment, but shall not include the establishment ofa final diagnosis or treatment plan for the patient unless set forth in thewritten practice supervision agreement. Prescribing or dispensing of drugsmay be permitted as provided in § 54.1-2952.1. In addition, a licensee isauthorized to delegate and supervise initial and ongoing evaluation andtreatment of any patient in a hospital, including its emergency department,when performed under the direction, supervision and control of thesupervising licensee. When practicing in a hospital, the assistant shallreport any acute or significant finding or change in a patient's clinicalstatus to the supervising physician as soon as circumstances require, andshall record such finding in appropriate institutional records. The assistantshall transfer to a supervising physician the direction of care of a patientin an emergency department who has a life-threatening injury or illness. Thesupervising physician shall review, prior to the patient's discharge, theservices rendered to each patient by a physician assistant in a hospital'semergency department. An assistant who is employed to practice in anemergency department shall be under the supervision of a physician presentwithin the facility.
Further, unless otherwise prohibited by federal law or by hospital bylaws,rules, or policies, nothing in this section shall prohibit any physicianassistant who is not employed by the emergency physician or his professionalentity from practicing in a hospital emergency department, within the scopeof his practice, while under continuous physician supervision as required bythis section, whether or not the supervising physician is physically presentin the facility. The supervising physician who authorizes such practice byhis assistant shall (i) retain exclusive supervisory control of andresponsibility for the assistant and (ii) be available at all times forconsultation with both the assistant and the emergency department physician.Prior to the patient's discharge from the emergency department, the assistantshall communicate the proposed disposition plan for any patient under hiscare to both his supervising physician and the emergency departmentphysician. No person shall have control of or supervisory responsibility forany physician assistant who is not employed by the person or the person'sbusiness entity.
B. No assistant shall perform any delegated acts except at the direction ofthe licensee and under his supervision and control. No physician assistantpracticing in a hospital shall render care to a patient unless the physicianresponsible for that patient has signed the protocol, pursuant to regulationsof the Board, to act as supervising physician for that assistant. Everylicensee, professional corporation or partnership of licensees, hospital orcommercial enterprise that employs an assistant shall be fully responsiblefor the acts of the assistant in the care and treatment of human beings.
(1973, c. 529, §§ 54-281.4, 54-281.5; 1975, cc. 508, 565; 1985, c. 316; 1988,c. 765; 1992, c. 793; 1996, c. 779; 2000, cc. 467, 497; 2002, c. 387; 2005,c. 662; 2008, c. 281.)
