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PARRIS N. GLENDENING, Governor
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Ch. 374
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(2) The hospital, public health facility, correctional facility, or detention
center where the physician assistant is requesting permission to write medication
orders:
(i) Examines the physician assistant's qualifications to write
medication orders as part of an established credentialing process; and
(ii) Attests to having established minimum criteria for protocols
that:
1. Allow a physician assistant to write medication orders
only in accordance with clinical privileges and the delegation agreement approved by
the Board;
2. Require a physician who has been approved by the Board
to supervise a physician assistant to countersign all medication orders in accordance
with this section;
3. Prohibit a physician assistant from using presigned
prescriptions;
4. Prohibit a physician assistant from dispensing
medications;
5. Require a physician assistant to legibly sign each
medication order or set of medication orders with the name of the physician assistant,
the initials "PA-C", and any other notation mandated by the hospital, public health
facility, correctional facility, or detention center;
6. Allow a physician assistant's medication orders to be
transmitted by facsimile or other nonverbal electronic communication only to a
pharmacy within the hospital, public health facility, correctional facility, or detention
center or to the pharmacy designated by the hospital, public health facility,
correctional facility, or detention center;
7. Prohibit a physician assistant from verbally transmitting
a medication order over the telephone from outside the hospital, public health facility,
correctional facility, or detention center, which shall not be construed to prohibit
verbal orders by a physician assistant within a hospital, public health facility,
correctional facility, or detention center; and
8. Require a physician who has been approved by the Board
to supervise a physician assistant to notify the Board if the physician assistant's
authority to write medication orders has been restricted, removed by the supervising
physician, revoked by disciplinary measures of a hospital, public health facility,
correctional facility, or detention center, or if the physician assistant no longer
provides care in a setting where medication order writing has been authorized;
(3) In a hospital, correctional facility, or detention center, the authority
of a physician assistant to write medication orders complies with the following
limitations:
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- 2999 -
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