PARRIS N. GLENDENING, Governor

Ch. 540

(4) IN A PUBLIC HEALTH FACILITY, THE AUTHORITY OF A PHYSICIAN
ASSISTANT TO WRITE MEDICATION ORDERS COMPLIES WITH THE FOLLOWING
LIMITATIONS:

(I) A PHYSICIAN ASSISTANT MAY NOT WRITE MEDICATION
ORDERS FOR CONTROLLED DANGEROUS SUBSTANCES; AND

(II) A PHYSICIAN ASSISTANT MAY WRITE A MEDICATION ORDER
FOR THE TREATMENT OF:

1. HUMAN IMMUNODEFICIENCY VIRUS (HIV) OR AN
INFECTIOUS DISEASE OTHER THAN A SEXUALLY TRANSMITTED DISEASE ONLY
AFTER A PATIENT IS EVALUATED BY A PHYSICIAN AND IF THE MEDICATION ORDER
IS WRITTEN IN ACCORDANCE WITH PROTOCOLS ESTABLISHED BY THE
DEPARTMENT; AND

2. A SEXUALLY TRANSMITTED DISEASE ONLY AFTER THE
PHYSICIAN ASSISTANT DETERMINES, BASED ON DIAGNOSTIC PARAMETERS, THAT A
PATIENT HAS A SEXUALLY TRANSMITTED DISEASE AND IF THE MEDICATION ORDER
IS WRITTEN IN ACCORDANCE WITH PROTOCOLS;

(5) IN A HOSPITAL, CORRECTIONAL FACILITY, OR DETENTION CENTER,
EACH MEDICATION ORDER IS COUNTERSIGNED BY A SUPERVISING PHYSICIAN
WITHIN 48 HOURS;

(6) IN A PUBLIC HEALTH FACILITY, EACH MEDICATION ORDER IS
COUNTERSIGNED BY A SUPERVISING PHYSICIAN WITHIN 72 HOURS;

(7) THE SUPERVISING PHYSICIAN:

(I) ATTESTS THAT THE PHYSICIAN ASSISTANT HAS BEEN
CREDENTIALED BY THE HOSPITAL, PUBLIC HEALTH FACILITY, CORRECTIONAL
FACILITY, OR DETENTION CENTER TO WRITE MEDICATION ORDERS FOR
CONTROLLED DANGEROUS SUBSTANCES, NONCONTROLLED SUBSTANCES, OR
NONPRESCRIPTION MEDICATIONS; AND

(II) NOTIFIES THE BOARD IF THE PHYSICIAN ASSISTANT'S
AUTHORITY TO WRITE MEDICATION ORDERS HAS BEEN RESTRICTED OR 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; AND

(8) IN AN EMERGENCY ROOM, A PHYSICIAN ASSISTANT DISCUSSES A
PATIENT'S TREATMENT PLAN, INCLUDING MEDICATION ORDERS, WITH A
SUPERVISING PHYSICIAN PRIOR TO PATIENT DISCHARGE.

(E) THE BOARD SHALL ADOPT REGULATIONS TO CARRY OUT THE
PROVISIONS OF THIS SECTION.

(F) A PHYSICIAN ASSISTANT WHO HAS BEEN APPROVED BY THE BOARD TO
WRITE MEDICATION ORDERS MAY NOT WRITE MEDICATION ORDERS FOR

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