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PARRIS N. GLENDENING, Governor Ch. 374
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(p) "Protocols" means written policies, bylaws, rules, or regulations
established by a hospital, public health facility, correctional facility, or detention
center that:
(1) Are established in consultation with and with the approval of its
medical staff;
(2) Describe the delegated medical acts a physician assistant may
execute; and
(3) Specify the minimum requirements for supervision by a physician.
(q) "Public health facility" means a fixed site where clinical public health
services are rendered under the auspices of the Department, a local health
department in a county, or the Baltimore City Health Department.
(r) "Supervising physician" means a physician who has been approved by the
Board to supervise [1] ONE or more physician assistants.
(s) (1) "Supervision" means the responsibility of a physician to exercise Ion
site] ON-SITE supervision or immediately available direction for physician assistants
performing delegated medical acts.
(2) "Supervision" includes physician oversight of and acceptance of direct
responsibility for the patient services and care rendered by a physician assistant,
including continuous availability to the physician assistant in person, through
written instructions, or by electronic means AND BY DESIGNATION OP ONE OR MORE
ALTERNATE SUPERVISING PHYSICIANS.
15-301.
(a) Nothing in this title may be construed to authorize a physician assistant to
practice independent of a supervising physician.
(b) A certificate issued to a physician assistant shall limit the physician
assistant's scope of practice to medical acts:
(1) Delegated by the supervising physician;
(2) Appropriate to the education, training, and experience of the
physician assistant;
(3) Customary to the practice of the supervising physician; and
(4) Consistent with the delegation agreement submitted to the Board.
(c) Patient services that may be provided by a physician assistant include:
(1) (i) Taking complete, detailed, and accurate patient histories; and
(ii) Reviewing patient records to develop comprehensive medical
status reports;
(2) Performing physical examinations and recording all pertinent
patient data;
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- 2993 -
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