4731-4-01 Functions.

(A) A patient new to the physician's practice must be seen and personally evaluated by the employing physician prior to initiation of any treatment plan. An established patient with a new condition must be seen and personally evaluated by the employing physician prior to initiation of any treatment plan for that condition.

(B) The physician's assistant may perform any of the following functions only under the supervision of the employing physician or physicians and only while the employing physician or physicians are available for consultation, although personal presence of the employing physician is not required; provided that the particular functions have been approved by the state medical board as set forth in the physician's assistant application for registration:

(1) Screen patients to aid the employing physician in determining need for further medical attention;

(2) Review patient records to aid in determining health status;

(3) Take patient histories; perform physical examinations; and identify normal and abnormal findings on histories, physical examinations, and commonly performed initial laboratory studies. Information collected is to be presented to the employing physician prior to treatment based upon such information;

(4) Perform developmental screening examination on children as relating to nervous, motor, and mental functions;

(5) Record pertinent patient data;

(6) Make decisions regarding data gathering on patients being seen for the initial evaluation of a problem or the follow-up evaluation of a previously diagnosed and stabilized condition. The physician's assistant will present the information collected to the employing physician prior to treatment based upon such data;

(7) Prepare patient summaries for employing physician's patients only, which must be reviewed and countersigned by the employing physician;

(8) Initiate requests for commonly performed initial laboratory studies;

(9) Collect specimens for and perform commonly performed blood counts, urine analysis, stool analysis, and cultures using office kits;

(10) Perform the following clinical procedures:

(a) Venipuncture;

(b) Intradermal tests;

(c) Electrocardiogram (not including interpretation);

(d) Care and suturing of minor lacerations;

(e) Apply cast or splint under direction of the employing physician. Such application shall be made only after examination by the employing physician, and any necessary reduction by the employing physician;

(f) Application of dressings and bandages;

(g) Administration of medication and intravenous fluids upon order of the employing physician;

(h) Removal of superficial foreign bodies after consultation with the employing physician and under his direction;

(i) Cardio-pulmonary resuscitation;

(j) Audiometry screening, to be presented to the employing physician;

(k) Routine visual screening, to be presented to the employing physician;

(l) Carry out aseptic and isolation techniques;

(m) Catheterization of the urinary bladder;

(11) Provide patient education regarding common medical problems.

(C) The physician's assistant may also perform any function as has been set forth in his application for registration and approved by the state medical board.

HISTORY: Eff 8-1-79
Rule promulgated under: RC Chapter 119 .
Rule amplifies: RC 4730.02 , 4730.03 , 4730.04 , 4730.05 , 4730.34


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Containing legislation passed and filed through August 1, 2000.