HAR §16-85-49. Degree of supervision

(a) The supervising physician or osteopathic physician shall: (1) Possess a current and unrestricted Hawaii license that is in good standing with the board; (2) Submit a statement that the supervising physician or osteopathic physician; will direct and exercise supervision over any subordinate physician assistant in accordance with this subchapter and recognizes that the supervising physician or osteopathic physician retains full professional and legal responsibility for the performance of the physician assistant and the care and treatment of the patient; (3) Permit the physician assistant to be utilized in any setting authorized by the supervising physician or osteopathic physician including, but not limited to, clinics, hospitals, ambulatory centers, patient homes, nursing homes, other lodging, and other institutional settings; (4) Provide adequate means for direct communication between the physician assistant and the supervising physician or osteopathic physician; provided that where the physical presence of the supervising physician or osteopathic physician is not required, the direct communication may occur through the use of technology which may include but is not limited to, two way radio, telephone, fax machine, modem, or other telecommunication device; (5) Personally review the records of each patient seen by the physician assistant within seven working days; (6) Designate an alternate supervising physician or osteopathic physician in the absence of the supervising physician or osteopathic physician; (7) Supervise no more than four physician assistants at any one time; (8) Be registered under section 329-33, HRS, when supervising and delegating to the physician assistant, the authority to prescribe, dispense, and administer Schedule II through V medications; and (9) Be authorized to allow the physician assistant to prescribe, dispense, and administer medications and medical devices to the extent delegated by the supervising physician or osteopathic physician and subject to the following requirements: (A) Prescribing, dispensing, or administering of medications may include Schedule II through V and all legend medications; (B) A physician assistant who has been delegated the authority to prescribe Schedule II through V medications shall register with the Narcotics Enforcement Division of the Department of Public Safety and Drug Enforcement Administration (DEA); §16-85-49 (C) Each prescription issued by a physician assistant shall include the printed, stamped, typed or hand-printed name, address, and phone number of the supervising physician or osteopathic physician and physician assistant. When prescribing Schedule II through V medications, the written prescription or order shall include the DEA registration number of the supervising physician or osteopathic physician. The physician assistant shall sign the prescription in close proximity to the printed, stamped, typed, or hand- printed name of the physician assistant; (D) The board may notify the pharmacy board in writing, at least annually or more frequently if required by changes, of each physician assistant authorized to prescribe; (E) A physician assistant may request, receive, and sign for professional samples and may distribute professional samples to patients, provided that the professional samples are not controlled substances; and (F) All prescribing, dispensing, or administering activities shall comply with appropriate federal and state laws, rules, and regulations. (b) The supervising physician or osteopathic physician or the physician assistant shall notify the board within ten days of severance of supervision or employment of the physician assistant. [Eff 6/30/81; am and comp 7/27/87; comp 10/28/89; comp 8/25/90; am and comp 12/22/97; am 4/16/15] (Auth: HRS §§453-5.1, 453-5.3) (Imp: HRS §§453-5.1, 453-5.3, 460-1) Amendments to chapter 16-85, Hawaii Administrative Rules, on the Summary page dated February 12, 2015, were adopted on February 12, 2015, following a public hearing held on February 12, 2015, after public notice was given in the Star-Advertiser, The Garden Island, Hawaii Tribune-Herald, West Hawaii Today, and The Maui News on January 13, 2015. They shall take effect ten days after filing with the Office of Lieutenant Governor. /s/ Niraj S. Desai NIRAJ S. DESAI, M.D. Chairperson, Hawaii Medical Board APPROVED AS TO FORM: Date 2/20/15 /s/ Shari Wong Deputy Attorney General APPROVED: Date 3/12/15 /s/ Catherine P Awakuni Colón CATHERINE P. AWAKUNI COLÓN Director of Commerce and Consumer Affairs APPROVED: Date 4/2/15 /s/ David Y. Ige DAVID Y. IGE Governor State of Hawaii April 6, 2015 FILED DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Amendments to Chapter 16-85 Hawaii Administrative Rules July 14, 2016 SUMMARY 1.