HAR §16-93-45. Standards of supervision

The following shall apply to the osteopathic physician’s assistants but not those persons, such as nurses and clerical personnel, who provide limited assistance to a licensed osteopathic physician and surgeon: (1) Osteopathic physician’s assistant shall be employed by the licensed osteopathic physician and surgeon and the osteopathic physician’s assistant shall not charge fees to patients for services; (2) Care rendered by an osteopathic physician’s assistant should be given in the presence of a licensed osteopathic physician and surgeon; however, an osteopathic physician’s assistant may provide certain medical services to patients without direct supervision where in the physician and surgeon’s opinion a patient is not endangered nor where unforseen complications could arise; (3) Services rendered by an osteopathic physician’s assistant shall be those commonly furnished in licensed osteopathic physician and surgeon’s office; (4) An osteopathic physician’s assistant shall not be called on to render medical judgments without consent and approval of the licensed physician and surgeon; and (5) The osteopathic physician’s assistant augments and not supplements the care rendered by a licensed osteopathic physician and surgeon. [Eff and comp 2/9/90] (Auth: HRS §460-1(2)) (Imp: HRS §460-1(2)) 10 Amendments to and compilation of chapter 16-93, and the repeal of chapter 16-158, Hawaii Administrative Rules, on the Summary Page dated November 17, 1989, were adopted on November 17, 1989, following a public hearing held on November 16, 1989, after public notices were given in the Honolulu Star-Bulletin, Honolulu Advertiser, Hawaii Tribune-Herald, West Hawaii Today, Maui News, and the Garden Island News on October 18, 1989. These rules shall take effect ten days after filing with the Office of the Lieutenant Governor. /s/ Rod G. Bjordahl ROD G. BJORDAHL, Chairman Board of Osteopathic Examiners APPROVED AS TO FORM: Date: 12/8/89 /s/ Norma Doctor Sparks Deputy Attorney General APPROVED: Date: 1/17/90 /s/ Robert A. Alm ROBERT A. ALM Director of Commerce and Consumer Affairs APPROVED: Date: 1/30/90 /s/ John Waihee JOHN WAIHEE Governor State of Hawaii January 30, 1990 Filed 11 DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS Amendment and Compilation of Chapter 16-93 Hawaii Administrative Rules November 17, 1989 SUMMARY 1. §