1130-02-.10
Range Of Services/Supervision
Cite as Tenn. Comp. R. & Regs. 1130-02-.10
(1)
Supervision is defined as the active and continuous overview of the orthopedic physician
assistant’s services to ensure that the supervising orthopedic physician’s directions and
orders are being implemented properly. The constant physical presence of the orthopedic
physician is not required so long as the supervising orthopedic physician and the orthopedic
physician assistant are, or can be, immediately in contact with each other by radio,
telephone, or telecommunications while the services are being provided. An appropriate
degree of supervision includes personal and regular (at least weekly) review of all patient
records by the supervising orthopedic physician, as indicated by the physician’s
signature/initials.
(2)
A supervising orthopedic physician may supervise a maximum of two (2) orthopedic
physician assistants.
(3)
An orthopedic physician assistant may provide only those services which are commensurate
with the orthopedic physician assistant’s education, training, and experience.
(4)
An orthopedic physician assistant may not make any definitive diagnosis or prescribe any
treatment program except as set forth in the written protocol and procedures which have
been established by the supervising orthopedic physician in consultation with the orthopedic
physician assistant.
(5)
An orthopedic physician assistant may not write prescriptions for any drugs and may not use
prescriptions which have been pre-signed by the supervising orthopedic physician or anyone
else.
(6)
An orthopedic physician assistant may dispense only those medications which have been
contemporaneously approved for a patient by the supervising orthopedic physician.