844 Ind. Admin. Code 2.2-1.1-16 : MEDICAL LICENSING BOARD OF INDIANA — PHYSICIAN ASSISTANTS —1.1 - Definitions —1.1-16 - "Supervisory agreement" defined

Authority: IC 25-22.5-2-7

Affected: IC 25-22.5

Sec. 16.

"Supervisory agreement" means a written document signed by the supervising physician or physicians and the physician assistant that:

(1) includes the tasks delegated to the physician assistant;
(2) describes the supervisory plan for the physician assistant, including emergency procedures that the physician assistant must follow;
(3) specifies the names of the drug or drug classification the physician assistant is delegated to prescribe and the protocol the physician assistant shall follow in prescribing a drug;
(4) specifies the names of medical devices the physician is delegated to prescribe;
(5) includes the:
(A) name;
(B) address; and
(C) phone number;

of the physician or physicians who will be supervising the physician assistant; and

(6) includes a description of the setting or settings in which the physician assistant will be working.

844 IAC 2.2-1.1-16

Medical Licensing Board of Indiana; 844 IAC 2.2-1.1-16; filed Apr 6, 2010, 2:52 p.m.: 20100505-IR-844090164FRA
Readopted filed 11/22/2016, 12:11 p.m.: 20161221-IR-844160317RFA
Readopted filed 11/22/2022, 12:22 p.m.: 20221221-IR-844220255RFA