Section 844IAC2.2-1.1-16. "Supervisory agreement" defined

   "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.

(Medical Licensing Board of Indiana; 844 IAC 2.2-1.1-16; filed Apr 6, 2010, 2:52 p.m.: 20100505-IR-844090164FRA)