311.858 Services and procedures that may be performed by physician assistant --
539 words·~2 min read·
/ky/311-858A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Restrictions.
(1)A physician assistant may perform medical services and procedures within the
scope of medical services and procedures described in the initial or any
supplemental application received by the board under KRS 311.854.
(2)A physician assistant shall be considered an agent of the supervising physician in
performing medical services and procedures described in the initial application or
any supplemental application received by the board under KRS 311.854.
(3)A physician assistant may initiate evaluation and treatment in emergency situations
without specific approval.
(4)A physician assistant may prescribe and administer all nonscheduled legend drugs
and medical devices to the extent delegated by the supervising physician. A
physician assistant who is delegated prescribing authority may request, receive, sign
for, and distribute professional samples of nonscheduled legend drugs to patients.
(a)A physician assistant who has been approved by the board pursuant to
paragraph
(b)of this subsection, may prescribe and administer Schedules III,
IV, and V controlled substances, as described in KRS Chapter 218A, to the
extent delegated by the supervising physician and as permitted under
paragraphs (c), (d), and
(e)of this subsection.
(b)Before a physician assistant engages in prescribing or administering controlled
substances, the physician assistant shall:
1. Have at least one
(1)year of experience as a licensed and practicing
physician assistant;
2. Submit to the board a completed application for prescriptive authority
for controlled substances signed by the physician assistant's supervising
physician in accordance with KRS 311.856;
3. Receive from the board, or its executive director, a notice that the
application for prescriptive authority has been approved; and
4. Obtain a Controlled Substance Registration Certificate through the
United States Drug Enforcement Administration and register with the
electronic system for monitoring controlled substances established in
KRS 218A.202 and any other applicable state controlled substance
regulatory authority.
(c)Prescriptions issued by a physician assistant for Schedule III controlled
substances, as described in KRS 218A.080, shall be limited to a thirty
day supply without any refill.
(d)Prescriptions issued by a physician assistant for Schedule IV or V controlled
substances, as described in KRS 218A.100 and 218A.120, shall be limited to
the original prescription and refills not to exceed a six
(6)month supply.
(e)Notwithstanding paragraph
(d)of this subsection, prescriptions issued by a
physician assistant for benzodiazepines or Carisoprodol shall be limited to a
thirty
(30)day supply without any refill.
(6)A physician assistant shall not submit direct billing for medical services and
procedures performed by the physician assistant.
(7)A physician assistant may perform local infiltrative anesthesia under the provisions
of subsection
(1)of this section, but a physician assistant shall not administer or
monitor general or regional anesthesia unless the requirements of KRS 311.862 are
met.
(8)A physician assistant may perform services in the offices or clinics of the
supervising physician. A physician assistant may also render services in hospitals or
other licensed health care facilities only with written permission of the facility's
governing body, and the facility may restrict the physician assistant's scope of
practice within the facility as deemed appropriate by the facility.
(9)A physician assistant shall not practice medicine or osteopathy independently. Each
physician assistant shall practice under supervision as defined in KRS 311.840.