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Sec. 7303a. (1) A prescriber who holds a
controlled substances license may administer or dispense a controlled substance
listed in schedules 2 to 5 without a separate controlled substances license for
those activities.
(2) Except as
otherwise provided in rules promulgated under section 16204e and for a patient
who is under the care of a hospice, beginning March 31, 2019 or, if rules are
promulgated under section 16204e before March 31, 2019, on the date on which
rules are promulgated under section 16204e, a licensed prescriber shall not
prescribe a controlled substance listed in schedules 2 to 5 unless the
prescriber is in a bona fide prescriber-patient relationship with the patient
for whom the controlled substance is being prescribed. Except as otherwise
provided in this subsection, if a licensed prescriber prescribes a controlled
substance under this subsection, the prescriber shall provide follow-up care to
the patient to monitor the efficacy of the use of the controlled substance as a
treatment of the patient's medical condition. If the licensed prescriber is
unable to provide follow-up care, he or she the licensed prescriber shall refer the patient to the
patient's primary care provider for follow-up care or, if the patient does not
have a primary care provider, he or she the licensed prescriber shall refer the patient to
another licensed prescriber who is geographically accessible to the patient for
follow-up care.
(3) Before
prescribing or dispensing a controlled substance to a patient, a licensed
prescriber shall ask the patient about other controlled substances the patient
may be using. The prescriber shall record the patient's response in the
patient's medical or clinical record.
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(4) Beginning
June 1, 2018, before prescribing or dispensing to a patient a controlled
substance in a quantity that exceeds a 3-day supply, a licensed prescriber
shall obtain and review a report concerning that patient from the electronic
system for monitoring schedule 2, 3, 4, and 5 controlled substances established
under section 7333a. This subsection does not apply under any of the following
circumstances:
(a) If the
dispensing occurs in a hospital or freestanding surgical outpatient facility
licensed under article 17 and the controlled substance is administered to the
patient in that hospital or facility.
(b) If the
patient is an animal as that term is defined in section 18802, the dispensing occurs
in a veterinary hospital or clinic and the controlled substance is administered
to the patient in that hospital or clinic.
(c) If the
controlled substance is prescribed by a licensed prescriber who is a
veterinarian and the controlled substance will be dispensed by a pharmacist.
(d) If the
patient is under the care of a hospice and the report described in this
subsection was obtained and reviewed at the time the patient was admitted to
the hospice.
(5) Beginning
June 1, 2018, before prescribing or dispensing a controlled substance to a
patient, a licensed prescriber shall register with the electronic system for
monitoring schedule 2, 3, 4, and 5 controlled substances established under
section 7333a.
(6) A
licensed prescriber who dispenses controlled substances shall maintain all of
the following records separately from other prescription records:
(a) All
invoices and other acquisition records for each
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controlled substance acquired by the prescriber for not less than 5
years after the date the prescriber acquires the controlled substance.
(b) A log of
all controlled substances dispensed by the prescriber for not less than 5 years
after the date the controlled substance is dispensed.
(c) Records
of all other dispositions of controlled substances under the licensee's control
for not less than 5 years after the date of the disposition.
(7) The
requirement under section 7303 for a license is waived in the following circumstances:
(a) When a
controlled substance listed in schedules 2 to 5 is administered on the order of
a licensed prescriber by an individual who is licensed under article 15 as a
practical nurse, or a
registered professional nurse, or a certified anesthesiologist
assistant.
(b) When
methadone or a methadone congener is dispensed on the order of a licensed
prescriber in a methadone treatment program licensed under article 6 or when a
controlled substance listed in schedules 2 to 5 is dispensed on the order of a
licensed prescriber in a hospice rendering emergency care services in a
patient's home as described in section 17746 by a registered professional nurse
licensed under article 15.
Sec. 16325. Fees for a person an individual licensed
or seeking licensure to engage in the practice of medicine under part 170 are
as follows:
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(a)
Application processing fee.....................
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$
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50.00
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(b)
License fee, per year..........................
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90.00
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(c)
Temporary license fee..........................
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25.00
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(d)
Limited license fee, per year..................
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30.00
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Sec. 16325a. Fees for an individual
licensed or seeking licensure to engage in practice as a certified
anesthesiologist assistant under part 170 or part 175 are as follows:
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(a)
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Application processing fee..................
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$
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75.00
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(b)
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License fee, per year.......................
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60.00
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(c)
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Educational limited license.................
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25.00
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Sec. 16331. Fees for a person an individual licensed
or seeking licensure to engage in the practice of osteopathic medicine and
surgery under part 175 are as follows:
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(a)
Application processing fee.......................
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$
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50.00
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(b)
License fee, per year............................
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90.00
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(c)
Temporary license fee............................
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25.00
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(d)
Limited license fee, per year....................
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30.00
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Sec. 17001. (1)
As used in this part:
(a) "Academic institution" means either of the
following:
(i) A medical
school approved by the board.
(ii) A hospital
licensed under article 17 that meets all of the following requirements:
(A) Was the sole sponsor or a co-sponsor, if each other
co-sponsor is either a medical school approved by the board or a hospital owned
by the federal government and directly operated by the United States Department
of Veterans Affairs, of not less than 4 postgraduate education residency
programs approved by the board under section 17031(1) for not less than the 3
years immediately preceding the date of an application for a limited license
under section 16182(2)(c) or an application for a full license under section
17031(2), if at least 1 of the residency programs is in the specialty area of
medical practice, or in a specialty area that
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includes the subspecialty of medical
practice, in which the applicant for a limited license proposes to practice or
in which the applicant for a full license has practiced for the hospital.
(B) Has spent not less than $2,000,000.00 for medical
education during each of the 3 years immediately preceding the date of an
application for a limited license under section 16182(2)(c) or an application
for a full license under section 17031(2). As used in this sub-subparagraph,
"medical education" means the education of physicians and candidates
for degrees or licenses to become physicians, including, but not limited to,
physician staff, residents, interns, and medical students.
(b)
"Anesthesiologist" means a physician who has successfully completed a
training program in anesthesiology accredited by the Accreditation Council for
Graduate Medical Education, the American Osteopathic Association, or an
equivalent organization as determined by the board.
(c)
"Certified anesthesiologist assistant" means an individual who is
licensed under this article to engage in practice as a certified
anesthesiologist assistant.
(d) (b) "Electrodiagnostic
studies" means the testing of neuromuscular functions utilizing nerve
conduction tests and needle electromyography. It does not include the use of
surface electromyography.
(e) (c) "Genetic
counselor" means an individual who is licensed under this part article to engage in
the practice of genetic counseling.
(f) (d) "Medical
care services" means those services within the scope of practice of
physicians who are licensed or authorized by the board, except those services
that the board prohibits or
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otherwise restricts within a practice
agreement or determines shall not be delegated by a physician because a
delegation would endanger the health and safety of patients as provided for in
section 17048(1).
(g) (e) "Participating
physician" means a physician, a physician designated by a group of
physicians under section 17049 to represent that group, or a physician
designated by a health facility or agency under section 20174 to represent that
health facility or agency.
(h) (f) "Physician"
means an individual who is licensed or authorized under this article to engage
in the practice of medicine.
(i) (g) "Podiatrist"
means an individual who is licensed under this article to engage in the
practice of podiatric medicine and surgery.
(j) (h) "Practice
agreement" means an agreement described in section 17047.
(k) "Practice
as a certified anesthesiologist assistant" means providing assistance to
an anesthesiologist engaged in the practice of anesthesiology by performing any
of the functions described in section 17034a under the supervision of the anesthesiologist.
(l) "Practice as a physician's
assistant" means the practice of medicine with a participating physician
under a practice agreement.
(m) "Practice
of anesthesiology" means engaging in the practice of medicine as an
anesthesiologist.
(n) (i) "Practice
of genetic counseling" means provision of any of the following services:
(i) Obtaining and
evaluating individual, family, and medical histories to determine the genetic
risk for genetic or medical
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conditions or diseases in a client, the
client's descendants, or other family members of the client.
(ii) Discussing
with a client the features, natural history, means of diagnosis, genetic and
environmental factors, and management of the genetic risks of genetic or
medical conditions or diseases.
(iii) Identifying
and coordinating appropriate genetic laboratory tests and other diagnostic
studies for genetic assessment of a client.
(iv) Integrating
genetic laboratory test results and other diagnostic studies with personal and
family medical history to assess and communicate a client's risk factors for
genetic or medical conditions or diseases.
(v) Explaining to a
client the clinical implications of genetic laboratory tests and other
diagnostic studies and their results.
(vi) Evaluating the
responses of a client and the client's family to a genetic or medical condition
or disease or to the risk of recurrence of that condition or disease and
providing client-centered counseling and anticipatory guidance.
(vii) Identifying
and utilizing community resources that provide medical, educational, financial,
and psychosocial support and advocacy to a client.
(viii) Providing written
documentation of medical, genetic, and counseling information for families of
and health care professionals of a client.
(o) (j) "Practice
of medicine" means the diagnosis, treatment, prevention, cure, or
relieving of a human disease, ailment, defect, complaint, or other physical or
mental condition, by attendance,
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advice, device, diagnostic test, or
other means, or offering, undertaking, attempting to do, or holding oneself out
as able to do, any of these acts.
(k)
"Practice as a physician's assistant" means the practice of medicine
with a participating physician under a practice agreement.
(p) (l) "Qualified
supervisor" means an individual who is a genetic counselor and who holds a
license under this part other than a temporary or limited license.
(q) "Supervision"
means that term as defined in section 16109, except that for subdivision (k)
and sections 17034a to 17034b it also includes the existence of a predetermined
plan for emergency situations, including, but not limited to, the designation
of an anesthesiologist to supervise a certified anesthesiologist assistant in
the absence of the primary supervising anesthesiologist.
(r) (m) "Task
force" means the joint task force created in section 17025.
(s) (n) "Temporary
licensed genetic counselor" means a genetic counselor who has been issued
a temporary license under this article.
(2) In addition to the definitions in this part, article
1 contains definitions and principles of construction applicable to all
articles in this code and part 161 contains definitions applicable to this
part.
Sec. 17011. (1)
An individual shall not engage in the practice of medicine or practice as a
physician's assistant unless licensed or otherwise authorized by this article.
An individual shall not engage in teaching or research that requires the
practice of
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medicine unless the individual is licensed
or otherwise authorized by this article.
(2) Notwithstanding section 16145 or rules promulgated
under that section, the board may grant a license to an individual who meets
the requirements of section 16186 or 17031(2) after reviewing the applicant's
record of practice, experience, and credentials and determining that the
applicant is competent to practice medicine.
(3) For individuals applying for licensure under section
16186, the board shall not impose requirements on graduates of medical schools
located outside the United States or Canada that exceed the requirements
imposed on graduates of medical schools located in the United States or Canada.
(4) Notwithstanding section 16145 or rules promulgated
under that section, the board may grant a license in accordance with section
16186 after determining that each of the following conditions is satisfied:
(a) The applicant has disclosed that a sanction is in
force against him or her the applicant as
described in section 16174(2)(b) and considering the reasons for the sanction
and the applicant's record of practice, experience, credentials, and competence
to engage in the practice of medicine, that sanction should not prevent the
applicant from being granted a license in this state.
(b) The sanction imposed by the other state is not
permanent.
(c) The sanction imposed by the other state was not the
result of a patient safety violation.
(d) If the applicant was required by the state that
imposed the sanction to participate in and complete a probationary period or
treatment plan as a condition of the continuation of his or her
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the applicant's licensure, the applicant did
not complete the probationary period or treatment plan because the applicant
ceased engaging in the practice of medicine in that state.
(e) As a condition of licensure under this subsection,
the applicant voluntarily agrees to complete a probationary period or treatment
plan, the terms of which are no less stringent than those imposed by the state
that imposed the sanction.
(5) Except as otherwise provided in this subsection (6), the following
words, titles, or letters or a combination thereof, of the words, titles, or letters, with or
without qualifying words or phrases, are restricted in use only to those
individuals authorized under this part to use the terms and in a way prescribed
in this part: "doctor
of medicine",
(a)
"Doctor of medicine", "m.d.",
"physician's assistant", and "p.a.".
(b)
Beginning August 1, 2024, "certified anesthesiologist assistant" and
"c.a.a.".
(6) Notwithstanding
section 16261, an individual who was specially trained at an institution of
higher education in this state to assist a physician in the field of orthopedics
and, upon completion of training, received a 2-year associate of science degree
as an orthopedic physician's assistant before January 1, 1977 may use the title
"orthopedic physician's assistant" whether or not the individual is
licensed under this part.
Sec. 17034. (1) Beginning 90 days
after the effective date of the rules promulgated by the board under section 17034a,
an individual shall not engage in practice as a certified anesthesiologist
assistant unless the individual is licensed or otherwise authorized under this
article.
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(2)
The board may grant an educational limited license under section 16182(2)(a) to
an individual who provides satisfactory evidence to the board that the
individual meets all of the requirements for licensure except the certifying
examination. An educational limited license issued under this section is valid
until the expiration of a period determined by the board that does not exceed 1
year or until the results of the required certifying examination are made
available, whichever is earlier.
(3)
The board may grant a license as a certified anesthesiologist assistant to an
individual who provides satisfactory evidence to the board that the individual has
successfully completed all of the following:
(a) A
graduate level training program approved by the board.
(b) A
certifying examination for certified anesthesiologist assistants that is
accredited by the Commission on Accreditation of Allied Health Education
Programs or a predecessor or successor organization of the Commission on
Accreditation of Allied Health Education Programs.
(c) A
course in advanced cardiac life-support techniques approved by the board.
Sec. 17034a. (1) The board, in
consultation with the department, shall promulgate rules to do all of the
following:
(a) Limit
the duties and activities described in subsection (2) that may be performed by
certified anesthesiologist assistants.
(b) Subject
to section 16204, prescribe continuing education requirements as a condition
for the renewal of a certified anesthesiologist assistant license.
(2) A
certified anesthesiologist assistant shall not engage in the practice as a
certified anesthesiologist assistant unless the
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certified anesthesiologist assistant is under the
supervision of an anesthesiologist. A certified anesthesiologist assistant may
perform any of the following functions under the supervision of an
anesthesiologist with whom the certified anesthesiologist assistant is
assisting in the practice of anesthesiology:
(a)
Obtaining a comprehensive patient history and presenting the history to the
supervising anesthesiologist.
(b) Developing
and implementing an anesthesia care plan for a patient.
(c)
Ordering and performing a preoperative anesthetic patient evaluation and a
postoperative anesthetic patient evaluation.
(d)
Discussing and educating a patient about the patient's anesthesia care plan.
(e) Pretesting
and calibrating an anesthesia delivery system and monitoring, obtaining, and
interpreting information from the anesthesia delivery system and monitoring
equipment.
(f)
Performing a monitoring technique.
(g)
Establishing airway management by performing ventilatory support and through
the intubation of the trachea, the placement of a laryngeal mask airway, and
the placement of other ancillary support, including, but not limited to, an
oral and nasopharyngeal airway, and a bag valve mask.
(h)
Administering and adjusting a vasoactive drug to a patient and monitoring the
response of the patient.
(i)
Administering an anesthetic drug, adjuvant drug, and accessory drug to a patient
and monitoring the response of the patient.
(j)
Performing monitored anesthesia care, deep sedation, and general anesthesia.
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(k)
Performing regional anesthesia, including, but not limited to, an epidural
anesthetic procedure, a spinal anesthetic procedure, and a peripheral nerve
block.
(l) Administering blood, blood
products, and supportive fluids.
(m)
Performing anesthesia-related health care, including, but not limited to,
induction, maintenance, and emergence of anesthesia and addressing fluid and
electrolyte balance.
(n) Participating
in a function needed in the postanesthesia recovery area, including, but not
limited to, administering postoperative sedation, anxiolysis, or analgesia
medication to treat a patient's response to anesthesia.
(o)
Performing a peripheral or central venous and arterial line procedure for blood
sampling, monitoring, or access.
(p)
Initiating and participating in a cardiopulmonary resuscitation team in
response to a life-threatening situation.
(q)
Relieving a member of an anesthesia care team that is engaged in a patient care
if the member is acting under the supervision of an anesthesiologist.
Sec. 17034b. (1) An anesthesiologist
who supervises a certified anesthesiologist assistant shall comply with all of
the following:
(a) The
anesthesiologist shall, at all times, be in the physical proximity of the
certified anesthesiologist assistant in a manner that allows the
anesthesiologist to return and reestablish direct contact with the patient to
meet the patient's medical needs and address any of the patient's urgent or
emergent clinical problems.
(b) The
anesthesiologist shall ensure that all activities, functions, services, and
treatment measures performed by a
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certified anesthesiologist assistant are properly
documented by the certified anesthesiologist assistant.
(c)
The anesthesiologist shall not supervise more than 4 certified anesthesiologist
assistants concurrently.
(2)
Subject to section 16215, an anesthesiologist who supervises a certified
anesthesiologist assistant may delegate the performance of any of the following
acts, tasks, and functions to the certified anesthesiologist assistant:
(a)
The entry of verbal or written medication chart orders prescribed by the
anesthesiologist into a patient's medical record.
(b)
Performing, ordering, and interpreting preoperative, point-of-care
intraoperative, or postoperative diagnostic testing or procedures.
Sec. 17501. (1)
As used in this part:
(a)
"Anesthesiologist" means a physician who has successfully completed a
training program in anesthesiology accredited by the Accreditation Council for
Graduate Medical Education, the American Osteopathic Association, or an
equivalent organization as determined by the board.
(b)
"Certified anesthesiologist assistant" means an individual who is
licensed under this article to engage in practice as a certified
anesthesiologist assistant.
(c) (a) "Electrodiagnostic
studies" means the testing of neuromuscular functions utilizing nerve
conduction tests and needle electromyography. It does not include the use of
surface electromyography.
(d) (b) "Medical
care services" means those services within the scope of practice of
physicians who are licensed or authorized by the board, except those services
that the board prohibits or
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otherwise restricts within a practice
agreement or determines shall not be delegated by a physician without endangering because a delegation would endanger the
health and safety of patients as provided for in section 17548(1).
(e) (c) "Participating
physician" means a physician, a physician designated by a group of
physicians under section 17549 to represent that group, or a physician
designated by a health facility or agency under section 20174 to represent that
health facility or agency.
(f) (d) "Physician"
means an individual who is licensed or authorized under this article to engage
in the practice of osteopathic medicine and surgery.
(g) (e) "Practice
agreement" means an agreement described in section 17547.
(h) "Practice
as a certified anesthesiologist assistant" means providing assistance to
an anesthesiologist engaged in the practice of anesthesiology by performing any
of the functions described in section 17534a under the supervision of the anesthesiologist.
(i) "Practice
as a physician's assistant" means the practice of osteopathic medicine and
surgery with a participating physician under a practice agreement.
(j) "Practice
of anesthesiology" means engaging in the practice of osteopathic medicine
and surgery as an anesthesiologist.
(k) (f) "Practice
of osteopathic medicine and surgery" means a separate, complete, and
independent school of medicine and surgery utilizing full methods of diagnosis
and treatment in physical and mental health and disease, including the
prescription and administration of drugs and biologicals, operative surgery,
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obstetrics, radiological and other
electromagnetic emissions, and placing special emphasis on the interrelationship
of the musculoskeletal system to other body systems.
(g)
"Practice as a physician's assistant" means the practice of
osteopathic medicine and surgery with a participating physician under a
practice agreement.
(l) "Supervision" means that term
as defined in section 16109, except that for subdivision (h) and sections 17534a
to 17534b it also includes the existence of a predetermined plan for emergency
situations, including, but not limited to, the designation of an
anesthesiologist to supervise a certified anesthesiologist assistant in the
absence of the primary supervising anesthesiologist.
(m) (h) "Task
force" means the joint task force created in section 17025.
(2) In addition to the definitions in this part, article
1 contains general definitions and principles of construction applicable to all
articles in the code and part 161 contains definitions applicable to this part.
Sec. 17511. (1)
A person shall not engage in the practice of osteopathic medicine and surgery
or practice as a physician's assistant unless licensed or otherwise authorized
by this article.
(2) Notwithstanding section 16145 or rules promulgated
under that section, the board may grant a license in accordance with section
16186 after determining that each of the following conditions is satisfied:
(a) The applicant has disclosed that a sanction is in
force against him or her the applicant as
described in section 16174(2)(b) and considering the reasons for the sanction
and the
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applicant's record of practice,
experience, credentials, and competence to engage in the practice of
osteopathic medicine and surgery, that sanction should not prevent the
applicant from being granted a license in this state.
(b) The sanction imposed by the other state is not
permanent.
(c) The sanction imposed by the other state was not the
result of a patient safety violation.
(d) If the applicant was required by the state that
imposed the sanction to participate in and complete a probationary period or
treatment plan as a condition of the continuation of his or her the applicant's licensure, the applicant did
not complete the probationary period or treatment plan because the applicant
ceased engaging in the practice of osteopathic medicine and surgery in that
state.
(e) As a condition of licensure under this subsection,
the applicant voluntarily agrees to complete a probationary period or treatment
plan, the terms of which are no less stringent than those imposed by the state
that imposed the sanction.
(3) Except as otherwise provided in this subsection (4), the following
words, titles, or letters or a combination thereof, of the words, titles, or letters, with or
without qualifying words or phrases, are restricted in use only to those
persons authorized under this part to use the terms and in a way prescribed in
this part: "osteopath",
(a)
"Osteopath", "osteopathy", "osteopathic
practitioner", "doctor of osteopathy", "diplomate in
osteopathy", "d.o.", "physician's assistant", and "p.a.".
(b)
Beginning August 1, 2024, "certified anesthesiologist assistant" and "c.a.a.".
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(4) Notwithstanding
section 16261, a person who was specially trained at an institution of higher
education in this state to assist a physician in the field of orthopedics and,
upon completion of training, received a 2-year associate of science degree as
an orthopedic physician's assistant before January 1, 1977 may use the title
"orthopedic physician's assistant" whether or not the individual is
licensed under this part.
Sec. 17534. (1) Beginning 90 days
after the effective date of the rules promulgated by the board under section
17534a, an individual shall not engage in practice as a certified
anesthesiologist assistant unless the individual is licensed or otherwise
authorized under this article.
(2)
The board may grant an educational limited license under section 16182(2)(a) to
an individual who provides satisfactory evidence to the board that the
individual meets all of the requirements for licensure except the certifying
examination. An educational limited license issued under this section is valid
until the expiration of a period determined by the board that does not exceed 1
year or until the results of the required certifying examination are made
available, whichever is earlier.
(3)
The board may grant a license as a certified anesthesiologist assistant to an
individual who provides satisfactory evidence to the board that the individual has
successfully completed all of the following:
(a) A
graduate level training program approved by the board.
(b) A
certifying examination for certified anesthesiologist assistants that is
accredited by the Commission on Accreditation of Allied Health Education
Programs or a predecessor or successor organization of the Commission on
Accreditation of Allied Health
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Education Programs.
(c) A
course in advanced cardiac life-support techniques approved by the board.
Sec. 17534a. (1) The board, in
consultation with the department, shall promulgate rules to do all of the
following:
(a) Limit
the duties and activities described in subsection (2) that may be performed by
certified anesthesiologist assistants.
(b) Subject
to section 16204, prescribe continuing education requirements as a condition
for the renewal of a certified anesthesiologist assistant license.
(2) A
certified anesthesiologist assistant shall not engage in the practice as a
certified anesthesiologist assistant unless the certified anesthesiologist
assistant is under the supervision of an anesthesiologist. A certified
anesthesiologist assistant may perform any of the following functions under the
supervision of an anesthesiologist with whom the certified anesthesiologist
assistant is assisting in the practice of anesthesiology:
(a)
Obtaining a comprehensive patient history and presenting the history to the
supervising anesthesiologist.
(b)
Developing and implementing an anesthesia care plan for a patient.
(c)
Ordering and performing a preoperative anesthetic patient evaluation and a
postoperative anesthetic patient evaluation.
(d)
Discussing and educating a patient about the patient's anesthesia care plan.
(e)
Pretesting and calibrating an anesthesia delivery system and monitoring,
obtaining, and interpreting information from the anesthesia delivery system and
monitoring equipment.
(f)
Performing a monitoring technique.
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(g) Establishing
airway management by performing ventilatory support and through the intubation
of the trachea, the placement of a laryngeal mask airway, and the placement of
other ancillary support, including, but not limited to, an oral and
nasopharyngeal airway, and a bag valve mask.
(h)
Administering and adjusting a vasoactive drug to a patient and monitoring the
response of the patient.
(i)
Administering an anesthetic drug, adjuvant drug, and accessory drug to a
patient and monitoring the response of the patient.
(j)
Performing monitored anesthesia care, deep sedation, and general anesthesia.
(k)
Performing regional anesthesia, including, but not limited to, an epidural
anesthetic procedure, a spinal anesthetic procedure, and a peripheral nerve
block.
(l) Administering blood, blood
products, and supportive fluids.
(m)
Performing anesthesia-related health care, including, but not limited to,
induction, maintenance, and emergence of anesthesia and addressing fluid and
electrolyte balance.
(n)
Participating in a function needed in the postanesthesia recovery area,
including, but not limited to, administering postoperative sedation,
anxiolysis, or analgesia medication to treat a patient's response to
anesthesia.
(o)
Performing a peripheral or central venous and arterial line procedure for blood
sampling, monitoring, or access.
(p)
Initiating and participating in a cardiopulmonary resuscitation team in
response to a life-threatening situation.
(q)
Relieving a member of an anesthesia care team that is engaged in a patient care
if the member is acting under the
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supervision of an anesthesiologist.
Sec. 17534b. (1) An anesthesiologist
who supervises a certified anesthesiologist assistant shall comply with all of
the following:
(a) The
anesthesiologist shall, at all times, be in the physical proximity of the
certified anesthesiologist assistant in a manner that allows the
anesthesiologist to return and reestablish direct contact with the patient to
meet the patient's medical needs and address any of the patient's urgent or
emergent clinical problems.
(b) The
anesthesiologist shall ensure that all activities, functions, services, and
treatment measures performed by a certified anesthesiologist assistant are
properly documented by the certified anesthesiologist assistant.
(c)
The anesthesiologist shall not supervise more than 4 certified anesthesiologist
assistants concurrently.
(2)
Subject to section 16215, an anesthesiologist who supervises a certified
anesthesiologist assistant may delegate the performance of any of the following
acts, tasks, and functions to the certified anesthesiologist assistant:
(a)
The entry of verbal or written medication chart orders prescribed by the
anesthesiologist into a patient's medical record.
(b)
Performing, ordering, and interpreting preoperative, point-of-care
intraoperative, or postoperative diagnostic testing.
Enacting section
1. This amendatory act takes effect 90 days after the date it is enacted into
law.
