Ariz. Admin. Code § 4-19-509

Current through Register Vol. 30, No. 41, October 11, 2024

Section R4-19-509 - Delegation to Medical Assistants

A. Under A.R.S. §§ 32-1456 and 32-1601(19)(d)(vii), an RNP may delegate patient care to a medical assistant in an office or outpatient setting. The RNP shall verify that a medical assistant to whom the RNP delegates meets at least one of the following qualifications:

1. Completed an approved medical assistant training program as defined in A.A.C. R4-16-101(3);

2. If a graduate of an unapproved medical assistant training program, passed the medical assistant examination administered by either the American Association of Medical Assistants or the American Medical Technologists;

3. Completed an unapproved medical assistant training program and was employed as a medical assistant on a continuous basis since completion of the program before February 2, 2000;

4. Was directly supervised by the same registered nurse practitioner for at least 2000 hours before February 2, 2000; or

5. Completed a medical services training program of the Armed Forces of the United States.

B. An RNP may delegate the following acts to a medical assistant who is under the direct supervision of the RNP and demonstrates competency in the performance of the act:

1. Obtain vital signs;

2. Perform venipuncture and draw blood;

3. Perform capillary puncture;

4. Perform pulmonary function testing;

5. Perform electrocardiography;

6. Perform patient screening using established protocols;

7. Perform dosage calculations as applicable to written orders;

8. Apply pharmacology principles to prepare and administer oral, inhalant, topical, otic, optic, rectal, vaginal and parenteral medications (excluding intravenous medications);

9. Maintain medication and immunization records;

10. Assist provider with patient care;

11. Perform Clinical Laboratory Improvement Amendments (CLIA) waived hematology, chemistry, urinalysis, microbiological and immunology testing;

12. Screen test results;

13. Obtain specimens for microbiological testing;

14. Obtain patient history;

15. Instruct patients according to their needs to promote health maintenance and disease prevention;

16. Prepare a patient for procedures or treatments;

17. Document patient care and education;

18. Perform first aid procedures;

19. Perform whirlpool treatments;

20. Perform diathermy treatments;

21. Perform electronic galvation stimulation treatments;

22. Perform ultrasound therapy;

23. Perform massage therapy (subject to regulation by massage therapy board);

24. Apply traction treatments;

25. Apply Transcutaneous Nerve Stimulation unit treatments;

26. Apply hot and cold pack treatments; and

27. Administer small volume nebulizer treatments.

Ariz. Admin. Code § R4-19-509

Adopted effective November 25, 1996 (Supp. 96-4). Section repealed by final rulemaking at 5 A.A.R. 4300, effective October 18, 1999 (Supp. 99-4). New Section made by final rulemaking at 11 A.A.R. 3804, effective November 12, 2005 (Supp. 05-3). Amended by final rulemaking at 14 A.A.R. 4621, effective January 31, 2009 (Supp. 08-4). Pursuant to authority of A.R.S. § 41-1011(C), Laws 2012, Ch. 152, § 1, provides for A.R.S. references to be corrected to reflect the renumbering of definitions. Therefore one of the A.R.S. citations in subsection (A) was updated. Agency request filed July 12, 2012, Office File No. M12-242 (Supp. 12-3). Amended by final rulemaking at 19 A.A.R. 1438, effective July 6, 2013 (Supp. 13-2).