Ariz. Admin. Code § 4-38-302

Current through Register Vol. 30, No. 50, December 13, 2024

Section R4-38-302 - Requirements to Supervise a Medical Assistant; Standards for Supervision

A. Before a homeopathic physician applies to the Board to register a medical assistant under R4-38-306, the homeopathic physician shall be licensed by the Board.

B. When a homeopathic physician applies to the Board to register a medical assistant, the homeopathic physician shall submit evidence, as outlined in R4-38-103(C), that the homeopathic physician is qualified in the homeopathic modality of the procedure that will be delegated to the medical assistant.

C. The Board shall find that a homeopathic physician is qualified in the homeopathic modality of the procedure that will be delegated to a medical assistant if the homeopathic physician submits with the application to register the medical assistant certificates of attendance or other evidence that the homeopathic physician completed postgraduate coursework in the delegated homeopathic modality equal to or exceeding the number of hours specified in R4-38-103(C)(1) through (6).

D. A homeopathic physician who supervises a registered medical assistant shall:

1. Perform and document in the patient record the following for each patient for whom the medical assistant performs a delegated procedure:

a. Initial evaluation,

b. Treatment planning including any modification in the treatment plan, and

c. Re-evaluation of the patient's health status every fourth visit and at the time of discharge or termination of treatment;

2. Respond within 15 minutes to a telephone call or other telecommunication from a medical assistant who performs a delegated procedure when the homeopathic physician is not physically present at the location at which the medical assistant is working;

3. Ensure that a note is placed in the patient record every time the medical assistant seeks direction from the homeopathic physician regarding a delegated procedure performed for a patient;

4. Ensure that the medical assistant performs only delegated procedures that are in the medical assistant's Board-approved job description;

5. Provide a specific written order for any procedure delegated to and performed by the medical assistant for a patient;

6. Ensure that the specific written order required under subsection (D)(5) is placed in the patient record on the day that the medical assistant performs the delegated procedure;

7. Ensure that the medical assistant makes a contemporaneous note in the patient record of any procedure performed by the medical assistant for the patient;

8. Review, initial, and date the medical assistant notes placed in patient records within one week after each note is made and initial and date each note; and

9. Review with the medical assistant a patient's response to treatments performed by the medical assistant:

a. Within three months of the initial visit,

b. After any significant change in the initial treatment plan, and

c. After an adverse reaction.

Ariz. Admin. Code § R4-38-302

Adopted effective January 27, 1995 (Supp. 95-1). Former R4-38-302 renumbered to R4-38-303; new Section R4-38-302 made by final rulemaking at 16 A.A.R. 178, effective March 6, 2010 (Supp. 10-1).