La. Admin. Code tit. 46 § XLV-1503
Advisory Committee- the Louisiana State Board of Medical Examiners Physician Assistants Advisory Committee constituted under R.S. 37:1270.1.
Applicant-a person on whose behalf the board has received an application for:
a. licensure as a physician assistant;
b. physician assistant registration for prescriptive authority; or
c. registration by a physician to supervise a physician assistant and/or to delegate prescriptive authority to a physician assistant.
Approved Application-all of the information, representations, terms, restrictions, and documents contained in or submitted with an application upon which the board has issued: a physician assistant license; a physician assistant registration for prescriptive authority; or a supervising physician registration of delegation of prescriptive authority to a physician assistant.
Board- the Louisiana State Board of Medical Examiners.
Bona Fide Medication Sample- a medication, other than a controlled substance, packaged by the original manufacturer thereof in such quantity as does not exceed a usual and reasonable therapeutic dosage and provided at no cost to a physician or physician assistant for administration or dispensation at no cost to the patient.
Controlled Substance-for purposes of this definition, any substance designated or that may hereafter be designated as a schedule II, III, IV, or V controlled substance in R.S. 40:964.
Drug-a controlled substance or a legend drug.
Legend Drug-any drug or drug product bearing on the label of the manufacturer or distributor as required by the Food and Drug Administration, the statement "Caution: Federal law prohibits dispensing without a prescription" or "Rx Only." For purposes of this definition, legend drugs do not include controlled substances.
Locum Tenens Physician- a supervising physician approved and registered with the board under this Chapter, who assumes the obligations and responsibilities of a primary supervising physician.
Medical Device-any instrument, apparatus, implement, contrivance, or similar or related article, which is required under federal law to bear the label "Caution: Federal or State law requires dispensing by or on the order of a physician" and/or "Rx Only," or any other designation required under federal law. For purposes of this Chapter a medical device shall not include medical lasers, microwave, pulse light, radio frequency or any other such instrument, apparatus, implement or similar equipment used for therapeutic or cosmetic purposes.
Medication-except in these rules where its use may indicate otherwise, is synonymous with drug, as defined herein.
Multiple Supervising Physicians- two or more supervising physicians practicing in any professional or clinical setting.
NCCPA-National Commission on Certificate of Physician Assistants or its successors.
Physician- a person possessing a current license to practice medicine in the state of Louisiana.
Physician Assistant (PA)-a health care professional qualified by academic and clinical education and licensed by the board to provide health care services at the direction and under the supervision of a physician or a group of physicians approved by the board as a supervising physician(s).
Physician Assistant-Certified (PA-C)- a physician assistant who is currently certified by the National Commission on Certificate of Physician Assistants (NCCPA) or its successors.
Prescribe or Prescription-a request or order transmitted in writing, orally, electronically or by other means of telecommunication, for a drug or medical device issued in good faith, in the usual course of professional practice for a legitimate medical purpose, by a licensed physician, or a physician assistant registered to prescribe medication and/or medical devices under this Chapter, for the purpose of correcting a physical, mental, or bodily ailment.
Prescriptive Authority-the authority of a physician assistant duly registered and approved by the board to prescribe legend drugs and/or controlled substances and/or medical devices, to the extent delegated by a supervising physician, in accordance with the registration on file with the board and in compliance with the board's rules, §1501-1529 and §4501-4513
Primary Practice Site-the practice location at which a supervising physician or physician assistant spends the majority of time engaged in the performance of his profession.
Primary Supervising Physician-a supervising physician, approved and registered with the board as such under this Chapter.
Protocol or Clinical Practice Guidelines or Clinical Practice Guidelines or Protocols-a written set of directives or instructions regarding routine medical conditions, to be followed by a physician assistant in patient care activities. If prescriptive authority has been delegated to the physician assistant by the supervising physician the clinical practice guidelines or protocols shall contain each of the components specified by §1527 The Advisory Committee shall periodically publish and disseminate to supervising physicians and all physician assistants, model forms and examples of clinical practice guidelines and protocols. The supervising physician and physician assistant shall maintain a written copy of such clinical practice guidelines and protocols, which shall be made immediately available for inspection by authorized representatives of the board.
Supervising Group of Physicians or Supervising Group- a professional partnership, professional corporation, or other professional, physician-owned entity approved by and registered with the board under this Chapter to supervise one or more physician assistants. For the purposes of this definition the term physician-owned entity does not mean the type of entity defined in R.S. 37:1360.22(3).
Supervising Physician- a physician approved by and registered with the board under this Chapter, as a primary supervising physician or a locum tenens physician, to provide supervision to one or more physician assistants.
Supervision-responsible direction and control, with the supervising physician assuming responsibility for the services rendered by a physician assistant in the course and scope of the physician assistant's employment, with respect to patients for whose care, or aspect of care, the physician is responsible. Supervision shall not be construed in every case to require the physical presence of the supervising physician. However, the supervising physician and physician assistant must have the capability to be in contact with each other by either telephone or other telecommunications device. Supervision shall exist when the supervising physician responsible for the care, or aspect of care of the patient, gives informed concurrence of the actions of the physician assistant, whether given prior to or after the action, and when a medical treatment plan or action is made in accordance with written clinical practice guidelines or protocols set forth by the supervising physician. Such guidelines or protocols shall require that the physician assistant contact the supervising physician when there is a question or uncertainty as to what should be done in a given case or when an approved protocol does not address the clinical situation presented. The level and method of supervision shall be at the physician and physician assistant level, shall be documented and reviewed annually, and shall reflect the acuity of the patient care and nature of the procedure.
La. Admin. Code tit. 46, § XLV-1503