Section Med 26.04 - Delegated authority(1) Except as otherwise prohibited by any other rule or statute, a licensed supervising practitioner may delegate their licensed or certified professional practice authority to perform a clinical act to a person who is a military medical personnel program participant if all of the following are true: (a) The licensed supervising practitioner is competent and authorized under their applicable license or certification to perform the delegated clinical act.(b) The licensed supervising practitioner has reasonable evidence that the supervised military medical personnel program participant is minimally competent to perform the delegated clinical act under the circumstances based on the individual's level of training and experience. Such reasonable evidence may include the memorandum of understanding signed by the military medical personnel program participant and the administering facility specified in s. Med 26.05. Reasonable evidence may also include any other relevant information as determined by the licensed supervising practitioner.(c) The delegated clinical act is not a surgical procedure or the issuance of a prescription order.(d) The delegated clinical act is performed in an administering facility.(2) The licensed supervising practitioner who delegates a clinical act for a patient to a registered military medical personnel pursuant to this section retains responsibility for the care of the patient.(3) Subject to the limitation in s. 440.077 (2) (b), Stats., and except as provided in sub. (4), the scope in which a registered military medical personnel may practice is limited to the performance of acts in basic patient situations under the general supervision of a licensed supervising practitioner, which includes the following:(a) Accept only patient care assignments which the military medical personnel program participant is competent to perform.(b) Provide basic patient care.(c) Record patient care given and report changes in the condition of a patient to the appropriate person.(d) Consult with a provider in cases where the military medical personnel program participant knows or should know a delegated clinical act may harm a patient.(e) Perform the following other acts when applicable:1. Assist with the collection of data.2. Assist with the development and revision of a patient care plan.3. Reinforce the teaching provided by a licensed provider and provide basic health care instruction.4. Participate with other health team members in meeting basic patient needs.(f) Any other task authorized by the memorandum of understanding and delegated to the program participant by their licensed supervising practitioner.(4) In the performance of acts in complex patient situations the military medical personnel program participant shall perform delegated clinical acts beyond basic patient care only under the direct supervision of a licensed supervising practitioner. A military medical personnel program participant shall, upon request of the medical examining board, provide documentation of his or her education, training, or experience which prepares the military medical personnel program participant to competently perform these assignments.Wis. Admin. Code Medical Examining Board Med 26.04
Adopted by, EmR2308: emerg. cr., eff. 6-1-23; CR 23-037: cr. Register March 2024 No. 819, eff. 4-1-24; corrections in (3) (intro.) made under ss. 13.92 (4) (b) 7. and 35.17, Stats., and correction in (3) (f), (4) made under s. 35.17, Stats., Register February 2024 No. 819, eff. 4/1/2024