Page 16 - Part 2 Collaborating with Advanced Practice Providers - An Overview of State Rules

SVMIC Collaborating with Advanced Practice Providers

than twice a year and meet with the PA no less than quarterly. The

supervising physician must provide adequate means for communication

with the physician assistant. Communication may occur through the use
of technology which may include, but is not limited to, radio, telephone,

fax, modem or other telecommunication device. A pre-approved

covering physician is allowed to be present in lieu of the supervising

physician.
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Tennessee

The supervising physician must visit the practice site at least once every

30 days.

Virginia

The written practice agreement must be approved before changes in
supervision, authorization or scope of practice. Stricter rules apply to the

supervision of physician assistants in emergency room settings.
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Advanced practice nurse practice agreements must include provisions

addressing:

1. How often the supervising physician will review patient charts and
visit remote practice sites;

2. The appropriate degree of “physician input on complex clinical

cases and patient emergencies and for referrals”; and

3. The advanced practice nurse’s “authority for signatures,

certifications, stamps, verifications, affidavits, and endorsements.”
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11 Miss. Code Ann. §73-26-5 (1.7)
12 Va. Code Ann. § 54-1-2952(A
13 18 Va. Admin. Code § 90-30-122(B); see Va. Code Ann. § 54.1-2957(B).

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