Surgery - General Physician Assistant

DEPARTMENT OF VETERANS AFFAIRS

AMARILLO HEALTH CARE SYSTEM

PHYSICIAN ASSISTANT SCOPE OF PRACTICE

SURGICAL SERVICE

SCOPE OF PRACTICE :

All providers who are granted privileges in VA Amarillo Health Care System are allowed to provide, deliver and / or interpret professional services (within the scope of their license) in all care settings. It is understood that the requested privileges (as marked below) represent only the requested privileges in the areas in which the applicant believes he / she meets the applicable standards of education, training, Board Certification and demonstrated proficiency.

CORE PRIVILEGES :

All Physician Assistants who are granted privileges to provide, deliver and / or interpret are hereby granted the following core privileges :

1.

Obtaining medical histories and performing physical examinations.

2.

Providing and coordinating medical care for assigned patients in any care setting, including establishing diagnoses, formulating and implementing care plans, and providing follow-up care.

3.

Evaluating outpatients to determine the need for further health care.

4.

Ordering diagnostic studies and other special tests, such as Magnetic ResonanceImaging (MRI), Computerized Tomography (CT) scans, etc.

5.

Carrying out health promotion, disease prevention, and patient education activities.

6.

Ordering or obtaining laboratory specimens.

7.

Ordering ancillary services, such as, pharmacy, social services, physical medicine and rehabilitation therapies, prosthetic services, etc.

8.

Ordering VA specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and local facility policy and procedures.

9.

Ordering patient care supplies.

10.Writing orders for or prescribing medications.

Name : Proposed Revisions

11.Admitting and discharging patients in consultation with, and on behalf of, the collaborating physician, obtaining admission history and performing physical examinations, conducting patient rounds, documenting progress notes and summaries in the patient record, and writing patient orders on assigned patients. The PA may be delegated the responsibility of documenting operative notes if present for the procedure, but the operative surgeon must review and co-sign the note. They may also be delegated the task of documenting the discharge summary, but the collaborating physician must write a discharge note, or co-sign the discharge summary written by the PA in accordance with The Joint Commission standards that are applicable.

12.Obtaining and documenting informed consent for treatments and procedures for which the PA is responsible.

EMERGENCY