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physician assistants duties and responsibilities depend on his training, experience, and state laws.A physician assistant assists his physician.So, it could be said that the physician assistant works with the simple processes and the physician tackles the more serious cases.But, professional physician assistants are growing more in number everyday.Many doctors allow their PAs to treat patients independently.States are loading more responsibilities on PAs.Physician assistants that practice in surgical processes can also conduct medical procedures on their own.As the
physician assistant becomes more skillful, the physician will rely on his skills more.The job responsibilities of a physician assistant start to get co-mingled with that of his physician and gets blurred.So, how can we define what a physician assistant can or cannot do?
The job responsibilities of a physician assistant are based upon others.This means that he has to be supervised by a licensed health practitioner.The licensed doctor is responsible for the actions of his physician assistant.He tells what to do every week , according to his skill level and time on the job.A physician assistant performs many healthcare functions, including the following :
Evaluating patients : A physician assistant has the ability to look at a patients records, ask him about is medical circumstances, do physical tests , write up reports and forward them to the doctor.
Monitor patients: Watch patients A physician assistant can start up patient monitoring plans and give treatment to patients who are in the hospital or in other medical locations.A physician assistant can also aid the doctor with his patient rounds and jot down patient assessments.
Analyzing patients: He can conduct and analyze lab, cardio, radiology and other procedural results.
Performing therapeutics : Treat patients: Physician assistants can conduct injections and immunizations.They have the training to sew up injuries and handle medical conditions that were the result of distress or infections. They can assist while the doctor manages complex and life-threatening conditions.They can supervise and direct blood withdrawal in a DUI/DWI case.
Counsel patients: PAs can direct patients to stick to their prescribed treatment plans.They can also chime in and talk to patients about maintaining a healthy lifestyle, help them with stressful problems and other basic health concerns.
Referring patients : Physician assistants have the authority to move patients to other healthcare practitioners and social organizations if they think it is beneficial for the patient.
What a physician assistant cannot do:
PAs cannot perform specified tasks for other allied professions like radiologic technology and optometry practice.They do not have the authority to sign the death certificate, however, they can produce the death statement.
How the law places limitations on the physician assistants practice range.
The range of practice is just in concept only.Even when it comes to theory it is thin because it indicates that these services come with the physicians scope of practice.Let us take North Carolinas law that places limitations on a PAs scope of practice as an example.Other states may end up doing the same thing.However, before discussing what is allowed by a physician assistant and what is not, please note that he cannot conduct any medical procedures if his license is not current.So, this is how he is limited:
When a physician assistant administers drugs, the prescriptions have to have the PAs state identification number on them.The physician assistants doctor must jot down directions in reference to contraindications and indications and how they relate to the prescribed drugs in question.If the physician fails to give the physician assistant this written information, then the PA is not allow to issue the prescription. The doctor also has to provide his physician assistant written guidelines for drug prescriptions.If no such document exists, the PA cannot prescribe drugs.If he does it anyway, then he has broken the law.The state may also issue more limitations on the PAs drug prescription powers.Therefore every PA must check the state laws before writing a prescription.
It is okay for a physician assistant to issue drug prescriptions if it is done with the guidance of a licensed doctor and not limited by state laws.
A physician assistant can ask for certain hospital and healthcare facilities if his direct supervising physician as written down precise directives on how it should be done.If it is a complicated matter, then the physician assistants supervising doctor has to look at the written order during a specified time that has been set by the state.Each medical facility that provides patient care should have written documents set in place that will ensure that physician assistant orders will be authenticated.They must confirm that these requested orders are advantageous for patients.The state might want to place restrictions on the sorts of tests and patient care that physician assistants are able to ask for.
Every physician assistant has to keep his license up to date, be registered with the state, and possess an up to date Intent of Practice on file with the state.
Now, it is easy to understand how a physician assistant can do all of the functions that are within his scope of practice.This is only acceptable if it is approved by his supervising doctor and follows the states rules.What a physician can do and what he cannot do therefore boils down to :
(a) The laws of the state
(b) The range of the physician assistants functions described overall and by the state
(c) Written authorization from his supervising doctor, so long as the written instructions are in conformity with state rules.
Also, the physician assistant has requests that have to be confirmed by the checks and balances system that is setup by different medical offices, hospitals and other healthcare offices. This is what a PA can, and cannot, do.