Chapter PA 3

PA 3.06(3)(a) (a) The name and address of the facility from which the prescribed drug is dispensed.

PA 3.06(3)(b) (b) The date on which the prescription is dispensed.

PA 3.06(3)(c) (c) The name of the physician assistant who prescribed the drug.

PA 3.06(3)(d) (d) The full name of the patient.

PA 3.06(3)(e) (e) The generic name and strength of the prescription drug dispensed unless the prescribing physician assistant requests omission of the name and strength of the drug dispensed.

PA 3.06(3)(f) (f) Directions for the use of the prescribed drug and cautionary statements, if any, contained in the prescription or required by law.

PA 3.06(4) (4) Recordkeeping.

PA 3.06(4)(a) (a) Unless otherwise maintained by an organization, a physician assistant shall maintain complete and accurate records of each prescription drug received, dispensed, or disposed of in any other manner.

PA 3.06(4)(b) (b) Records for controlled substances shall be maintained as required by the federal controlled substances act and ch. 961, Stats.

PA 3.06 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23.

PA 3.07 PA 3.07 Informed consent.

PA 3.07(1) (1) Pursuant to s. 448.9785, Stats., a physician assistant shall communicate alternate modes of treatment to a patient.

PA 3.07(2) (2) Any physician assistant who treats a patient shall inform the patient about the availability of reasonable alternative modes of treatment and about the benefits and risks of these treatments. The reasonable physician assistant standard is the standard for informing a patient under this section. The reasonable physician assistant standard requires disclosure only of information that a reasonable physician assistant in the same or a similar medical specialty would know and disclose under the circumstances.

PA 3.07(3) (3) The physician assistant’s duty to inform the patient under this section does not require disclosure of any of the following:

PA 3.07(3)(a) (a) Detailed technical information that in all probability a patient would not understand.

PA 3.07(3)(b) (b) Risks apparent or known to the patient.

PA 3.07(3)(c) (c) Extremely remote possibilities that might falsely or detrimentally alarm the patient.

PA 3.07(3)(d) (d) Information in emergencies where failure to provide treatment would be more harmful to the patient than treatment.

PA 3.07(3)(e) (e) Information in cases where the patient is incapable of consenting.

PA 3.07(3)(f) (f) Information about alternate modes of treatment for any condition the physician assistant has not included in the physician assistant’s diagnosis at the time the physician assistant informs the patient.

PA 3.07(4) (4) A physician assistant’s record shall include documentation that alternate modes of treatment have been communicated to the patient and informed consent has been obtained from the patient.

PA 3.07 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23.

PA 3.08 PA 3.08 Telemedicine and telehealth practice.

PA 3.08(1) (1) In this section:

PA 3.08(1)(a) (a) “Emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention will result in serious jeopardy to patient health, serious impairment of bodily functions, or serious dysfunction of a body organ or part.

PA 3.08(1)(b) (b) “Telehealth” has the meaning given in s. 440.01 (1) (hm), Stats.

PA 3.08(1)(c) (c) “Telemedicine” is analogous to and has the same meaning as “telehealth” in par. (b).

PA 3.08(2) (2) The rules in this section do not prohibit any of the following:

PA 3.08(2)(a) (a) Consultations between physician assistants, or between physician assistants and other medical professionals, or the transmission and review of digital images, pathology specimens, test results, or other medical data related to the care of patients in this state.

PA 3.08(2)(b) (b) Patient care in consultations with another healthcare provider who has an established provider-patient relationship with the patient.

PA 3.08(2)(c) (c) Patient care in on-call or cross-coverage situations in which the physician assistant has access to patient records.

PA 3.08(2)(d) (d) Treating a patient with an emergency medical condition.

PA 3.08(3) (3) A physician assistant-patient relationship may be established via telehealth.

PA 3.08(4) (4) A physician assistant who uses telemedicine in the diagnosis and treatment of a patient located in this state shall be licensed to practice as a physician assistant by the board.

PA 3.08(5) (5) A physician assistant shall be held to the same standards of practice and conduct including patient confidentiality and recordkeeping, regardless of whether health care services are provided in person or by telemedicine.

PA 3.08(6) (6) A physician assistant who provides health care services by telehealth is responsible for the quality and safe use of equipment and technology that is integral to patient diagnosis and treatment.

PA 3.08(7) (7) The equipment and technology used by a physician assistant to provide health care services by telehealth shall provide, at a minimum, information that will enable the physician assistant to meet or exceed the standard of minimally competent physician assistant practice.

PA 3.08 History History: EmR2206: cr., eff. 4-1-22; CR 22-064: cr. Register July 2023 No. 811, eff. 8-1-23; corrections in (4) to (6) made under s. 13.92 (4) (b) 12., Stats., Register July 2023 No. 811.