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3. Penetrate, pierce, or sever the tissues of a human being.
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4. Offer, undertake, attempt, or hold oneself out in any manner as able to do
11any of the acts described in this paragraph.
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(b) Subject to any rules promulgated by the board and consistent with his or
13her experience, education, and training, a physician assistant may order, prescribe,
14procure, dispense, and administer prescription drugs, medical devices, services, and
15supplies.
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(c) A physician assistant may practice in ambulatory care, acute care,
17long-term care, home care, or other settings as a primary, specialty, or surgical care
18provider who may serve as a patient's primary care provider or specialty care
19provider.
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20(2) (a) 1. Except as provided in subd. 3. and sub. (5) (a) or (b), a physician
21assistant who provides care to patients shall maintain and provide to the board upon
22request one of the following:
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a. Evidence that, pursuant to the physician assistant's employment, there is
24a physician who is primarily responsible for the overall direction and management
25of the physician assistant's professional activities and for assuring that the services
1provided by the physician assistant are medically appropriate. In this subd. 1. a.,
2“employment” includes an arrangement between the physician assistant and a 3rd
3party in which the 3rd party receives payment for services provided by the physician
4assistant.
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b. A written collaborative agreement with a physician that describes the
6physician assistant's individual scope of practice and that includes other information
7as required by the board.
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c. If the physician assistant's practice is limited to the practice of podiatry, a
9written collaborative agreement with a podiatrist or physician that describes the
10physician assistant's individual scope of podiatry practice and that includes other
11information as required by the board.
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2. Subdivision 1. does not require the physical presence of a physician or
13podiatrist at the time and place a physician assistant renders a service.
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3. Subdivision 1. does not apply with respect to a physician assistant who is
15employed by the federal government as a civilian or member of the uniformed
16services while performing duties incident to that employment or service.
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(b) A physician assistant shall limit his or her practice to the scope of his or her
18experience, education, and training.
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(c) No physician assistant may provide medical care, except routine screening
20and emergency care, in any of the following:
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1. The practice of dentistry or dental hygiene within the meaning of ch. 447.
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2. The practice of optometry within the meaning of ch. 449.
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3. The practice of chiropractic within the meaning of ch. 446.
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4. The practice of acupuncture within the meaning of ch. 451.
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1(3) (a) It shall be the obligation of a physician assistant to ensure all of the
2following:
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1. That the scope of the practice of a physician assistant is identified and is
4appropriate with respect to his or her experience, education, and training.
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2. For purposes of sub. (2) (a) 1. b. and c., that the relationship with and access
6to a collaborating physician or podiatrist by the physician assistant is defined.
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3. That the requirements and standards of licensure under this chapter are
8complied with.
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4. That consultation with and referral to other licensed health care providers
10with a scope of practice appropriate for a patient's care needs occurs when the
11patient's care needs exceed the physician assistant's experience, education, or
12training. A physician assistant shall ensure that he or she has awareness of options
13for the management of situations that are beyond the physician assistant's expertise.
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(b) A physician assistant is individually and independently responsible for the
15quality of the care he or she renders.
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16(4) A physician assistant may delegate a care task or order to another clinically
17trained health care worker if the physician assistant is competent to perform the
18delegated task or order and has reasonable evidence that the clinically trained
19health care worker is minimally competent to perform the task or issue the order
20under the circumstances.
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21(5) The board shall promulgate any rules necessary to implement this section,
22including rules to do any of the following:
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(a) Allow for temporary practice, specifically defined and actively monitored by
24the board, in the event of an interruption of a collaborative relationship under sub.
25(2) (a) 1. b. or c.
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1(b) Allow a physician assistant, in the absence of an employment or
2collaborative relationship under sub. (2) (a) 1., to provide medical care at the scene
3of an emergency, during a declared state of emergency or other disaster, or when
4volunteering at sporting events or at camps.
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5(6) The practice permissions provided in this section are permissions granted
6by the state authorizing the licensed practice of physician assistants. Nothing in this
7section prohibits an employer, hospital, health plan, or other similar entity
8employing or with a relationship with a licensed physician assistant from
9establishing additional requirements for a licensed physician assistant as a
10condition of employment or relationship.
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11461.11 Civil liability. No physician assistant shall be liable for any civil
12damages for either of the following:
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13(1) Reporting in good faith to the department of transportation under s. 146.82
14(3) a patient's name and other information relevant to a physical or mental condition
15of the patient that in the physician assistant's judgment impairs the patient's ability
16to exercise reasonable and ordinary control over a motor vehicle.