Board Of Osteopathic Medicine Arnp / Emt / Paramedic Protocol Form (Page 2 of 4) in pdf

Section 459.025, Florida Statutes

459.025 Formal supervisory relationships, standing orders, and established protocols; notice;

standards.—

(1) NOTICE.—

(a) When an osteopathic physician enters into a formal supervisory relationship or standing

orders with an emergency medical technician or paramedic licensed pursuant to s. 401.27,

which relationship or orders contemplate the performance of medical acts, or when an

osteopathic physician enters into an established protocol with an advanced registered nurse

practitioner, which protocol contemplates the performance of medical acts identified and

approved by the joint committee pursuant to s. 464.003(2) or acts set forth in s. 464.012(3) and

(4), the osteopathic physician shall submit notice to the board. The notice must contain a

statement in substantially the following form:

I, (name and professional license number of osteopathic physician) , of (address of

osteopathic physician) have hereby entered into a formal supervisory relationship, standing

orders, or an established protocol with (number of persons) emergency medical

technician(s), (number of persons) paramedic(s), or (number of persons) advanced

registered nurse practitioner(s).

(b) Notice shall be filed within 30 days after entering into the relationship, orders, or protocol.

Notice also shall be provided within 30 days after the osteopathic physician has terminated any

such relationship, orders, or protocol.

(2) PROTOCOLS REQUIRING DIRECT SUPERVISION.—All protocols relating to electrolysis

or electrology using laser or light-based hair removal or reduction by persons other than

osteopathic physicians licensed under this chapter or chapter 458 shall require the person

performing such service to be appropriately trained and to work only under the direct

supervision and responsibility of an osteopathic physician licensed under this chapter or chapter

458.

(3) SUPERVISORY RELATIONSHIPS IN MEDICAL OFFICE SETTINGS.—An osteopathic

physician who supervises an advanced registered nurse practitioner or physician assistant at a

medical office other than the osteopathic physician’s primary practice location, where the

advanced registered nurse practitioner or physician assistant is not under the onsite supervision

of a supervising osteopathic physician, must comply with the standards set forth in this

subsection. For the purpose of this subsection, an osteopathic physician’s “primary practice

location” means the address reflected on the physician’s profile published pursuant to s.

456.041.

(a) An osteopathic physician who is engaged in providing primary health care services may

not supervise more than four offices in addition to the osteopathic physician’s primary practice

location. For the purpose of this subsection, “primary health care” means health care services

that are commonly provided to patients without referral from another practitioner, including

obstetrical and gynecological services, and excludes practices providing primarily dermatologic

and skin care services, which include aesthetic skin care services.

(b) An osteopathic physician who is engaged in providing specialty health care services may

not supervise more than two offices in addition to the osteopathic physician’s primary practice

location. For the purpose of this subsection, “specialty health care” means health care services

that are commonly provided to patients with a referral from another practitioner and excludes

Board Of Osteopathic Medicine Arnp / Emt / Paramedic Protocol Form Page 2