Scope Of Practice
Name License #
Supervising Physician ______________________ ________________
Additional Supervising Physician(s) ______________________ ________________
Physician Assistant ______________________ ________________
Practice Site ______________________
Office Address ______________________
Hospital Affiliation ______________________
1. A physician assistant may only provide those medical services which he or she is competent to perform and
which are consistent with the physician assistant’s education, training and experience and which are
delegated in writing by a supervising physician (or alternate) who is responsible for the patients cared for
by the physician assistant.
2. The physician assistant may perform his/her duties only in the principal offices of the physician, public or
private places or health facilities where the physician regularly sees patients; and is not precluded from
making house calls, hospital rounds, serving as an ambulance attendant, or performing any functions
performed by the supervising physician (or alternates) for which the physician assistant is qualified and are
delegated by the supervising physician (or alternates).
3. Supervision means overseeing the activities of, and accepting the responsibility for, the medical services
rendered by a physician assistant. The supervising physician need not be physically present at the time of
the services but shall be immediately available by telecommunications and within reasonable travel
distance to assume personal care.
4. The physician and physician assistant are expected to understand and comply with all current laws, rules
and regulations which govern the practice of physician assistants in the State of South Carolina and will be
acknowledging this by affixing their signature on the physician assistants practice application.
5. A physician assistant may gather a data base on all new patients or established patients with new or
existing problems which may include a complete medical history and physical examination, medical record
review, and he/she may order the appropriate initial diagnostic studies and initiate a treatment plan. The
physician assistant will be responsible for transmitting that information orally, or through notation in the
patient’s record or to the supervising physician for review.
6. The physician assistant, if qualified by training and experience as determined by the supervising physician,
may perform medical treatments, diagnostic procedures, or tasks as delegated by the supervising physician
which fall within the normal scope of practice of the supervising physician.
7. A physician assistant may instruct and counsel patients and their families, and involve them in informed
decision making, with regards to their illness or injury, therapeutic and diagnostic procedures, treatment
regimens, normal growth and development, family planning advanced directives, emotional problems of
daily living and health maintenance. He/she may also facilitate referrals of patients to other medical
providers, medical facilities, or other health/social service agencies when appropriate as per the delegation
of the supervising physician.
8. In a life threatening emergency situation, when the supervising physician is not present, the physician
assistant may initiate appropriate evaluation and treatment.
9. The physician assistant shall be at all times properly identified as a physician assistant and shall wear
clearly legible identification name tag.
10. A physician assistant may carry out a prescription drug or device order in any health care setting excluding
controlled substances in Class II medications, ophthalmic steroids, MAO inhibitor, anabolic steroids and
sublingual Nifedipine for blood pressure control.
Scope Of Practice Treatment Plans
To be discussed by the physician and physician assistant. Included but not limited to:
Abdominal Aortic Aneurysm Diarrhea
Alcohol Withdrawal Diastolic Dysfunction
Allergic Reaction Diverticulosis/Diverticulits
Amurosis Fugax Dyspnea
Anemia Electrolyte Disturbances
Angina Pectoris (stable & unstable) Empyema
Aortic Dissection Type I and II Endocarditis
Aortic Valve Disease Erectile Dysfunction
Arterial Occlusive Disease Failure To Thrive
Ascending Aortic Aneurysm Fatigue
Arthritis Fever Of Unknown Origin
Asthma Fluid Management
Atrial Fibrillation Flu
Atrial Flutter Fungal Infections
Atrial Myxoma Gastroenteritis
Atrial Septal Defect Gastroesophageal Reflux Disease
Bacteremia Genitourinary Tract Infections
Bacterial Infections GI bleeding
Benign Prostatic Hypertrophy Gout
Biventricular Pacemakers Headaches
Bronchitis Heart Block (1st, 2nd and 3rd degree)
Cardiac Arrest Heart Murmurs
Cardiac Dysrhythmias Hematoma
Cardiac Pacemakers Hemoptysis
Carotid Artery Stenosis Hemorrhoids
Cardiac Shock Hiatal Hernia
Cardiac Tamponade Hypercoagulable States
Chronic Obstructive Pulmonary Disease Hypertriglyceridemia
Common Dermatoses Hypoglycemia
Common Psychiatric Disorders Hypokalemia
Conduction Disturbances Hyponatremia
Congenital Heart Disease Hypotension
Congestive Heart Failure Hypoxia
Constipation Idiopathic Hypertrophic Subaortic Stenosis
Coronary Artery Disease Irritable Bowel Syndrome
Cor Pulmonale Indeterminate Lung Nodules or Masses
Cough Implantable Cardiodefibrillators
Decubitus Ulcers Lung Malignancies
Deep Venous Thrombosis Management Of Prosthetic Heart Valves
Dehydration Medication Reactions
Dementia Mitral Valve Disease
Diabetes Musculoskeletal Pain
Diabetic Foot Ulcers Myocardial Infarction
Myocardial Ischemia Tricuspid Valve Disease
Nephrotic Syndrome Thrombophlebitis
Non Healing Wounds Thyroid Disorders
Obesity Transient Ischemic Attack
Orthostatic Hypotension Urinary Retention
Osteoarthritis Valvular Heart Disease
Palpitations Ventricular Septal Defect
Pancreatitis Venous Insufficiency
Pain Venous Stasis Ulcers
Peptic Ulcer Disease Vertigo
Pericardial Disease Viral Infections
Pericarditis Wound Infections
Peripheral Neuropathy Weakness
Peripheral Vascular Disease Weight Loss
Pre/Post Operative Management
Renal Artery Stenosis
Rheumatic Heart Disease
Soft Tissue Injuries
Specific Job Description
The physician assistant’s job duties to include but not limited to taking patient history and performing a
complete physical examination and make an assessment and diagnosis therefrom. Conduct and record daily
rounds in the hospital setting including admissions, referrals and discharge summaries. Initiate review and
revise treatment and therapy plans and record/present data in a manner meaningful to the supervising physician.
Explain cardiology procedures and perform site checks after placement of catheters or pacemakers.
The physician assistant will also see patients in the office setting for interval follow up for possible revision of
initial treatment as outlined by the supervising physician (or alternate).
Coordinate and manage the development of a Lipid Management Center. Enhance the identification and optimal
treatment of lipid disorders and other risk parameters related to the development of vascular disease. Direct the
ongoing management of patients in conjunction with a physician supervisor. Emphasize patient education in the
areas of pathophysiology of vascular disease, how various risk markers affect atherosclerosis and provide
understanding of how various treatment modalities affect long term outcomes. Initiate, compile and analyze
computer database for the evaluation of treatment modalities.
Coordinate and manage an established Coumadin Clinic. Identify and outline therapeutic goals regarding
various cardiac entities whereby Coumadin is warranted (ie. chronic atrial fibrillation, mechanical valves, etc…)
and structure a course of therapy to achieve and maintain these goals. This is to include initial prescribing
amounts and serial follow up appointments for medication adjustments.
Administration and interpretation of maximal graded exercise tests for normal and cardiac impaired
populations. Administration of maximal graded exercise echocardiography tests. Administration of maximal
graded exercise nuclear tests and persantine/adenosine resting nuclear tests.
Interrogate and program cardiac devices including permanent pacemakers and implantable cardiodefibrillators
Coordinate and manage an established Congestive Heart Failure Clinic. Identify and monitor parameters to
measure patient volume status. Structure a course of therapy to achieve and maintain a euvolemic state.