WHAT IS THE LEVEL OF PHYSICIAN SUPERVISION FOR DELEGATED MEDICAL ACTS? DOES IT DEPEND ON THE LEVEL OF LICENSURE OF THE PERSON TO WHOM THE MEDICAL ACT IS DELEGATED?
For persons who are unlicensed, the performance of a delegated medical act must be directed, supervised and inspected by the physician. The unlicensed person presumably does not have the degree of knowledge, training or education as licensed health care professionals, such as a nurse, physician assistants, or advance nurse practice prescribers, therefore, the supervision requirement is heightened. See Wis. Stats. 448.03 (2)(e). The level of supervision for delegated medical acts performed by a RN is general supervision. However, the RN may only accept those delegated medical acts for which there are written protocols or verbal or written orders. Also, the RN must be competent to perform the delegated acts based upon his or her nursing education, training or experience. Chapter N6.03(2), Wis. Admin. Code. The level of supervision for delegated medical acts, performed by a LPN, which is beyond basic nursing care, is direct supervision of the physician. Chapter N6.04(2)(b), Wis. Admin. Co
