Ala. Admin. Code r. 540-X-11-.05

Current through Register Vol. 43, No. 1, October 31, 2024

Section 540-X-11-.05 - Written Protocols

Written protocols for the purpose of this section shall mean physician's order, standing delegation order, standing medical order, or other written order that is maintained on site. A written protocol must be provided to the Board upon request and must provide, at a minimum, the following:

(1) A statement identifying the individual physician authorized to utilize the specified device and responsible for the delegation of the performance of the specified procedure, including proof of the physician's training in accordance with these rules;

(2) A statement of the activities, decision criteria, and plan the Level 1 or 2 Delegate shall follow when performing delegated procedures;

(3) Selection criteria to screen patients for the appropriateness of non-ablative treatments;

(4) Identification of devices and settings to be used for patients who meet selection criteria;

(5) Methods by which the specified device is to be operated;

(6) A description of appropriate care and follow-up for common complications, serious injury, or emergencies as a result of the non-ablative treatment;

(7) Procedures for obtaining proper consent forms signed by the patient or legal guardian;

(8) Instructions for maintaining a patient's chart, which should include, at a minimum, the patient intake form, the executed informed consent, the treatment sheet and progress notes, and before and after instructions;

(9) Instructions for documentation of a patient's treatment, decisions made, and a plan for communication or feedback to the authorizing physician concerning specific decisions made. Documentation shall be recorded within a reasonable time after each procedure and may be performed on the patient's record or medical chart; and

(10) Instructions to contact the supervising physician immediately if complications or complaints from the patient arise.

(11) Written protocols should be signed by both the supervising physician and the corresponding Legal 1 or 2 Delegate.

Ala. Admin. Code r. 540-X-11-.05

New Rule: Filed August 16, 2007; effective September 20, 2007.

Amended by Alabama Administrative Monthly Volume XLI, Issue No. 08, May 31, 2023, eff. 7/15/2023.

Original Rule .05, Supervision, was repealed and rule .06 was renumbered .05 per certification published May 31, 2023; effective July 15, 2023.

Author: Alabama Board of Medical Examiners

Statutory Authority:Code of Ala. 1975, §§ 34-24-50, 34-24-51, 34-24-53.