TJR Posted July 29, 2011 Share Posted July 29, 2011 I'm confused? How EMPAs practicing emergency medicine in Oregon when the approved core competency and medical services leaves out so many skills required. Here are a few I have noticed. Do you have to apply for each one individually? In Montana PAs are allowed to practice under the supervising physician's scope of practice as long as they feel comfortable with it. Central line placement Dislocation reduction management Extensor tendon repair Fracture Reduction Interosseous needle placement Lumbar puncture Orogastric tube placement, lavage and management Paracentesis Procedural sedation management Slit lamp diagnostic and rust ring removal Tonometery, ocular Thoracentesis Thoracostomy tube insertion Urethral catheter placement and management Link to comment Share on other sites More sharing options...
TJR Posted July 29, 2011 Author Share Posted July 29, 2011 I'm confused? How EMPAs practicing emergency medicine in Oregon when the approved core competency and medical services leaves out so many skills required. Here are a few I have noticed. Do you have to apply for each one individually? In Montana PAs are allowed to practice under the supervising physician's scope of practice as long as they feel comfortable with it. Central line placement Dislocation reduction management Extensor tendon repair Fracture Reduction Interosseous needle placement Lumbar puncture Orogastric tube placement, lavage and management Paracentesis Procedural sedation management Slit lamp diagnostic and rust ring removal Tonometery, ocular Thoracentesis Thoracostomy tube insertion Urethral catheter placement and management Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 29, 2011 Moderator Share Posted July 29, 2011 I work mostly in WA but do some per diem in oregon. when I applied with the board I had to apply for each extra skill( LP's, fx reduction, slit lamp, etc). with the law in oregon that just was signed last week I think you can just get it written into your delegation of services by your sp now. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 29, 2011 Moderator Share Posted July 29, 2011 I work mostly in WA but do some per diem in oregon. when I applied with the board I had to apply for each extra skill( LP's, fx reduction, slit lamp, etc). with the law in oregon that just was signed last week I think you can just get it written into your delegation of services by your sp now. Link to comment Share on other sites More sharing options...
TJR Posted July 29, 2011 Author Share Posted July 29, 2011 Thanks - It seems a bit cumbersome applying for each skill. Link to comment Share on other sites More sharing options...
TJR Posted July 29, 2011 Author Share Posted July 29, 2011 Thanks - It seems a bit cumbersome applying for each skill. Link to comment Share on other sites More sharing options...
convulsed Posted July 29, 2011 Share Posted July 29, 2011 When you apply for these particular skill sets/procedures, are you electing yourself to perform it? or are you electing yourself to be supervised/taught how to do it ? This is not an Oregon specific question, just a personal one. Link to comment Share on other sites More sharing options...
convulsed Posted July 29, 2011 Share Posted July 29, 2011 When you apply for these particular skill sets/procedures, are you electing yourself to perform it? or are you electing yourself to be supervised/taught how to do it ? This is not an Oregon specific question, just a personal one. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 29, 2011 Moderator Share Posted July 29, 2011 generally to apply for a new skill you have to prove that you can do it with completion of skills classes or a procedure log or credentialling at another facility, etc Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted July 29, 2011 Moderator Share Posted July 29, 2011 generally to apply for a new skill you have to prove that you can do it with completion of skills classes or a procedure log or credentialling at another facility, etc Link to comment Share on other sites More sharing options...
TJR Posted July 30, 2011 Author Share Posted July 30, 2011 Here seems two of the main issues that are at play. From my understanding this becomes law in a few days come August 4th. Modernizing PA Licensure – SB 224 OSPA’s priority legislation for the 2011 Legislative Session is SB 224, to update and modernizeOregon statute relating to how physician assistants are licensed in the state. The bill proposesseveral key shifts from current law:1. Requires PAs to be licensed prior to employment.2. Establishes a practice agreement developed between the PA and supervising physicianand filed with the Oregon Medical Board, no longer requiring an approval process. OSPA worked collaboratively with the Oregon Medical Association and Oregon Medical Boardsince late 2009 on the policy concepts and we are pleased to share that there is consensus from both organizations on SB 224. Link to comment Share on other sites More sharing options...
TJR Posted July 30, 2011 Author Share Posted July 30, 2011 Here seems two of the main issues that are at play. From my understanding this becomes law in a few days come August 4th. Modernizing PA Licensure – SB 224 OSPA’s priority legislation for the 2011 Legislative Session is SB 224, to update and modernizeOregon statute relating to how physician assistants are licensed in the state. The bill proposesseveral key shifts from current law:1. Requires PAs to be licensed prior to employment.2. Establishes a practice agreement developed between the PA and supervising physicianand filed with the Oregon Medical Board, no longer requiring an approval process. OSPA worked collaboratively with the Oregon Medical Association and Oregon Medical Boardsince late 2009 on the policy concepts and we are pleased to share that there is consensus from both organizations on SB 224. Link to comment Share on other sites More sharing options...
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