Can a PA be the sole provider on-site at an outpatient clinic where patients are receiving infusions of biologics and/or chemotherapy agents?

[cdezPA51]

Question geared towards PAs in the oncology and rheumatology private practice realm - Can a PA be the only provider on site when our nurses are infusing our biologic medications (ie TNF inhibitors, B cell modulators, etc). Some of these medications are technically classified as "chemotherapy." Not sure if there needs to be DIRECT supervision from an MD for this type of infusion/procedure (or can they just be a phone call away). Would this also vary state to state? Any insight would be wonderful!

[MT2PA]

Not sure about state to state or institution variables but we have APPs who monitor our infusion center on weekends solo coverage.  Granted our facility is literally across the street from an ED but the whole reason we have a provider of any kind is bc we are not 'connected' to the hospital.  We make the decisions if anything happens.

[ohiovolffemtp]

I would expect this to vary state by state.  In many states having the doc available via telecommunications is sufficient.