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AA's In North Carolina

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Joined: 03 Oct 2007
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    Posted: 20 Sep 2009 at 3:03pm
North Carolina Medical Board

90-18.5. Limitations on anesthesiologist assistants.

(a) Any person who is licensed to provide anesthesia services as an assistant to
an anesthesiologist licensed under Article 1 of this Chapter may use the title
"anesthesiologist assistant." Any other person who uses the title in any form or holds
himself or herself out to be an anesthesiologist assistant or to be so licensed without first
obtaining a license shall be deemed in violation of this Article. A student in any
anesthesiologist assistant training program shall be identified as a "student
anesthesiologist assistant" or an "anesthesiologist assistant student," but under no
circumstances shall the student use or permit to be used on the student's behalf the terms
"intern," "resident," or "fellow."

(b) Anesthesiologist assistants are authorized to provide anesthesia services
under the supervision of an anesthesiologist licensed under Article 1 of this Chapter
under the following conditions:

(1) The North Carolina Medical Board has adopted rules governing the
provision of anesthesia services by an anesthesiologist assistant
consistent with the requirements of subsection (c) of this section.

(2) The anesthesiologist assistant holds a current license issued by the
Board or is a student anesthesiologist assistant participating in a
training program leading to certification by the National Commission
for Certification of Anesthesiologist Assistants and licensure as an
anesthesiologist assistant under G.S. 90-9.4.

(c) The North Carolina Medical Board shall adopt rules to implement this section
that include requirements and limitations on the provision of anesthesia services by an
anesthesiologist assistant as determined by the Board to be in the best interests of
patient health and safety. Rules adopted by the Board pursuant to this section shall
include the following requirements:

(1) That an anesthesiologist assistant be supervised by an anesthesiologist
licensed under this Article who is actively engaged in clinical practice
and immediately available on-site to provide assistance to the
anesthesiologist assistant.

(2) That an anesthesiologist may supervise no more than two
anesthesiologist assistants or student anesthesiologist assistants at one
time. The limitation on the number of anesthesiologist assistants and
student anesthesiologist assistants that an anesthesiologist may
supervise in no way restricts the number of other qualified anesthesia
providers an anesthesiologist may concurrently supervise. After
January 1, 2010, the Board may allow an anesthesiologist to supervise
up to four licensed anesthesiologist assistants concurrently and may
revise the supervision limitations of student anesthesiologist assistants
such that the supervision requirements for student anesthesiologist
assistants are similar to the supervision requirements for student nurse
anesthetists.

(3) That anesthesiologist assistants comply with all continuing education
requirements and recertification requirements of the National Commission for Certification of Anesthesiologist Assistants or its successor organization.

(d) Nothing in this section shall limit or expand the scope of practice of physician
assistants under existing law. (2007-146, s. 4; 2008-187, s. 14.)

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