Personal Supervision. Even though you may travel independently in the community, the Provider will keep track of your general whereabouts Staff will accompany you to medical appointments The Provider provides an escort for regular travel The Provider has qualified staff in the building 24-hours/day Other Additional provisions: See Appendix E
Personal Supervision. Supervising physician or designated agent must be at the side of the physician assistant at all times, personally directing the action of the physician assistant. Describe the services or procedures common to the practice that the physician assistant is NOT permitted to perform: ATTESTATION / CERTIFICATION STATEMENT By signing below, I certify that: • The physician assistant and the supervising physician are in full compliance with the laws and regulations governing the practice of medicine by physician assistants, supervising physicians and supervising physician organizations (SPO) and acknowledge that violation of laws or regulations governing the practice of medicine may subject the physician assistant, supervising physician and the SPO to disciplinary measures. • The supervising physician or the SPO must provide the Board with a copy of the practice agreement within ten (10) days after the physician assistant begins practice with the supervising physician or the SPO. • The supervising physician or the SPO must keep a copy of the practice agreement available to the Board upon request. The practice agreement is not subject to Board approval, but the Board may request a meeting with a supervising physician or SPO and a physician assistant to discuss a practice agreement. • A supervising physician or the agent of a supervising physician must be competent to perform the duties delegated to the physician assistant by the supervising physician or by a supervising physician organization. The supervising physician or the supervising physician organization and the physician assistant are responsible for ensuring the competent practice of the physician assistant. Any duties performed by the physician assistant that are outside the scope of practice of either the physician assistant or the supervising physician may constitute a violation of the Medical Practice Act. SIGNATURES Name of Supervising Physician (Print or Type): Signature of Supervising Physician: Date: Name of Physician Assistant (Print or Type): Signature of Physician Assistant: Date: CORE COMPETENCIES The Board recognizes that based on education, training, and experience, physician assistants are qualified to provide triage, evaluation, diagnosis, treatment, and consultation for acute and chronic illnesses, and health maintenance services for patients of all ages, under the supervision of an MD or DO. In performing these duties, physician assistants are qualified to order and provide initial interpre...
Personal Supervision. Co-ordinates labour allocation within the warehouse e.g. Organises and assists with the movement of available labour based on order typeload and priorities. Organises the roster of warehouse personnel to ensure the warehouse is manned between 6.00 am and 5.00 pm. Ensures that daily work is performed within the normal working hours wherever possible. Allocates overtime, Roster Days and Annual Leave, to meet the daily work requirements in accordance with the Team Leader Primary Responsibility. Organises record of personal attendance and authorises overtime and time sheets. Warehouse operating costs versus budget to be reviewed monthly.
Personal Supervision. Independent Contractor may hire employees to assist in the performance of this Agreement. Independent Contractor shall at all times have supervisory and managerial control and responsibility for the performance of the duties hereunder over such employees as the Independent Contractor hires. Regardless of whom Independent Contractor retains to assist in the performance of this Agreement, the Independent Contractor shall remain responsible for the full and complete performance of its obligation as set out in this Agreement. Notwithstanding anything else herein contained, Independent Contractor may only subcontract out any portion of its work with the prior written approval of Matrix. Independent Contractor and/or any of Independent Contractor’s employees, subcontractors, or agents may not perform any services under this Agreement or be present at the construction site while impaired by controlled substances or alcohol.
Personal Supervision. Even though you may travel independently in the community, the Provider will keep track of your general whereabouts Staff will accompany you to medical appointments The Provider provides an escort for regular travel The Provider has qualified staff in the building 24-hours/day Other____________________________________________ Additional provisions: See Appendix E Assistance with activities of daily living. (These are tasks that you may routinely need assistance with in order to maintain your best level of physical function.) Walking Changing position in bed Transferring from place to place Dressing Eating Using the bathroom Bathing Personal hygiene, such as help washing your hair Other ____________________________________________ Additional Provisions: See Appendix E Incidental activities of daily living. Using the telephone Handling your finances Banking Shopping Light housekeeping Heavy housekeeping Getting to appointments Xxxxxx/beautician services Other ____________________________________________ Additional Provisions: See Appendix E Medication assistance. Obtaining medications from the Pharmacy of your choice: ______________________________________. Ordered by Provider Delivered by the Pharmacy Ordered by you/family member Picked up by Provider Picked up by you/family member Provide qualified staff to help you take your medications (such as reading the container labels, watching while you take a medication, checking the correct dosage, removing the dosage from the container, administering prescribed dosage, filling a syringe, administering any medication as allowed by applicable licensing regulations) Maintaining an individual medication administration record for you that will include all the medications and treatments that your physician orders for you, and a record that includes, for example, information that they have been administered at the right time and in the right dose Other ___________________________________________ Additional Provisions: See Appendix E Food Services. Meal preparation (including the cost of food) 3 times each day Meal preparation (food purchased separately by you) _________ times each day Nutritious between-meal snacks 3 times each day Special diets ordered by your physician as follows: _____________________________________________________ Shopping for groceries you purchase Meal planning Other ___________________________________________ Additional Provisions: See Appendix E Transportation services. Arranging transportatio...
