Scope of Practice by State

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Doctors Allow Medical Assistants to (Illegally?) Administer Injectable Drugs

It seems doctors and medical office managers still don’t clearly understand what medical assistants can and cannot do… we have heard about medical assistants and even front desk staff administering Botox injections. And so the confusion about the medical assistant’s scope of practice continues.

As seen in the news: [Sep 9, 2009 09:17 PM, ABC 13 Action News] “Nevada Board of Medical Examiners finds under-qualified medical staff administering drugs… The Nevada Board of Medical Examiners has found many physicians in Nevada are allowing medical assistants to illegally administer certain drugs, including Botox. Betty Guerra, a 45 year old medical assistant was accused of unlawfully administering cosmetic injections. – See more at:”

While laws and opinions differ, there are many states that allow medical assistants to administer injections, from flu shots, allergens, Vitamin B12, to Botox. Medical assistants can give shots as long as they are under the direct supervision of a physician. The State Medical Board of Maine worded it this way:  

Ξ Maine
The Board of Licensure in Medicine of Maine has ruled that physicians are accountable for the actions of unlicensed assistants employed by the physician who do not fall under the Board’s jurisdiction when they perform any invasive procedure, including the administration of injections. The terms “under the direct control” and “in the immediate presence,” as stated in 32 M.R.S.A. §3270-A, shall mean the physician must be in reasonable proximity to lend medical assistance to a patient should something adverse happen. Also, physicians, pursuant to 32 M.R.S.A. §3270-A are accountable for the activities of unlicensed assistants employed by them. This policy shall be mailed to all licensed physicians practicing in the State of Maine.

When in doubt about any procedures, rules and regulations one should always check with their State Board of Medical Examiners, Health Department, Nursing Board and national professional membership and certification bodies for medical assistants.

♦ AAMA Role Delineation Study
AAMA Library and Form Center
Scroll down to “About the Profession” AAMA Role Delineation Study, then look for “Occupational Analysis of the Medical Assisting Profession”

♦ AMT Lawful Scope of Practice
Lawful Scope of Practice

Check Who’s Injecting your Botox…

 Ξ Arizona
Arizona Medical Assistant Training Requirements

Authorized Procedures for Medical Assistants
The procedures a medical assistant may perform in Arizona are outlined in
statute (A.R.S. §32-1456) and in Rule (R4-16-301 through R4-16-303).

 Ξ Connecticut
The Role of a Medical Assistant
RN Supervision of the Medical Assistant

 Ξ California
California Medical Assistants
California Business and Professions
California Medical Assistant’s FAQs
RN Supervision of the Medical Assistant

 Ξ Florida
Florida Medical Assistants
Florida Special X-Ray Requirements

 Ξ Iowa
Medical Assistants in Iowa

 Ξ Nevada
Nevada Medical Assistant Definition
Medical Assistants in Nevada

 Ξ New York
Medical Assistants in New York State

 Ξ Pennsylvania
Medical Assistants in Pennsylvania

 Ξ South Dakota
Medical Assistants in South Dakota

 Ξ Virginia
Virginia State
Virginia Career Guide Medical Assistant

 Ξ Washington
Washington State

 Ξ Wisconsin
Wisconsin State

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