Chapter XLV

A. As used in this Subchapter, the following terms and phrases shall have the meanings specified. Administer- with respect to a medication provided or dispensed by a prescriber for use by a patient, the term administer means directly or through an agent to give, provide, or suppl…

A. Prior to initially prescribing any opioid to a patient, a prescriber or his/her delegate shall access and review the patients record in the PMP; and B. If opioids are prescribed to the patient for more than 90 days, the prescriber or his/her delegate shall access and review th…

A. For non-compliance with any of the provisions of this Subchapter the board may suspend, revoke, refuse to issue or impose probationary or other terms, conditions and restrictions on any license to practice in the state of Louisiana, or any registration issued under this Part, …

A. The rules of this Chapter govern physician use of integrative or complementary medicine in the treatment of patients. Notes La. Admin. Code tit. 46 , § XLV-7101 Promulgated by the Department of Health and Hospitals, Board of Medical Examiners, LR 28:1589 (July 2002). AUTHORITY…

A. As used in this Chapter, unless the content clearly states otherwise, the following terms and phrases shall have the meanings specified. Board - the Louisiana State Board of Medical Examiners. Controlled Substance - any substance defined, enumerated or included in federal or s…

A. The use of integrative or complementary medicine for the diagnosis or treatment of any illness, disease or condition, constitutes legitimate medical therapy when provided in the course of professional medical practice, complies with the standard of care applicable to conventio…

A. Requisite Prior Conditions. Any physician offering or utilizing integrative or complementary medicine shall comply with the following rules. 1. Evaluation of the Patient. Prior to offering integrative or complementary medicine a physician shall perform an evaluation of the pat…

A. Any violation or failure of compliance with the provisions of this Chapter, shall be deemed unprofessional conduct and conduct in contravention of the board's rules, in violation of R.S. 37:1285 .A(13) and (30) respectively, as well as violation of any other applicable provisi…

A. Constitution. An Integrative and Complementary Medicine Advisory Committee (the "advisory committee") to the board is hereby constituted to be composed, appointed and to have such functions as hereinafter provided. B. Composition and Qualifications. The advisory committee shal…

A. Pursuant to Act 11 of the 2004 session of the Louisiana Legislature, the Louisiana Psychology Practice Act was amended to include, among other items, R.S. 37:2375 C(1), which provides: "A medical psychologist holding a valid certificate to prescribe shall prescribe only in con…

A. As used in this Chapter, the following words and terms shall have the meanings specified. Active Clinical Relationship -shall mean that the physician has seen the patient professionally e.g., examined, diagnosed and/or treated the patient within the past 12 months. Board - the…

A. A physician shall only consult and collaborate with an MP provided such is performed in the course of his or her professional practice, documented in the patient's medical record, and in compliance with all of the requirements specified by this Chapter. Notes La. Admin. Code t…

A. A physician shall not consult and collaborate, as defined in § 7203 of these rules: 1. if the physician is no longer engaged in the clinical practice of medicine and the provision of patient care in this state; 2. on any patient for whom the physician is not the primary or att…

A. Consultation and Collaboration. Consultation and collaboration shall include discussion of any item the physician considers relevant to the coordination of the patient's medical care or evaluation of the psychopharmacologic management planned by the MP. The physician's consult…

A. A physician shall notify an MP and his patient in a timely manner that he or she has withdrawn or terminated concurrence if: 1. the physician determines that the medication prescribed is no longer appropriate or is contraindicated; 2. the physician receives information indicat…

A. A physician shall not consult and collaborate with an MP without the patient's written authorization as set forth in Subparagraph 7209.A.1. B. A physician shall insure that each of his or her patients subject to consultation and collaboration with an MP is informed: 1. of the …

A. A physician who consults and collaborates with a MP should report to the board all instances in which he or she has a good faith reason to believe that the MP has: 1. failed to consult with the primary or attending physician prior to prescribing medication or making any adjust…

A. Any violation or failure to comply with the provisions of this Chapter shall be deemed unprofessional conduct and conduct in contravention of the board's rules, in violation of R.S. 37:1285(A)(13) and (30) , respectively, as well as violation of any other applicable provision …

A. The rules of this Chapter govern the performance of office-based surgery by individuals licensed to practice medicine, including podiatry, in this state. Notes La. Admin. Code tit. 46 , § XLV-7301 Promulgated by the Department of Health and Hospitals, Board of Medical Examiner…

A. As used in this Chapter, unless the context clearly states otherwise, the following terms and phrases shall have the meanings specified. Anesthesia-a medical intervention that causes a temporary loss of sensation or awareness, usually for medical or veterinary purposes. It pre…

A. This Chapter shall not apply to the following surgical procedures or clinical settings: 1. exempt surgical procedures include those: a. that do not involve a drug induced alteration of consciousness and do not require the use of anesthesia or an anesthetic agent, those using o…

A. No physician shall perform office-based surgery except in compliance with the rules of this Chapter. B. The level of sedation utilized for office-based surgery shall be appropriate to the procedure. Under no circumstances shall a physician withhold appropriate sedation or unde…

A. Each physician or podiatric physician shall report to the board annually as a condition of the issuance or renewal of medical licensure, whether or not the physician performs or intends to perform office-based surgery. B. Each physician or podiatric physician who performs or i…

A. For all office-based surgical procedures, the level of sterilization shall meet current OSHA requirements. B. Complete medical records and documentation must be maintained for each surgical procedure including anesthesia records when applicable. For Level I, Level II, and Leve…

A. Level I 1. Level I office-based surgery includes, but is not limited to: a. minor procedures such as excision of skin lesions, moles, warts, cysts, lipomas, Loop Electrosurgical Excision Procedures (LEEP), laser cone of cervix, laser/cautery ablation of warts or other lesions,…

A. Evaluation of the Patient. All patients shall have a presurgical evaluation (history and physical) to screen for and identify any medical condition that could adversely affect the patient's response to the medications utilized for moderate or deep sedation. B. Diagnostic Testi…

A. A physician performing office-based surgery shall notify the board in writing within 15 days of the occurrence or receipt of information that an office-based surgery resulted in: 1. an unanticipated and unplanned transport of the patient from the facility to a hospital emergen…

A. A physician shall create and maintain a continuous log by calendar date of all office-based surgical procedures. The log shall include patient identifiers and the type and duration of each procedure and remain at the physician's office-based surgery facility. The log shall be …

A. Any violation or failure to comply with the provisions of this Chapter shall be deemed unprofessional conduct and conduct in contravention of the board's rules, in violation of R.S. 37:1285(A)(13) and (30) , respectively, as well as violation of any other applicable provision …

A. The rules of this Chapter govern the registration and practice of physicians engaged in collaborative drug therapy management with pharmacists in this state. Notes La. Admin. Code tit. 46 , § XLV-7401 Promulgated by the Department of Health and Hospitals, Board of Medical Exam…

A. As used in this Chapter, unless the content clearly states otherwise, the following terms and phrases shall have the meanings specified. Board - the Louisiana State Board of Medical Examiners, as constituted in the Medical Practice Act. Collaborative Drug Therapy Advisory Comm…

A. No physician shall engage in collaborative drug therapy management except in compliance with the rules of this Chapter. B. This Chapter shall not apply to a physician's practice in a hospital licensed by the Louisiana Department of Health and Hospitals, provided the medication…

A. No physician shall engage in collaborative drug therapy management in this state until registered with the board in accordance with the provisions of this Subchapter. To be eligible for registration a physician shall, as of the date of the application: 1. possess a current, un…

A. Application for registration to engage in collaborative drug therapy management shall be made upon forms supplied by the board. Notes La. Admin. Code tit. 46 , § XLV-7409 Promulgated by the Department of Health and Hospitals, Board of Medical Examiners, LR 33: 1640 (August 200…

A. Registration of authority to engage in collaborative drug therapy management shall expire annually on the same day as a physician's medical license unless renewed by a physician by submitting an application to the board upon forms supplied by the board, together with verificat…

A. To assist the board on matters relative to collaborative drug therapy management, a Collaborative Drug Therapy Management Advisory Committee is hereby constituted, to be composed and appointed, to have such functions, and to discharge such duties and responsibilities as herein…

A. The advisory committee shall be composed of seven members, consisting of four physicians and three pharmacists. These members shall include: one physician designated by the Louisiana State University Health Sciences Center School of Medicine in New Orleans; one physician desig…

A. The advisory committee is authorized by the board to assist by: 1. providing advice and recommendations to the board respecting the modification, amendment, and supplementation of its rules concerning physicians who engage in collaborative drug therapy management; 2. serving a…

A. A physician may only engage in collaborative drug therapy management with a pharmacist in accordance with a patient specific, drug specific, disease or condition specific order set satisfying the requirements of § 7429 of this Chapter. B. A physician engaged in collaborative d…

A. A physician shall not engage in collaborative drug therapy management of a patient without the patient's written informed consent. B. In addition to the requirements provided by law for obtaining a patient's informed consent, each patient who is subject to collaborative drug t…

A. An order set shall be utilized for each patient to be managed by collaborative drug therapy management. The order set shall incorporate whatever patient specific variations the physician may deem necessary and shall adhere to generally accepted standards of care. A copy of the…

A. A physician engaged in collaborative drug therapy management shall: 1. annually report, as a condition to the renewal of that physician's license, whether or not and the extent to which the physician is engaged in collaborative drug therapy management and such other informatio…

A. Included in the medical record on a patient subject to collaborative drug therapy management shall be a copy of: 1. the prescription or order implementing drug therapy management and any subsequent orders or order sets modifying the therapy; 2. documentation of physician annua…

A. Any violation or failure to comply with the provisions of this Chapter shall be deemed unprofessional conduct and conduct in contravention of the board's rules, in violation of R.S. 37:1285(A)(13) and (30) , respectively, as well as violation of any other applicable provision …

A. For noncompliance with any of the provisions of this Chapter the board may, in addition to or in lieu of administrative proceedings against a physician's license, suspend, revoke, or cancel a physician's registration to engage in collaborative drug therapy management or impose…

A. Nothing in this Chapter shall be construed as authorizing a pharmacist to issue prescriptions, exercise independent medical judgment, render diagnoses, provide treatment, assume independent responsibility for patient care, or otherwise engage in the practice of medicine as def…

A. The rules of this Subchapter govern the use of telemedicine by physicians licensed to practice medicine in this state and those who hold a telemedicine permit issued by the board to practice medicine in this state via telemedicine. Notes La. Admin. Code tit. 46 , § XLV-7501 Pr…

A. As used in this Chapter and in § 408 of these rules, unless the content clearly states otherwise, the following words and terms shall have the meanings specified. Board - the Louisiana State Board of Medical Examiners, as constituted in the Medical Practice Act. Controlled Sub…

A. Physician-Patient Relationship. Telemedicine shall not be utilized by a physician with respect to any individual located in this state in the absence of a physician-patient relationship. B. Standard of Care. The practice of medicine by telemedicine, including the issuance of a…

A. The practice of medicine is deemed to occur at the location of the patient. Therefore, no physician shall utilize telemedicine to provide medical services to patients located in this state unless the physician: 1. holds an unrestricted Louisiana medical license; or 2. holds a …