1 Delegation of Services Agreements - Change in Regulations Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several . Previous bills for full practice authority, in 2013 and 2015, had failed. Certified nurse practitioners must be licensed and certified to practice as : nurse practitioners by the California Board of Registered Nursing (CCR, Title 22, Section 51170.3) . Scope of Practice i. 199 0 obj
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Medical Board of Completed within five years prior to the date the applicant applies for certification as a 103 NP. has a serious medical condition and whether the medical use of marijuana is appropriate. endobj Exploring the practice of certified nurse midwives, certified registered nurse anesthetists, nurse practitioners and physician assistants at UCSF, 2023 The Regents of the University of California, UCSF Benioff Childrens Hospital San Francisco, Langley Porter Psychiatric Hospital and Clinics, Stipend Applications (UCSF Employees Only), Center for Nursing Excellence and Innovation (Formerly INEx), https://www.pac.ca.gov/forms_pubs/delegation_changes.shtml, Certified Registered Nurse Anesthetist (CRNA). California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California) on _____. 2. How does the Board verify an applicant has completed their transition to practice? In addition, the physician should verify that the PA has a current California license issued by the Physician Assistant Board. medical services rendered by the PA. endobj supportive services. endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[414 625.2 527.4 637.56]/StructParent 7/Subtype/Widget/T(Revised date)/TU(Revised date)/Type/Annot>> endstream
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Once certified by the Board, an individuals authority to practice as a 103 NP or 104 NP will be displayed along with their RN license status through DCAs License Search. 2372 0 obj
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A Nurse Practitioner (NP) is a Registered Nurse who has additional . supervision: No, the supervising physician is not required to be on site when the PA is practicing; however, the supervising physician but must be available by telephone or other electronic communication at the time the PA examines a patient. endstream
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For NPs who have already submitted their application and designated an Osteopathic physician and surgeon to attest to your hours, please be aware that your application will not be able to move forward with the information that you currently have inputted as it does not correctly identify the Osteopathic physician and surgeon 20A license type and misidentifies them as a Medical physician and surgeon. be performed when the supervising physician and surgeon is not on site. @D)&2JB!((haj) ,L}PXF\l. 8 0 obj More than one supervising physician may sign the delegation of services agreement only if each supervising physician has delegated the same medical services. Completed after certification by the Board of Registered Nursing as an NP. kU
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If authorized by the practice agreement, a PA may perform surgical procedures under local anesthesia without the personal presence of the supervising physician. It has been brought to the Boards attention that the 103 NP application does not currently allow an Osteopathic physician and surgeon to provide that attestation. The supervising physician is responsible for all medical services provided by the PA under their supervision and for following each patient's progress. These services are outlined in the Scope of Services, Paragraph III. Nurse Practitioners, Nurse Midwives, Physician Assistants, Pharmacists, Registered Nurses, Physicians, and . The transition to practice eligibility requirement is defined as 4600 hours or three full-time equivalent years of clinical practice experience and mentorship that are: When the new application is released to become a 103 NP, the 103 NP applicant will provide proof of completion of a transition to practice by submitting to the Board information of the provider(s) who oversaw and provided the mentorship during the transition to practice period. <> f&v <> or D.O.). Health and Safety Code section 11362.7 (a) sets forth the definition of "attending physician" for purposes of the Compassionate Use Act. Find up to date resources on the new resources page. The supervising physician oversees the activities of and accepts responsibility for the <>/ExtGState<>>>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> The Nurse Practitioner works in collaboration with a physician. method at the time the PA examines the patient. <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[411.36 652.8 531.36 665.16]/StructParent 5/Subtype/Widget/T(Approved by)/TU(Approved by)/Type/Annot>> (1) Direct and indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patients; and the performance of disease prevention and restorative measures. In addition, Business and Professions Code 2837.104(c) requires a 104 NP to conduct a certain level of consultation, collaboration, and referral to other healing arts providers based on the clinical condition of the patient receiving care. It states that the attending physician shall complete a medical examination before providing a recommendation for medical marijuana They do not replace the national certification and do not expand the scope of practice beyond the role or population. or by calling the Physician Assistant Board at (916) 561-8780. The Physician Assistant Practice Act authorizes a delegation of services agreement to authorize a ph ysician assistant to eng age in specified acti vities. The NP is authorized to provide the following medical functions. Successful completion of a program, which conforms to the Board of <>stream hbbd``b`j@q` medical examination, the attending physician must record in the patient's medical record their assessment of whether the patient <> Advanced Nurse Practitioner / Physician's Assistant: Name and title Date A PA is authorized to perform those medical services described in the practice agreement. Delegation of Services Agreements Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several . standardized procedures and Delegation of Services Agreement (documents supervising agreement between supervising physician . We will send out a notice to all NP licensees once the system update is complete. DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540) . Under direction, to plan, provide, and evaluate generalized health care services in a community health setting or health treatment facility; to provide direct and indirect patient care services; and to do other work as required. An electronic notification will be sent out to all NPs in California once the application is live, so we strongly encourage licensees to check their email routinely over the next few weeks. 17 0 obj Adherence to adequate supervision as agreed to in a practice agreement that Under the Advanced Practice Registered Nursing Consensus Model, licensure occurs at the level of the population foci, as core competencies are aligned with role/population foci. endstream y gZl_JQ@/ <2(%04c/rrxb:d #-gN7O:"T0rI%0,E;.+;9t" w`c'vkY.DYkFF aO> I[g`i&&, STATE OF CALIFORNIA STATE AND CONSUMER SERVICES AGENCY. 28 0 obj
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No, a PA cannot practice independently. endobj While there are other certifications, such as an Emergency NP or a Dermatology NP, they are recognized by the Board as a specialty practice area and not a population focus. Annual Leave Comparison Chart. endstream The DCA License Search is an online search tool that is available to the public and is used to verify a professional license issued by the various Boards and Bureaus under DCA. The law limits a physician to supervise no more than four PAs, except as provided in. 14 0 obj <>/Subtype/Form/Type/XObject>>stream The written instructions may provide that the supervisory A new 103 NP BreEZe application is scheduled for release in January. Completed in direct patient care in the role of an NP in the category listed in 16 CCR Section 1481(a) in which the applicant seeks certification as a 103 NP. A Physician Assistant may not perform any of the following medical services pursuant to BPC section 3502 (d): A Physician Assistant may not perform any of the following medical services pursuant to Business and Professions Code (BPC) section 3502 (d): A PA may perform a routine visual screening pursuant to BPC section 3501(h) as a noninvasive, nonpharmacological simple The supervising physician is required to adhere to the following mechanisms to provide Please turn on JavaScript and try again. [7 0 R 13 0 R 15 0 R 17 0 R] the qualifications, training, and experience, to perform the medical services, procedures, and drug and device ordering and furnishing authorized under this Practice Agreement. The physician must have a current medical %PDF-1.4
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of lenses or frames; The prescribing or directing the use of, or using any optical device in connection Department of Public Health website. Physician or another qualified health care practitioner regarding any task, procedure or diagnostic # 8 DLMR_278157.1 023.132639.4 endstream
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The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories. testing for visual acuity, visual field defects, color blindness, and depth perception. [Signature page follows.] The attestor cannot have a familiar or financial relationship with the applicant and will be attesting to the applicants completion of the transition to practice requirement under penalty of perjury. Any delegation of services agreement in effect prior to January 1, 2020 shall be deemed to meet the requirements of BPC Section 3502.3. Graduating from a specific type of program or . The extent of required supervision must be specified in the standardized procedures. Find up to date resources on the new resources page. endstream Current California Regulations can be found on the Physician Assistant Board website: . Therefore, NPs who wish to progress to a 103 or 104 can only do so in whichever of the six NP categories outlined in 16 CCR 1481(a) in which they received their national certification in. endobj xSPpurb The Board conducted widespread outreach and engagement prior to developing the proposed regulatory language to implement AB 890. hb```f``c`a`0fc@ >&(@R b- Possession of a valid license to practice as a professional registered nurse in the State of California. OPES Occupational Analysis for Nurse Practitioners (AB 890), BRNs Proposed Regulations to Implement AB 890, Regular Rulemaking Process - DCA Boards/Bureaus, Military Personnel & Spouses/Domestic Partners, National Council of State Boards of Nursing, 103 NP Works under the provisions outlined in, 104 NP Works under the provisions outlined in, A 103 NP will work under the provisions outlined in, A 104 NP will work under the provisions outlined in. Additional requirements related to this topic are discussed in BPC section 3502.1. hb```,{@( Execute Delegation Of Services Agreement in just a few minutes by following the instructions listed below: Choose the document template you will need in the library of legal form samples. How can an employer, patient, or any interested party verify whether a licensee has been certified by the Board as a 103 NP or 104 NP? hbbd```b``z"I~|Kjl{0`80 Delegation Services Agreement (DSA) | Advanced Practice at UCSF Health Home > Licensing & Certification > Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) California Physician Assistant Board Resources Find up to date resources on the new resources page. Yes, a PA may perform surgery if the supervising physician has authorized it and it is included in the PAs practice agreement. (B&P Code, Section 3502; CCR . Please enable scripts and reload this page. Have a different question? The practice of dentistry or dental hygiene or the work of a dental auxiliary. `L5M$C' ?x:U WZ.6 5,0|zj *|
c]sU!hA>B_-TA@17 g$ {K(s9 \% : nC H1 Yes, PAs are authorized to order or furnish a drug, pursuant to Business and Professions Code section 3502.1. In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that can function within a defined scope of practice without standardized procedures.. Both parties agree to the conditions and qualifications imposed on their contractual relationship by the Practice Agreement. Before authorizing a PA to perform any medical procedure, the physician is responsible for evaluating the PA education, experience, knowledge, and ability to perform a procedure safely and competently. These out-of-state personnel are authorized only to administer Covid-19 vaccines in California and are not subject to the requirements of EMSA's approval process for out-of-state providers seeking authorization to provide health services in California. 1. Further, a PAs drug order that is authorized to be issued under the Physician Assistant Practice Act (the Act) must be treated in the same manner as a prescription of a supervising physician, and the signature of a PA on a drug order issued in accordance with the Act is deemed to be the signature of a prescriber for purposes of the Business and Professions Code and the Health and Safety Code. These providers must be competent in the same specialty area or category listed in 16 CCR Section 1481(a) in which the applicant seeks as a 103 NP. Yes, a PA may issue drug orders for Schedule II through V controlled substances, if authorized under the practice agreement with their supervising physician. endstream
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Consequently, the Board is only able to certify 103 NPs at this time and will not be able to certify 104 NPs until 2026. We ask that you submit the Add Additional Nurse Practitioner Providers application with the appropriate information in March once the system fix has been implemented. 13 0 obj For questions about the 103 NP application, please contact the Boards Licensing Division at: brn.licensing@dca.ca.gov. No, a PA may not use the supervising physicians Drug Enforcement Administration (DEA) number. <>/Metadata 61 0 R/OpenAction 62 0 R/Outlines 63 0 R/PageLabels 183 0 R/Pages 20 0 R/StructTreeRoot 176 0 R/Type/Catalog/ViewerPreferences<>>> To view this search tool, please visit: DCA License Search. California's website. ._fZq 2 5'(IJ=oqV1:``h```Rl@,@3l/ A'-x!Q,r 1ujC0w Possession of a valid license to practice as a professional registered nurse in the State of California. 2391 0 obj
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If you still haven't found your answer,
Pursuant to the Business and Professions Code section 3502.3, a practice agreement shall include the following provisions: The agreement must be completed before the PA starts practicing. The Board is working to fix this system glitch and is anticipating it will be remedied by the first part of March. discretion, in consultation with the nurse practitioner, nurse midwife, or PA provide written instructions to be followed by a medical assistant in the performance of tasks or 15 0 obj 1. The determination of the refractive states of the human eye, or the fitting or adaptation Pursuant to Business and Professions Code section 2069 (a)(1), a supervising physician and surgeon at a "community clinic" licensed under Health and Safety Code section 1204(a) may, at their Ksh\}bO V_
According to Business and Professions Code Section 2837.103(a)(1)(B) and Section 2837.104(b), a 103 or 104 NP must hold a certification from a national certifying body accredited by the National Commission for Certifying Agencies or the American Board of Nursing Specialties and recognized by the Board. !-68k-/Fa|b%a=e_VIX;5>[nJFUXxXnSDI(X?(ZmXqU% 32-1601 (15)). 6 0 obj =M1^[yMP z_kWpRi'4ub-P""LiOk[?Ch@_xp9`J*
wAV|%.\54?yfQhNL^uXlz^E^E_H5;*RmIg3aL^Tj9%=WVD.H Please see BPC section 3502.1 for more information. 4 0 obj 1 0 obj This includes, but is not limited to, managing a panel of patients, working in a complex health care setting, interpersonal communication, interpersonal collaboration and team-based care, professionalism, and business management of a practice. No. 11 0 obj Board and must practice under a valid written Delegation of Services Agreement, working under the direction of a licensed physician. Physician Assistants (PA): Every PA is required to have the following documents: 1. 625, Unlawful Appointment Investigation Delegation, Unlawful Appointment Investigation Delegation Agreement Template, Unlawful Appointment Process for Non- Delegated Departments, Delegation Project Frequently Asked Questions, Personnel Functions ("Who Does What - SPB/DPA"), Introduction to Key Performance Indicators, Part 1 - Identify and Prioritize Key Positions, Workers' Compensation and Reasonable Accommodation for HR Professionals, CalPERS Retirement Options for CEA and Exempt Appointments, Coverage and Costs for Certain Procedures - Indemnity and Paid Provider Option (PPO), Coverage and Costs for Certain Procedures - Prepaid Plans, Retiree Group Legal Services Insurance Plan. What are the eligibility requirements to become a 103 NP? Staff. How were the AB 890 regulations developed? Therefore, the application to become a 104 NP will not be available until 2026. endstream
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The Nurse Practitioner does not exercise supervisory responsibilities. August 4, 2021 - Board Meeting AB 890 Discussion: November 18, 2020 - Board Meeting AB 890 Discussion. (A.R.S. Knowledge of: Current trends and concepts of professional nursing practices; laws and regulations relating to the practice of medicine and nursing science basic to medicine (anatomy, pathophysiology, pharmacology, and microbiology); principles and practices of clinical assessment; principles and practices of common health problems; fundamentals of research; principles of mental health; causes, treatment and prevention of communicable diseases, chronic diseases, handicapping conditions, mental illness and other disabling conditions; principles of clinical consultation, continuity of patient care, and the community aspects of health services. You can verify a PA's license on-line at: Retrieve Full Source NURSE PRACTITIONER PRACTICE AGREEMENT UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. All NPs who wish to practice without standardized procedures, must apply to the BRN for a special certification before they can do so. meets the requirements of Business and Professions Code section 3502.3. 3 0 obj Medical Board of I # t*
An NP, who is board certified as a family psychiatric/mental health nurse practitioner, is licensed to provide psychiatric and limited medical care, as defined by the ANA scope of practice to adult, geriatric and pediatric populations. 9 0 obj RU6@[#tMff A 104 NP can only practice within the limits of their knowledge and experience and national certification. Business and Professions Code (BPC) section 3502.5. endobj of the California Code of Regulations as those provisions read on June 7, 2019, shall complete, as part of their continuing education requirements, a course that . 224 0 obj
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A NP can only become certified as a 103 NP or 104 NP and practice without standardized procedures in whichever of the six NP categories outlined in, - Presentation by Reza Pejuhesh, Board Legal Counsel, Verify a License, Permit, or CE Provider Number, Unlicensed Practice - Nurse Imposter Citations, NEWS RELEASE: New Nurse Practitioner Application is Now Available, 103 Nurse Practitioner Application - System Update, NEWS RELEASE: New Nurse Practitioner Certifications Coming to California in 2023, Assembly Bill 890 Implementation: Frequently Asked Questions, Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020), Business and Profession Code Section 2837.103, Business and Professions Code Section 2837.104, https://rn.ca.gov/applicants/ad-pract.shtml. Every PA must be supervised by a licensed physician (either M.D. <>/Subtype/Form/Type/XObject>>stream Here are a few practical tips nurse practitioners should implement in making day to day delegation decisions. For additional information about the Medical Marijuana Program, please visit the Know your coworkers. However, only a physician is authorized to recommend medical use of marijuana, pursuant to Health and Safety code section 11362.5. In accordance with established protocols and in collaboration with a physician, provides clinical assessment and case management services to individuals including constructing and interpreting a medical history, performing a physical assessment, evaluating patient behavior, performing and interpreting selected laboratory tests, identifying problems, and developing and implementing treatment plans for patients; seeks expert opinion or advice of a physician when case falls outside of protocol of agency; refers patients to physician for consultation and to specialized health resources for treatment but retains responsibility for the clinical management as well as subsequent modification. According to Business and Professions Code 2837.101, the transition to practice refers to additional clinical experience and mentorship provided to prepare a nurse practitioner to practice independently. %%EOF
Has completed a transition to practice within the category of your National Certification in California of a minimum of three full-time equivalent years of practice or 4600 hours within 5 years of the date of your application. E~!5J?c54S%)|A:\pOJeTEm,g0i%Pk5+6hEzRK = 2HX@JGzB89-s!IgIaY&fx%
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%:m8Naxpv3|7aw'o~|"2X [;VOWaYMxW(Iv76WHJ . endobj endobj The PA must also have the competency to perform the medical services, and the PAs education, training, and experience must have prepared the PA to render the services, as provided in BPC section 3502(a). contact the Board's Consumer Information Unit for assistance. Yes. endobj endobj The new automated application uses a streamlined approach to ensure quick processing times. v*x0o9 X$ dG0r9%_`9yY(!A%g27_;b7'K.g`hf The practice agreement is between the Collaborating physician and the nurse practitioner and lists the services to be performed by the nurse practitioner. as part of their regular practice of medicine please visit the =jBFmYSOl91V1/XwG B
A PA that is authorized through a practice agreement to issue drug orders for Schedule II controlled substances must register with the United States Drug Enforcement Administration (DEA) obtain a DEA number, and complete a one-time course in compliance with sections 1399.610 and 1399.612 of Title 16 of the California Code of Regulations. <>/Subtype/Form/Type/XObject>>stream Active California Registered Nurse/Physician Assistant license. the nursing profession as proper to be performed by a nurse practitioner. You are now leaving this website and being directed to the specific California government resource or website that you have requested. A PA may perform surgical procedures requiring other forms of anesthesia if authorized by the practice agreement and only when the supervising physician is immediately available as defined by Title 16 of the California Code of Regulations section 1399.541. endstream
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An NP is trained to provide primary health care services. The agreement does not need to be submitted to the Board. In September 2020, Governor Gavin Newsom signed Assembly Bill (AB) 890 (Wood, Chapter 265, Statutes of 2020) into law which created two new categories of Nurse Practitioners (NPs) that can function within a defined scope of practice without standardized procedures. Knowledges and Abilities
PO BOX 944210, Sacramento, CA 942442100- . Will the Board certify 103 NPs and 104 NPs in categories other than those outlined in 16 CCR 1481(a)? However, they cannot practice beyond the scope of their clinical and professional education and training, including specific areas of concentration. m 3Q/($Pc54RHl+?iu?|K-+!Rom%p|m ++,Kx2C1l8[Y3kmqE|QQ;3b?!@.rjUQWj The Board will then send an email to the provider(s) listed asking for an attestation. Application uses a streamlined approach to ensure quick processing times need to be performed when the supervising is!: Every PA is required to have the following documents: 1 now leaving this website and directed... Documents supervising agreement between supervising physician and surgeon is not on site to meet the requirements of section. Not need to be submitted to the provider ( s ) listed asking for an attestation Registered Nursing an. ( $ Pc54RHl+? iu? |K-+! Rom % p|m ++, Kx2C1l8 [ ;... 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As provided in been certified as an NP by the Board of and. Not on site if the supervising physician is responsible for all medical services provided by the should! 'S Consumer information Unit for assistance, pursuant to Health and Safety section... Extent of required supervision must be supervised by a licensed physician ( either M.D obj and... A 103 NP application, please contact the Boards Licensing Division at brn.licensing... Tips Nurse Practitioners should implement in making day to day delegation decisions, 2021 - Board Meeting AB Discussion. ( Title 16, Division 13.8, Article 4, 2021 - Board Meeting AB Discussion... & v < > f & v < > or D.O. ), 2020 - Board Meeting 890. The BRN for a special certification before they can do so, they do! > endobj a Nurse Practitioner ( NP ) is a Registered Nurse who has additional acti vities so! Agreement to authorize a ph ysician Assistant to eng age in specified acti vities the of! E.G., physician Assistant Board website: ) listed asking for an attestation Scope of agreement! Practice without standardized procedures each patient 's progress and for following each patient progress. 13.8, Article 4, section 1399.540 ) the law limits a physician to supervise no more than four,. Shall be deemed to meet the requirements of BPC section 3502.3 listed asking for an.... V < > endobj a Nurse Practitioner ( NP ) is a Registered Nurse who has additional (... 103 NPs and 104 NPs in categories other than those outlined in CCR...? |K-+! Rom % p|m ++, Kx2C1l8 [ Y3kmqE|QQ ; 3b? endobj supportive services the automated. The time the PA examines the patient wish to practice ; 3b? endobj services! Specific areas of concentration to eng age in specified acti vities 2372 0 obj < /Subtype/Form/Type/XObject., physician Assistants ( PA ): Every PA must be specified in the standardized procedures ( M.D... Is responsible for all medical services provided by the PA. endobj supportive services, had failed AB 890:.: November 18, 2020 shall be deemed to meet the requirements of BPC section.! Uses a streamlined approach to ensure quick processing times on the new automated application uses a streamlined approach ensure... And for following each patient 's progress to fix this system glitch and is anticipating it will remedied! Has authorized it and it is included in the PAs practice agreement valid written delegation services... Authority, in 2013 and 2015, had failed Title 16, Division 13.8, Article 4 section. Information about the medical use of marijuana, pursuant to Health and Code... Registered Nurse/Physician Assistant license for full practice authority, in 2013 and 2015, had failed p|m ++ Kx2C1l8... To recommend medical use of marijuana is appropriate ) listed asking for an.!, visual field defects, color blindness, and depth perception agreement in effect prior to 1. Nurses, Physicians, and amp ; P Code, section 1399.540 was amended to include several D.O )! Physician and surgeon is not on site certification before they can do so Enforcement Administration DEA...