(2) A physician assistant shall consult, collaborate with, and refer to appropriate members of the health care team:

1. (a) as indicated by the patient's condition;
2. (b) based on the physician assistant's education, experience, and competencies;
3. (c) the applicable standard of care; and
4. (d) if applicable, in accordance with the requirements described in Section 58-70a-307.

(3) Subject to Section 58-70a-307, the degree of collaboration under Subsection (2):

1. (a) shall be determined at the physician assistant's practice, including decisions made by the physician assistant's:

   1. (i) employer;
   2. (ii) group;
   3. (iii) hospital service; or
   4. (iv) health care facility credentialing and privileging system; and
2. (b) may also be determined by a managed care organization with whom the physician assistant is a network provider.

(4) A physician assistant may only provide healthcare services:

1. (a) for which the physician assistant has been trained and credentialed, privileged, or authorized to perform; and
2. (b) that are within the physician assistant's practice specialty.

(7)

1. (a) As used in this Subsection (7):

   1. (i) "ALS/ACLS certification" means a certification:

      1. (A) in advanced life support by the American Red Cross;
      2. (B) in advanced cardiac life support by the American Heart Association; or
      3. (C) that is equivalent to a certification described in Subsection (7)(a)(i)(A) or (B).

   2. (ii) "Minimal sedation anxiolysis" means creating a drug induced state:

      1. (A) during which a patient responds normally to verbal commands;
      2. (B) which may impair cognitive function and physical coordination; and
      3. (C) which does not affect airway, reflexes, or ventilatory and cardiovascular function.
2. (b) Except as provided in Subsections (c) through (e), a physician assistant may not administer general anesthetics.
3. (c) A physician assistant may perform minimal sedation anxiolysis if the procedure is within the physician assistant's scope of practice.

4. (d) A physician assistant may perform rapid sequence induction for intubation of a patient if:

   1. (i) the procedure is within the physician assistant's scope of practice;
   2. (ii) the physician assistant holds a valid ALS/ACLS certification and is credentialed and privileged at the hospital where the procedure is performed; and

   3. (iii)

      1. (A) a qualified physician is not available and able to perform the procedure; or
      2. (B) the procedure is performed by the physician assistant under supervision of or delegation by a physician.

5. (e) Subsection (7)(b) does not apply to anesthetics administered by a physician assistant:

   1. (i) in an intensive care unit of a hospital;
   2. (ii) for the purpose of enabling a patient to tolerate ventilator support or intubation; and
   3. (iii) under supervision of or delegation by a physician whose usual scope of practice includes the procedure.

(8)

1. (a) A physician assistant may prescribe or administer an appropriate controlled substance that is within the physician assistant's scope of practice if the physician assistant holds a Utah controlled substance license and a DEA registration.
2. (b) A physician assistant may prescribe, order, administer, and procure a drug or medical device that is within the physician assistant's scope of practice.

3. (c) A physician assistant may dispense a drug if dispensing the drug:

   1. (i) is permitted under Title 58, Chapter 17b, Pharmacy Practice Act; and
   2. (ii) is within the physician assistant's scope of practice.

(9) A physician assistant practicing independently may only perform or provide a health care service that:

1. (a) is appropriate to perform or provide outside of a health care facility; and
2. (b) the physician assistant has been trained and credentialed or authorized to provide or perform independently without physician supervision.

(10) A physician assistant, while practicing as a physician assistant:

1. (a) shall wear an identification badge showing the physician assistant's license classification as a physician assistant;
2. (b) shall identify themselves to a patient as a physician assistant; and
3. (c) may not identify themselves to any person in connection with activities allowed under this chapter other than as a physician assistant or PA.