What Can a PA Legally Do?

The Ohio Revised Code Section 4730 outlines what services a PA can legally perform in Ohio. These services do not require special approval by the Medical Board.

  • Obtaining comprehensive patient histories;
  • Performing physical examinations, including audiometry screening, routine visual screening, and pelvic, rectal, and genital-urinary examinations, when indicated;
  • Ordering, performing, or ordering and performing routine diagnostic procedures, as indicated;
  • Identifying normal and abnormal findings on histories, physical examinations, and commonly performed diagnostic studies;
  • Assessing patients and developing and implementing treatment plans for patients;
  • Monitoring the effectiveness of therapeutic interventions;
  • Exercising physician-delegated prescriptive authority pursuant to a certificate to prescribe issued under this chapter;
  • Carrying out or relaying the supervising physician's orders for the administration of medication, to the extent permitted by law;
  • Providing patient education;
  • Instituting and changing orders on patient charts;
  • Performing developmental screening examinations on children with regard to neurological, motor, and mental functions;
  • Performing wound care management, suturing minor lacerations and removing the sutures, and incision and drainage of uncomplicated superficial abscesses;
  • Removing superficial foreign bodies;
  • Administering intravenous fluids;
  • Inserting a foley or cudae catheter into urinary bladder and removing catheter;
  • Removing intrauterine devices;
  • Performing biopsies of superficial lesions;
  • Making appropriate referrals as directed by the supervising physician;
  • Removing Norplant capsules;
  • Performing penile duplex ultrasound;
  • Changing of a tracheostomy;
  • Performing bone marrow aspirations from the posterior iliac crest;
  • Performing bone marrow biopsies from the posterior iliac crest;
  • Performing cystograms;
  • Performing nephrostograms after physician placement of nephrostomy tubes;
  • Fitting or inserting family planning devices, including intrauterine devices, diaphragms, and cervical caps;
  • Removing cervical polyps;
  • Performing nerve conduction testing;
  • Performing endometrial biopsies;
  • Inserting filiform and follower catheters;
  • Performing arthrocentesis of the knee;
  • Performing knee joint injections;
  • Performing endotracheal intubation with successful completion of an advanced cardiac life support course;
  • Performing lumbar punctures;
  • In accordance with rules adopted by the Board, using light-based medical devices for the purpose of hair removal;
  • Administering, monitoring, or maintaining local anesthesia;
  • Performing services that are within supervising physician's normal course of practice and expertise, if the services are included in any model physician supervisory plan approved under the bill or the services are designated by the Board by rule or other means as services that are not subject to approval as special services. 

In Ohio a PA may not administer regional anesthesia or systemic sedation but may administer local anesthesia including digital and pudendal blocks. Further, a PA is prohibited from prescribing a drug or device to perform or induce an abortion and from otherwise performing or inducing an abortion.

Please note that in a health care facility (i.e., a hospital) the PA's practice is governed by the policies of that facility.