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Although it is possible to use a prescriptive authority agreement in a hospital or long term care facility based practice, it is not required. You may continue to practice under protocols in these settings. APRNs and PAs must exercise prescriptive authority under one of these delegation mechanisms.
Physician assistants, also known as PAs, practice medicine on a team under the supervision of physicians and surgeons. They are formally educated to examine patients, diagnose injuries and illnesses, and provide treatment.hysician assistants work under the supervision of a physician or surgeon; however, their specific duties and the extent to which they must be supervised differ from state to state. Physician assistants work in all areas of medicine, including primary care and family medicine, emergency medicine, and psychiatry.