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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.
History of Physician Assistants. PAs are a new, relatively small group of health care providers in Canada with about 300 currently in practice, mainly in Ontario and Manitoba. However, they are well established in the United States and the Canadian Forces.fter several decades working in the Canadian military, Physician Assistants (PAs) are being introduced into provincial health care systems.