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© 2015 South Dakota Society of Medical Assistants

South Dakota Medical Assistants are governed by the South Dakota Board of Medical Examiners. All medical assistants in the State of South Dakota need to be registered with the South Dakota Board of Medical Examiners prior to practicing.  Below is the Scope of Practice for South Dakota Medical Assistants.
 

**Effective February 5th, 2018 the registration of Medical Assistants in the State of South Dakota is under the sole jurisdiction of the SD Board of Medical Examiners, no longer the joint jurisdiction of the SDBMOE and the SD Board of Nursing.**

 

Click here to view the former Scope of Practice
 

36-9B-1 Medical Assistant Defined.
 

For the purposes of this chapter, a medical assistant is a professional multi skilled person who assists in all aspects of medical practice under the responsibility and direct supervision of a person licensed to practice medicine in the State of South Dakota. A medical assistant assists with patient care management, executes administrative and clinical procedures, and performs managerial and supervisory functions over unlicensed personnel.

 

[“Direct supervision” of a medical assistant means supervision of all activities  performed by the medical assistant.  Should the physician be unable to  provide on-site supervision, supervision by a properly supervised physician’s assistant, nurse practitioner, or nurse midwife shall satisfy the medical assistant act’s direct supervision requirements.  SD Joint Boards Definition 06/1994.]

36-9B-2 Duties
 

A medical assistant under the responsibility and direct supervision of a person licensed to practice medicine in the State of South Dakota may perform the following duties:

 

    1. Performing clinical procedures to include:

            a. Performing aseptic procedures

            b. Taking vital signs

            c. Preparing patients for examination

            d. Phlebotomous blood withdrawal and nonintravenous injections

            e. Observing and reporting patients' signs or symptoms

    2. Administering basic first aid

    3. Assisting with patient examinations or treatment

    4. Operating office medical equipment

    5. Collecting routine laboratory specimens

    6. Administering medications by unit dosage

    7. Performing basic laboratory procedures

    8. Performing office procedures including all general administrative duties

36-9B-3 Registration required
 

No person may practice as a medical assistant unless that person is registered with the Board of Medical and Osteopathic Examiners pursuant to this chapter.

36-9B-4 Application for registration--Renewal--Fees
 

A medical assistant seeking registration under this chapter shall complete an application prescribed by the Board of Medical and Osteopathic Examiners. The application shall be submitted to the Board of Medical and Osteopathic Examiners. A registration fee, not to exceed ten dollars, shall accompany the application and shall be paid to the Board of Medical and Osteopathic Examiners. The fee shall be set by the board by rule promulgated pursuant to chapter 1-26.

The registration shall be renewed biennially by payment of a fee, not to exceed five dollars. The fee shall be set by the board by rule promulgated pursuant to chapter 1-26. A registration not renewed by December thirty-first of the year of expiration lapses.

36-9B-5 Registration by Board of Medical and Osteopathic Examiners
 

The Board of Medical and Osteopathic Examiners shall register a medical assistant following the submission of an application by an applicant for registration who has graduated from an accredited school or a school which meets standards similar to an accredited school and has met other qualifications established by the Board of Medical and Osteopathic Examiners.

36-9B-6 Out-of-state applicant
 

The Board of Medical and Osteopathic Examiners may register an applicant from outside the state whose education and training are substantially the same as that received from an approved school in this state and who meets the other qualifications established by the Board of Medical and Osteopathic Examiners.

36-9B-7 Promulgation of rules for application and registration
 

The Board of Medical and Osteopathic Examiners may adopt rules for medical assistants in the following areas:

 

    1.  Contents of applications

    2.  Qualifications of applicants

    3.  Approval of schools other than those which are accredited

    4.  Renewal of registration; and

    5.  Registration

36-9B-8 Revocation or suspension of registration--Committee

The registration of a medical assistant may be revoked or suspended upon violation of the provisions of Section 36-4-30. The proceedings for suspension or revocation of a registration may be initiated by the Board of Medical and Osteopathic Examiners. All proceedings concerning the revocation or suspension of a registration shall conform to contested case procedure provided in chapter 1-26.

36-9B-9 Hospital privileges
 

Nothing in this chapter permits a medical assistant to provide services in a hospital licensed pursuant to chapter 34-12 unless the hospital has specifically granted such privileges.

Section 6

 

20:84:01:01 Definitions. Terms defined in SDCL chapter 36-9B have the same meaning when used in this article. In addition, terms used in this article mean:

    (1) "Board," the South Dakota Board of Medical and Osteopathic Examiners;

    (2) "Direct supervision," the physician, physician assistant, certified nurse practitioner, or certified nurse midwife are physically present or         
          available by means of electronic communication.

 

Section 7

20:84:02:01 Contents of application. An applicant for medical assistant registration shall apply for registration on a form approved by the board.

 

Section 8

20:84:02:02 Medical assistant supervision. A registered medical assistant shall submit with the application a supervision registration form. The supervision registration form shall be submitted on a form approved by the board.

 

Section 9

 

20:84:03:01 Qualifications of applicants. An applicant for registration shall provide:

     (1) Proof of graduation from a medical assistant program approved by the board;

     (2) Proof of good moral character;

     (3) Proof the applicant has graduated from high school or passed a standard equivalency test;

     (4) Documentation showing the applicant is at least 18 years of age; and

     (5) Proof of having passed a national certifying exam approved by the board.

 

Section 10

20:84:04:01 Approved education programs. An applicant for registration shall have graduated from a medical assistant program that is approved by the board or accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), or a similar accrediting institution approved by the United States Department of Education. Approved programs must provide classroom, laboratory, and clinical learning experiences that provide for student attainment of entry level competence as a registered medical assistant.

 

Section 11

20:84:05:01 Medical assistant registration renewal. A registered medical assistant shall renew the registration biennially on an application form approved by the board. The application shall be accompanied by the registration renewal fee. If a registered medical assistant does not submit a registration renewal form by December 31 of the year of the registration's expiration, the registration is lapsed.

 

Section 12

20:84:05:02 Reinstatement of lapsed registration. Any person whose registration has lapsed may have it reinstated by making written application on a form approved by the board and paying the biennial renewal fee.

South Dakota Scope of Practice Determinations Relating to Medical Assistant Practice
 

Administration of Medications:  

  • At the April 8, 2009 Joint Board Meeting, it was determined that:Medical Assistants are permitted to administer medications by inhalation route as long as the supervising physician assures appropriate training, competence, and assumes ultimate responsibility for administration of such drugs.

  • At the September 20, 1995 Joint Board Meeting, it was determined that: Medical Assistants are permitted to administer medications from either a single or multi dose vial as along as the supervising physician assures appropriate training, competence, and assumes ultimate responsibility for administration of such drugs.

  • At the April 1994 Joint Board Meeting, it was determined that MAs:
        a) May not administer medications which require calculation of a dose;
        b) May only distribute pre-printed information to a patient on medications and inhalers.

  • At the September 15, 1993 Joint Board Meeting, it was determined that MAs:

    • May not inject insulin;

    • May administer medications by unit dose, which means medication prepared in the exact amount, in an individual packet, for a specific patient.

 

Patient Education:

  • At the April 1994 Joint Board Meeting, it was determined that MAs may only provide education information to the patient and may not perform health teaching or counseling.

  • At the September 15, 1993 Joint Board Meeting, it was determined that MA scope of practice does not include patient education.
     

Procedures:

  • At the April 1994 Joint Board Meeting, it was determined that MAs:

    • May only perform suprapubic catheterizations involving an established fistula.

    • May apply ace bandages and splints to extremities; and

    • May not perform irrigations for ostomy/stoma care;

    • May Perform EKGs and glucose testing;

Lab Procedures:

  • In December 1994, in response to a request for clarification, a Joint Board committee determined that a) skin testing performed by intradermal technique, and b) skin testing performed by the scratch technique were appropriate for medical assistants to perform.

  • In April 1994, a Joint Board committee determined that a MA may report diagnostic lab findings to patients only after appropriate interpretation by the physician.

  • At the September 15, 1993 Joint Board Meeting, it was determined that MA scope of practice does not include arterial withdrawal of blood, but does include venous withdrawal of blood.

Telephoning of Prescriptions

  • At the September 20, 1995 Joint Board Meeting, discussion was held regarding medical assistant letters of inquiry.  It was determined that: Medical Assistants are permitted to telephone prescriptions to a pharmacy pursuant to their supervising physician’s written or verbal order.

The above information was retrieved from the SD Board of Medical & Osteopathic Examiners website and any links therein relating to the topics included.

CMA  and RMA Credentialing
 

The Certified Medical Assistant (CMA) and Registered Medical Assistant (RMA) are both voluntary, national credentials for the medical assisting profession.  The CMA is awarded by the Certifying Board of the American Association of Medical Assistants organization; the RMA is given by the American Medical Technologists.