North Carolina General Statutes Chapter 90. Medicine and Allied Occupations § 90-9.3A. Requirements for team-based practice as a physician assistant

(a) In order to practice as a team-based physician assistant, a physician assistant shall meet all of the following conditions:

(b) Team-based physician assistants shall collaborate and consult with or refer to the appropriate members of the health care team as required by the patient's condition and as indicated by the education, experience, and competencies of the physician assistant and the standard of care.  The degree of collaboration must be determined by the practice which may include decisions by the employer, group, hospital service, and the credentialing and privileging systems of a licensed facility.  The Board may adopt rules to establish requirements for the determination and enforcement of collaboration, consultation, and referral.  Team-based physician assistants are responsible for the care they provide.

(c) Notwithstanding any other provision of this Chapter, a team-based physician assistant practicing in a perioperative setting, including the provision of surgical or anesthesia-related services, shall be supervised by a physician.