In addition to performing assist medical practices traditionally sanctioned for nurses and for its own profession, nurse practitioners in Taiwan can now perform additional main medical practices under physician supervision. That is, they have acquired the legal right to perform main medical practices.
In accordance with the Department of Health’s 1976 regulation, medical diagnosis, prescription writing, surgery, completing medical records, and anesthesia should be performed by physicians personally. Other medical work may be performed by assistants under the supervision of physicians. Liability arising from these acts should be borne by the physician in charge. Physician assistants support physicians’ medical practice and do not have special qualification requirements.
In 1988, the Department of Health issued new regulations in accordance with the newly amended Physicians Act Article 28 and defined physician assistants as qualified nurses, midwives or other medically qualified personnel, so non-medical personnel, including nurse assistants, cannot perform any medical support work.
Are medical clinics required to employ registered nurses? According to regulations, clinics that have only one physician, do not perform deliveries or abortions, and do not have outpatient operating rooms are not required to register nursing staff. Having nursing assistants who only perform the tasks of registration, payment, and other administrative work is in compliance with professional nursing or related laws and regulations. Performing nursing services without adequate qualification, however, may result in a fine of NT$15,000 to NT$150,000 each on the nurse and employer.
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