4734-8-02. Unlicensed supportive personnel  


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  • (A) A chiropractic physician is responsible for the care of his or her patients. Such responsibility includes ensuring that all unlicensed supportive personnel are competent and properly qualified by education, training, and/or experience to perform their assigned duties.

    (B) A chiropractic physician may delegate certain professional responsibilities to unlicensed supportive personnel who are qualified by education, training, and/or experience to perform such duties.

    (C) Unlicensed supportive personnel means an individual or individuals who are on the job trained by a chiropractic physician and who participate in chiropractic patient care delivery. Unlicensed supportive personnel do not hold professional licensure and work under the direction of a chiropractic physician utilizing their education, training, and/or experience to perform designated tasks and duties related to the practice of chiropractic. This does not include any activity that would require performance, clinical interpretation and/or treatment by a licensed professional.

    (D) A licensed chiropractic physician must properly supervise all unlicensed supportive personnel to whom responsibilities are delegated. Properly supervise within the meaning of this rule is defined as on-site initial and ongoing direction, procedural guidance, observation, and evaluation by a licensed chiropractic physician.

    (E) Professional responsibilities shall only be delegated by the order of a licensed chiropractic physician. Professional responsibilities within the meaning of this rule include:

    (1) Taking measurements for height, weight, blood pressure, respiration, pulse, and temperature;

    (2) Recording observable signs and symptoms;

    (3) Collecting bodily fluids for diagnostic purposes;

    (4) Applying hot and/or cold packs;

    (5) Applying mechanical traction;

    (6) Applying electrical stimulation;

    (7) Applying vasopneumatic devices;

    (8) Applying diathermy;

    (9) Applying therapeutic ultrasound;

    (10) Instruction and supervision of therapeutic exercises;

    (11) Instruction and supervision of therapeutic procedures and activities;

    (12) Instruction and supervision of neuromuscular reeducation;

    (13) Low level laser therapy up to and including class IV lasers;

    (14) Assist patients to safely perform activities related to the development of strength and endurance;

    (15) Other services or procedures as deemed appropriate by the board.

    (F) A chiropractic physician shall not delegate duties to unlicensed supportive personnel in a negligent manner.


Effective: 1/1/2019
Five Year Review (FYR) Dates: 9/24/2018 and 01/01/2024
Promulgated Under: 119.03
Statutory Authority: 4734.10
Rule Amplifies: 4734.31
Prior Effective Dates: 08/01/2007, 06/01/2013