Regulation .10 Activities That May Be Performed by Chiropractic Assistants Under Indirect Supervision of a Supervising Chiropractor.
Regulation .10 Activities That May Be Performed by Chiropractic Assistants Under Indirect Supervision of a Supervising Chiropractor.LinkCopy Citation
A.
Indirect supervision may only be provided by a supervising chiropractor to a chiropractic assistant who is treating an established patient.
B.
A chiropractic assistant may perform the following activities under the indirect supervision of a supervising chiropractor to an established patient with an established treatment program for not more than 10 percent of the treatment time in a given 30 days, without exceeding 3 consecutive days in a given week:
(1)
Functional activities of daily living and hygiene;
(2)
Gait practice, ambulation, administration, and observation of therapeutic exercises as prescribed by a supervising chiropractor;
(3)
Assist in moving a patient within the treatment area;
(4)
Contrast baths;
(5)
Hot and cold packs;
(6)
Hubbard tank;
(7)
Infrared, ultraviolet irradiation, nonlaser light therapy, and nonablative therapeutic laser;
(8)
Muscle stimulation;
(9)
Electrotherapy;
(10)
Paraffin baths;
(11)
Traction therapy;
(12)
Ultrasound;
(13)
Whirlpool;
(14)
Diathermy;
(15)
Therapeutic massage, if licensed under Health Occupations Article, Title 6, Annotated Code of Maryland; and
(16)
Mechanical or computerized examination procedures for the sole purpose of collecting data subject to the following conditions:
(a)
All data will later be used and interpreted by the chiropractor to form a diagnosis and treatment plan; and
(b)
No test may be performed that requires diagnosis or interpretation as part of the data collecting or testing procedure.
C.
A chiropractic assistant who participates in indirect supervision shall be:
(1)
In good standing with the Board; and
(2)
Trained and proficient in the office’s indirect supervision protocol, which includes:
(a)
Informed consent to the patient; and
(b)
Immediate access to the supervising chiropractor.
D.
The supervising chiropractor shall:
(1)
Prior to the implementation of indirect supervision, establish and make readily available an:
(a)
Emergency procedures protocol; and
(b)
Indirect supervision protocol;
(2)
Maintain a log of indirect supervision treatment, which includes:
(a)
Patient’s name or identification information; and
(b)
Treatment:
(i)
Date;
(ii)
Time initiated;
(iii)
Duration; and
(iv)
Procedure or activity provided; and
(3)
Review or update, or both, indirect supervision orders every 30 days.
E.
An indirect supervision protocol shall be listed on the office’s:
(1)
Consent to treatment form signed by the patient; or
(2)
Informed consent protocol.