| (a) Qualifications. The applicant must submit evidence
satisfactory to the department of having successfully completed either
(1) and (2), or (1) and (3), of the following:
(1) Coursework from a college or university accredited
by a regional accrediting organization such as the Southern Association
of Colleges and Schools that included at a minimum:
(A) eight (8) credit hours of anatomy and physiology;
(B) three (3) credit hours of medical terminology;
(C) three (3) credit hours of physics.
(2) For applicants for a prosthetic assistant or orthotic
assistant license, a clinical residency for assistants of not less
than 1,000 hours in prosthetics or 1,000 hours in orthotics, respectively,
completed in a period of not more than one year, in a facility that
is accredited under §114.29, or its equivalent, as approved by
the department, or in a facility to which the accreditation requirement
does not apply in accordance with §605.260(e) of the Act.
(3) For applicants for the prosthetic/orthotic assistant
license, a clinical residency for assistants of not less than 1,500
hours in prosthetics and orthotics, completed in a period of not more
than one year, in a facility that is accredited under §114.29,
or its equivalent, as approved by the department, or in a facility
to which the accreditation requirement does not apply in accordance
with §605.260(e) of the Act.
(b) Clinical residency for an assistant.
(1) Before undertaking a clinical residency for an
assistant, the supervisor and clinical resident must notify the department
by filing a completed supervision agreement with the department with
the clinical resident's application for licensure as an assistant
and the required fee.
(2) The supervisor shall not allow the clinical residency
to begin until approval from the department is received.
(3) The supervisor shall provide the clinical resident
and the department with written documentation upon beginning, terminating
or completing a clinical residency.
(4) The resident shall work under the direct supervision
of a licensed practitioner. The supervisor must be licensed in the
same discipline as the course of study being completed by the clinical
resident.
(5) The supervising practitioner must review and sign
off on patient care notes made by the clinical resident.
(6) The clinical residency shall primarily provide
learning opportunities for the clinical resident rather than primarily
providing service to the prosthetic or orthotic facility or its patients
or clients.
(7) The clinical residency shall include both observation
and supervised performance of assistant level work including assisting
with patient assessments, measurement, design, fabrication, assembling,
fitting, adjusting or servicing prostheses or orthoses or both, as
appropriate to the type of residency. Supervision shall be in the
physical presence of the supervisor.
(8) The clinical residency shall include an orientation
comparing and contrasting the duties of a licensed assistant with
the duties of the licensed practitioner.
(9) The clinical resident shall not independently provide
ancillary patient care services of the type performed by a licensed
assistant and may not independently engage in prosthetic and orthotic
care directly to the patient.
(10) The clinical resident may be only incidentally
involved in other duties including, but not limited to, scheduling,
medical records, clerical, payroll and accounting, janitorial/housekeeping,
transportation, or delivery.
(11) When terminating or completing a residency, the
written documentation shall indicate the number of hours satisfying
the requirements of this section that were completed by the clinical
resident.
(12) Notwithstanding the supervision requirements in
this section, the department may establish procedures, processes,
and mechanisms for the monitoring and reporting of the supervision
requirements.
(c) Scope of practice.
(1) When assistant patient care services are performed
by a licensed assistant, the supervising licensed practitioner of
that assistant must review and sign off on the clinical note written
by the assistant within fifteen working days of the date the service
was provided.
(2) A licensed orthotist assistant may provide ancillary
patient care services, including assistant patient care services,
under the supervision of a licensed orthotist or licensed prosthetist/orthotist.
(3) A licensed prosthetist assistant may provide ancillary
patient care services, including assistant patient care services,
under the supervision of a licensed prosthetist or licensed prosthetist/orthotist.
(4) A licensed prosthetist/orthotist assistant may
provide ancillary patient care services, including assistant patient
care services, under the supervision of a licensed prosthetist/orthotist,
or a licensed orthotist for orthotic care, or a licensed prosthetist
for prosthetic care.
(5) The supervising practitioner is responsible for
the acts or omissions of the licensed assistant.
(6) A licensed assistant may only assist in the performance
of critical care events while in the physical presence of the supervising
practitioner.
(7) Except as set forth in this subsection, the supervising
practitioner shall supervise and direct the licensed assistant.
(8) The supervising practitioner shall report to the
department violations of the Act or this chapter committed by the
licensed assistant.
(9) Assistants may practice only in a facility accredited
under §114.29, or in a facility to which the accreditation requirement
does not apply in accordance with §605.260(e) of the Act.
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