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TITLE 22EXAMINING BOARDS
PART 3TEXAS BOARD OF CHIROPRACTIC EXAMINERS
CHAPTER 78SCOPE OF PRACTICE AND DELEGATION
RULE §78.3General Delegation of Responsibility

(a) "Qualified individual" means an unlicensed individual with adequate education, training, and skill to perform an act.

(b) A licensee may not delegate responsibility to render a diagnosis, prescribe a treatment plan, or perform adjustments or manipulations under this section.

(c) A licensee may delegate responsibility to a qualified individual to perform acts within the scope of practice, including:

  (1) taking a medical history;

  (2) taking or recording vital signs;

  (3) taking or recording range of motion measurements;

  (4) performing physical treatments or modalities;

  (5) demonstrating exercises or stretches;

  (6) demonstrating the use of supports and devices; or

  (7) performing radiological procedures.

(d) A licensee shall document that an individual is qualified to perform an act.

(e) A licensee may not allow an individual whose chiropractic license has expired or been suspended or revoked in any jurisdiction to treat a patient in any manner, including acts in subsection (c) of this section.

(f) A licensee shall determine a reasonable number of qualified individuals a licensee can safely supervise.

(g) A licensee shall be physically present or on-call when any qualified individual performs an act in subsection (c) of this section unless another licensee is physically present at the place of business or on-call.

(h) "On-call" means a licensee must be available for voice consultation within 15 minutes.

(i) A licensee shall differentiate on a patient's records between acts performed by the licensee and acts performed by a qualified individual.


Source Note: The provisions of this §78.3 adopted to be effective March 20, 2022, 47 TexReg 1455

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