| (a) Initial patient consultation in facilities providing
inpatient healthcare, rehabilitation, or therapy may be performed
only pursuant to:
(1) a written request for consultation for the specific
patient that has been signed by a member of that patient' s healthcare
team from the facility, including the licensed physician, health care
professional, physical therapist, or occupational therapist; or
(2) a request initiated by the patient or the patient'
s representative before any consultation in the facility is performed.
(b) Emergency consultation and treatment. Practitioners
may perform initial consultation and/or treatment for a patient while
in a hospital emergency room or department, operative room or holding
area, or otherwise emergent situation pursuant to a written order
or a documented verbal order that is corroborated by information in
the patient' s medical record.
(c) Practitioners shall not provide or attempt to provide
a consultation:
(1) in violation of this chapter; or
(2) that is prohibited by Texas Occupations Code, §102.001.
(d) Practitioners shall prohibit any person affiliated
in any way with their practice, or the practice of an accredited facility
for which they serve as practitioner in charge, from providing or
attempting to provide a consultation:
(1) in violation of this chapter; or
(2) that is prohibited by Texas Occupations Code, §102.001.
(e) Order required. Practitioners and facilities shall
ensure that the following standards are followed in the provision
of orthotic and/or prosthetic services.
(1) All fitting, including test fitting, and/or delivery
requires a written order. The order initially may be provided verbally
and documented in the patient's record. A subsequent written order
must be obtained promptly.
(2) The order must be obtained from a licensed physician
or authorized health care professional, and must be in the format
prescribed by the law and rules governing the prescribing physician
or health care professional.
(3) A practitioner shall obtain a new order before
providing a new orthosis or prosthesis to an established patient.
(4) A practitioner may adjust, repair or maintain an
orthosis or prosthesis, and provide replacement soft goods, supplies,
and components in accordance with the existing order for an established
patient.
(f) Requirement for practice setting of licensees.
(1) A person licensed under the Act, Texas Occupations
Code, Chapter 605, who practices in Texas shall practice only in facilities
accredited under the Act unless the facility is one to which the accreditation
requirement does not apply in accordance with §605.260(e) of
the Act.
(2) Persons licensed or registered under this title
may provide orthotic or prosthetic care to an established patient
of an accredited facility in the patient's private residence.
(3) The scope of practice in a facility accredited
in accordance with the Act includes offsite and telehealth practice
by individual licensees within the licensees' scope of practice as
appropriate and commensurate with the medical or physical limitations
or disabilities of the patient.
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