The following words and terms, when used in this chapter, shall
have the following meanings, unless the context clearly indicates
otherwise.
(1) Act--The Orthotists and Prosthetists Act, Texas
Occupations Code, Chapter 605.
(2) Advisory board--The Orthotists and Prosthetists
Advisory Board.
(3) Ancillary patient care service--Includes the clinical
and technical activities associated with the provision of prosthetic
and orthotic services except critical care events.
(4) Assistant patient care service--Includes comprehensive
orthotic patient care (initial patient assessment, prescription development
and recommendation, appropriate patient education and training and
final evaluation and assessment of fit and function of custom fitted
and off-the-shelf orthotic devices) involving pedorthics, compression
garments, non-custom fabricated orthoses (except those used to treat
scoliosis or an unstable fracture or dislocation), and knee orthoses;
and comprehensive prosthetic care involving compression garments,
when provided under the appropriate supervision of a practitioner
licensed in the practice area in which the service is being provided.
(5) Board--The Orthotists and Prosthetists Advisory
Board.
(6) CAAHEP--The Commission on Accreditation of Allied
Health Education Programs.
(7) Clinical residency for an assistant--An assistant-level
experience of at least 1,000 hours directly supervised by a practitioner.
(8) Clinical residency for a professional--A professional
practitioner-level experience supervised by a practitioner.
(9) Commission--The Texas Commission of Licensing and
Regulation.
(10) Critical care events--Initial patient assessment,
prescription development and recommendation, appropriate patient education
and training and final evaluation and assessment of fit and function
of the custom-fabricated prosthesis or orthosis.
(11) Custom-fabricated--An orthosis or prosthesis designed,
prescribed, fabricated, fitted and aligned for a specific individual
in accordance with sound biomechanical principles.
(12) Custom-fitted--An orthosis or prosthesis adjusted,
prescribed, fitted and aligned for a specific individual in accordance
with sound biomechanical principles.
(13) Department--The Texas Department of Licensing
and Regulation.
(14) Direct supervision--Supervision provided to a
clinical resident throughout the fitting and delivery process (which
includes ancillary patient care services), including oversight of
results and signing-off on all aspects of fitting and delivery.
(15) Executive director--The executive director of
the department.
(16) Extensive orthotic practice--Includes the evaluation
of patients with a wide range of lower limb, upper limb and spinal
pathomechanical conditions; the taking of measurements and impressions
of the involved body segments; the synthesis of observations and measurements
into a custom orthotic design; the selection of materials and components;
the fabrication of therapeutic or functional orthosis including plastic
forming, metal contouring, cosmetic covering, and assembling; the
fitting and assessment of the orthosis; the appropriate follow-up,
adjustments, modifications and revisions in an orthotic facility;
the training and instruction of patients in the use and care of the
orthosis; and maintaining current encounter notes and patient records.
(17) Extensive prosthetic practice--Includes the evaluation
of patients with a wide range of upper and lower limb deficiencies;
the taking of measurements and impressions of the involved body segments;
the synthesis of observations and measurements into a custom prosthetic
design; the selection of materials and components; the fabrication
of functional prostheses including plastic forming, metal contouring,
cosmetic covering, assembly, and aligning; the fitting and assessment
of the prosthesis; the appropriate follow-up, adjustments, modifications
and revisions in a prosthetic facility; the training and instruction
of patients in the use and care of the prosthesis; and maintaining
current encounter notes and patient records.
(18) Health care professional--A chiropractor, podiatrist,
or advanced practice registered nurse or physician assistant acting
under the delegation and supervision of a licensed physician as provided
by Texas Occupations Code, Chapter 157, Subchapter B and rules adopted
by the Texas Medical Board.
(19) Indirect supervision--Supervision provided to
a licensed assistant or to a person in clinical residency for a professional
by a practitioner who provides appropriate on-site supervision as
approved by the accredited facility's practitioner in charge.
(20) License--Includes a license, registration, certificate,
or other authorization issued under the Act to engage in an activity
regulated under the Act, excluding accreditation of a facility.
(21) Licensed physician--A physician licensed and in
good standing with the Texas Medical Board.
(22) Licensee--Includes a person holding a current
license or registration issued by the department, to engage in an
activity regulated under the Act.
(23) NCOPE--The National Commission on Orthotic and
Prosthetic Education.
(24) Off-the-shelf--A prescribed, prefabricated orthosis
that requires minimal self-adjustment by the patient or by a personal
caregiver(s) for appropriate use and does not require expertise in
trimming, bending, molding, assembling, or customizing to fit to the
individual.
(25) Orthotic facility--A physical site, including
a building or office, where the orthotic profession and practice normally
take place.
(26) Orthotist in charge--An orthotist who is designated
on the application for accreditation as the person who has the authority
and responsibility for the facility's compliance with the Act and
rules concerning the practice of orthotics in the facility.
(27) Patient education--Patient education involves
information, instructions, training, and review for understanding
that are provided to the patient or caregiver, including donning,
doffing, use, care, sanitation, spinal and cranial orthotic training,
upper extremity orthotic and prosthetic training, lower extremity
orthotic and prosthetic gait training, normal wear and tear, schedule
for continuing care, and indications for return to physician or health
care professional.
(28) Practitioner--A person licensed under the Act
as a prosthetist, orthotist, or prosthetist/orthotist.
(29) Practitioner in charge--The orthotist in charge,
the prosthetist in charge, or the prosthetist/orthotist in charge.
(30) Prosthetic facility--A physical site, including
a building or office, where the prosthetic profession and practice
normally take place.
(31) Prosthetic/Orthotic facility--A physical site,
including a building or office, where the prosthetic and orthotic
professions and practices normally take place.
(32) Prosthetist in charge--A prosthetist who is designated
on the application for accreditation as the person who has the authority
and responsibility for the facility's compliance with the Act and
rules concerning the practice of prosthetics in the facility.
(33) Prosthetist/Orthotist in charge--A prosthetist/orthotist
who is designated on the application for accreditation as the person
who has the authority and responsibility for the facility's compliance
with the Act and rules concerning the practice of prosthetics and
orthotics in the facility.
(34) Safety manager--An employee of an accredited facility
who is assigned to develop, carry out and monitor an accredited facility's
safety program.
(35) Technician--A person who fabricates, assembles,
or services prostheses or orthoses under the direction of a licensed
prosthetist, a licensed orthotist, a licensed prosthetist/orthotist,
a licensed prosthetist assistant, licensed orthotist assistant, or
licensed prosthetist/orthotist assistant responsible for the acts
of the technician.
(36) Voluntary charity care--The practice of a licensed
practitioner without compensation or expectation of compensation.
|
