Fla. Admin. Code Ann. R. 64B2-17.004 - Dry Needling
(1) For purposes of
determining compliance with this rule and the applicable statutory provisions
relating to the practice of dry needling by Chiropractic Physicians, the words
and phrases listed below are defined in the following manner:
(a) "Adequate training to be eligible to
perform dry needling" means that the continuing education pursuant to Section
460.4085(1)(a),
F.S., includes forty (40) hours instruction in the following subject areas:
1. No less than three (3) hours on the theory
of dry needling;
2. No less than
two (2) hours on the selection and safe handling of needles and other apparatus
or equipment used in dry needling, including instruction on the proper handling
of biohazardous waste;
3. No less
than four (4) hours on the general indications and contraindications for dry
needling, as well as complex anatomical and safety considerations of the
cranio-facial and peripheral nervous systems for dry needling of the head,
neck, and torso;
4. No less than
ten (10) hours on the psychomotor skills needed to perform dry needling,
including tissue palpation, needle insertion, and needle extraction;
and
5. No less than four (4) hours
on the postintervention care, including adverse responses, adverse event
recordkeeping, and any reporting obligations.
(b) "Adverse medical incident" means an event
over which the Chiropractic Physician could exercise control and which is
associated in whole or in part with the performance of dry needling, rather
than the condition for which dry needling occurred, and which resulted in any
prolonged and/or emergent neurological, pulmonary, vascular, or musculoskeletal
condition that required the transfer of the patient to a hospital and/or
referral to a physician for treatment of the resulting condition.
(c) "Supervision" means observation of the
dry needling procedure by a licensed chiropractic physician, allopathic or
osteopathic physician, or physical therapist holding a Doctor of Physical
Therapy degree who has actively performed dry needling for at least 1 year, as
required pursuant to Section
460.4085(1)(b),
F.S. The observation may be in person or via synchronous telehealth as defined
in Section 456.47, F.S.
(2) The Board shall certify any
chiropractic physician who meets the minimum standards of practice and
requirements as established in Section
460.4085, F.S.
(3) In addition to the requirements noted
herein, the continuing education must include a determination by the
instructor, that the Chiropractic Physician being trained in dry needling
demonstrates the requisite competency and psychomotor skills to safely perform
dry needling; and has completed 10 patient sessions of dry needling under one
of the following circumstances:
(a) While
licensed as a Chiropractic Physician in another state or while serving as a
Chiropractic Physician in the United States Armed Services; or
(b) Under supervision as defined herein,
where the supervisor has documented that the supervised physician has met the
supervision and competency requirements and needs no additional supervised
sessions to perform dry needling. It is the responsibility of the supervised
physician to maintain all documents.
(4) Pursuant to s.
460.4085, F.S., the Chiropractic
Physician may provide proof of completion of coursework that substantially
complies with the training requirements established herein which may be used to
satisfy the hourly requirements of Section
460.4085(1)(a),
F.S. on an hour per hour basis. However, in no case may the requirement to pass
a written and practical examination be waived.
(5) A Chiropractic Physician shall not
delegate performance of dry needling to a certified chiropractic physician
assistant, or any other person who is not a Chiropractic Physician authorized
to perform dry needling.
(6) A
Chiropractic Physician shall not perform dry needling without the patient's
consent documented in the patient's medical record.
(7) An adverse medical incident that is a
direct result of chiropractic treatment involving dry needling shall be
reported to the Board within 15 days of the incident.
(8) In order to become certified to practice
dry needling, the licensed and qualified Chiropractic Physician shall submit to
the Board Form DH-MQA-5099, Application for Chiropractic Dry Needling
Certification, effective 08/24, which is hereby incorporated by reference and
is available through
http://www.flrules.org/Gateway/reference.asp?No=Ref-17203,
or at https://floridaschiropracticmedicine.gov/.
(9) The requirement that dry needling may not
be delegated to any other person other than a chiropractic physician, does not
limit the chiropractic physician from referring a patient to or otherwise
allowing another individual to perform dry needling who is otherwise authorized
to perform dry needling pursuant to their license and authorized scope of
practice.
Notes
Rulemaking Authority 460.405, 460.4085 FS. Law Implemented 460.4085 FS.
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