16 Tex. Admin. Code § 114.10 - Definitions
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.
Notes
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