16 Tex. Admin. Code § 114.27 - Assistant License
(a) Qualifications.
The applicant must submit evidence satisfactory to the department of having
successfully completed either (1) and (2), or (1) and (3), of the following:
(1) Coursework from a college or university
accredited by a regional accrediting organization such as the Southern
Association of Colleges and Schools that included at a minimum:
(A) eight (8) credit hours of anatomy and
physiology;
(B) three (3) credit
hours of medical terminology;
(C)
three (3) credit hours of physics.
(2) For applicants for a prosthetic assistant
or orthotic assistant license, a clinical residency for assistants of not less
than 1,000 hours in prosthetics or 1,000 hours in orthotics, respectively,
completed in a period of not more than one year, in a facility that is
accredited under §114.29, or its equivalent, as approved by the
department, or in a facility to which the accreditation requirement does not
apply in accordance with §605.260(e) of the Act.
(3) For applicants for the
prosthetic/orthotic assistant license, a clinical residency for assistants of
not less than 1,500 hours in prosthetics and orthotics, completed in a period
of not more than one year, in a facility that is accredited under §114.29,
or its equivalent, as approved by the department, or in a facility to which the
accreditation requirement does not apply in accordance with §605.260(e) of
the Act.
(b) Clinical
residency for an assistant.
(1) Before
undertaking a clinical residency for an assistant, the supervisor and clinical
resident must notify the department by filing a completed supervision agreement
with the department with the clinical resident's application for licensure as
an assistant and the required fee.
(2) The supervisor shall not allow the
clinical residency to begin until approval from the department is
received.
(3) The supervisor shall
provide the clinical resident and the department with written documentation
upon beginning, terminating or completing a clinical residency.
(4) The resident shall work under the direct
supervision of a licensed practitioner. The supervisor must be licensed in the
same discipline as the course of study being completed by the clinical
resident.
(5) The supervising
practitioner must review and sign off on patient care notes made by the
clinical resident.
(6) The clinical
residency shall primarily provide learning opportunities for the clinical
resident rather than primarily providing service to the prosthetic or orthotic
facility or its patients or clients.
(7) The clinical residency shall include both
observation and supervised performance of assistant level work including
assisting with patient assessments, measurement, design, fabrication,
assembling, fitting, adjusting or servicing prostheses or orthoses or both, as
appropriate to the type of residency. Supervision shall be in the physical
presence of the supervisor.
(8) The
clinical residency shall include an orientation comparing and contrasting the
duties of a licensed assistant with the duties of the licensed
practitioner.
(9) The clinical
resident shall not independently provide ancillary patient care services of the
type performed by a licensed assistant and may not independently engage in
prosthetic and orthotic care directly to the patient.
(10) The clinical resident may be only
incidentally involved in other duties including, but not limited to,
scheduling, medical records, clerical, payroll and accounting,
janitorial/housekeeping, transportation, or delivery.
(11) When terminating or completing a
residency, the written documentation shall indicate the number of hours
satisfying the requirements of this section that were completed by the clinical
resident.
(12) Notwithstanding the
supervision requirements in this section, the department may establish
procedures, processes, and mechanisms for the monitoring and reporting of the
supervision requirements.
(c) Scope of practice.
(1) When assistant patient care services are
performed by a licensed assistant, the supervising licensed practitioner of
that assistant must review and sign off on the clinical note written by the
assistant within fifteen working days of the date the service was
provided.
(2) A licensed orthotist
assistant may provide ancillary patient care services, including assistant
patient care services, under the supervision of a licensed orthotist or
licensed prosthetist/orthotist.
(3)
A licensed prosthetist assistant may provide ancillary patient care services,
including assistant patient care services, under the supervision of a licensed
prosthetist or licensed prosthetist/orthotist.
(4) A licensed prosthetist/orthotist
assistant may provide ancillary patient care services, including assistant
patient care services, under the supervision of a licensed
prosthetist/orthotist, or a licensed orthotist for orthotic care, or a licensed
prosthetist for prosthetic care.
(5) The supervising practitioner is
responsible for the acts or omissions of the licensed assistant.
(6) A licensed assistant may only assist in
the performance of critical care events while in the physical presence of the
supervising practitioner.
(7)
Except as set forth in this subsection, the supervising practitioner shall
supervise and direct the licensed assistant.
(8) The supervising practitioner shall report
to the department violations of the Act or this chapter committed by the
licensed assistant.
(9) Assistants
may practice only in a facility accredited under §114.29, or in a facility
to which the accreditation requirement does not apply in accordance with
§605.260(e) of the Act.
Notes
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