(A) A chiropractic physician is responsible for the care of his or her patients. Such responsibility includes ensuring that all unlicensed supportive personnel are competent and properly qualified by education, training, and/or experience to perform their assigned duties.
(B) A chiropractic physician may delegate certain professional responsibilities to unlicensed supportive personnel who are qualified by education, training, and/or experience to perform such duties.
(C) Unlicensed supportive personnel means an individual or individuals who are on the job trained by a chiropractic physician and who participate in chiropractic patient care delivery. Unlicensed supportive personnel do not hold professional licensure and work under the direction of a chiropractic physician utilizing their education, training, and/or experience to perform designated tasks and duties related to the practice of chiropractic. This does not include any activity that would require performance, clinical interpretation and/or treatment by a licensed professional.
(D) A licensed chiropractic physician must properly supervise all unlicensed supportive personnel to whom responsibilities are delegated. Properly supervise within the meaning of this rule is defined as on-site initial and ongoing direction, procedural guidance, observation, and evaluation by a licensed chiropractic physician.
(E) Professional responsibilities shall only be delegated by the order of a licensed chiropractic physician. Professional responsibilities within the meaning of this rule include:
(1) Taking measurements for height, weight, blood pressure, respiration, pulse, and temperature;
(2) Recording observable signs and symptoms;
(3) Collecting bodily fluids for diagnostic purposes;
(4) Applying hot and/or cold packs;
(5) Applying mechanical traction;
(6) Applying electrical stimulation;
(7) Applying vasopneumatic devices;
(8) Applying diathermy;
(9) Applying therapeutic ultrasound;
(10) Instruction and supervision of therapeutic exercises;
(11) Instruction and supervision of therapeutic procedures and activities;
(12) Instruction and supervision of neuromuscular reeducation;
(13) Low level laser therapy up to and including class IV lasers;
(14) Assist patients to safely perform activities related to the development of strength and endurance;
(15) Other services or procedures as deemed appropriate by the board.
(F) A chiropractic physician shall not delegate duties to unlicensed supportive personnel in a negligent manner.