Current through Reg. 50, No. 249, December 24, 2024
(1)
Pursuant to a licensed physician's written prescription, the orthotist,
prosthetist, resident, pedorthist orthotic fitter or orthotic fitter assistant
shall assume the responsibility for assessing the patient, planning the
patient's treatment plan, and directing the program. No licensee shall
implement a prescription that, in the licensee's judgment, is contraindicated.
No change shall be made in the prescription without the authorization of the
prescribing physician.
(2) The
licensee's or registrant's professional responsibilities include:
(a) Ongoing consultation with the prescribing
physician regarding information that will impact the patient's medical and
functional outcomes.
(b)
Orthotic/prosthetic evaluation of the patient.
(c) Identification and documentation of
precautions, special problems, or contraindications.
(d) Development of a treatment plan including
the short and long terms goals.
(e)
Implementation of a treatment plan.
(f) Periodic review and update of the
treatment plan, including reassessment of the patient in reference to goals
and, when necessary, modification of the treatment plan.
(g) Collaboration with members of the health
care team when appropriate.
(h)
Prior to rendering services, advising the patient or guardian, in terms which
the patient or guardian can understand, of the nature and purpose of the
services to be rendered, the nature and purposes of the prescribed device, the
treatment plan, use and care of an orthosis or prosthesis, and an estimate of
delivery time and financial responsibilities.
(i) Determination of the appropriateness of
proper fit and function of any orthosis or prosthesis.
(3) Sexual misconduct in the practice of
"Orthotics/Prosthetics" by any person licensed under this chapter is
prohibited. Sexual misconduct in the practice of orthotics/prosthetics means
exercising influence within the licensee-patient relationship for purposes of
engaging a patient in sexual activity.
(4) It is below the standards of practice for
any person licensed under this chapter to practice if they are unable to
practice with reasonable skill and safety to patients by reason of illness, use
of alcohol, drugs, narcotics or chemicals, or any other type of material, or as
a result of any mental or physical condition.
(5) It is below the standard of practice and
prohibited under this section for any person licensed under this chapter to
delegate or assign activities, tasks or procedures that fall within the scope
of any practice defined in Section
468.80, F.S., to support
personnel, without providing direct supervision for the performance of the
activites, tasks or procedures. Direct Supervision requires:
(a) The licensed orthotist, prosthetist,
orthotist/prosthetist, or pedorthist to provide a physical evaluation of each
patient's orthotic and or prosthetic needs and may delegate appropriate duties
to support personnel. However, the licensed practitioner shall physically
evaluate the effectiveness, appropriateness and fit of all devices within the
scope of the licensed practitioner's licensure practice requirements, including
those repaired devices in which the repairs affect the fit, physical structure
or biomechanical function of the device, on every patient, prior to the
delivery of the device;
(b) For the
purpose of replacement of worn or broken components which do not in any way
alter the fit, physical structure or biomechanical functioning of the existing
device, direct supervision of support personnel providing repairs to orthoses
or prosthesis means the aforementioned repair must be approved by the
appropriately licensed practitioner prior to beginning of repairs. The
responsible licensed practitioner must at all times be accessible by two way
communication, enabling the supervisor to respond to questions relating to the
repair.
Rulemaking Authority 468.802 FS. Law Implemented
456.063(1), 456.072(1)(o), (u), 468.802, 468.808
FS.
New 7-1-98, Amended 10-24-04, 1-16-06, 4-12-10,
8-3-22.
