Current through Reg. 50, No. 187; September 24, 2024
(1) Definitions.
(a) "Orthosis" means a medical device used to
provide support, correction, or alleviation of neuromuscular or musculoskeletal
dysfunction, disease, injury, or deformity, but does not include the following
assistive technology devices: upper extremity adaptive equipment used to
facilitate the activities of daily living, including specialized utensils,
combs, and brushes; finger splints; wheelchair seating and equipment that is an
integral part of the wheelchair and not worn by the patient; elastic abdominal
supports that do not have metal or plastic reinforcing stays; arch supports;
nontherapeutic accommodative inlays and nontherapeutic accommodative footwear,
regardless of method of manufacture; unmodified, over-the-counter shoes;
prefabricated foot care products; durable medical equipment such as canes,
crutches, or walkers; dental appliances; or devices implanted into the body by
a physician. For purposes of this subsection, "accommodative" means designed
with the primary goal of conforming to the individual's anatomy and "inlay"
means any removable material upon which the foot directly rests inside the shoe
and which may be an integral design component of the shoe.
(b) "Orthotics" means the practice, pursuant
to a licensed physician's written prescription, of evaluating, treatment
formulating, measuring, designing, fabricating, assembling, fitting, adjusting,
servicing, or providing the initial training necessary to accomplish the
fitting of an orthosis or pedorthic device; however, the repair, replacement,
adjustment, or servicing of any existing orthosis may be performed without an
additional prescription from the patient's physician, unless the original
prescription states otherwise. If a patient is under the care of a licensed
occupational therapist or physical therapist, the pharmacist must consult with
the therapist if the therapist has requested consultation regarding the
fitting, design, or fabrication of an orthosis or regarding treatment with an
orthosis.
(c) "Pedorthic device"
means therapeutic shoes, shoe modifications made for therapeutic purposes,
prosthetic fillers of the forefoot, and foot orthoses for use from the ankle
and below, but does not include arch supports; nontherapeutic accommodative
inlays and nontherapeutic accommodative footwear, regardless of method of
manufacture; unmodified, over-the-counter shoes; or prefabricated foot care
products. For purposes of this subsection, "accommodative" means designed with
the primary goal of conforming to the individual's anatomy and "inlay" means
any removable material upon which the foot directly rests inside the shoe and
which may be an integral design component of the shoe.
(d) "Pedorthics" means the practice, pursuant
to a licensed physician's written prescription, of evaluating, treatment
formulating, measuring, designing, fabricating, assembling, fitting, adjusting,
servicing, or providing the initial training necessary to accomplish the
fitting of a pedorthic device; however, the repair, replacement, adjustment, or
servicing of any existing pedorthic device may be performed without an
additional prescription from the patient's physician, unless the original
prescription states otherwise. If a patient is under the care of a licensed
occupational therapist or physical therapist, the pharmacist must consult with
the therapist if the therapist has requested consultation regarding the
fitting, design, or fabrication of a pedorthic device or regarding treatment
with a pedorthic device.
(2) Pursuant to a licensed physician's
written prescription, the pharmacist shall assume the responsibility for
assessing the patient, planning the patient's treatment program, and directing
the program. No pharmacist shall implement a prescription that, in the
pharmacist's judgment, is contraindicated. No change shall be made in the
prescription without the authorization of the prescribing physician.
(3) The pharmacist'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 and/or pedorthic 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)
Advising the patient, in terms which the patient can understand, of the nature
and purpose of the services to be rendered and the techniques for use and care
of an orthosis or pedorthic device.
(i) Determination of the appropriateness of
proper fit and function of any orthosis or pedorthic
device.
(4) A pharmacist
may delegate duties to nonlicensed supportive personnel if those duties are
performed under the supervision of the pharmacist. In such instances the
supervising pharmacist is responsible for all acts performed by such persons.
It is below the standard of practice and prohibited for a pharmacist to
delegate or assign activities, tasks or procedures that fall within the scope
of any practice defined in Section
468.812(3),
F.S., to support personnel, without providing supervision for the performance
of the activities, tasks or procedures.
Rulemaking Authority 468.812(3) FS. Law Implemented
465.0155, 468.812(3) FS.
New 5-2-07.
