Current through Register Vol. 47, No. 6, September 18, 2024
(1)
Rules of conduct. These
are mandatory standards of minimally acceptable professional conduct intended
to promote the protection, safety, and comfort of patients. Any individual who
fails to meet or allows any other individual to fail to meet the following
standards may be subject to enforcement actions as outlined in subrule
42.22(3). The following shall be grounds for disciplinary action:
a. Failing to perform with reasonable skill
and safety all procedures accepted under this chapter's educational guidelines
and allowed under the individual's permit.
b. Operating as a permitted individual
without meeting the applicable requirements of this chapter.
This includes performing procedures not allowed under the
individual's current permit.
c. Failing to report immediately to the
department any individual who may be operating as a permit holder and who does
not meet the requirements of this chapter.
d. Engaging in any practice that results in
unnecessary danger to a patient's life, health, or safety. This includes
delegating or accepting the delegation of any function when the delegation or
acceptance could cause unnecessary danger.
e. Engaging in any action that the department
determines may jeopardize the health and safety of the public, other staff or
the permit holder. These actions shall include but not be limited to:
(1) A misdemeanor or felony which may impair
or limit the individual's ability to perform the duties authorized by the
individual's permit.
(2) Any
disciplinary action brought against the individual in connection with a
certificate or license issued from a certifying or licensing entity.
(3) Being found guilty of incompetence or
negligence during the individual's performance as a permit holder.
f. Failing to conform to
applicable state and federal statutes and rules. This includes any action that
might place a facility in noncompliance with Iowa statutes and rules.
g. Practicing when there is an actual or
potential inability to perform with reasonable skill and safety due to illness,
use of alcohol, drugs, chemicals, or any other material, or as the result of
any mental or physical condition.
h. Engaging in any unethical conduct or
conduct likely to deceive, defraud, or harm the public; or demonstrating a
willful or careless disregard for the health, welfare, or safety of a
patient.
i. Revealing privileged
communication from or relating to former or current patients except as
permitted by law.
j. Improperly
managing patient records, including failing to maintain adequate records,
failing to furnish records, or making, causing, or allowing anyone to make a
false, deceptive, or misleading entry into a patient record.
k. Providing false or misleading information
that is directly related to the care of a former or current patient.
l. Interpreting or rendering a diagnosis for
a physician based on a diagnostic image or prescribing medications or
therapies.
m. Failing to
immediately report to a supervisor information concerning an error made in
connection with imaging, treating, or caring for a patient. This includes any
departure from the normal standard of care and behavior that is
negligent.
n. Employing fraud or
deceit to obtain, attempt to obtain or renew a permit under this chapter or in
connection with a certification or license issued from a certifying or
licensing entity. This includes altering documents, failing to provide complete
and accurate responses or information, indicating falsely in writing that a
permit is valid when that is not the case, or any form of examination
subversion.
o. Failure to provide
truthful, accurate, unaltered, or nondeceptive information related to
continuing education activities to the department or a record keeper.
p. Assisting others to provide false,
inaccurate, altered, or deceptive information related to continuing education
to this department or a record keeper. This includes sharing answers, providing
or using false certificates of participation, or verifying continuing education
hours that have not been earned.
q.
Failure to pay all fees or costs required to meet the requirements of this
chapter. Penalties for working without a current permit will be considered on a
case-by-case basis.
r. Failure to
respond to an audit request or failure to provide proper
documentation.
s. Submitting false
information to a facility that might place the facility in noncompliance with
any federal or state statutes or laws.
t. Engaging in any conduct that subverts or
attempts to subvert a department investigation.
u. Failure to comply with a subpoena issued
by the department or failure to cooperate with an investigation by the
department.
v. Failure to comply
with the terms of a department order or the terms of a settlement agreement or
consent order.
w. Sexual harassment
of a patient, student or supervisee. Sexual harassment includes sexual
advances, sexual solicitation, requests for sexual favors, and other verbal and
physical conduct of a sexual nature.
x. Violating a statute of this state, another
state, or the United States, without regard to its designation as either a
felony or misdemeanor, including but not limited to a crime involving
dishonesty, fraud, theft, embezzlement, controlled substances, substance abuse,
assault, sexual abuse, sexual misconduct, or homicide. A copy of the record of
conviction or plea of guilty is conclusive evidence of the violation.
y. Having a permit, license or certification
related to the classification of the permit issued to the individual suspended
or revoked or having other disciplinary action taken by a licensing or
certifying authority of this state or another state, territory or country. A
copy of the record or order of suspension, revocation, or disciplinary action
is conclusive or prima facie evidence.
z. Failure to respond within 30 days of
receipt of communication from the department.
(2)
Self-reporting. Each
permit holder shall:
a. Submit a report to the
department within five days of the final disposition of all criminal
proceedings, convictions, or military court-martials involving alcohol or
illegal drug use while operating as a permit holder, sex-related infractions,
or patient-related infractions in any state, territory, or country.
b. Submit a written report to the department
within five days of the initial charge and within five days of the final
disposition of any disciplinary action brought against the individual in
connection with a certificate or license issued from a certifying or licensing
entity, or any disciplinary action brought against the individual by an
employer or patient.
c. Report
potential ethics violations (including state licensing issues and criminal
charges and convictions) within 30 days of the occurrence or during the permit
holder's annual renewal process, whichever comes first.
(3)
Enforcement actions.
Enforcement actions may include, but are not limited to, denial, probation,
suspension or revocation of a permit, directed corrective action, and civil
penalty.