Current through Reg. 49, No. 12; March 22, 2024
(a)
Initial patient consultation in facilities providing inpatient healthcare,
rehabilitation, or therapy may be performed only pursuant to:
(1) a written request for consultation for
the specific patient that has been signed by a member of that patient's
healthcare team from the facility, including the licensed physician, health
care professional, physical therapist, or occupational therapist; or
(2) a request initiated by the patient or the
patient's representative before any consultation in the facility is
performed.
(b) Emergency
consultation and treatment. Practitioners may perform initial consultation
and/or treatment for a patient while in a hospital emergency room or
department, operative room or holding area, or otherwise emergent situation
pursuant to a written order or a documented verbal order that is corroborated
by information in the patient's medical record.
(c) Practitioners shall not provide or
attempt to provide a consultation:
(1) in
violation of this chapter; or
(2)
that is prohibited by Texas Occupations Code, §
RSA
102.001.
(d) Practitioners shall prohibit any person
affiliated in any way with their practice, or the practice of an accredited
facility for which they serve as practitioner in charge, from providing or
attempting to provide a consultation:
(1) in
violation of this chapter; or
(2)
that is prohibited by Texas Occupations Code, §
RSA
102.001.
(e) Order required. Practitioners and
facilities shall ensure that the following standards are followed in the
provision of orthotic and/or prosthetic services.
(1) All fitting, including test fitting,
and/or delivery requires a written order. The order initially may be provided
verbally and documented in the patient's record. A subsequent written order
must be obtained promptly.
(2) The
order must be obtained from a licensed physician or authorized health care
professional, and must be in the format prescribed by the law and rules
governing the prescribing physician or health care professional.
(3) A practitioner shall obtain a new order
before providing a new orthosis or prosthesis to an established
patient.
(4) A practitioner may
adjust, repair or maintain an orthosis or prosthesis, and provide replacement
soft goods, supplies, and components in accordance with the existing order for
an established patient.
(f) Requirement for practice setting of
licensees.
(1) A person licensed under the
Act, Texas Occupations Code, Chapter 605, who practices in Texas shall practice
only in facilities accredited under the Act unless the facility is one to which
the accreditation requirement does not apply in accordance with
§605.260(e) of the Act.
(2)
Persons licensed or registered under this title may provide orthotic or
prosthetic care to an established patient of an accredited facility in the
patient's private residence.
(3)
The scope of practice in a facility accredited in accordance with the Act
includes offsite and telehealth practice by individual licensees within the
licensees' scope of practice as appropriate and commensurate with the medical
or physical limitations or disabilities of the patient.