Ariz. Admin. Code § 4-7-1103

Current through Register Vol. 30, No. 50, December 13, 2024

Section R4-7-1103 - Scope of Practice

A. A C.A. may only perform clinical duties that are:

1. Consistent with a supervising chiropractor's licensure and certification; and

2. Delegated by the supervising chiropractor.

B. Clinical duties that a chiropractic assistant may perform as directed by the supervising chiropractor under subsection (A) include, but are not limited to:

1. Asepsis and infection control,

2. Taking patient histories and vital signs,

3. Performing first aid and CPR,

4. Preparing patients for procedures,

5. Assisting the supervising chiropractor with examinations and treatments, and

6. Collecting and processing specimens.

C. A chiropractic assistant who meets the education requirements for physiotherapy under R4-7-1102(A) may administer, under the direct supervision of a chiropractor certified in physiotherapy, but is not limited to administering:

1. Whirlpool treatments,

2. Diathermy treatments,

3. Electronic galvanization stimulation treatments,

4. Ultrasound therapy,

5. Massage therapy,

6. Traction treatments,

7. Transcutaneous nerve stimulation unit treatments, and

8. Hot and cold pack treatments.

D. A chiropractic assistant that meets the education requirements for acupuncture under R4-7-1102(A) may prepare and sterilize instruments and may remove acupuncture needles under the direct supervision of a chiropractor certified in acupuncture.

E. A C.A. shall not:

1. Take an x-ray,

2. Perform an independent examination,

3. Diagnose a patient,

4. Determine a regimen of patient care,

5. Change the regimen of patient care set by the supervising chiropractor,

6. Perform an adjustment, or

7. Perform acupuncture by needle insertion.

F. A person who has had a license to practice chiropractic or any other health care profession suspended, revoked, or denied for any reason other than failing to meet education or licensing examination requirements in this or any other jurisdiction shall not perform the clinical duties of a chiropractic assistant.

G. As per A.R.S. § 32-900(3), a chiropractic assistant shall not be licensed to practice chiropractic in this or any other jurisdiction.

H. A supervising chiropractor shall be responsible for all acts or omissions of a C.A.

I. A person who does not meet the requirements of R4-7-1102 shall perform only clerical or administrative duties.

Ariz. Admin. Code § R4-7-1103

Adopted effective December 18, 1992 (Supp. 92-4). Amended by final rulemaking at 5 A.A.R. 998, effective March 16, 1999 (Supp. 99-1). Amended by final rulemaking at 13 A.A.R. 4584, effective February 2, 2008 (Supp. 07-4).