Current through Register Vol. 51, No. 25, December 13, 2024
Section 10.43.07.10 - Activities That May Be Performed by Chiropractic Assistants Under Indirect Supervision of a Supervising ChiropractorA. Indirect supervision may only be provided by a supervising chiropractor to a chiropractic assistant who is treating an established patient.B. A chiropractic assistant may perform the following activities under the indirect supervision of a supervising chiropractor to an established patient with an established treatment program for not more than 10 percent of the treatment time in a given 30 days, without exceeding 3 consecutive days in a given week: (1) Functional activities of daily living and hygiene;(2) Gait practice, ambulation, administration, and observation of therapeutic exercises as prescribed by a supervising chiropractor;(3) Assist in moving a patient within the treatment area;(7) Infrared, ultraviolet irradiation, nonlaser light therapy, and nonablative therapeutic laser;(15) Therapeutic massage, if licensed under Health Occupations Article, Title 6, Annotated Code of Maryland; and(16) Mechanical or computerized examination procedures for the sole purpose of collecting data subject to the following conditions: (a) All data will later be used and interpreted by the chiropractor to form a diagnosis and treatment plan; and(b) No test may be performed that requires diagnosis or interpretation as part of the data collecting or testing procedure.C. A chiropractic assistant who participates in indirect supervision shall be: (1) In good standing with the Board; and(2) Trained and proficient in the office's indirect supervision protocol, which includes:(a) Informed consent to the patient; and(b) Immediate access to the supervising chiropractor.D. The supervising chiropractor shall: (1) Prior to the implementation of indirect supervision, establish and make readily available an: (a) Emergency procedures protocol; and(b) Indirect supervision protocol;(2) Maintain a log of indirect supervision treatment, which includes: (a) Patient's name or identification information; and(b) Treatment: (iv) Procedure or activity provided; and(3) Review or update, or both, indirect supervision orders every 30 days.E. An indirect supervision protocol shall be listed on the office's:(1) Consent to treatment form signed by the patient; or(2) Informed consent protocol.Md. Code Regs. 10.43.07.10
Regulation .10 amended effective June 13, 2011 (38:12 Md. R. 705); amended effective 46:26 Md. R. 1164, eff. 12/30/2019; amended effective 49:7 Md. R. 467, eff. 4/4/2022