Current through Register Vol. XLI, No. 50, December 13, 2024
Section 4-1-4 - Duties of a Licensee1-4.1. A licensee shall not engage in clinical conduct outside the scope of chiropractic practice. The licensee shall maintain current knowledge of statutes, rules, and Board decisions regarding tfie practice of chiropractic. 1-4.1.a. A licensee shall maintain proper records on all patients, including family and staff members, and keep the records confidential. The records shall include: 1-4.1.a.1. A description of the patient's chief complaint;1-4.1.a.2. A history which includes any significant events related to the chief complaint;1-4.1.a.3. A record of diagnostic and therapeutic procedures including: an examination and results of that examination, a diagnosis; a plan of care; including all therapeutic modalities utilized; frequency of treatment; any changes in the plan of care; as well as the reasons for changes; and a record of the patient's response to treatment; and 1-4-1.a.4. A record of standing orders for delegated procedures as a written protocol to be used by chiropractic assistants.1-4.1.a.5. A licensee shall release copies of medical records within 10 days of receipt of a written request from the patient.1-4.1.b. A licensee shall maintain competence in the production and interpretation of x-rays. A licensee is competent if he or she:1-4.1.b.1. Produces x-rays of diagnostic quality;1-4.1.b.2. Uses appropriate shielding and collimation;1-4.1.b.3. Exposes patients to radiation based on clinical necessity as documented by the patient's record;1-4.1.b.4. Produces written interpretation of x-rays, that are part of the patient's record, and demonstrative of competence in reading films; and1-4.1.b.5. Uses equipment that meets Board and manufacturer's specifications for safety and use and that is properly maintained.1-4.1.c. A licensee shall maintain competence in the application of chiropractic therapeutics and in the management of patient care. A licensee is competent if he or she:1-4.1.c.1. Applies therapeutic modalities properly;1-4.1.c.2. Applies a modality that is appropriate for the treatment of the patient as documented by the patient record; and1-4.1.c.3. Provides Case Management that is supported by the patient's record.1-4.1.d. The licensee shall properly train and supervise his or her staff that is engaged in patient care. A licensee who fails to do so is subject to disciplinary action.