(1) The course of study shall include a prerequisite 4.5 hour therapeutic overview course covering chiropractic technician scope of practice, anatomy, and contraindications followed by all of the following:
(a) Four hours in patient history.
(b) Four hours in physical examination, including height, weight, and blood pressure measurements.
(2) The course of study shall include a final assessment of competency of the didactic and clinical components of the program.
(3) The certification program shall have a chiropractor licensed under ch. 446, Stats., present in the facility and available to the students of the course of study. Section 5. Chir 10.02 (intro.) is amended to read:
Chir 10.02 (intro.) Delegation of adjunctive services to unlicensed persons a chiropractic technician. A chiropractor licensed under ch. 446, Stats., may delegate the performance of adjunctive services to an unlicensed person a chiropractic technician certified under ch. 446, Stats., only if all of the following conditions are met: Section 6. Chir 10.02 (1) is renumbered Chir 10.02 (1) (intro.) and amended to read:
Chir 10.02 (1) (intro.) The chiropractor maintains records by which the chiropractor has verified that the unlicensed person chiropractic technician has successfully completed a didactic and clinical training program approved by the board and covering the performance of the delegated service. Successful completion of a training program is demonstrated by attaining proficiency in the delivery of that service to minimally competent chiropractic practice standards as measured by objective knowledge and skills testing. The didactic and clinical training program shall meet all of the following criteria:
Section 7. Chir 10.02 (1) (a) to (m) are created to read:
Chir 10.02 (1) (a) The program constitutes an organized program of learning which contributes directly to the professional competency of a chiropractic technician to perform the delegated service.
(b) The program pertains to subject matters which integrally relate to the performance of the delegated service.
(c) The program is conducted by individuals who have specialized education, training, or experience by reason of which the individuals should be considered qualified concerning the performance of the delegated service.
(d) The program fulfills pre−established goals and objectives.
(e) The program provides proof of attendance.
(f) The program includes a final assessment of competency of the didactic and clinical components of the program.
(g) A program or portion of a program that covers the performance of thermotherapy and cryotherapy shall comprise one hour.
(h) A program or portion of a program that covers the performance of electrotherapy shall comprise 3 hours.
(i) A program or portion of a program that covers the performance of therapeutic ultrasound shall comprise 3 hours.
(j) A program or portion of a program that covers the performance of light therapy shall comprise 3 hours.
(k) A program or portion of a program that covers the performance of surface electromyography shall comprise 3 hours.
(L) A program or portion of a program that covers the performance of mechanical therapy, decompression, and traction shall comprise 4 hours.
(m) A program or portion of a program that covers exercise and rehabilitation shall comprise 24 hours and include all of the following topics:
1. Basic functional anatomy.
2. Kinematics and joint movement.
3. Indications and contraindications.
4. Recordkeeping and reporting.
5. Scope of practice.
6. Baselines assessment, outcomes, and goals.
Section 8. Chir 10.02 (2) is amended to read:
(2) The chiropractor exercises direct supervision of the unlicensed person chiropractic technician performing the delegated service.
Section 9. Chir 10.025 is created to read:
Chir 10.025 Chiropractic radiological technician course of study. The board shall grant certification as a chiropractic radiological technician to an applicant who satisfies the requirements under s. 446.025 (2) (a), Stats. The course of study required under s. 446.025 (2) (a) 3., Stats., shall meet all of the following: (1) The course of study shall comprise 48 hours, including all of the following topics:
(a) Introduction to x-ray examination.
(b) Physics of x-ray examination.
(c) Anatomy.
(d) Patient position.
(e) Safety measures.
(f) Machine operation.
(g) Exposure techniques and accessories.
(h) Processing and dark room techniques.
(i) Film critique and quality assurance.
(j) Professionalism.
(k) Recordkeeping.
(L) Emergency procedures summary.
(2) The course of study shall include a final assessment of competency of the didactic and clinical components of the program.
(3) The certification program shall have a chiropractor licensed under ch. 446, Stats., present in the facility and available to the students of the course of study. Section 10. Chir 10.03 is amended to read:
Chir 10.03 X-ray services. A chiropractor may delegate x-ray examination procedures to an unlicensed person a chiropractic radiological technician certified under ch. 446, Stats. only if the delegation is consistent with s. Chir 10.02 and the unlicensed person has successfully completed a course of instruction comprising at least 48 hours and including the following components: introduction to x-ray examination; physics of x-ray examination; anatomy; patient positioning; safety measures; machine operation; exposure techniques and accessories; processing and dark room techniques; film critique and quality assurance; professionalism; recordkeeping; emergency procedures, summary; and successful completion of an examination on the content of the course of instruction. The chiropractor shall comply with s. Chir 4.04 before delegating the performance of x-ray services to an unlicensed person a chiropractic radiological technician. Section 11. Chir 10.05 is amended to read:
Chir 10.05 Physiological therapeutics. A chiropractor may delegate the performance of patient services through physiological therapeutics that include but are not limited to heat, cold, light, air, water, sound, electricity, massage, and physical exercise with and without assistive devices to an unlicensed person a chiropractic technician certified under ch. 446, Stats., only if the delegation is consistent with s. Chir 10.02 and the unlicensed person chiropractic technician has adequate training, education, and experience to perform the delegated function to minimally acceptable chiropractic standards. Section 12. Effective Date. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats. (END OF TEXT OF RULE)
