Register January 2012 No. 673
Chapter Chir 10
DELEGATION TO UNLICENSED PERSONS
Chir 10.02 Delegation of adjunctive services to unlicensed persons.
Chir 10.03 X-ray services.
Chir 10.05 Physiological therapeutics.
Chir 10.01
Chir 10.01
Definitions. In this chapter:
Chir 10.01(1)
(1) "Adjunctive services" means services which are preparatory or complementary to chiropractic adjustments of the spine or skeletal articulations, or both. "Adjunctive services" include the taking of a preliminary patient history. "Adjunctive services" does not include making a chiropractic diagnosis, analyzing a diagnostic test, or performing a chiropractic adjustment.
Chir 10.01(2)
(2) "Preliminary patient history" means the process of gathering baseline data regarding a patient, including the nature of the chief complaint, family history, and medical history. The "preliminary patient history" is intended to provide a starting point for further inquiry by the chiropractor into the patient's condition.
Chir 10.01(3)
(3) "Unlicensed person" means a person who does not possess a valid license to practice chiropractic in this state pursuant to
ch. 446, Stats.
Chir 10.01 History
History: Cr.
Register, January, 1995, No. 469, eff. 2-1-95;
CR 03-082: am. (1) and (2)
Register July 2004 No. 583, eff. 8-1-04.
Chir 10.02
Chir 10.02
Delegation of adjunctive services to unlicensed persons. A chiropractor licensed under
ch. 446, Stats., may delegate the performance of adjunctive services to an unlicensed person only if all of the following conditions are met:
Chir 10.02(1)
(1) The chiropractor maintains records by which the chiropractor has verified that the unlicensed person 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.
Chir 10.02(2)
(2) The chiropractor exercises direct supervision of the unlicensed person performing the delegated service.
Chir 10.02(3)
(3) The chiropractor retains ultimate responsibility for the manner and quality of the service.
Chir 10.02 History
History: Cr.
Register, January, 1995, No. 469, eff. 2-1-95;
CR 03-082: cr. (3)
Register July 2004 No. 583, eff. 8-1-04.
Chir 10.03
Chir 10.03
X-ray services. A chiropractor may delegate x-ray examination procedures to an unlicensed person 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.
Chir 10.03 Note
Note: The coursework specified in s.
Chir 10.03 provides the training required by s.
Chir 4.04. A list of board-approved programs is available upon request from the Department of Safety and Professional Services, Chiropractic Examining Board, 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708.
Chir 10.03 History
History: Cr.
Register, January, 1995, No. 469, eff. 2-1-95.
Chir 10.05
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 only if the delegation is consistent with
s. Chir 10.02 and the unlicensed person has adequate training, education and experience to perform the delegated function to minimally acceptable chiropractic standards.
Chir 10.05 History
History: Cr.
Register, January, 1995, No. 469, eff. 2-1-95.
