Cal. Code Regs. Tit. 16, § 318.1 - Standard of Care Regarding Manipulation Under Anesthesia (MUA)
(a) Manipulation Under Anesthesia (MUA) may
only be performed in either:
(1) A hospital
that is licensed by the California Department of Public Health Licensing and
Certification Program; or
(2) An
ambulatory surgery center that is licensed by the California Department of
Public Health Licensing and Certification Program and that is either:
(A) Operating pursuant to section
1248.1
of the Health and Safety Code or
(B) Accredited by an agency approved by the
Medical Board of California pursuant to Chapter 1.3 of Division 2 of the Health
and Safety Code (commencing with section
1248).
(b) Notwithstanding subsection (a), above,
MUA shall not be performed in a mobile van as defined in subdivision (h) of
section
1248.1
of the Health and Safety Code.
(c)
MUA may only be performed if the patient is administered anesthesia by a
California licensed physician and surgeon or other health care provider
authorized under California law to administer anesthesia.
(d) MUA may only be performed following an
appropriate prior examination of the patient by a California licensed physician
and surgeon.
(e) The chiropractor
may not direct, instruct, interfere, or make any orders to the physician and
surgeon or other health care provider who is administering and maintaining the
anesthesia.
(f) MUA shall be
performed by two licensed and competent chiropractors. The "primary
chiropractor" shall formulate the chiropractic portion of the MUA treatment
plan and shall be responsible for performing the chiropractic manipulation for
that procedure. The "second chiropractor" shall insure that all movements are
accomplished with patient care and safety as his or her primary focus and shall
assist the "primary chiropractor" when necessary. The chiropractic portion of
MUA is limited to techniques within the scope of practice of a
chiropractor.
(g) For the purpose
of this section, the primary chiropractor and the second chiropractor may not
be involved in nor interfere with the physician and surgeon or other health
care provider in the discharge of the patient following the MUA
procedure.
(h) Failure by a
chiropractor to follow the standard of care contained in this section when
performing MUA shall constitute unprofessional conduct.
(i) "Manipulation Under Anesthesia" or "MUA"
means the manipulation by a licensed chiropractor of a patient who is sedated
by the administration of anesthesia by a physician and surgeon or other health
care provider who is legally authorized to administer anesthesia.
Notes
Note: Authority cited: Sections 1000- 4(b) and 1000- 10, Business and Professions Code (Chiropractic Initiative Act of California, Stats. 1923 p. 1xxxviii). Reference: Sections 1000- 4(b), 1000- 7 and 1000- 10, Business and Professions Code (Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii).
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