Ill. Admin. Code tit. 68, § 1325.40 - Supervision
a) Non-licensed
caregivers (assistants, technicians, residents, or students) may provide
orthotic, prosthetic, or pedorthic services only under the supervision of a
licensee under the Act. All services must be performed pursuant to the
supervisor's order, control, oversight, guidance and full professional
responsibility. The following sets forth four levels of supervision and
identifies the supervisory relationship between the licensed orthotist,
prosthetist, or pedorthist and other non-licensed orthotic, prosthetic, or
pedorthic caregivers.
1) Independent - The
licensed caregiver is qualified to provide independent, unsupervised, direct
patient care as well as confer or consult with colleagues, physicians or other
allied health professionals in providing patient care within the scope of
practice.
2) Indirect Supervision -
The non-licensed caregiver is qualified to provide patient care independent of
a licensee; however, the licensed supervisor must review and countersign all
entries in the patient's clinical record within 15 working days following the
delivery of care. The supervisor must be physically available for consultation
within 60 minutes during the delivery of care.
3) Close Supervision - The non-licensed
caregiver is qualified to provide patient care independent of the designated
clinical supervisor (licensed orthotist, prosthetist, or pedorthist); however,
the supervisor must personally review the assessment and care rendered. The
supervisor must be physically present in the facility and available for
consultation throughout the delivery of care. The supervisor is responsible for
countersigning all entries in the patient's clinical record.
4) Direct Supervision - The non-licensed
caregiver is not qualified to provide patient care independent of the
designated clinical supervisor (licensed orthotist, prosthetist, or pedorthist)
and is only qualified to provide care under supervision. The supervisor must
review the results of care rendered by the supervised individual before
dismissal of the patient. The supervisor is available for consultation
throughout the patient care process. The supervisor is responsible for
countersigning all entries by the caregiver in the patient's clinical record
before dismissal of the patient.
b) Assistants may provide all levels of care.
Supervision is based on training and experience of the assistant and the
classification of the device. Custom fabricated and fitted devices and custom
fitted devices (high complexity) should be provided under direct or close
supervision. Custom fitted devices (low complexity) should be provided under
close or indirect supervision. Off-the-shelf devices and over-the-counter
devices may be provided under indirect supervision.
c) Technicians shall only provide care
involving technical implementation skills and no clinical assessment or patient
management skills. The care shall be under close or direct supervision
depending on the complexity of the care.
d) Residents shall provide all levels of care
under supervision. Supervision should progress from direct supervision to
indirect supervision as the resident progresses through the residency
program.
e) Students shall provide
all levels of care under direct supervision.
Notes
Amended at 37 Ill. Reg. 4861, effective April 1, 2013
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.