20 CSR 2070-2.033 - Manipulation Under Anesthesia
(1) The
Missouri State Board of Chiropractic Examiners places the following
restrictions on chiropractic physicians who engage in the practice of
chiropractic while the consumer of the chiropractic service is under
anesthesia.
(2) A chiropractic
physician may not engage in the practice of chiropractic while the consumer of
the chiropractic service is under anesthesia, unless:
(A) The manipulation under anesthesia (MUA)
is performed at a facility that is licensed by the Missouri Department of
Health-Bureau of Hospital Licensing and Certification and approved by one (1)
of the following: Joint Commission on Accreditation of Healthcare Organizations
(JCAHO), American Osteopathic Association (AOA), Accreditation Association of
Ambulatory Health Care (AAAHC), or Medicare; and
(B) The anesthetic, sedative, or other drug
is administered to the consumer by a licensed medical doctor or doctor of
osteopathy who is a board-eligible or board-certified anesthesiologist or under
the direct supervision of that professional; and
(C) The chiropractic physician has completed
a certification course in MUA of not less than twenty-four (24) didactic
academic hours and completed six (6) proctored MUA procedures as part of the
certification course. The MUA certification course must be sponsored by a
chiropractic college accredited by the Council of Chiropractic Education (CCE);
and
(D) The chiropractic physician
follows the appropriate protocol as adopted by rule by the Missouri State Board
of Chiropractic Examiners; and
(E)
The consumer of chiropractic service MUA has been evaluated by a medical doctor
or doctor of osteopathy, who is familiar with MUA, prior to the MUA procedure
who approves the procedure and the administration of the
anesthesia.
(3) Nothing
in this rule shall be construed as to require a facility licensed by the
Missouri Department of Health and Senior Services- Health Services Regulation
or approved by the JCAHO, AOA, or AAAHC to grant allied hospital privileges to
a chiropractic physician.
Notes
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