WAC 246-808-535   Delegation of services to auxiliary staff, regular senior students, and clinical postgraduate trainees.  (1) A licensed chiropractor may delegate certain services to auxiliary staff, regular senior students, and clinical postgraduate trainees, if these services are performed under the licensed chiropractor's direct supervision and control. The supervising chiropractor shall be responsible for determining that auxiliary staff, regular senior students, and clinical postgraduate trainees are competent to perform the delegated services. The licensed supervising chiropractor must render adequate supervision so that the patient's health and safety is not at risk.

     (2) Auxiliary staff shall not perform the following services:

     (a) Detection of subluxation;

     (b) Adjustment or manipulation of the articulations of the body;

     (c) Interpretation or analysis of radiographs;

     (d) Determining the necessity for chiropractic care;

     (e) Orthopedic or neurological examinations.

     (3) Regular senior students may perform the following under the direct supervision and control of an approved preceptor:

     (a) Detection of subluxation;

     (b) Expose, interpret or analyze radiographs;

     (c) Determine the necessity for chiropractic care;

     (d) Orthopedic or neurological examinations.

     (4) Clinical postgraduate trainees may perform the following under the direct supervision and control of an approved preceptor:

     (a) Detection of subluxation;

     (b) Adjustment or manipulation of the articulations of the body;

     (c) Expose, interpret or analyze radiographs;

     (d) Determine the necessity for chiropractic care;

     (e) Orthopedic or neurological examinations.

     (5) Auxiliary staff, regular senior students, and clinical postgraduate trainees may perform the following auxiliary services: Preliminary patient history, height, weight, temperature, blood pressure, pulse rate, gross postural observation, active spinal range of motion utilizing a generally accepted measuring device, and oversight of patients during approved therapeutic procedures, rehabilitation exercises or use of therapeutic or rehabilitation equipment as incident to chiropractic services.



[Statutory Authority: RCW 18.25.0171 and 18.25.190. 06-02-088, § 246-808-535, filed 1/4/06, effective 2/4/06. Statutory Authority: Chapter 18.25 RCW. 96-16-074, § 246-808-535, filed 8/6/96, effective 9/6/96.]