3 Colo. Code Regs. § 707-1.18

Current through Register Vol. 48, No. 1, January 10, 2025

Section 3 CCR 707-1.18 - SAFETY TRAINING FOR UNLICENSED CHIROPRACTIC PERSONNEL

This Rule is promulgated pursuant to sections 12-20-204 and 12-215-105(1)(a), C.R.S.

A. As provided for in section 12-215-202, C.R.S., the Board hereby establishes standards for unlicensed chiropractic personnel to operate a machine source of ionizing radiation (x-ray machine) or to administer such radiation to a patient for diagnostic purposes.

B. In order to qualify to operate an x-ray machine or to administer such radiation to a patient, unlicensed chiropractic personnel must successfully complete a Board approved course that satisfies the following requirements:

1. Basic radiological guidelines - 5 hours.

2. Operator and patient safety - 5 hours.

3. Practical and clinical experience in radiographic production, beam imaging formation, density, contrast, filtration, collimation, processing techniques, chart selection, positioning, examinations, high speed film selection, film marking, film storage, and darkroom procedures - 14 hours.

C. Any licensed chiropractor employing unlicensed chiropractic personnel to operate an x-ray machine or to administer such radiation to a patient shall maintain written verification of successful completion and training, which must include:

1. A certificate with the name and authorized signature of the agency/educational institution or individual that provided the training;

2. Name and signature of the unlicensed person who successfully completed the education and training;

3. Verification of completion of hours specified in subsection (B);

4. Date of completion; and

5. The original of the written verification shall be maintained in the personnel file and a copy shall be provided to the unlicensed person upon successful completion of the education and training.

D. No chiropractor shall allow any unlicensed person to operate an x-ray machine or to administer such radiation to any patient unless such unlicensed person has met the standards set forth herein. Any chiropractor who fails to comply with the provision of this Rule may be subject to disciplinary action by the Board as provided for in section 12-215-115, C.R.S.

E. As provided for in section 12-215-128, C.R.S., the Board hereby establishes standards for unlicensed chiropractic assistants to deliver chiropractic services. Any person, under the direct supervision of a chiropractor, assisting a chiropractor in the delivery of chiropractic services is required to have the requisite skills and training in those areas in which they are assisting. The supervising chiropractor must be readily available to provide immediate assistance if necessary. Appropriate training may be determined by the supervising chiropractor. The supervising chiropractor is responsible for:

1. Ensuring chiropractic assistants possess the requisite skills and training to assist in the delivery of the chiropractic services;

2. All actions of the chiropractic assistants and may be subject to discipline by the Board as a result of those actions as provided for in section 12-215-115, C.R.S.; and

3. Maintaining records of chiropractic assistant's training.

3 CCR 707-1.18

42 CR 08, April 10, 2019, effective 5/25/2019

42 CR 12, June 25, 2019, effective 7/15/2019

42 CR 20, October 25, 2019, effective 11/14/2019

43 CR 18, September 25, 2020, effective 8/25/2020

43 CR 21, November 10, 2020, effective 11/30/2020

44 CR 08, April 25, 2021, effective 5/15/2021

45 CR 22, November 25, 2022, effective 10/26/2022

45 CR 23, December 10, 2022, effective 11/11/2022

45 CR 20, October 25, 2022, effective 11/14/2022

46 CR 02, January 25, 2022, effective 1/9/2023

46 CR 20, October 25, 2023, effective 11/14/2023