Section R. 338.649 - Physically invasive procedures; supervision requiredRule 49.
(1) Physically invasive procedures beyond the oropharynx include the following: (a) Esophageal manometry.(b) Fiberoptic endoscopic examination of swallowing (fees).(c) Fiberoptic laryngovideostroboscopy.(2) Under section 17610(3) of the code, MCL 333.17610, a speech-language pathologist shall only perform the procedures set forth in subrule (1) of this rule under the supervision of a physician licensed to practice medicine or osteopathic medicine and surgery in the state of Michigan. Supervision is defined in section 16109(2) of the code, MCL 333.16109.(3) A speech-language pathologist shall only perform the procedures listed in subrule (1) of this rule in a setting where a physician licensed in the practice of medicine or osteopathic medicine is physically available to ensure for patient safety.(4) A speech-language pathologist performing physically invasive procedures under the supervision of a physician shall be familiar with risks associated with physically invasive procedures, including but not limited to, epistaxis, mucosal injury, gagging, allergic reaction to topical anesthetic, laryngospasm, and vasovagal response, and the need for medical intervention.Mich. Admin. Code R. 338.649
2016 AACS; 2021 MR 8, Eff. 4/15/2021