172 Neb. Admin. Code, ch. 29, § 002

Current through June 17, 2024
Section 172-29-002 - DEFINITIONS

Definitions are set out in the Chiropractic Practice Act, the Uniform Credentialing Act, 172 Nebraska Administrative Code (NAC) 10, and this chapter.

002.01ACCOUNTABILITY. Being responsible and answerable for decisions and for the action or inaction of self and others, and for the resultant patient outcomes related to decisions and action or inaction.
002.02ACUPUNCTURE. For the purposes of this chapter, acupuncture includes any insertion of therapeutic monofilament needles in the human body for therapeutic purposes regardless of the nomenclature used, including dry needling and meridian therapy.
002.03CHIROPRACTIC ADJUSTMENT. The same as the term joint manipulation. A high velocity thrust, which carries a joint beyond the normal physiological range of motion and is accompanied by joint cavitations whether audible or inaudible. The patient cannot prevent motion beyond the physiological range. Joint manipulation commences where manual therapy or grades one through four mobilization ends. Motion beyond the physiological range of motion occurs without the patient's ability to control such motion. This includes, but is not limited to, a high velocity low amplitude thrust.
002.04CHIROPRACTOR OR CHIROPRACTIC PHYSICIAN. An individual who is currently licensed or otherwise authorized to practice chiropractic under the Uniform Credentialing Act.
002.05COMPLEX TASKS. Those tasks that require:
(A) Chiropractic judgment to safely alter standard procedures pursuant to the needs of the client or patient;
(B) Chiropractic judgment to determine how to proceed from one step to the next; or
(C) The multi-dimensional application of the chiropractic service.
002.06PROTOCOL. A written document that is created or approved by a chiropractor or chiropractic physician that guides subjective and objective data collection, and defines interventions, treatments, or tasks to be performed based upon the collected data.
002.07STABLE OR PREDICTABLE. A situation where the client or patient's clinical and behavioral status and chiropractic care needs are determined by a chiropractor or chiropractic physician to be non-fluctuating and consistent or where the fluctuations are expected and the interventions are planned, including those clients or patients whose deteriorating condition is expected.
002.08SUPERVISION. The provision of oversight that includes maintaining accountability to determine whether or not chiropractic care is adequate and delivered appropriately. Supervision includes the assessment and evaluation of client or patient condition and responses to the chiropractic plan of care, and evaluation of the competence of persons providing chiropractic care.
(A) Direct supervision means that the responsible chiropractor or chiropractic physician is physically present in the clinical area, and is able to assess, evaluate, and respond immediately. Direct supervision does not mean that the responsible chiropractor or chiropractic physician must be in the same room, or "looking-over-the-shoulder" of the persons providing chiropractic care; and
(B) Indirect supervision means that the responsible chiropractor or chiropractic physician is available through periodic inspection and evaluation and telecommunication for direction, consultation, and collaboration.
002.09UNLICENSED PERSON. A person who does not have a license to practice chiropractic and who functions in an assistant or subordinate role to the chiropractor or chiropractic physician. Although unlicensed persons may be used to complement chiropractors or chiropractic physicians in the provision of chiropractic care, these persons cannot be used as a substitute for a licensed chiropractor or chiropractic physician.

172 Neb. Admin. Code, ch. 29, § 002

Amended effective 10/20/2020