Section Chir 10.02 - Delegation of adjunctive services to a chiropractic technician A chiropractor may delegate the performance of an adjunctive service to a chiropractic technician if all of the following conditions are met:
(1) The chiropractor maintains records or ensures the chiropractor's employer maintains records that verify the chiropractic technician is certified under ch. 446, Stats.(2) For the delegation of massage therapy or bodywork therapy, the chiropractor maintains records or ensures the chiropractor's employer maintains records that verify the chiropractic technician is licensed under ch. 460, Stats.(3) For the delegation of adjunctive services other than massage therapy or bodywork therapy and taking and preparing preliminary patient histories, the chiropractor maintains records or ensures the chiropractor's employer maintains records that verify the chiropractic technician has successfully completed a didactic and clinical training program approved by the board and covering the performance of the delegated service. Successful completion of a training program is demonstrated by attaining proficiency in the delivery of that service to minimally competent chiropractic practice standards as measured by objective knowledge and skills testing. The didactic and clinical training program shall meet or be determined by the board to be reasonably equivalent to all of the following criteria: (a) The program constitutes an organized program of learning that contributes directly to the professional competency of a chiropractic technician to perform the delegated service.(b) The program pertains to subject matters that integrally relate to the performance of the delegated service.(c) The program is conducted by individuals who have specialized education, training, or experience by reason of which the individuals should be considered qualified concerning the performance of the delegated service.(d) The program fulfills pre-established goals and objectives.(e) The program provides proof of attendance.(f) The program includes a final assessment of competency of the didactic and clinical components of the program.(g) If the program includes instruction in one or more of the subject matters under subds. 1. to 7., the instruction shall meet the following requirements: 1. Instruction in the performance of thermotherapy and cryotherapy shall comprise one hour.2. Instruction in the performance of electrotherapy shall comprise 3 hours.3. Instruction in the performance of therapeutic ultrasound shall comprise 3 hours.4. Instruction in the performance of light therapy shall comprise 3 hours.5. Instruction in the performance of surface electromyography shall comprise 3 hours.6. Instruction in the performance of mechanical therapy and decompression shall comprise 3 hours and may not include instruction in manual traction or manipulation.7. Instruction in exercise and rehabilitation shall comprise 24 hours and include all of the following topics: a. Basic functional anatomy.b. Kinesiology and joint movement.c. Indications and contraindications.d. Recordkeeping and reporting.f. Baselines assessment, outcomes, and goals.(4) The chiropractor exercises direct, on-premises supervision of the chiropractic technician performing the delegated service.(5) The chiropractor retains ultimate responsibility for the manner and quality of the service.Wis. Admin. Code Chiropractic Examining Board Chir 10.02
Cr. Register, January, 1995, No. 469, eff. 2-1-95; CR 03-082: cr. (3) Register July 2004 No. 583, eff. 8-1-04.Amended by, CR 17-010: r. and recr. Register July 2018 No. 751, eff. 8/1/2018Amended by, CR 18-105: am. (intro.), (4) Register May 2020 No. 773, eff. 6/1/2020Amended by, CR 20-084: am. (3) (g) 6. Register September 2021 No. 789, eff. 10/1/2021