reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 42 - Illegal Payments; Required Disclosures of Financial Interests ; Prohibition on Rural Physician Self-Referral › Subchapter C - Prohibition on Rural Physician Self Referral › Section XLV-4237 - Exceptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The prohibitions
					 contained in
					 Section
					 4235 of this Subchapter shall
					 not apply to healthcare services furnished by a healthcare facility provided
					 that:
1. the rural hospital in whose primary
					 service area such facility is located is offered the option to participate in
					 the ownership of the healthcare facility on commercially reasonable terms and
					 conditions that are conveyed in a written offer by the proposing
					 party;
2. the offer is priced
					 commensurate with the interest offered, whether such purchase price is in the
					 form of cash or debt, and the interest offered is not less than a majority
					 interest in the healthcare facility;
3. the rural hospital accepts or rejects the
					 offer in writing within 90 days of receipt from the proposing party after being
					 provided an opportunity to review the following with respect to the proposed
					 healthcare facility:
a. a bona fide business
					 plan, including a financial feasibility study;
b. pro forma income and balance sheets;
					 and
c. a sources and uses of funds
					 analysis;
4. the closing
					 of the acquisition of the ownership interest occurs within 90 days of written
					 acceptance of the offer unless delayed by mutual consent of the rural hospital
					 and proposing party; and
5. the
					 rural hospital and proposing party act in good faith in accordance with the
					 requirements of Civil Code
					 Article
					 1759.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 42 - Illegal Payments; Required Disclosures of Financial Interests ; Prohibition on Rural Physician Self-Referral › Subchapter C - Prohibition on Rural Physician Self Referral › Section XLV-4239 - Effect of Violations; Sanctions

Current through Register Vol. 50, No. 6, June 20, 2024
A. Any violation or failure of compliance
					 with the provisions of this Subchapter shall be deemed a violation of the
					 Medical Practice Act,
					 R.S.
					 37:1285, providing cause for the board to
					 suspend the license of a physician culpable of such violation or take such
					 other action as the board may deem appropriate.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270, R.S.
						37:1306-1310.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4501 - Supervision by Multiple Supervising Physicians

Current through Register Vol. 50, No. 6, June 20, 2024
A. A physician assistant may be supervised by
				  two or more supervising physicians practicing in any professional or clinical
				  setting provided that:
1. any physician
				  providing supervision meets and satisfies all of the qualifications, procedures
				  and other requirements of Chapter 15 of this Part and is registered with the
				  board as either a primary supervising physician or locum tenens physician for
				  such physician assistant; and
2.
				  all supervising physicians are identified in the physician assistant's notice
				  of intent to practice as provided in
				  §1517 of this Part.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4503 - Compensation

Current through Register Vol. 50, No. 6, June 20, 2024
A. A physician
				  assistant may receive compensation, salary or wages only from his or her
				  employer and may neither render a statement for service directly to any patient
				  nor receive any payment, compensation or fee for services directly from any
				  patient.
B. Nothing in this Section
				  shall prohibit charges from being submitted to any governmental or private
				  payer for services rendered by a physician assistant.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1270(B)(6),
					 37:1360.23(D) and
					 (F).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4506 - Services Performed by Physician Assistants Registered to Prescribe Medication or Medical Devices; Prescription Forms; Prohibitions

Current through Register Vol. 50, No. 6, June 20, 2024
A.
1. A
				  physician assistant who is registered with the board pursuant to
				  §1521 of these rules to prescribe
				  medication and/or medical devices may, to the extent delegated by a supervising
				  physician:
a. issue prescriptions for
				  medication or medical devices to a patient of the supervising
				  physician;
b. transmit orally,
				  electronically, or in writing on a patient's record a prescription or order to
				  an individual who may lawfully furnish such medication or medical device;
				  and
c. request, receive, sign for
				  and deliver to a patient a bona fide medication sample.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4507 - Authority and Limitations of Supervising Physician

Current through Register Vol. 50, No. 6, June 20, 2024
A. The supervising physician (SP) is
				  responsible for the supervision, control, and direction of the physician
				  assistant (PA) and retains responsibility to the patient for the competence and
				  performance of the PA.
B. An SP may
				  delegate medical services identified as core competencies by the National
				  Commission on Certification of Physician Assistants or its successors ("core
				  competencies"), under general
supervision
as defined in §1503.
				  A of this Part.
C. An SP may
				  delegate certain medical services beyond core competencies to a PA provided:
1. the SP is trained and qualified in and
				  performs the service in the course and scope of his or her practice. If the
				  service is provided in a hospital the SP and the PA shall be credentialed to
				  provide the service. PA credentialing shall be in the manner specified in
				  Subparagraph C.5.a of this Section;
2. the SP delegates the service to a PA who
				  has obtained additional training and has documented the ability to perform the
				  service safely and effectively; and
3. the SP provides a level of supervision
				  appropriate to the risk to the patient and the potential for complications
				  requiring the physician's personal attention;
4. credentials file
.
A
				  primary SP ("PSP") shall maintain a credentials file for each PA for whom he or
				  she serves as a PSP and at least annually assess and document therein the PA's
				  performance as evidenced by the PSP's dated signature. The credentials file
				  shall include a list of services beyond core competencies that the PA may
				  perform and with respect to each shall also document:
a. the PA's training in the
				  service;
b. the PA's ability to
				  provide or perform the service safely and effectively; and
c. the protocols to be followed for the
				  service;
5. a PSP who is
				  employed or under contract with a hospital is not required to maintain a
				  credentials file for a PA, who is also employed or under contract with the same
				  hospital provided:
a. that the PA is
				  individually credentialed by the medical staff organization of the hospital,
				  based on established criteria similar to those utilized for physicians, which
				  takes into consideration the PA's training and qualifications to provide or
				  perform a service beyond core competencies safely and effectively;
				  and
b. the PSP annually reviews,
				  dates and signs the PA's credentials file.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4509 - Designation of Locum Tenens Physician

Current through Register Vol. 50, No. 6, June 20, 2024
A. A physician qualified, registered and
				  approved under this Part, who is not registered as a physician assistant's
				  primary supervising physician, shall be designated as locum tenens physician
				  for such physician assistant.
B. If
				  the physician assistant to be supervised is registered with the board to
				  prescribe medication or medical devices, a locum tenens physician shall:
1. meet the qualifications prescribed by
				  §1523 of this Part and be registered
				  with the board pursuant to
				  §1527 for delegation of prescriptive
				  authority; or
2. shall not
				  supervise a physician assistant with respect to the exercise of prescriptive
				  authority.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4511 - Mutual Obligations and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. The physician assistant and supervising
				  physician shall:
1. within 15 days notify the
				  board, in writing, of:
a. the termination of
				  the physician assistant's supervision relationship with a supervising physician
				  or supervising group of physicians;
b. the retirement or withdrawal from active
				  practice by the supervising physician; and
c. any other change in the employment,
				  functions, activities, services or the nature or extent of delegation of
				  prescriptive authority of the physician assistant or the manner or location of
				  their performance;
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 45 - Physician Assistants › Section XLV-4512 - Performance Plan

Current through Register Vol. 50, No. 6, June 20, 2024
A. For each
				  practice setting, a PA and SP shall develop and implement a meaningful
				  performance plan for evaluating whether the PA has performed medical services
				  delegated by the SP with professional competence and with reasonable skill and
				  safety to patients. At a minimum, the plan shall include:
1. for new graduates/major shift in practice:
a.
different primary practice
				  sites
if the PAs primary practice site (as defined in §1503. A of these
				  rules e.g., the location at which a PA spends the majority of time engaged in
				  the performance of his or her profession) is different from the SPs primary
				  practice site then, during the first 12 months of supervised practice after
				  passing the credentialing examination, and the first 6 months after entering
				  into an entirely new field of practice, such as from primary care or one of its
				  sub-specialties to a surgical specialty or sub-specialty, monthly chart review
				  conducted by a SP of no less than 50 percent of the PAs patient encounters, as
				  documented in the patient records;
b.
same primary practice
				  site
where the SP and PA work together, have the same primary practice
				  site, routinely confer with respect to patient care, and the PA and SP document
				  their services in the charts and records maintained at the primary practice
				  site, the requirements of §4512. A.1.a shall be considered satisfied;
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter A - General Provisions › Section XLV-4901 - Scope of Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
					 this Chapter govern the practice of occupational therapy in the state of
					 Louisiana.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4905 - Scope of Subchapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. This
					 Subchapter provides the minimum standards for occupational therapy practice
					 applicable to all persons licensed to practice occupational therapy in the
					 state of Louisiana.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4907 - Screening

Current through Register Vol. 50, No. 6, June 20, 2024
A. Occupational
					 therapists have the responsibility to identify clients who may present problems
					 in occupational performance that would require an evaluation.
B. Occupational therapists may screen
					 independently or as members of a team.
C. Screening methods shall be appropriate to
					 the client's age, education, cultural background, medical status, and
					 functional ability.
D. Screening
					 methods may include interview, observation, testing, and record
					 review.
E. Occupational therapists
					 shall communicate the screening results and recommendations only to appropriate
					 individuals.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4909 - Referral

Current through Register Vol. 50, No. 6, June 20, 2024
A. A client is
					 appropriately referred to occupational therapy for remediation, maintenance, or
					 prevention when the client has, or appears to have, a dysfunction or potential
					 for dysfunction in occupational performance or performance skills.
B. Clients shall be referred to occupational
					 therapy for evaluation, design construction of, or training in therapeutic
					 adaptations that include, but are not limited to, the physical environment,
					 orthotics, prosthetics, and assistive and adaptive equipment.
C. The occupational therapist enters a case
					 at the request of a Louisiana licensed physician, dentist, podiatrist,
					 optometrist or advanced practice nurse practitioner; assumes full
					 responsibility for the occupational therapy evaluation and; and, in
					 consultation with the referring physician, dentist, podiatrist, optometrist or
					 advanced practice nurse practitioner, establishes the appropriate type, nature,
					 and mode of service.
D.
					 Occupational therapists shall refer clients back to the physician, dentist,
					 podiatrist, optometrist or advanced practice nurse practitioner when, in the
					 judgment of the occupational therapists, the knowledge and expertise of another
					 professional is required.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4911 - Evaluation

Current through Register Vol. 50, No. 6, June 20, 2024
A. Occupational
					 therapists shall evaluate the client's performance according to the current
					 AOTA guidelines.
B. Initial
					 occupational therapy evaluations shall consider the client's medical,
					 vocational, educational, activity, context, environment, social history, and
					 personal/family goals.
C. The
					 occupational therapy evaluation shall include assessment of the functional
					 abilities and deficits as related to the client's needs in the following areas:
1. occupational performance: activities of
					 daily living, instrumental activities of daily living, rest and sleep,
					 education, work, play, leisure, and social participation;
2. performance components: sensory perceptual
					 skills, motor, praxis skills, emotional regulation, communication, social
					 skills, cognitive, and psychosocial;
3. therapeutic adaptations and prevention,
					 context and environment.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4913 - Individual Program Planning

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Occupational therapists shall use the results of the evaluation to develop an
					 individual occupational therapy program that is:
1. stated in measurable and reasonable terms
					 appropriate to the client's needs and goals and expected prognosis;
2. consistent with current principles and
					 concepts of occupational therapy theory and practice.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4915 - Individual Program Implementation

Current through Register Vol. 50, No. 6, June 20, 2024
A. Implementation of direct occupational
					 therapy to individuals for their specific medical condition or conditions shall
					 be based on a referral or order from a physician, dentist, podiatrist,
					 optometrist or advanced practice registered nurse licensed to practice in the
					 state of Louisiana.
B. Occupational
					 therapists shall implement the program according to the program plan.
					 Occupational therapy assistants may assist in program implementation under the
					 supervision of and in consultation with a supervising occupational therapist,
					 as prescribed by
					 §4919
C. Occupational therapists shall formulate
					 and implement program modifications consistent with changes in the client's
					 occupational performance and performance skills.
D. Occupational therapists shall periodically
					 re-evaluate and document the client's occupational performance and performance
					 skills.
E. Occupational therapists
					 shall promptly document the occupational therapy services provided and the
					 frequency of the services.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4917 - Discontinuation of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Occupational therapists shall discontinue services when the client has achieved
					 the goals or has achieved maximum benefit from occupational therapy.
B. Occupational therapists shall document the
					 comparison of the initial and current state of functional abilities and
					 deficits in occupational performance and performance skills.
C. Occupational therapists shall prepare a
					 discharge plan that is consistent with the occupational therapy, client,
					 interdisciplinary team, family and goals, and the expected prognosis.
					 Consideration should be given to appropriate community resources for referral
					 and environmental factors or barriers that may need modification.
D. Occupational therapists shall allow
					 sufficient time for the coordination and the effective implementation of the
					 discharge plan.
E. Occupational
					 therapists shall document recommendations for follow-up or
					 re-evaluation.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter B - Standards of Practice › Section XLV-4925 - Supervision of Occupational Therapy Assistants

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of this Section, together with
					 those specified in
					 §4915 and §4919, govern supervision of
					 an occupational therapy assistant by a supervising occupational therapist in
					 any clinical setting.
B. An
					 occupational therapy assistant may assist in implementation of a client program
					 plan in consultation with and under the supervision of an occupational
					 therapist. Such supervision shall not be construed in every case to require the
					 continuous physical presence of the supervising occupational therapist
					 provided, however, that the supervising occupational therapist and the
					 occupational therapy assistant must have the capability to be in contact with
					 each other by telephone or other telecommunication which allows for
					 simultaneous interactive discussion between the supervising occupational
					 therapist and occupational therapy assistant. Supervision shall exist when the
					 occupational therapist responsible for the client gives informed concurrence of
					 the actions of the occupational therapy assistant and adheres to all
					 requirements set forth in this Chapter.
C. Prior to Implementation of Program Plan.
					 Prior to the administration of occupational therapy by an occupational therapy
					 assistant, the supervising occupational therapist shall, in accordance with
					 AOTA standards of practice as may from time to time be amended:
1. perform an evaluation;
2. identify and establish occupational
					 therapy needs, goals and an individual program plan;
3. ensure that the documents created pursuant
					 to §4925. C.1 and §4925. C.2 are made part of the client's record and
					 accessible to the occupational therapy assistant prior to his or her the first
					 treatment session with the client; and
4. be available for a client care
					 conference.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter C - Unauthorized Practice, Prohibitions and Causes for Administrative Action › Section XLV-4927 - Unauthorized Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A. No
					 individual shall engage in the practice of occupational therapy in this state
					 in the absence of a current license or permit duly issued by the
					 board.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 49 - Occupational Therapists and Occupational Therapy Assistants › Subchapter C - Unauthorized Practice, Prohibitions and Causes for Administrative Action › Section XLV-4929 - False Representation of Licensure Prohibited [Formerly Section 1955]

Current through Register Vol. 50, No. 6, June 20, 2024
A. No person who is
					 not licensed under this Chapter as an occupational therapist or an occupational
					 therapy assistant, or whose license has been suspended or revoked, shall use,
					 in connection with his name or place of business, the words "occupational
					 therapist," "licensed occupational therapist," "occupational therapy
					 assistant," "licensed occupational therapy assistant," or the letters, "OT,"
					 "LOT," "OTA," "LOTA," or any other words, letters, abbreviations, or insignia
					 indicating or implying that he is an occupational therapist or an occupational
					 therapy assistant, or in any way, orally, in writing, in print, or by sign,
					 directly or by implication, represent himself as an occupational therapist or
					 an occupational therapy assistant.
B. No person who is not licensed under this
					 Chapter as an occupational therapist or an occupational therapy assistant, or
					 whose license has been suspended or revoked, who is not currently certified or
					 registered by and in good standing with the NBCOT shall use, in connection with
					 his name or place of business, the words "occupational therapist registered,"
					 "licensed occupational therapist registered," "certified occupational therapy
					 assistant," or "licensed certified occupational therapy assistant" or the
					 letters, "OTR," "LOTR," or "COTA," or "LCOTA" or any other words, letters,
					 abbreviations, or insignia indicating or implying that he is an occupational
					 therapist registered or a certified occupational therapy assistant, or in any
					 way, orally, in writing, in print, or by sign, directly or by implication,
					 represent himself as such.
C.
					 Whoever violates the provisions of this Section shall be fined not more than
					 $500 or be imprisoned for not more than six months, or both.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:3001-3014 and
						37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5101 - Scope of Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
A. The rules of
				  this Chapter govern the practice of acupuncture by physician acupuncturists,
				  licensed acupuncturist and of acupuncture detoxification by acupuncture
				  detoxification specialists in the state of Louisiana.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1360 and
					 37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5105 - Necessity of Certification or Licensure; Exemptions

Current through Register Vol. 50, No. 6, June 20, 2024
A. No person may act as or undertake to
				  perform or practice acupuncture or acupuncture detoxification unless he or she
				  holds a current license, certificate or permit issued by the board. While any
				  physician may practice acupuncture, and may apply to the board for registration
				  to supervise an ADS, only a physician certified by the board under this Part
				  may hold himself or herself out as a physician acupuncturist.
B. None of the provisions of this Chapter
				  shall apply to any person employed by, and acting under the supervision and
				  direction of, any commissioned physician of any of the United States Armed
				  Services, Public Health Service or Veterans' Administration, practicing in the
				  discharge of his or her official duties.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1360 and
					 37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5106 - Supervision of Acupuncture Detoxification Specialist

Current through Register Vol. 50, No. 6, June 20, 2024
A. Repealed.
B. Acupuncture Detoxification Specialist.
				  General supervision of an ADS shall not be construed to require the physical
				  presence of a supervising physician or supervising licensed acupuncturist.
				  General supervision shall exist when the services of an ADS:
1. are provided when the supervising
				  physician or supervising LAc and the ADS shall have the capability to be in
				  contact with each other by either telephone or other telecommunications device
				  on a regular basis to address any questions or concerns that may arise from the
				  provision of acu detox; provided, however, that should the ADS have need to
				  contact the supervising physician or supervising LAc for any reason regarding
				  the administration of acu detox to a particular individual, and the supervising
				  physician or supervising LAc is not immediately available, then the acu detox
				  service shall not be provided until the supervising physician or supervising
				  LAc has been contacted;
2. adhere
				  to procedures that shall require the use of disposable needles, proper handling
				  and disposal of needles and the provisions of universal precautions;
				  and
3. are documented in written
				  form by an ADS and made available for review by the supervising physician or
				  supervising LAc. Such documentation shall, at a minimum, include:
a. signed informed consent for the services
				  by the patient; and
b. written
				  authority signed by the patient authorizing the supervising physician or
				  supervising LAc to review the patient's medical record.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5107 - Authority and Limitations of Licensed Acupuncturist and Acupuncture Detoxification Specialist

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				  licensed acupuncturist shall not:
1. perform,
				  provide, attempt to perform or provide, or hold himself or herself out to the
				  public as being capable of performing or providing any procedure, service or
				  function required by law to be performed or provided by one possessing a
				  certificate, registration or license other than as a LAc, in the absence of
				  such certificate, registration or license; or
2. identify himself, or permit any other
				  person to identify him, as "doctor" unless he designates the degree entitling
				  such use or render any service to a patient unless the LAc has clearly
				  identified himself as a LAc by any method reasonably calculated to advise the
				  patient that the licensed acupuncturist is not a licensed physician.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5109 - Authority and Limitations of Supervising Physician and Supervising Acupuncturist's Assistant (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1360 and
					 37:1270(B)(6).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 51 - Physician Acupuncturists, Licensed Acupuncturists and Acupuncture Detoxification Specialist › Section XLV-5111 - Obligations and Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  An LAc shall:
1. report directly to the
				  board, in writing, of the retirement or withdrawal from active practice by the
				  LAc;
2. comply with reasonable
				  requests by the board for personal appearances, information and documentation
				  required by this Part relative to the functions, activities, and performance of
				  the licensed acupuncturist;
3.
				  insure that each individual to whom the LAc provides patient services is
				  expressly advised and understands that the LAc is not a physician;
				  and
4. insure that, with respect to
				  each patient, all activities, functions, services, and treatment measures of
				  the LAc are immediately and properly documented in written form.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5301 - Scope of Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Licensed midwife practitioners may provide care only to low risk clients
					 determined by physician evaluation and examination to be normal for pregnancy
					 and childbirth, and at low risk for the development of medical complications.
					 Such care includes prenatal supervision and counseling; preparation for
					 childbirth; and supervision and care during labor and delivery and care of the
					 mother and the newborn in the immediate postpartum period if progress meets
					 criteria generally accepted as normal as defined by the board. Licensed
					 midwifes shall refer or consult with a physician when a clients medical
					 condition deviates from normal. Licensed midwifes may provide care in
					 hospitals, birth centers, clinics, offices and home birth settings.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5303 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The definitions
					 set forth in Chapter 23 of these rules shall equally apply to this Chapter,
					 unless the context clearly states otherwise.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5305 - Skills [Formerly Section 5303]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All licensed midwives shall have the
					 skills necessary for safe practice, including the ability to assess, monitor,
					 and manage on an ongoing basis, normal antepartum, intrapartum, and postpartum
					 situations; perform newborn evaluations; identify and assess maternal, fetal,
					 and infant deviations from normal; provide effective lifesaving measures,
					 including CPR; manage emergency situations appropriately; establish and
					 maintain aseptic techniques and master basic observational skills and those
					 special observational skills required for out-of-hospital deliveries.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5307 - Screening [Formerly Section 5309]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All midwives will use risk factor
					 assessments of their clients as identified in
					 §5315 in order to establish their
					 initial and continuing eligibility for midwifery services. Clients will be
					 informed of their risk status. All midwives have the right and responsibility
					 to refuse and discontinue services to clients based on these risk factors and
					 to make appropriate referrals when indicated for the protection of the mother
					 and baby.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5309 - Disclosures; Acceptance of Clients [Formerly Section 5315]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to the acceptance of a client for
					 care, a licensed midwife practitioner shall inform the client orally and in
					 writing of the following disclosures:
1.
					 certain risks and benefits exist for home birth and certain risks and benefits
					 exist for other childbirth alternatives, (including hospital,
					 physician-assisted birth). The midwife is responsible for informing the client
					 of the risks and benefits of all childbirth options to ensure informed
					 consent;
2. regular documented
					 antepartum care by the licensed midwife or another licensed health care
					 provider is required if the midwife is to attend the birth;
3. certain medical conditions and/or client
					 noncompliance with midwife or physician recommendations, as described in
					 §5315 of this Chapter, may preclude
					 midwife attendance at birth or continued midwife care during any phase of the
					 pregnancy;
4. emergency transport
					 may be required in certain situations; the midwife shall explain what
					 situations warrant emergency transport and the hazards involved;
5. a specific written consent for
					 out-of-hospital birth with the licensed midwife practitioner must be obtained
					 prior to the onset of labor;
6. the
					 client will be provided with a copy of the labor, birth, and newborn record by
					 the midwife;
7. the midwife's
					 agreement can be terminated at any time that the midwife deems it necessary for
					 maintenance of the client's mental and physical safety or for compliance with
					 these rules. When termination occurs, the reasons for termination will be given
					 in writing and an alternative source of care recommended; and
8. the client may terminate the agreement at
					 any time.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5311 - Advance Preparation for Need [Formerly Section 5321]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife shall, prior to the
					 onset of labor, prepare a written plan or protocol for the transport of mother
					 and infant to a hospital and know the client's contingency arrangements for
					 hospitalization should these needs arise.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5313 - Informed Consent

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to
					 providing any services, a licensed midwife shall obtain the written informed
					 consent, in writing, of the client, which shall include but not be limited to
					 the following:
1. the name and license number
					 of the licensed midwife;
2. the
					 clients name, address, telephone number, and the name of the clients primary
					 care provider if the client has one;
3. a statement that the licensed midwife is
					 not an advanced practice registered nurse midwife or physician;
4. a description of the education, training,
					 continuing education, and experience of the licensed midwife;
5. a description of the licensed midwife's
					 philosophy of practice;
6. a
					 statement recognizing the obligation of the licensed midwife to provide the
					 client, upon request, separate documents describing the law and regulations
					 governing the practice of midwifery, including the requirement for an
					 evaluation and examination by a physician, the protocol for transfer or
					 mandatory transfer, and the licensed midwife's personal written practice
					 guidelines;
7. a description of the
					 plan or protocol for transfer to a hospital;
8. a complete and accurate description of the
					 services to be provided to the client;
9. whether the licensed midwife maintains a
					 professional liability policy and if insurance is maintained, a description of
					 the liability conditions and limits of such insurance; and
10. any additional information or requirement
					 which the board deems necessary to protect the health, safety, or welfare of
					 the client.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5317 - Initial Physician Evaluation and Examination [Formerly Section 5311]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed
					 midwife practitioner must require that the client have a physician evaluation
					 and examination and be found to be essentially normal or at low risk of
					 developing complications during pregnancy and childbirth before her care can be
					 assumed. The initial physician evaluation and examination shall include the
					 physical assessment procedures which meet current standards of care set forth
					 by the American Congress of Obstetricians and Gynecologists (ACOG).
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5319 - Required Components of Initial Physician Evaluation and Examination [Formerly Section 5313]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Laboratory
					 and diagnostic testing and screening obtained in connection with the physician
					 evaluation and examination shall include clinical pelvimetry, and any other
					 laboratory and diagnostic testing and screening which the physician considers
					 appropriate. Due consideration shall be given to the then-current
					 recommendations of ACOG.
B. The
					 midwife shall ensure that all women she plans to deliver have received required
					 testing and screening and shall secure and review a copy of all such
					 results.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5321 - Community Resources [Formerly Section 5305]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The licensed midwife practitioner must be
					 familiar with community resources for pregnant women such as prenatal classes,
					 the parish health unit and supplemental food programs. The client shall be
					 referred to such resources as appropriate and encouraged to take a prepared
					 childbirth class, preferably one oriented toward home birth.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5323 - Appropriate Equipment [Formerly Section 5307]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All licensed midwife practitioners shall
					 have available, for their immediate use, appropriate birthing equipment,
					 including equipment to assess maternal, fetal, and newborn well-being, maintain
					 aseptic technique and to perform emergency adult and new born resuscitation,
					 and accomplish all permitted emergency procedures. All equipment used in the
					 practice of midwifery shall be maintained in an aseptic manner, and be in good
					 working order.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5325 - Medications [Formerly Section 5333]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A licensed midwife may administer the
					 following medications under the conditions indicated:
1. oxygen for fetal or maternal distress and
					 infant resuscitation;
2. local
					 anesthetic, by infiltration, only for the purpose of postpartum repair of
					 tears, lacerations, or episiotomy (no controlled substances);
3. vitamin K, by injection, for control of
					 bleeding in the newborn;
4.
					 oxytocin (pitocin) by injection or methergine orally, only for postpartum
					 control of non-emergent maternal hemorrhage;
5. intravenous fluids for maternal hydration
					 with additional medications as provided by a physician's order or protocol for
					 the purpose of controlling maternal hemorrhage or for prophylactic treatment
					 where the client has tested positive for group B strep;
6. prenatal Rh immunoglobulin (Rhlg) for Rh
					 negative clients and post-partum for Rh positive newborns.
7. benadryl;
8. penicillin-G, unless patient is allergic,
					 then consult with the physician.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 3 - Practice › Chapter 53 - Licensed Midwives › Subchapter A - Standards of Practice › Section XLV-5327 - Initiation of Physical Care [Formerly Section 5353]

Current through Register Vol. 50, No. 6, June 20, 2024
A. At the visit when physical care of the
					 client is initiated, the licensed midwife practitioner shall review the results
					 of the physician evaluation and examination to ensure that the client has
					 received a general physical examination which included the taking of a
					 comprehensive medical, obstetrical, and nutritional history sufficient to
					 identify potentially dangerous conditions that might preclude midwife care. The
					 midwife shall make an initial nutritional assessment, counsel the client as to
					 the nutritional needs of mother and fetus during pregnancy and develop a
					 comprehensive plan of care for the client which identifies all problems and
					 need for consultation and establish realistic health care goals.
B. If the clients health status, as
					 determined by medical history, physician evaluation and examination, and the
					 laboratory results is determined not to be low-risk as outlined in
					 §5317 of these rules, the client shall be
					 referred to a physician for management of the clients pregnancy, labor and
					 delivery.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						37:1270 and
						37:3241-3259.