Ohio Administrative Code › Title 4759 - State Medical Board Dietetics Licensure › Chapter 4759-5 - Supervision; Exemptions › Section 4759-5-01 - Supervision of persons claiming exemption

Current through all regulations passed and filed through July 1, 2024
For the purposes of the supervision requirement contained in
				divisions (B) and (E) of section
				4759.10 of the Revised Code the
				dietitian who provides supervision shall be responsible for the supervision of
				the person claiming exemption from licensure as a dietetic technician, or
				dietetic technician registered, or nutrition associate and shall provide
				sufficient guidance and direction as to enable the person to perform
				competently. These individuals have completed at least a two-year associates
				degree or higher from a program in dietetic technology or dietetics that has
				been approved by the commission on accreditation for dietetics education of the
				"Academy of Nutrition and Dietetics." Dietetic
				technicians registered have also passed the national written examination
				administered by the commission on dietetic registration and maintain
				professional development / continuing education requirements for on-going
				registration.
The licensed dietitian is responsible and accountable for the
				nutrition care of patients / clients in all healthcare settings and must answer
				to patients, employers, licensure boards and the legal system if care is
				compromised.
The licensee shall not delegate the nutrition care process, but
				may assign tasks within the process to competent exempt practitioners for the
				purpose of providing the licensee with needed information and communicating
				with and educating patients / clients.
When supervising a person claiming exemption the licensee
				shall:
(A) Verify the credentials and
			 competence of each individual exempt practitioner being supervised in the areas
			 of dietetic practice as defined in section
			 4759.10 of the Revised Code.
			 Those exempt practitioners who are competent to practice beyond minimum
			 standards should be expected to demonstrate initial and on-going competence
			 annually with documentation of successful audits.
The supervising dietitian can establish initial and on-going
				competency by individual means including but not limited to testing,
				evaluations, use of decision tree models and peer competency assessment.
				Engaging in on-going dietetics related continuing education is vital to
				competent practice.
(B)
			 Provide the person being supervised with guidelines for appropriate assignments
			 as part of the nutritional care process;
(C) Periodically establish performance
			 criteria for the exempt practitioner, then assign tasks appropriately, direct
			 and monitor the individual's practice. The supervising dietitian should compare
			 actual performance with expected performance, document results and take
			 appropriate action;
(D) Maintain
			 written documentation of the initial and on-going competency assessment of the
			 exempt practitioner, supervision being provided and performance of the
			 individual, including participation in professional development / continuing
			 education equivalent to the requirements of the commission on dietetic
			 registration for dietetic technicians registered.
Documentation shall include, but is not limited to, dates of
				conferences, supervisory anecdotal notes, written evaluations and
				recommendations. Documentation should be maintained in the licensee's records
				and be available upon request of the board.
(E) The licensee shall provide supervision in
			 a manner that protects the public. Direct supervision may be provided on-site,
			 or supervision may be provided indirectly, as long as the licensee is
			 immediately available by phone, e-mail, facsimile or other reliable
			 means.
Effective:
				4/1/2013
R.C. 119.032
				review dates: 12/18/2012 and
				12/18/2017
Promulgated
				Under: 119.03
Statutory Authority: 4759.05(A)
Rule
				Amplifies: 4759.10(B), (E)
Prior Effective Dates: 11/30/87, 2/9/98,
				7/6/09