64B16-27.850. Standards of Practice for Orthotics and Pedorthics  


Effective on Wednesday, May 2, 2007
  • 1(1) 2Definitions.

    3(a) 45Orthosis6 7means a medical device used to provide support, correction, or alleviation of neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity, but does not include the following assistive technology devices: upper extremity adaptive equipment used to facilitate the activities of daily living, including specialized utensils, combs, and brushes; finger splints; wheelchair seating and equipment that is an integral part of the wheelchair and not worn by the patient; elastic abdominal supports that do not have metal or plastic reinforcing stays; arch supports; nontherapeutic accommodative inlays and nontherapeutic accommodative footwear, regardless of method of manufacture; unmodified, over-the-counter shoes; prefabricated foot care products; durable medical equipment such as canes, crutches, or walkers; dental appliances; or devices implanted into the body by a physician. For purposes of this subsection, 132133accommodative134 135means designed with the primary goal of conforming to the individual146147s anatomy and 150151inlay152 153means any removable material upon which the foot directly rests inside the shoe and which may be an integral design component of the shoe.

    177(b) 178179Orthotics180 181means the practice, p185ursuant to a licensed physician’190s written prescription, of evaluating, treatment formulating, measuring, designing, fabricating, assembling, fitting, adjusting, servicing, or providing the initial training necessary to accomplish the fitting of an orthosis or pedorthic device; however, the repair, replacement, adjustment, or servicing of any existing orthosis may be performed without an additiona237l prescription from the patient’242s physician, unless the original prescription states otherwise. If a patient is under the care of a licensed occupational therapist or physical therapist, the pharmacist must consult with the therapist if the therapist has requested consultation regarding the fitting, design, or fabrication of an orthosis or regarding treatment with an orthosis.

    293(294c295) “297Pedorthic device299 300means therapeutic shoes, shoe modifications made for therapeutic purposes, prosthetic fillers of the forefoot, and foot orthoses for use from the ankle and below, but does not include arch supports; nontherapeutic accommodative inlays and nontherapeutic accommodative footwear, regardless of method of manufacture; unmodified, over-the-counter shoes; or prefabricated foot care products. For purposes of this subsection, 355356accommodative357 358means designed with the primary goal 364of conforming to the individual’369s anatomy and 372373inlay374 375means any removable material upon which the foot directly rests inside the shoe and which may be an integral design component of the shoe.

    399(400d401) 402403Pedorthics404 405means the practice, pursuant to a licensed physician's written prescription, of evaluating, treatment formulating, measuring, designing, fabricating, assembling, fitting, adjusting, servicing, or providing the initial training necessary to accomplish the fitting of a pedorthic device; however, the repair, replacement, adjustment, or servicing of any existing pedorthic device may be performed without an additiona458l prescription from the patient’463s physician, unless the original prescription states otherwise. If a patient is under the care of a licensed occupational therapist or physical therapist, the pharmacist must consult with the therapist if the therapist has requested consultation regarding the fitting, design, or fabrication of a pedorthic device or regarding treatment with a pedorthic device.

    516(2) P518ursuant to a licensed physician’523s written prescription, the pharmacist shall assume the responsibility for assessing th535e patient, planning the patient’540s treatment program, and directing the program. No pharmacist shall implement a presc553ription that, in the pharmacist’558s judgment, is contraindicated. No change shall be made in the prescription without the authorization of the prescribing physician.

    577(3) The pharmacist’580s professional responsibilities include:

    584(a) Ongoing consultation with the prescribing physician regarding information that will impact the patient's medical and functional outcomes.

    602(b) Orthotic and605/o606r pedorthic evaluation of the patient.

    612(c) Identification and documentation of precautions, special problems, or contraindications.

    622(d) Development of a treatment plan including the short and long terms goals.

    635(e) Implementation of a treatment plan.

    641(f) Periodic review and update of the treatment plan, including reassessment of the patient in reference to goals and, when necessary, modification of the treatment plan.

    667(g) Collaboration with members of the health care team when appropriate.

    678(h) Advising the patient, in terms which the patient can understand, of the nature and purpose of the services to be rendered and the techniques for use and care of an orthosis or pedorthic device.

    713(i) Determination of the appropriateness of proper fit and function of any orthosis or pedorthic device.

    729(4) A pharmacist may delegate duties to nonlicensed supportive personnel if those duties are performed under the supervision of the pharmacist. In such instances the supervising pharmacist is responsible for all acts performed by such persons. It is below the standard of practice and prohibited for a pharmacist to delegate or assign activities, tasks or procedures that fall within the scope of any practice defined in Section 796468.812(3), F.S., 798to support personnel, without providing supervision for the performance of the activit810i811es, tasks or procedures.

    815Specific Authority 817468.812(3) 818FS. 819Law Implemented 821465.0155, 822468.812(3) FS. 824History825826New 8275-2-07828.

     

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