Oregon Chapter 688
Chapter 688 — Therapeutic and Technical Services: Physical Therapists; Radiologic Technologists and Radiation Therapists; HemoDownload Full 2005 Oregon Revised Statutes (coming soon!)
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Chapter 688 — Therapeutic and Technical Services: Physical Therapists; Radiologic Technologists and Radiation Therapists; Hemodialysis Technicians; Athletic Trainers; Respiratory Therapists
2005 EDITION
THERAPEUTIC AND TECHNICAL SERVICES
OCCUPATIONS AND PROFESSIONS
PHYSICAL THERAPISTS
(Generally)
688.010 Definitions for ORS 688.010 to 688.201
688.015 Findings and purpose
688.020 License required to practice physical therapy or use designation
688.030 Application of ORS 688.010 to 688.201
688.035 Short title
(Licensing)
688.040 Licensing procedure
688.050 Qualifications of physical therapist; examination; rules
688.055 Qualifications of physical therapist assistant; examination
688.080 Reciprocity; fee
688.090 License; certificate
688.100 Renewals; rules; fee; lapse
688.110 Temporary permit; fee
688.120 Fraudulent representations prohibited
688.125 Notice to patient of interest in physical therapy practice
688.132 Duty to refer person; exceptions; when personal injury protection benefits available
688.135 Duties and responsibilities of physical therapist
688.140 Grounds for discipline; sanctions; civil penalties
688.145 Discipline procedure; review of orders; confidential information
(State Board)
688.160 Physical Therapist Licensing Board; qualifications; terms; vacancies; duties; rules; meetings; executive director
688.201 Disposition of receipts
(Enforcement)
688.230 Report of suspected violation; confidentiality of report; liability of person reporting
RADIOLOGIC TECHNOLOGISTS AND RADIATION THERAPISTS
(Generally)
688.405 Definitions for ORS 688.405 to 688.605
688.415 License required to practice radiologic technology; prohibited acts
688.425 Licensed persons may use title
688.435 Application of ORS 688.405 to 688.605
(Licensing)
688.445 Licensing and renewal procedure; fees
688.455 License fee; general qualifications
688.465 Qualifications of radiologic technologist in diagnostic field
688.475 Qualifications of radiologic technologist in therapeutic field
688.480 Operator of certain tomography equipment to be certified
688.485 Examinations; fees
688.495 Licensing without examination
688.505 Evidence of continuing education on renewal
688.515 Limited permit; temporary license; X-ray bone densitometry operator permit; fees; qualifications
688.520 Licenses and permits for periods other than 24 months
688.525 Grounds for discipline; investigation of complaints; confidential information
(State Board)
688.545 Board of Radiologic Technology; qualifications; advisory member; term; compensation and expenses; officers; meetings; quorum
688.555 Rulemaking; executive officer
688.560 Fees for services; rules
688.565 Program of continuing education
688.585 Board of Radiologic Technology Account
(Enforcement)
688.595 Enforcement and inspections
688.600 Investigation of alleged violations; power of board; subpoenas
688.605 Duty to report violation; confidentiality; procedure on claims of violation
HEMODIALYSIS TECHNICIANS
688.625 Definitions for ORS 688.625 to 688.665
688.630 Practice of hemodialysis by uncertified practitioner prohibited
688.635 Scope of practice of hemodialysis technician; rules
688.640 Application for certificate; rules
688.645 Fees
688.650 Qualifications for certification; temporary or provisional certificates; continuing education; certificate expiration; rules
688.655 Grounds for denying, suspending or revoking certificate; investigation; duty to report; confidential information; liability of person who reports
688.660 Grounds for discipline of certificate holder; civil penalty; assessment of disciplinary proceeding cost
688.665 Rules
ATHLETIC TRAINERS
688.701 Definitions for ORS 688.701 to 688.734
688.705 Board of Athletic Trainers; appointment; membership; terms
688.707 Officers; quorum; meetings
688.709 Board duties; rules
688.715 Authority of Oregon Health Licensing Agency; rules; fees; investigations
688.718 Registration required; exceptions
688.720 Requirements for registration
688.724 Registration renewal; late renewal; reinstatement
688.728 Fees; rules; disposition of receipts
688.730 Use of title
688.734 Disciplinary authority of Oregon Health Licensing Agency
RESPIRATORY THERAPISTS
688.800 Definitions for ORS 688.800 to 688.840
688.805 Practice of respiratory care by unlicensed practitioner prohibited; exceptions; practice requirements
688.810 Use of title
688.815 Application for license; examination; license by endorsement
688.820 Respiratory Therapist Licensing Board; qualification of members; terms
688.825 Selection of board chairperson; quorum; meetings
688.830 Duties of Oregon Health Licensing Agency and of board; rules
688.834 Fees; rules; disposition of receipts
688.836 Disciplinary authority of Oregon Health Licensing Agency
688.840 Immunity from civil liability
PENALTIES
688.915 Civil penalty for violation of ORS 688.405 to 688.605 or rules
688.990 Criminal penalties
688.995 Criminal penalty for violation of ORS 688.800 to 688.840
688.997 Criminal penalty for violation of ORS 688.718
PHYSICAL THERAPISTS
(Generally)
688.010
Definitions for ORS 688.010 to 688.201. As used in ORS 688.010 to 688.201,
unless the context requires otherwise:
(1) “Board” means the Physical Therapist Licensing Board.
(2) “Physical therapist” means a person who is licensed pursuant to ORS 688.010 to 688.201 to practice physical therapy.
(3) “Physical therapist aide” means a person who is trained by a physical therapist or physical therapist assistant to perform designated and supervised routine tasks related to physical therapy and who works under the direct on-site supervision of a physical therapist or physical therapist assistant.
(4) “Physical therapist assistant” means a person who assists a physical therapist in the administration of selected components of physical therapy intervention. A physical therapist assistant works under the supervision and direction of the physical therapist.
(5) “Physical therapy” means the care and services provided by a physical therapist or by a physical therapist assistant under the supervision and direction of a physical therapist.
(6) “Practice of physical therapy” means:
(a) Examining, evaluating and testing for mechanical, physiological and developmental impairments, functional limitations and disabilities or other neuromusculoskeletal conditions in order to determine a physical therapy diagnosis or prognosis or a plan of physical therapy intervention and to assess the ongoing effects of physical therapy intervention.
(b) Alleviating impairments and functional limitations by designing, implementing, administering and modifying physical therapy interventions.
(c) Reducing the risk of injury, impairment, functional limitation and disability by physical therapy interventions that may include as a component the promotion and maintenance of health, fitness and quality of life in all age populations.
(d) Consulting or providing educational services to a patient for the purposes of paragraphs (a), (b) and (c) of this subsection. [1959 c.461 §1; 1965 c.314 §1; 1969 c.339 §1; 1971 c.585 §1; 1975 c.111 §1; 1987 c.726 §5; 2005 c.627 §3]
688.015
Findings and purpose. (1) The Legislative Assembly finds and declares that
providing for state administrative control, supervision, licensure and
regulation of the practice of physical therapy in this state serves the purpose
of protecting the public health, safety and welfare.
(2) It is the intent of the Legislative Assembly that only individuals who meet and maintain prescribed standards of competence may engage in the practice of physical therapy as authorized by ORS 688.010 to 688.201 and implemented by the Physical Therapist Licensing Board. [2005 c.627 §1]
Note: 688.015 and 688.035 were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 688 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
688.020
License required to practice physical therapy or use designation. (1)
Unless a person is a licensed physical therapist or holds a permit issued under
ORS 688.110, a person shall not:
(a) Practice physical therapy; or
(b) Use in connection with the name of the person the words or letters, “P.T.”, “R.P.T.”, “L.P.T.”, “physical therapist”, “physiotherapist” or any other letters, words, abbreviations or insignia indicating that the person is a physical therapist, or purports to be a physical therapist.
(2) Unless a person holds a license as a physical therapist assistant, a person shall not:
(a) Practice as a physical therapist assistant; or
(b) Use in connection with the name of the person the words or letters, “L.P.T.A.”, “P.T.A.”, “physical therapist assistant”, “licensed physical therapist assistant”, or any other letters, words, abbreviations or insignia indicating that the person is a physical therapist assistant or purports to be a physical therapist assistant. [1959 c.461 §2; 1965 c.314 §2; 1969 c.339 §2; 1971 c.585 §2; 1975 c.111 §2]
688.030
Application of ORS 688.010 to 688.201. ORS 688.010 to 688.201 do not apply
to:
(1) Any person engaging in the domestic application of any act included in the definition of physical therapy, or any person licensed under any other health care licensing law of this state to do any such act or to persons working under the direction of any such person if the person does not represent to anyone receiving services or to the public that the person is a physical therapist.
(2) Massage practiced at any bona fide athletic club, at any athletic department of any bona fide fraternal organization, at any public institution or at any athletic department of a school or college.
(3) The practice of physical therapy which is incidental to the planned program of study for students enrolled in a physical therapist or physical therapist assistant program approved by the Physical Therapist Licensing Board. [1959 c.461 §3; 1965 c.314 §3; 1975 c.111 §3; 1987 c.726 §6]
688.035
Short title. ORS 688.010 to 688.201 may be cited as the Oregon Physical
Therapy Practice Act. [2005 c.627 §2]
Note:
See note under 688.015.
(Licensing)
688.040
Licensing procedure. (1) Any person desiring to be a licensed physical
therapist or physical therapist assistant shall apply in writing to the
Physical Therapist Licensing Board in the form and manner provided by the board
by rule.
(2) Each application shall include or be accompanied by evidence, satisfactory to the board, that the applicant possesses the qualifications prescribed by ORS 688.050 for applicants for licensing as a physical therapist and ORS 688.055 for applicants for licensing as a physical therapist assistant.
(3) An applicant shall include with the application any application and examination fees prescribed by the board by rule.
(4) The board shall notify an applicant of any deficiencies in the application. [1959 c.461 §6; 1969 c.339 §3; 1971 c.585 §3; 1975 c.111 §4; 1995 c.79 §347; 2005 c.21 §7; 2005 c.627 §4a]
688.050
Qualifications of physical therapist; examination; rules. (1) Each
applicant for a license as a physical therapist shall:
(a) Be at least 18 years of age.
(b) Be of good moral character as determined by the Physical Therapist Licensing Board.
(c) Be a graduate of an accredited professional physical therapy education program approved by the board.
(d) Pass to the satisfaction of the board an examination approved by the board to determine the fitness of the applicant to practice as a physical therapist or to be entitled to be licensed as provided in ORS 688.080. An applicant for licensure as a physical therapist who does not pass the examination on the first attempt may retake the examination as provided by rules adopted by the board.
(2) In addition to the requirements of subsection (1) of this section, an applicant for a license as a physical therapist who has been educated outside the United States shall:
(a) Provide evidence satisfactory to the board that the applicant’s physical therapy education program is recognized or accredited and that the applicant’s education is substantially equivalent to the education of physical therapists who graduated from accredited physical therapy education programs approved by the board. If the board determines that the education of an applicant who graduated from a physical therapy education program outside the United States is not substantially equivalent, the board may require the applicant to complete additional course work before the board proceeds with the application process.
(b) Obtain an evaluation of the applicant’s educational credentials by a credentials evaluation agency approved by the board.
(c) Demonstrate proficiency in English if required by the board.
(d) Pass to the satisfaction of the board an examination approved by the board.
(3) If an applicant who has been educated outside the United States is a graduate of an accredited physical therapy education program approved by the board, the board may waive the requirements of subsection (2)(a) and (b) of this section. [1959 c.461 §5; 1971 c.585 §4; 1973 c.827 §73; 2005 c.627 §5]
688.055
Qualifications of physical therapist assistant; examination. Each applicant
for a license as a physical therapist assistant shall:
(1) Be at least 18 years of age.
(2) Be of good moral character as determined by the Physical Therapist Licensing Board.
(3) Be a graduate of an accredited physical therapist assistant education program approved by the board.
(4) Pass to the satisfaction of the board an examination approved by the board to determine the fitness of the applicant to work as a physical therapist assistant or to be entitled to be licensed as provided in ORS 688.080. An applicant for licensure as a physical therapist assistant who does not pass the examination on the first attempt may retake the examination as provided by rules adopted by the board. [1969 c.339 §5; 1971 c.585 §5; 1973 c.827 §74; 1975 c.111 §5; 2005 c.627 §6]
688.060
[1959 c.461 §4; 1969 c.339 §7; 1971 c.585 §6; 1975 c.111 §6; repealed by 1983
c.740 §251]
688.070
[1959 c.461 §7; 1969 c.339 §8; 1971 c.585 §7; 1975 c.526 §7; 1983 c.224 §1;
repealed by 2005 c.627 §18]
688.080
Reciprocity; fee. (1) The Physical Therapist Licensing Board may license as
a physical therapist or license as a physical therapist assistant, without
examination, any person who:
(a) Applies for a license as provided in ORS 688.040;
(b) Is of good moral character as determined by the board; and
(c) On the date of making application, is a physical therapist or physical therapist assistant who has a valid unrestricted license from any other state or territory of the United States if the requirements for licensing of physical therapists or physical therapist assistants in the state or territory in which the applicant is licensed are substantially equivalent to Oregon’s licensure requirements and the applicant passed to the satisfaction of the examiner of such state or territory a written examination that is approved by the board of this state.
(2) Each applicant under this section shall pay a fee to the board at the time of filing the application. [1959 c.461 §9; 1969 c.339 §9; 1971 c.585 §8; 1975 c.111 §7; 1975 c.526 §8; 1983 c.224 §1a; 2005 c.627 §7]
688.090
License; certificate. The Physical Therapist Licensing Board shall license
as a physical therapist or a physical therapist assistant each applicant who
proves to the satisfaction of the board fitness for such license as provided in
ORS 688.010 to 688.201. The board shall issue a certificate to each person
licensed. The certificate shall be prima facie evidence of the right of the
person to whom it is issued to represent that person as a licensed physical
therapist or physical therapist assistant, whichever certificate the person
holds, subject to the provisions of ORS 688.010 to 688.201. [1959 c.461 §10;
1969 c.339 §10; 1971 c.585 §9; 1975 c.111 §8]
688.100
Renewals; rules; fee; lapse. (1) A person who is licensed as a physical
therapist or physical therapist assistant shall renew the person’s license
pursuant to the rules of the Physical Therapist Licensing Board. A person who
fails to renew the license on or before the expiration date specified by board
rule may not practice as a physical therapist or work as a physical therapist
assistant in this state until the lapsed license is renewed.
(2) The board may reinstate a lapsed license upon payment of all past renewal and delinquency fees.
(3) If a person’s license has lapsed for more than five consecutive years, that person shall reapply for a license and pay all applicable fees. The person shall also demonstrate to the board’s satisfaction competence to practice physical therapy, or shall serve an internship under a restricted license or take remedial or refresher courses, or both, at the discretion of the board. The board may also require the applicant to take an examination.
(4) A person who is licensed as a physical therapist or physical therapist assistant shall report to the board a name change or any change in business or residential address, electronic mail address or contact telephone number within 30 days after the date of change. [1959 c.461 §11; 1969 c.339 §11; 1971 c.585 §10; 1975 c.526 §9; 1983 c.224 §2; 2005 c.627 §8]
688.110
Temporary permit; fee. (1) The Physical Therapist Licensing Board, in its
discretion, may issue without examination a temporary permit to a person to
practice as a physical therapist or to work as a physical therapist assistant
in this state if the person files an application for license as provided in ORS
688.040 or 688.080, and pays to the board at the time of filing the application
the temporary permit fee.
(2) A person holding a temporary permit may practice physical therapy only under the direction of a physical therapist licensed under ORS 688.010 to 688.201.
(3) The temporary permit shall be granted for a period not to exceed three months. The board may renew the temporary permit at its discretion for an additional three months, but no longer. [1959 c.461 §12; 1969 c.339 §12; 1971 c.585 §11; 1975 c.526 §10; 1983 c.224 §3; 1991 c.703 §31; 2005 c.627 §9]
688.120
Fraudulent representations prohibited. A person may not obtain or attempt
to obtain a license as a physical therapist or as a physical therapist
assistant or a temporary permit under ORS 688.110 by any fraudulent
representation. [1959 c.461 §13; 1969 c.339 §13; 1971 c.585 §12; 1975 c.111 §9;
2005 c.21 §8; 2005 c.627 §10]
688.125
Notice to patient of interest in physical therapy practice. In order to
assure that physical therapy treatment of a patient is based solely on the
needs of a patient, any health care practitioner described in ORS 676.110 who
owns, in part or in whole, a physical therapy practice, or who employs a
physical therapist, shall communicate the facts of that ownership or employment
relationship to patients for whom physical therapy is prescribed and inform the
patient that alternative sources of physical therapy treatment are available.
[1987 c.726 §9]
688.130
[1959 c.461 §16; 1965 c.314 §4; 1969 c.339 §14; 1971 c.585 §13; 1975 c.111 §10;
1983 c.224 §4; 1989 c.947 §1; 1991 c.381 §1; 1993 c.211 §1; 1999 c.539 §1; 1999
c.582 §15; repealed by 2005 c.627 §18]
688.132
Duty to refer person; exceptions; when personal injury protection benefits
available. (1) A licensed physical therapist shall immediately refer a
person to a medical doctor, osteopathic physician, chiropractic physician,
podiatric physician and surgeon, naturopathic physician, dentist, physician
assistant or nurse practitioner if:
(a) Signs or symptoms are present that require treatment or diagnosis by such providers or for which physical therapy is contraindicated or for which treatment is outside the knowledge of the physical therapist or scope of practice of physical therapy; or
(b) The physical therapist continues therapy and 30 days have passed since the initial physical therapy treatment has been administered, unless:
(A) The individual is a child or a student eligible for special education, as defined by state or federal law, and is being seen pursuant to the child’s or the student’s individual education plan or individual family service plan;
(B) The individual is a student athlete at a public or private school, college or university and is seeking treatment in that role as athlete; or
(C) The individual is a resident of a long term care facility as defined in ORS 442.015, a residential facility as defined in ORS 443.400, an adult foster home as defined in ORS 443.705 or an intermediate care facility for mental retardation pursuant to federal regulations.
(2) Notwithstanding any provision of ORS 742.518 to 742.542, personal injury protection benefits are not required to be paid for physical therapy treatment of a person covered by the applicable insurance policy unless the person is referred to the physical therapist by a licensed physician, podiatric physician and surgeon, naturopathic physician, dentist, physician’s assistant or nurse practitioner. [1993 c.211 §4; 1999 c.539 §2; 2001 c.104 §262; 2005 c.627 §11]
688.134
[1993 c.211 §7; 1997 c.408 §1; repealed by 2005 c.627 §18]
688.135
Duties and responsibilities of physical therapist. (1) A physical therapist
licensed under ORS 688.010 to 688.201 shall:
(a) Be responsible for managing all aspects of the physical therapy care of each patient.
(b) Ensure the qualifications of all physical therapist assistants and physical therapist aides working under the direction and supervision of the physical therapist.
(c) Provide for each patient the therapeutic intervention that requires the expertise of a physical therapist and determine and supervise the use of physical therapist assistants or physical therapist aides to provide care that is safe, effective and efficient.
(2) Responsibility for patient care management shall include accurate documentation and billing of the physical therapy services provided. Information relating to the physical therapist-patient relationship is confidential and a physical therapist shall comply with the laws and rules governing the use and disclosure of a patient’s protected health information as provided in ORS 192.518 to 192.526.
(3) Each physical therapist shall display a copy of the physical therapist’s license or current renewal verification in a location accessible to public view at the physical therapist’s place of practice or employment.
(4) A physical therapist may purchase, store and administer topical and aerosol medications as part of the practice of physical therapy as defined in ORS 688.010. A physical therapist shall comply with any rules adopted by the State Board of Pharmacy specifying protocols for storage of medications.
(5) A physical therapist shall adhere to the standards of ethics recognized by the physical therapy profession as further established by a nationally recognized professional organization of physical therapists and as further adopted by the board.
(6) A physical therapist shall disclose to a patient any direct financial interest in products that the physical therapist endorses and recommends to the patient at the time of such endorsement or recommendation. The disclosure shall be documented in the patient’s record.
(7) A physical therapist shall refer a patient to an appropriate health care practitioner if the physical therapist has reasonable cause to believe symptoms or conditions are present that require services beyond the scope of practice of a physical therapist or when physical therapy is contraindicated.
(8) A physical therapist may provide compensable services to an injured worker only as authorized by ORS 656.250.
(9) Nothing in ORS 688.010 to 688.201 shall prohibit a physical therapist licensed under ORS 688.010 to 688.201 from accepting a referral from a veterinarian licensed under ORS chapter 686. The referral must be in writing and specify the treatment or therapy to be provided, pursuant to ORS 686.040 (4). A physical therapist practicing under this subsection shall be held to the standard of care for veterinarians set forth in ORS chapter 686. [2005 c.627 §16]
Note: 688.135 was enacted into law by the Legislative Assembly but was not added to or made a part of ORS chapter 688 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
688.140
Grounds for discipline; sanctions; civil penalties. (1) The Physical
Therapist Licensing Board, after notice and hearing as provided in ORS 688.145,
may impose any or all of the following sanctions or take any of the following
actions upon any of the grounds specified in subsection (2) of this section:
(a) Refuse to license any applicant.
(b) Refuse to renew the license of any physical therapist or physical therapist assistant.
(c) Suspend or revoke the license of any physical therapist or physical therapist assistant.
(d) Suspend or revoke a temporary permit issued under ORS 688.110.
(e) Impose a civil penalty not to exceed $5,000.
(f) Impose probation with authority to limit or restrict a license.
(g) Impose conditions, restrictions or limitations on practice.
(h) Issue letters of reprimand.
(i) Impose any other appropriate sanction, including assessment of the reasonable costs of a proceeding under ORS 688.145 as a civil penalty. Costs include, but are not limited to, the costs of investigation, attorney fees, hearing officer costs and the costs of discovery.
(2) Grounds exist for the imposition of sanctions as specified in subsection (1) of this section when a person:
(a) Violates any provision of ORS 688.010 to 688.201, board rules or a written order from the board.
(b) Practices or offers to practice beyond the scope of practice of physical therapy.
(c) Obtains or attempts to obtain or renew a license or temporary permit by fraud or misrepresentation.
(d) Provides substandard care as a physical therapist through a deliberate or negligent act or failure to act, regardless of whether injury to the patient occurs.
(e) Provides substandard care as a physical therapist assistant by exceeding the authority to perform components of physical therapy interventions selected by the supervising physical therapist or through a deliberate or negligent act or failure to act, regardless of whether injury to the patient occurs.
(f) Fails as a physical therapist to supervise physical therapist assistants in accordance with board rules.
(g) Fails as a physical therapist or physical therapist assistant to supervise physical therapist aides in accordance with board rules.
(h) Subject to the provisions of ORS 670.280, has been convicted of a crime in Oregon or any other state, territory or country. For purposes of this paragraph, conviction includes a verdict of guilty, a plea of guilty or a plea of no contest.
(i) Uses controlled substances or intoxicating liquors to an extent or in a manner that is illegal, dangerous or injurious to the licensee or others or that impairs the person’s ability to safely practice physical therapy.
(j) Has had an application for licensure refused because of conduct or circumstances that would be grounds for sanctions by the board, or a license revoked or suspended, or other disciplinary action taken by the proper authorities of another state, territory or country.
(k) Engages in sexual misconduct. For purposes of this paragraph, sexual misconduct includes but is not limited to:
(A) Engaging in sexual conduct or soliciting a sexual relationship with a current patient, whether consensual or nonconsensual.
(B) Intentionally exposing or viewing a completely or partially disrobed patient in the course of treatment if the exposure or viewing is not related to patient diagnosis or treatment under current practice standards.
(L) Directly or indirectly requests, receives, pays or participates in dividing, transferring or assigning an unearned fee or profits by a means of a credit or other valuable consideration such as an unearned commission, discount or gratuity in connection with the furnishing of physical therapy services. This paragraph does not prohibit the members of any regularly and properly organized business entity recognized by law and comprised of physical therapists from dividing fees received for professional services among themselves as they determine.
(m) Fails to adhere to the standards of ethics of the physical therapy profession established by board rule.
(n) Obtains or attempts to obtain a fee for physical therapy services by fraud or misrepresentation.
(o) Makes misleading, deceptive or fraudulent representations in the course of providing physical therapy services.
(p) Fails to report to the board, when the person has direct knowledge of an unprofessional, incompetent or illegal act that reasonably appears to be in violation of ORS 688.010 to 688.201 or any rules of the board.
(q) Interferes with an investigation or disciplinary proceeding of the board.
(r) Aids or abets a person who is not licensed in this state to practice physical therapy.
(s) Fails to maintain adequate patient records.
(t) Fails to maintain patient confidentiality.
(u) Provides treatment intervention that is not warranted by the patient’s condition or continues treatment beyond the point of reasonable benefit to the patient.
(v) Provides physical therapy services or participates in physical therapy services solely for reasons of personal or institutional financial gain.
(w) Aids or causes another person, directly or indirectly, to violate ORS 688.010 to 688.201 or rules of the board, fraudulently uses or permits the use of a license number in any way, or acts with the intent to violate ORS 688.010 to 688.201 or rules of the board.
(3) To enforce the provisions of this section, the board is authorized to initiate an investigation and take the following actions:
(a) Receive complaints filed against persons and conduct timely investigations.
(b) Initiate its own investigation if the board has reason to believe that there may have been a violation of ORS 688.010 to 688.201.
(c) Issue a subpoena to compel the attendance of any witness or the production of any documentation relating to a matter under investigation. In addition to the board, the executive director or the executive director’s designee may issue a subpoena. When the board, in the course of an investigation, requires the production of patient records for inspection and copying by subpoena, or otherwise, the records shall be produced without regard to whether patient consent has been obtained and without regard to any claim of confidentiality or privilege.
(d) Take the deposition of a witness, including a physical therapist or physical therapist assistant being investigated, in the manner provided by law in civil cases.
(e) Take emergency action to suspend a person’s license or restrict the person’s practice or employment pending proceedings by the board.
(f) Report to the appropriate district attorney all cases that, in the judgment of the board, warrant prosecution.
(g) Require a person to undergo a mental, physical, chemical dependency or competency evaluation at the person’s expense when the board has objectively reasonable grounds to believe that the person is or may be unable to practice physical therapy with reasonable skill and safety, with the results being reported to the board. The report shall not be disclosed to the public but may be received into evidence in a proceeding between the board and the person when the mental, physical, chemical dependency or competency of the person is at issue, notwithstanding any claim of privilege by the person.
(4) If the board finds that the information received in a complaint or an investigation does not merit disciplinary action against a person, nondisciplinary actions may ensue. The board may then take the following actions:
(a) Dismiss the complaint.
(b) Issue a confidential advisory letter to the person that is nondisciplinary and that notifies the physical therapist or physical therapist assistant that certain conduct or practices must be modified or eliminated.
(5) The board may apply for injunctive relief in any court of competent jurisdiction to enjoin any person from committing any act in violation of ORS 688.010 to 688.201. Injunction proceedings are in addition to, and not in lieu of, penalties or other sanctions prescribed in ORS 688.010 to 688.201. [1959 c.461 §14; 1969 c.339 §15; 1971 c.585 §14; 1975 c.111 §11; 1979 c.744 §59; 1983 c.224 §5; 1985 c.41 §3; 1989 c.947 §2; 1993 c.211 §2; 1999 c.709 §1; 2005 c.627 §12]
688.145
Discipline procedure; review of orders; confidential information. (1) When
the Physical Therapist Licensing Board proposes to impose any of the sanctions
authorized in ORS 688.140, opportunity for hearing shall be accorded as
provided in ORS chapter 183.
(2) Judicial review of orders under subsection (1) of this section shall be as provided in ORS chapter 183.
(3) Information that the board obtains as part of an investigation into licensee or applicant conduct or as part of a contested case proceeding, consent order or stipulated agreement involving licensee or applicant conduct is confidential as provided under ORS 676.175. [1971 c.734 §140; 1985 c.41 §4; 1997 c.791 §43]
688.150
[1959 c.461 §15; 1969 c.339 §16; 1971 c.585 §15; repealed by 1971 c.734 §21]
(State Board)
688.160
Physical Therapist Licensing Board; qualifications; terms; vacancies; duties;
rules; meetings; executive director. (1) The Physical Therapist Licensing
Board shall operate as a semi-independent state agency subject to ORS 182.456
to 182.472, for purposes of carrying out the provisions of ORS 688.010 to
688.201 and 688.990 (1). The Physical Therapist Licensing Board shall consist
of seven members appointed by the Governor who may be appointed from a list of
not fewer than nine names, submitted by the Oregon Physical Therapy
Association. Five members shall be physical therapists who are Oregon
residents, possess unrestricted licenses to practice physical therapy in this
state, have been practicing in this state for at least two years immediately
preceding their appointments and have been practicing in the field of physical
therapy for at least five years. One member shall be a licensed physical
therapist assistant. One member shall be a public member who has an interest in
consumer rights. All members shall have equal voting privileges.
(2) Upon the expiration of the term of a member of the board, the Governor shall appoint a successor who may be appointed from a list of three names submitted to the Governor by the Oregon Physical Therapy Association to serve a term of four years. A member may not serve for more than two consecutive four-year terms.
(3) In the event of a vacancy in the office of a member of the board other than by reason of the expiration of a term, the Governor, not later than 90 days after the occurrence of the vacancy, shall appoint a person to fill the vacancy for the unexpired term. The person may be appointed from a list of three names submitted as provided in subsection (2) of this section. If requested by the board, the Governor may remove any member of the board for misconduct, incompetence or neglect of duty.
(4) Each member of the board is entitled to compensation and expenses as provided in ORS 292.495.
(5) A board member who acts within the scope of board duties, without malice and in reasonable belief that the member’s action is warranted by law, is immune from civil liability.
(6) The board shall have power to:
(a) Establish matters of policy affecting administration of ORS 688.010 to 688.201;
(b) Provide for examinations for physical therapists and physical therapist assistants and adopt passing scores for the examinations;
(c) Adopt rules necessary to carry out and enforce the provisions of ORS 688.010 to 688.201;
(d) Establish standards and tests to determine the qualifications of applicants for licenses to practice physical therapy in this state;
(e) Issue licenses to persons who meet the requirements of ORS 688.010 to 688.201;
(f) Adopt rules relating to the supervision and the duties of physical therapist aides who assist in performing routine work under supervision;
(g) Adopt rules establishing minimum continuing education requirements for all licensees;
(h) Exercise general supervision over the practice of physical therapy within this state;
(i) Establish and collect fees for the application or examination for, or the renewal, reinstatement or duplication of, a license under ORS 688.040, 688.080 or 688.100 or for the issuance of a temporary permit under ORS 688.110; and
(j) Establish and collect fees to carry out and enforce the provisions of ORS 688.010 to 688.201.
(7) The board shall meet as determined by the board and at any other time at the call of the board chairperson, who shall be elected by the members of the board.
(8) The board may appoint and fix the compensation of an executive director and other staff as necessary to carry out the operations of the board.
(9) The board shall:
(a) Maintain a current list of all persons regulated under ORS 688.010 to 688.201, including the persons’ names, current business and residential addresses, telephone numbers, electronic mail addresses and license numbers.
(b) Provide information to the public regarding the procedure for filing a complaint against a physical therapist or physical therapist assistant.
(c) Publish at least annually, and in a format or place determined by the board, final disciplinary actions taken against physical therapists and physical therapist assistants and other information, including rules, in order to guide physical therapists and physical therapist assistants regulated pursuant to ORS 688.010 to 688.201. [1959 c.461 §17; 1969 c.339 §17; 1971 c.585 §16; 1971 c.650 §38; 1973 c.792 §43; 1975 c.111 §12; 1985 c.41 §5; 1993 c.387 §1; 1999 c.1084 §26; 2005 c.627 §13]
688.170
[1959 c.461 §19; 1969 c.314 §88; 1971 c.585 §17; 1999 c.1084 §27; repealed by
2005 c.627 §18]
688.180 [1959 c.461 §20; 1969 c.339 §18; 1971 c.585 §18; 1975 c.111 §13; repealed by 2005 c.627 §18]
688.190
[1959 c.461 §21; 1969 c.339 §19; repealed by 1971 c.585 §23]
688.200
[1959 c.461 §24; 1961 c.593 §4; 1967 c.637 §33; 1971 c.585 §19; repealed by
1973 c.427 §33 (688.201 enacted in lieu of 688.200)]
688.201
Disposition of receipts. All moneys received under ORS 688.010 to 688.201
shall be paid into the account established by the Physical Therapist Licensing
Board under ORS 182.470. Those moneys hereby are appropriated continuously to
the board and shall be used only for the administration and enforcement of ORS
688.010 to 688.201. [1973 c.427 §34 (enacted in lieu of 688.200); 1999 c.1084
§28]
688.210
[1959 c.461 §23; 1969 c.339 §20; 1971 c.585 §20; 1975 c.111 §14; repealed by
2005 c.627 §18]
(Enforcement)
688.220
[1959 c.461 §22; 1971 c.585 §21; 1997 c.791 §44; 1999 c.59 §203; repealed by
2005 c.627 §18]
688.230
Report of suspected violation; confidentiality of report; liability of person
reporting. (1) Any licensed health facility, licensed physical therapist,
licensed physical therapist assistant, the Oregon Physical Therapy Association
or physician licensed under ORS chapter 677, podiatric physician and surgeon or
dentist shall, and any other person may, report suspected violations of ORS
688.010 to 688.201 to the Physical Therapist Licensing Board. The reports are
confidential as provided under ORS 676.175.
(2) Any person who reports or provides information to the board under subsection (1) of this section and who provides information in good faith shall not be subject to an action for civil damages as a result thereof. [1985 c.41 §7; 1997 c.791 §45]
688.235
[1989 c.843 §14; repealed by 2005 c.627 §18]
RADIOLOGIC TECHNOLOGISTS AND RADIATION THERAPISTS
(Generally)
688.405
Definitions for ORS 688.405 to 688.605. As used in ORS 688.405 to 688.605:
(1) “Approved school of radiologic technology” means a school of radiologic technology accredited by the Joint Review Committee on Education in Radiologic Technology or by a regional post-secondary accreditation body, whose graduates are qualified to sit for the American Registry of Radiologic Technologists examination.
(2) “Board” means the Board of Radiologic Technology established by ORS 688.405 to 688.605.
(3) “Diagnostic radiologic technologist” means a person other than a licensed practitioner who actually handles X-ray equipment in the process of applying radiation on a human being for diagnostic purposes under the supervision of a licensed practitioner.
(4) “Inactive status” means the status granted by the board to a licensee or limited permit holder who has notified the board of the intent not to practice radiologic technology and of the desire to retain the right to reinstate the license or limited permit subject to board rule.
(5) “Licensed practitioner” means a person licensed or otherwise authorized by Oregon law to practice one of the healing arts.
(6) “License” means a license granted and issued by the board to practice radiologic technology.
(7) “Limited permit course of study” means a board approved set of didactical and clinical experience elements designed to prepare a student for obtaining practical experience and for passing the limited permit examination described in ORS 688.515.
(8) “Limited permit holder” means a person other than a radiation therapist or a diagnostic radiologic technologist who handles X-ray equipment in the process of applying radiation on a human being for diagnostic purposes under the supervision of a licensed practitioner and who has met the requirements of ORS 688.515.
(9) “Radiation oncologist” means a physician who is either certified or eligible for certification in therapeutic radiology by the American Board of Radiology or its equivalent or who is certified in general radiology by the American Board of Radiology and who devotes all professional time to the investigation and management of neoplastic disorders inclusive of teaching such investigation and management.
(10) “Radiation therapist” means a person, other than a licensed practitioner, who handles ionizing radiation in the process of applying radiation on a human being for therapeutic purposes under the supervision of a licensed practitioner.
(11) “Radiation therapy” means the use of ionizing radiation upon a human being for therapeutic purposes.
(12) “Radiologic technologist” means a person other than a licensed practitioner who practices radiologic technology as a:
(a) Diagnostic radiologic technologist; or
(b) Radiation therapist.
(13) “Radiologic technology” means the use of ionizing radiation upon a human being for diagnostic or therapeutic purposes.
(14) “Radiologist” means a person duly licensed to practice medicine in the State of Oregon and who is certified by the American Board of Radiology or by the American Osteopathic Board of Radiology.
(15) “Supervision” means the act of monitoring the performance of diagnostic X-ray technology through periodic inspection, regardless of whether or not the supervising licensed practitioner is continuously physically present during the performance of such diagnostic X-ray technology. [1977 c.534 §2; 1981 c.603 §6; 1999 c.517 §1]
688.415
License required to practice radiologic technology; prohibited acts. (1) No
person shall:
(a) Practice radiologic technology if the person is not licensed in accordance with the provisions of ORS 688.405 to 688.605 or is not the holder of a permit issued under ORS 688.515;
(b) Practice radiologic technology under a false or assumed name;
(c) Knowingly employ any person for the purpose of practicing radiologic technology if that person is not licensed or does not hold a valid permit in accordance with the provisions of ORS 688.405 to 688.605;
(d) Obtain or attempt to obtain a license or permit or a renewal of a license or permit by bribery or fraudulent representation; or
(e) Knowingly make a false statement on an application for a license or permit or a renewal for a license.
(2) After January 1, 1979, no person shall practice radiologic technology or purport to be a radiologic technologist unless the person is licensed in accordance with the provisions of ORS 688.405 to 688.605 or holds a permit issued by the Board of Radiologic Technology. [1977 c.534 §§4(3),20]
688.425
Licensed persons may use title. (1) A person licensed in accordance with
the provisions of ORS 688.405 to 688.605 may use the title of “Licensed
Radiologic Technologist” or the letters “LRT.” A person licensed as a
radiologic technologist in the therapeutic field may use the title of “Licensed
Radiation Therapy Technologist” or the letters “LRTT.”
(2) No person shall use these titles or any abbreviation of these titles or any title which is substantially the same as these titles unless the person is authorized under subsection (1) of this section. [1977 c.534 §18]
688.435
Application of ORS 688.405 to 688.605. The provisions of ORS 688.405 to
688.605 shall not apply to the following persons:
(1) Persons who operate dental X-ray equipment for the sole purpose of oral radiography.
(2) Students in approved schools of radiologic technology as defined in ORS 688.405 while practicing radiologic technology under the supervision of an instructor who is either a radiologist or a licensed radiologic technologist.
(3) A licensed practitioner or students in approved schools leading to licensure as a practitioner of one of the healing arts while practicing radiologic technology under the supervision of an instructor who is either a licensed practitioner or a licensed radiologic technologist. [1977 c.534 §15; 1979 c.449 §3; 1981 c.603 §5; 1993 c.247 §2; 1999 c.517 §2]
(Licensing)
688.445
Licensing and renewal procedure; fees. (1) The Board of Radiologic
Technology shall issue a license to practice as a radiologic technologist in
the State of Oregon to each person who meets the qualifications for licensure
as provided in ORS 688.405 to 688.605. Such license shall state the category or
categories for which the qualifications have been met, which include diagnostic
radiologic technologist and radiation therapist.
(2) A license must be renewed every two years on the first day of the month of the anniversary date of the licensee’s birthday.
(3) Any license that is not renewed as provided in subsection (2) of this section expires. The board may renew an expired license upon payment of a delinquent fee in an amount set by the board plus the biennial renewal fee. However, no such late renewal may be granted more than five years after a license has expired.
(4) A license shall be renewed upon application to the board which is accompanied by a fee in an amount set by the board.
(5) A license which has been expired for more than five years may be reissued only in the manner prescribed for an original license. [1977 c.534 §5; 1979 c.443 §1; 1989 c.214 §1; 1997 c.106 §1; 1997 c.367 §1; 1999 c.517 §3; 2005 c.151 §1]
688.455
License fee; general qualifications. The Board of Radiologic Technology
shall license any person who makes an application in writing and pays a fee in
an amount set by the board and who at that time:
(1) Is at least 18 years of age;
(2) Has successfully completed a four-year course of study in a secondary school approved by the board of education of the state in which the school is located or has passed an approved equivalency test; and
(3) Meets the requirements for licensing as described in ORS 688.465, 688.475 and 688.495. [1977 c.534 §6; 1979 c.443 §2; 1991 c.535 §1; 1997 c.367 §2]
688.465
Qualifications of radiologic technologist in diagnostic field. For
licensure as a radiologic technologist in the diagnostic field, an applicant
must be currently certified by the American Registry of Radiologic
Technologists (ARRT) in X-ray technology. [1977 c.534 §7; 1981 c.603 §1; 1999
c.517 §4; 2005 c.151 §2]
688.475
Qualifications of radiologic technologist in therapeutic field. For
licensure as a radiologic technologist in the therapeutic field, an applicant
must be currently certified by the American Registry of Radiologic
Technologists (ARRT) in radiation therapy. [1977 c.534 §8; 1981 c.603 §2; 1999
c.517 §5; 2005 c.151 §3]
688.480
Operator of certain tomography equipment to be certified. (1) Persons who
operate computed tomography equipment not involving the use of radionuclides
for diagnostic purposes must be certified by the American Registry of
Radiologic Technologists.
(2) Persons who operate computed tomography equipment combined with a positrion emission tomography imaging system for diagnostic purposes shall adhere to rules adopted by the Board of Radiologic Technology. [1979 c.449 §6; 2005 c.151 §4]
688.485
Examinations; fees. (1) The Board of Radiologic Technology may conduct one
or more examinations each year at such times and places as the board may
determine.
(2) An applicant who fails to pass an examination may take additional examinations scheduled by the board. A fee shall be charged for examinations as determined by the board. [1977 c.534 §11]
688.495
Licensing without examination. The Board of Radiologic Technology may
license as a radiologic technologist, without examination, any person who:
(1) Applies for a license as provided in ORS 688.455; and
(2) On the date of making application is a radiologic technologist under the laws of any other state, territory of the United States or nation, if the requirements for licensure in that state, territory or nation are not less than those required under ORS 688.405 to 688.605 and the applicant passed a written examination in that state, territory or nation that is comparable to the examination required in this state for the category or categories for which licensure is sought. [1977 c.534 §10; 1981 c.603 §3]
688.505
Evidence of continuing education on renewal. The Board of Radiologic
Technology shall require each person holding a license or permit under ORS
688.405 to 688.605 to submit, at the time the person submits the biennial
renewal fee, evidence of continuing education in radiologic technology pursuant
to rules of the board. Continuing education must be pertinent to the subject
area of radiologic technology for which the license or permit was issued.
Evidence of current American Registry of Radiologic Technologists certification
may be used as valid documentation of continuing education required by this
section. [1977 c.534 §12; 1985 c.325 §1; 1989 c.214 §2; 1999 c.517 §6]
688.515
Limited permit; temporary license; X-ray bone densitometry operator permit;
fees; qualifications. (1) The Board of Radiologic Technology shall issue a
limited permit to an applicant to practice in a limited area of radiologic
technology if such applicant meets the requirements for a limited permit as
provided in this section. Such limited permit shall state the category or
categories for which the applicant has demonstrated competence and shall be
limited to one of the categories listed below or as established by the board by
rule:
(a) Upper extremities;
(b) Pelvis or lower extremities, or both;
(c) Chest and ribs;
(d) Spine;
(e) Head;
(f) Abdomen; or
(g) Foot and ankle for podiatric use.
(2) Limited permits shall not be issued for contrast studies or special head studies such as tomography.
(3) Each applicant for a limited permit shall:
(a) Make an application in writing;
(b) Pay an application fee in an amount set by the board;
(c) Be at least 18 years of age;
(d) Have successfully passed a board-approved course of instruction in radiation use and safety consisting of the number of hours of instruction required by the board by rule;
(e) Have successfully completed a course of instruction approved by the board and taught by a board-approved, licensed, registered radiologic technologist in laboratory practice specific to each category for which the applicant seeks a limited permit, with the instructor’s certifying to the board that the applicant has completed the course in those categories applied for;
(f) Have successfully completed a practical experience program approved by the board, specific to each category for which the applicant seeks a limited permit. Such program shall include operation of an energized X-ray machine under the supervision of a registered radiologic technologist;
(g) Have paid the examination fee set by board rule to reflect the actual cost of the examination; and
(h) Have successfully passed an oral or written examination, or both, conducted by or approved by the board in radiation use and safety and in those categories in which the applicant seeks a limited permit.
(4) Upon meeting the requirements of this section, the board shall issue a limited permit to the applicant. A limited permit shall be renewed every two years on the first day of the month of the anniversary date of the permittee’s birthday subject to ORS 688.505 and payment of a fee in an amount set by the board. Any limited permit that is not renewed as provided in this subsection expires. The board may renew any expired limited permit upon payment of a delinquent fee in an amount set by the board plus the biennial renewal fee.
(5) Every person issued a limited permit shall notify the board in writing of the name of each licensed practitioner supervising permittee’s performance of diagnostic X-ray technology and shall only perform diagnostic X-ray technology while being supervised by a licensed practitioner. In the event permittee subsequently is supervised by a licensed practitioner other than the person whose name was initially furnished to the board, the board shall be immediately notified in writing.
(6) A temporary license or limited permit may be issued by the board without examination to a graduate of or a student enrolled in an approved school of radiologic technology or limited permit course of instruction upon application and payment of a registration fee in an amount set by the board if the person practices as a diagnostic radiologic technologist or radiation therapist under the supervision of a licensed practitioner. A temporary license or limited permit is valid for a period of six months and may be renewed by the board for one six-month period only.
(7) At the discretion of the board a temporary limited permit may be issued by the board without examination to a person upon application and payment of a registration fee in an amount set by the board if the person practices diagnostic radiologic technology under the supervision of a licensed practitioner and if the person is enrolled in an approved course of instruction in radiation use and safety. Such a temporary limited permit shall be valid for a period of three months and shall not be renewed by the board except as provided under subsection (6) of this section.
(8) In addition to the temporary license or limited permit authorized by this section, the board may authorize a permit authorizing its holder to be an X-ray bone densitometry operator. The operator must meet standards of training established by the board by rule. The applicant shall pay a nonrefundable fee fixed by the board and the permit may be issued for a period of two years and may be renewed upon payment of a fixed renewal fee. [1977 c.534 §14; 1979 c.443 §4; 1979 c.449 §1; 1981 c.603 §4; 1985 c.325 §2; 1989 c.214 §3; 1989 c.337 §1; 1991 c.535 §2; 1993 c.247 §3; 1995 c.124 §1; 1997 c.106 §2; 1997 c.367 §3; 1999 c.517 §7; 1999 c.522 §1]
688.520
Licenses and permits for periods other than 24 months. The Board of
Radiologic Technology may issue licenses and permits for periods other than 24
months. The fee for a license or permit issued for any period other than 24
months shall be prorated on a monthly basis. [1991 c.535 §4; 1997 c.106 §3]
688.525
Grounds for discipline; investigation of complaints; confidential information.
(1) The Board of Radiologic Technology, after notice of and hearing as required
under the contested case procedures of ORS chapter 183, may refuse to license
any applicant, may refuse to renew the license or permit of any radiologic
technologist or may suspend or revoke the license or permit of a person who:
(a) Is chemically dependent.
(b) In the judgment of the board is guilty of unethical or unprofessional conduct in the practice of radiologic technology.
(c) Has been convicted of any crime where the crime bears a demonstrable relationship to the practice of radiologic technology.
(d) In the judgment of the board, is guilty of gross negligence in the practice of radiologic technology.