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319B.010 Definitions for chapter.
As used in this chapter, unless the context requires otherwise:
(1) "Board" means the Kentucky Board of Prosthetics, Orthotics, and Pedorthics;
(2) "CAAHEP" means the Commission on Accreditation of Allied Health Education
Programs;
(3) "Custom fabricated and fitted device" means an orthosis, prosthesis, or
pedorthic device that is fabricated to original measurements, or to a mold for
use by a patient in accordance with a prescription from a health care
practitioner or provider authorized by law to write such prescriptions, and that
requires substantial clinical and technical judgment in its design and fitting;
(4) "Custom fitted device" means a prefabricated orthosis, prosthesis, or pedorthic
device sized or modified for use by the patient in accordance with a
prescription from a health care practitioner or provider authorized by law to
write such prescriptions that requires substantial clinical judgment and
substantive alteration for appropriate use;
(5) "Facility" means the business location where orthotic, prosthetic, or pedorthic
care is provided. The orthotic/prosthetic/pedorthic facility has the appropriate
clinical and laboratory space and equipment to provide comprehensive orthotic,
prosthetic, and pedorthic care. Licensed orthotists, prosthetists, and
pedorthists shall be available to either provide care or to supervise the
provision of care by nonlicensed staff;
(6) "Licensed orthotic fitter" means a person who receives a license under this
chapter to fit the following noncustom orthotic devices:
(a) Cervical orthoses, except those requiring more than minor modification or
those used to treat an unstable cervical condition;
(b) Pressure gradient hose;
(c) Trusses;
(d) Prefabricated spinal orthoses, except those used in the treatment of
scoliosis or unstable spinal conditions, rigid body jackets made of
thermoformable materials, and "halo" devices; and
(e) Prefabricated orthoses of upper and lower extremities, except those used
in the treatment of bone fractures and dislocations, therapeutic (diabetic)
shoes or inserts, and functional electrical stimulation orthoses, such as
myo-orthosis or neuroprosthesis;
(7) "Licensed orthotist" means a person who is licensed under this chapter to
practice orthotics and who represents the person to the public by title or
description of services that includes the term "orthotic," "orthotist," "brace," or a
similar title or description of services;
(8) "Licensed pedorthist" means a person who is licensed under this chapter to
practice pedorthics and who represents the person to the public by the title or
description of services that includes the term "pedorthic," "pedorthist," or a
similar title or description of services;
(9) "Licensed prosthetist" means a person who is licensed under this chapter to
practice prosthetics and who represents the person to the public by title or
description of services that includes the term "prosthetic," "prosthetist,"
(10)
(11)
(12)
(13)
(14)
(15)
(16)
"artificial limb," or a similar title or description of services;
"NCOPE" means the National Commission on Orthotic and Prosthetic
Education;
"Orthosis" means a custom-designed, fabricated, fitted, or modified device to
correct, support, or compensate for a neuro-musculoskeletal disorder or
acquired condition. "Orthosis" does not include fabric or elastic supports,
corsets, arch supports, low-temperature plastic splints, trusses, elastic hoses,
canes, crutches, soft cervical collars, dental appliances, or other similar
devices that are carried in stock and sold without modification as
"over-the-counter" items by a pharmacy, department store, corset shop, or
surgical supply facility;
"Orthotic and prosthetic education program" means a course of instruction
accredited by CAAHEP, consisting of:
(a) An adequate curriculum of college level training and instruction in math,
physics, biology, chemistry, and psychology; and
(b) A specific curriculum in orthotic or prosthetic courses, including:
1.
Lectures
covering
pertinent
anatomy,
biomechanics,
pathomechanics, prosthetic-orthotic components and materials,
training and functional capabilities, prosthetic or orthotic
performance evaluation, prescription considerations, etiology of
amputations and disease processes necessitating prosthetic or
orthotic use, and medical management;
2.
Subject matter related to pediatric and geriatric problems;
3.
Instruction in acute care techniques, such as immediate and early
postsurgical prosthetics and fracture-bracing techniques; and
4.
Lectures, demonstrations, and laboratory experiences related to the
entire process of measuring, casting, fitting, fabricating, aligning,
and completing prostheses or orthoses;
"Orthotics" means the science and practice of evaluating, measuring,
designing, fabricating, assembling, fitting, adjusting, or servicing an orthosis,
under an order from a licensed health care practitioner or provider authorized
by law to issue such an order, for the correction or alleviation of neuromuscular
or musculoskeletal dysfunction, disease, injury, or deformity;
"Orthotist" means a person who is specifically trained and educated to provide
or manage the provision of a custom-designed, fabricated, modified, and fitted
external orthosis to an orthotic patient, based on a clinical assessment and a
prescription from a health care practitioner or provider authorized by law to
write such prescriptions, to restore physiological function or cosmesis;
"Over-the-counter device" means a prefabricated, mass-produced device that
is prepackaged and requires no professional advice or judgment in either size
selection or use, including fabric or elastic supports, corsets, generic arch
supports, and elastic hoses;
"Pedorthic device" means therapeutic footwear, foot orthoses, or orthotics for
use at the ankle or below, below the ankle partial foot prostheses, and modified
footwear made for therapeutic purposes, as prescribed by a licensed health
care practitioner or provider authorized by law to issue such a prescription.
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
"Pedorthic device" does not include nontherapeutic accommodative inlays or
nontherapeutic accommodative footwear, regardless of method of
manufacture; shoe modifications made for nontherapeutic purposes;
unmodified over-the-counter shoes; or prefabricated foot care products;
"Pedorthic education program" means a course of instruction accredited by
NCOPE, consisting of:
(a) A basic curriculum of instruction in foot-related pathology of diseases,
anatomy, and biomechanics;
(b) A specific curriculum in pedorthic courses, including lectures covering
shoes, foot orthoses, and shoe modifications, pedorthic components and
materials, training and functional capabilities, pedorthic performance
evaluation, prescription considerations, etiology of disease processes
necessitating use of pedorthic devices, medical management, and subject
matter related to pediatric and geriatric problems; and
(c) Lectures, demonstrations, and laboratory experiences related to the
entire process of measuring and casting, fitting, fabricating, aligning, and
completing pedorthic devices;
"Pedorthics" means the science and practice of evaluating, measuring,
designing, fabricating, assembling, fitting, adjusting, or servicing a pedorthic
device, under an order from a licensed health care practitioner or provider
authorized by law to issue such an order for the correction or alleviation of
neuromuscular or musculoskeletal dysfunction, disease, injury, or deformity;
"Pedorthist" means a person who measures, designs, fabricates, fits, or
services pedorthic devices and assists in the formulation of the order of
pedorthic devices, as ordered by a licensed health care practitioner or provider
authorized by law to issue such an order for the support or correction of
disabilities caused by neuromuscular or musculoskeletal dysfunction, disease,
injury, or deformity;
"Person" means a natural person;
"Prosthesis" means a custom designed, fabricated, fitted, or modified device to
replace an absent external limb, for the purpose of restoring physiological
function or cosmesis. "Prosthesis" does not include artificial eyes or ears,
dental appliances, artificial breasts, cosmetic devices such as artificial
eyelashes or wigs, or other devices that do not have a significant impact on the
musculoskeletal functions of the body;
"Prosthetics" means the science and practice of evaluating, measuring,
designing, fabricating, assembling, fitting, adjusting, or servicing a prosthesis,
under an order from a licensed health care practitioner or provider authorized
by law to issue such an order;
"Prosthetist" means a person who is specifically trained and educated to
provide or manage the provision of a custom designed, fabricated, modified,
and fitted external limb prosthesis to a prosthetic patient, based on a clinical
assessment and a prescription from a health care practitioner or provider
authorized to write such prescriptions, to restore physiological function or
cosmesis;
"Prosthetist/Orthotist" means a person who practices both disciplines of
prosthetics and orthotics and who represents the person to the public by title or
by description of services;
(25) "Resident" means a person who has completed a CAAHEP accredited
education program in orthotics, prosthetics, or both and is obtaining his or her
clinical training in a residency accredited by NCOPE;
(26) "Residency" means a minimum of a one-year NCOPE accredited program to
acquire practical clinical training in orthotics, prosthetics, or both, in a patient
care setting; and
(27) "Supervision" means the act of critical observing and directing the work or
tasks of another who may lack full knowledge of the concept at hand.
Effective:July 15, 2010
History: Created 2010 Ky. Acts ch. 109, sec. 2, effective July 15, 2010.
Legislative Research Commission Note (7/15/2010) 2010 Ky. Acts ch. 109,
sec. 18, provides: "Section 2 to 18 of this Act shall be known and may be cited
as the 'Henry Brown Prosthetics, Orthotics, and Pedorthics Act'."
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