201 KAR 5:110. Expanded Therapeutic Procedures

Link to law: http://www.lrc.ky.gov/kar/201/005/110.htm
Published: 2015

      201 KAR 5:110. Expanded therapeutic procedures.

 

      RELATES TO:

KRS 320.210(2) and 320.240(4), (5), and (7)

      STATUTORY AUTHORITY: KRS 320.210(2) and

320.240(4), (5), and (7)

      NECESSITY, FUNCTION, AND CONFORMITY: KRS

320.240(4) grants the Kentucky Board of Optometric Examiners the authority to

promulgate reasonable regulations and the board’s administrative regulations

shall include the classification and licensure of optometrists by examination

and credentials. KRS 320.240(5) requires a therapeutically licensed optometrist

to meet educational and competence criteria set forth by the board in order to

perform expanded therapeutic procedures, and evidence of proof of continuing

competency shall be determined by the board. This administrative regulation establishes

the educational and competence criteria necessary for a therapeutically

licensed optometrist to perform expanded therapeutic procedures.

 

      Section 1. Qualifications for a Kentucky Licensed

Optometrist to be Credentialed to Utilize Expanded Therapeutic Procedures. A

Kentucky licensed optometrist shall be credentialed to perform expanded

therapeutic procedures if:

      (1) The applicant provides proof that the

applicant:

      (a) Holds an active license in good

standing by another state;

      (b) Is also credentialed by that state to

perform expanded therapeutic procedures; and

      (c) The requirements in the state of

licensure for performing expanded therapeutic procedures meet or exceed the

requirements in this section; or

      (2)(a) The optometrist is currently

therapeutically licensed in Kentucky; and

      (b). Provides proof of completion of a

course approved by the Board that includes:

      1. The following didactic instruction:

Class room instruction covering:

      a. Laser Physics, Hazards and Safety;

      b. Biophysics of laser;

      c. Laser application in Clinical

Optometry;

d. Laser Tissue

Interactions;

      e. Laser Indications, Contraindications

and Potential Complications;

      f. Gonioscopy;

      g. Laser Therapy for Open Angle Glaucoma;

      h. Laser Therapy for Angle Closure

Glaucoma;

      i. Posterior Capsulotomy;

      j. Common complications: Lids, Lashes,

Lacrimal;

      k. Medicolegal Aspects of Anterior

Segment Procedures;

      l. Peripheral Iridotomy;

      m. Laser Trabeculoplasty

      n. Minor surgical procedures;

      o. Overview of surgical instruments,

Asepsis and OSHA;

      p. The surgical anatomy of the Eyelids;

      q. Emergency Surgical Procedures;

      r. Chalazion Management;

      s. Epilumeninesence Microscopy;

      t. Suture techniques;

      u. Local anesthesia: techniques and

complications;

      v. Anaphylaxsis and other office emergencies;

      w. Radiofrequency Surgery; and

      x. Post-operative Wound Care;

      2. Clinical or Laboratory experience

including:

      a. Video Tape Demonstration;

      b. In Vitro Observation or participation;

      c. In Vivo Observation; and

      d. A formal Clinical or Laboratory

Practical Examination; and

      3. Passage of a written test utilizing

the National Board of Examiners in Optometry format.

      (3) A board approved course shall be:

      (a) Provided by an accredited optometry

or medical school;

      (b) Taught by full-time or adjunct

faculty members of an accredited optometry or medical school;

      (c) A minimum of thirty-two (32) clock

hours in length; and

      (d) Sponsored by an organization that

meets the standards of 201 KAR 5:030.

 

      Section 2. Qualifications for a New

Applicant for Licensure to be Credentialed to Utilize Expanded Therapeutic

Procedures. A new applicant for licensure as an optometrist shall be

credentialed to perform expanded therapeutic procedures if:

      (1) The applicant

provides proof that the applicant has graduated from an optometry school whose

program includes all of the education, training, and testing requirements

established in Section 1; or

      (2) By the end of the first licensure

renewal period, the licensee shall provide proof of compliance with Section 1

of this administrative regulation.

 

      Section 3. Qualifications for an

Applicant for Licensure by Endorsement to be Credentialed to Utilize Expanded

Therapeutic Procedures. An applicant for licensure by endorsement shall be

credentialed to perform expanded therapeutic procedures in Kentucky if:

      (1) The applicant provides proof that:

      (a) The applicant holds an active license

in good standing by another state;

      (b) Is credentialed by that state to

perform expanded therapeutic procedures; and

      (c) The requirements in the state of

licensure for performing expanded therapeutic procedures meet or exceed the

requirements in Section 1; or

      (2) By the end of the first licensure

renewal period, the licensee shall provide proof of compliance with Section 1

of this administrative regulation.

 

      Section 4. Qualifications for an

Optometrist to be Credentialed to Utilize Expanded Therapeutic Laser

Procedures. (1) An optometrist credentialed in Kentucky to perform expanded

therapeutic procedures shall be credentialed to perform expanded therapeutic

laser procedures if the optometrist:

      (a) Provides documentation to the board

from a board approved preceptor indicating that the optometrist has:

      1. Performed the anterior segment laser

procedure in the presence of the board approved qualified preceptor; and

      2. Demonstrated clinical proficiency in

the performance of the procedure on a living human eye to the satisfaction of

the board approved qualified preceptor.

      (2) The board approved qualified

preceptor shall document in writing the preceptor’s observations of the

optometrist’s performance and state that the optometrist has satisfactorily demonstrated

his knowledge and qualifications in the performance of the procedure.

      (3) A board approved qualified preceptor

shall be:

      (a) A licensed optometrist or

ophthalmologist whose license is in good standing;

      (b) A full-time or adjunct faculty member

of an accredited optometry or medical school; and

      (c) Credentialed in the expanded

therapeutic procedure or expanded therapeutic laser procedure that the

preceptor is teaching.

 

      Section 5. Prohibitions and Referrals.

      (1) Performing expanded therapeutic

procedures without credentialing based upon the education requirements outlined

in this administrative regulation shall be grounds for discipline pursuant to

the requirements of KRS 320.310(1).

      (2) Injections into the posterior

segment/chamber or retinal tissue to treat any macular or retinal disease shall

not be permitted under KRS 320.210(2)(b)16.

      (3) Any eyelid or adnexal lesion found to

be malignant shall be referred to a practitioner trained and qualified to treat

those lesions.

 

      Section 6. Annual Course of Study. (1) In

addition to the continuing education credit hours required by 201 KAR 5:030

Section 1(1) and (2)(a) and (b), an optometrist who is credentialed by the

Board to perform expanded therapeutic procedures shall attend a minimum of five

(5) additional credit hours in expanded therapeutic procedures, for a total of

twenty (20) continuing education credits.

      (2) None of the five (5) required contact

credit hours in expanded therapeutic procedures may be obtained through the

internet.

 

      Section 7. Incorporation by Reference.

(1) The following material is incorporated by reference:

      (a) “Application for Expanded Therapeutic

Procedures Course”, August 2011;

      (b) “Application for Kentucky Licensed

Optometrist to be Credentialed to Utilize Expanded Therapeutic Procedures”,

August 2011;

      (c) “Application for New Applicant to be

Credentialed to Utilize Expanded Therapeutic Procedures”, August 2011;

      (d) “Application for Endorsement to be

Credentialed to Utilize Expanded Therapeutic Procedures”, August 2011;

      (e) “Preceptor Approval Form”, August

2011;

      (f) “Preceptor Evaluation of Expanded

Therapeutic Laser Procedure”, August 2011; and

      (g) “Application to Utilize Expanded

Therapeutic Laser Procedure(s)”, August 2011.

      (2) This material may be inspected,

copied, or obtained, subject to applicable copyright law, at the Kentucky Board

of Optometric Examiners, 163 W. Short St., Suite 550, Lexington, Kentucky 40507,

telephone (859) 246-2744, Monday through Friday, 8:00 a.m. to 4:30 p.m. (38 Ky.R. 167; 621;

872; 11-4-2011.)
Read Entire Law on www.lrc.ky.gov