WSR 18-05-085 EXPEDITED RULES DEPARTMENT OF HEALTH (Podiatric Medical Board) [Filed February 20, 2018, 1:19 p.m.] Title of Rule and Other Identifying Information: WAC 246-922-001 Scope of practice and 246-922-055 Reciprocity requirements, the podiatric medical board (board) is proposing amendments to correct statutory citations in rule for podiatric physicians. Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The purpose of the proposal is to make technical corrections to two rule sections for podiatric physicians.
The proposed amendments correct WAC 246-922-055 to match the statutory language in RCW 18.22.082. Reasons Supporting Proposal: The proposed amendments correct statutory citations for podiatric physicians. Statutory Authority for Adoption: RCW 18.22.015. Rule is not necessitated by federal law, federal or state court decision. Name of Proponent: Department of health, podiatric medical board, governmental. Name of Agency Personnel Responsible for Drafting, Implementation, and Enforcement: Susan Gragg, 111 Israel Road S.E., Tumwater, WA 98501, 360-236-4941. This notice meets the following criteria to use the expedited adoption process for these rules: Corrects typographical errors, make address or name changes, or clarify language of a rule without changing its effect. Explanation of the Reason the Agency Believes the Expedited Rule-Making Process is Appropriate: The proposed rules only correct typographical errors in two rule section[s] and clarifies language in one of the rules without changing its effect. NOTICE THIS RULE IS BEING PROPOSED UNDER AN EXPEDITED RULE-MAKING PROCESS THAT WILL ELIMINATE THE NEED FOR THE AGENCY TO HOLD PUBLIC HEARINGS, PREPARE A SMALL BUSINESS ECONOMIC IMPACT STATEMENT, OR PROVIDE RESPONSES TO THE CRITERIA FOR A SIGNIFICANT LEGISLATIVE RULE. IF YOU OBJECT TO THIS USE OF THE EXPEDITED RULE-MAKING PROCESS, YOU MUST EXPRESS YOUR OBJECTIONS IN WRITING AND THEY MUST BE SENT TO Susan Gragg, Department of Health, P.O. Box 47852, Olympia, WA 98504-7852, phone 360-236-4941, fax 360-236-2901, email https://fortress.wa.gov/doh/policyreview, AND RECEIVED BY April 23, 2018. February 20, 2018 Randy Anderson, DPM, Chair Podiatric Medical Board
AMENDATORY SECTION (Amending WSR 07-13-071, filed 6/18/07, effective 7/19/07)
WAC 246-922-001 Scope of practice.
(1) An "ailment of the human foot" as set forth in RCW ((18.22.010)) 18.22.035 is defined as any condition, symptom, disease, complaint, or disability involving the functional foot. The functional foot includes the anatomical foot and any muscle, tendon, ligament, or other soft tissue structure directly attached to the anatomical foot and which impacts upon or affects the foot or foot function and osseous structure up to and including the articulating surfaces of the ankle joint.
(2) In diagnosing or treating the ailments of the functional foot, a podiatric physician and surgeon is entitled to utilize medical, surgical, mechanical, manipulative, radiological, and electrical treatment methods and the diagnostic procedure or treatment method may be utilized upon an anatomical location other than the functional foot. The diagnosis and treatment of the foot includes diagnosis and treatment necessary for preventive care of the well foot.
(3) A podiatric physician and surgeon may examine, diagnose, and commence treatment of ailments for which differential diagnoses include an ailment of the human foot. Upon determination that the condition presented is not an ailment of the human foot, the podiatric physician and surgeon shall obtain an appropriate consultation or make an appropriate referral to a licensed health care practitioner authorized by law to treat systemic conditions. The podiatric physician and surgeon may take emergency actions as are reasonably necessary to protect the patient's health until the intervention of a licensed health care practitioner authorized by law to treat systemic conditions.
(4) A podiatric physician and surgeon may diagnose or treat an ailment of the human foot caused by a systemic condition provided an appropriate consultation or referral for the systemic condition is made to a licensed health care practitioner authorized by law to treat systemic conditions.
(5) A podiatric physician and surgeon shall not administer a general or spinal anesthetic, however, a podiatric physician and surgeon may treat ailments of the human foot when the treatment requires use of a general or spinal anesthetic provided that the administration of the general or spinal anesthetic is by a physician authorized under chapter 18.71 or 18.57 RCW; or a certified registered nurse anesthetist authorized under chapter 18.79 RCW.
AMENDATORY SECTION (Amending WSR 91-10-041, filed 4/25/91, effective 5/26/91)
WAC 246-922-055 Reciprocity requirements.
An applicant licensed in another state must file with the secretary verification of the license certified by the proper authorities of the issuing state to include the issue date, license number, current expiration date, and whether any action has been taken to revoke, suspend, restrict, or otherwise sanction the licensee for unprofessional conduct or that the licensee may not be able to practice his or her profession with reasonable skill and safety to consumers as a result of a physical or mental condition. The applicant must document that the educational standards, eligibility requirements, and examinations of that state are ((at least equal in all respects)) substantially equivalent to those of this state.
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