Supervision of Permit Holders

PURPOSE: This rule defines the supervision requirements for permit holders. (1) Permit holders shall be allowed to perform the services of a respiratory care practitioner under direct clinical supervision pursuant to section 334.890.4, RSMo. The permit holder shall perform services according to the supervisor’s direction, control and oversight. For the purposes of this rule, direct clinical supervision requires that the supervisor or the supervisor’s designee must be immediately available for communication with the supervisee and the supervisor must be able to provide a licensed respiratory care practitioner on-site within thirty (30) minutes of notification. (2) The supervisor of a permit holder shall maintain control, oversight, guidance and responsibility concerning a patient receiving respiratory care services from a permit holder. (3) A supervisor of a temporary permit holder or temporary educational permit holder shall be currently licensed by the board. In the supervisor’s absence, s/he may specify a designee to serve as a supervisor for the temporary permit holder or temporary educational permit holder. The supervisor’s designee shall be a licensed respiratory care practitioner. (4) The supervisor shall complete Section II of the Verification of Supervision form. (5) The supervisor shall ensure that the supervisee receives a minimum of one (1) hour per week supervision in individual faceto-face contact by the supervisor or the supervisor’s designee. (6) The supervisee shall only provide respiratory care services as defined in section 334.810, RSMo appropriate to and consistent with the supervisee’s education, training, experience and intended practice. (7) If the approved supervisor is unwilling to continue to provide supervision of the supervisee, the supervisor should notify the board in writing within fifteen (15) days. (8) If a temporary permit holder or temporary educational permit holder works at multiple facilities or organizations, the temporary permit holder or temporary educational permit holder shall have a supervisor at each facility or organization at which the permit holder works. AUTHORITY: sections 334.800, 334.840.2, 334.850, 334.890.4, 334.910 and 334.920, RSMo Supp. 1999.* This rule originally filed as 4 CSR 255-3.010. Emergency rule filed June 25, 1998, effective July 6, 1998, expired Feb. 25, 1999. Original rule filed June 25, 1998, effective Jan. 30, 1999. Amended: Filed Dec. 30, 1999, effective June 30, 2000. Moved to 20 CSR 2255-3.010, effective Aug. 28, 2006. *Original authority: 334.800, RSMo 1996, amended 1999; 334.840, RSMo 1996; 334.850, RSMo 1996, amended 1999; 334.890, RSMo 1996, amended 1999; 334.910, RSMo 1996, amended 1999; 334.920, RSMo 1996, amended 1999.