Michigan Laws 333.18360 – Qualified supervisor; requirements; license; scope
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Terms Used In Michigan Laws 333.18360
- Dietitian nutritionist: means an individual who is licensed or otherwise authorized to engage in the practice of medical nutrition therapy under this article. See Michigan Laws 333.18351
- Nutrition care services: means any part or all of the following services within a systematic process:
(i) Assessing and evaluating the nutritional needs of individuals and groups and determining resources and constraints in the practice setting, including ordering laboratory tests to check and track nutrition status, creating dietary plans and orders, and monitoring the effectiveness thereof. See Michigan Laws 333.18351Oversight: Committee review of the activities of a Federal agency or program. Patient: means an individual recipient of the practice of medical nutrition therapy, whether in the outpatient, inpatient, or nonclinical setting. See Michigan Laws 333.18351 Practice of medical nutrition therapy: means the provision of nutrition care services for the treatment or management of diseases or medical conditions. See Michigan Laws 333.18351 Qualified supervisor: means an individual meeting the requirements described in section 18360. See Michigan Laws 333.18351 state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories belonging to the United States; and the words "United States" shall be construed to include the district and territories. See Michigan Laws 8.3o
(1) To qualify as a qualified supervisor for purposes of this part, subject to subsection (3), an individual must be 1 of the following:
(a) A registered dietitian nutritionist.
(b) A dietitian nutritionist.
(c) An individual licensed or certified in another state as a dietitian, dietitian nutritionist, nutritionist, or other qualified nutrition professional who is authorized by that state to engage in the practice of medical nutrition therapy.
(2) A qualified supervisor shall only supervise a clinical activity or nutrition care service for which the qualified supervisor is qualified and is authorized to perform.
(3) A qualified supervisor must be licensed under this article if the qualified supervisor is supervising an applicant who is engaging in the practice of medical nutrition therapy to an individual who is located in this state.
(4) A qualified supervisor shall comply with all of the following:
(a) Develop and carry out a program for advancing and optimizing the quality of care provided by a supervisee. The qualified supervisor and the supervisee shall identify and document goals for the supervised practice experience described in section 18357(1)(c), the assignment of clinical tasks as appropriate to the supervisee’s evolving level of competence, the supervisee’s relationship and access to the qualified supervisor, and an evaluation process for the supervisee’s performance.
(b) Oversee the activities of, and accept responsibility for, the nutrition care services rendered by a supervisee, which includes a review of charts, records, and clinical notes of a supervisee on a regular basis and maintaining responsibility for the supervisee’s clinical record keeping.
(c) At a minimum, be physically on-site and present where the supervisee is providing nutrition care services or be immediately and continuously available to the supervisee by means of 2-way real-time audiovisual technology that allows for the direct, contemporaneous interaction by sight and sound between the qualified supervisor and the supervisee. If the qualified supervisor assigns a nutrition care service to a supervisee that is to be provided in a setting where the qualified supervisor is not routinely present, the qualified supervisor shall ensure that the means and methods of supervision are adequate to ensure appropriate patient care, which may include synchronous videoconferencing, or another method of communication and oversight that is appropriate to the care setting and the education and experience of the supervisee.
(d) Limit the assignment of nutrition care services to those services that meet all of the following requirements:
(i) Are within the training and experience of a supervisee.
(ii) Are customary to the practice of the qualified supervisor.
(iii) Are within the parameters of the laws and rules of this state and any standards of the facility in which the qualified supervisor practices.
(e) Designate an alternate qualified supervisor to oversee a service provided in the event of and during a qualified supervisor’s absence.