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Washington Physical Therapy Spinal Manipulation
A physical therapist may perform spinal manipulation only after being issued a spinal manipulation endorsement by the secretary. The secretary, upon approval by the board, shall issue an endorsement to a physical therapist who has at least one year of full-time, orthopedic, postgraduate practice experience that consists of direct patient care and averages at least thirty-six (36) hours a week and who provides evidence in a manner acceptable to the board of all of the following additional requirements:
Supervising Clinical Instructor
The training must be under the close supervision of the clinical supervisor for a minimum of the first one hundred fifty (1500 hours of the supervised clinical practical experience, after which the supervised clinical practical experience must be under the direct supervision of the clinical supervisor.
The training must completed within eighteen (18) months of completing the educational requirements, unless the physical therapist has completed the educational requirements prior to July 1, 2015, in which case the supervised clinical practical experience must be completed by January 1, 2017.
A physical therapist holding a spinal manipulation endorsement under this section shall complete at least ten (10) hours of continuing education per continuing competency reporting period directly related to spinal manipulation. At least five (5) hours of the training required under this subsection must be related to procedural technique and application of spinal manipulation.
If procedures are required beyond six treatments
A physical therapist holding a spinal manipulation endorsement shall consult with a health care practitioner, other than a physical therapist, authorized to perform spinal manipulation if spinal manipulative procedures are required beyond six (6) treatments.
Coordination with a Chiropractor
If a physical therapist is intending to perform spinal manipulation on a patient who the physical therapist knows is being treated by a chiropractor for the same diagnosis, the physical therapist shall make reasonable efforts to coordinate patient care with the chiropractor to prevent conflict or duplication of services.
A physical therapist holding a spinal manipulation endorsement may not:
To qualify as a clinical supervisor, a person must be a licensed physical therapist who holds an endorsement or advanced certification for which the training requirements are commensurate with the training requirements and have at least one of the following credentials: