DC Optometry Jurisprudence flashcards
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- DC Optometry Practice Act citation
- The statute governing optometry in the District is D.C. Code Title 3, Chapter 12; Board rules implementing it appear in Title 17 of the D.C. Municipal Regulations.
- Board of Optometry composition
- The DC Board of Optometry includes licensed optometrist members and at least one consumer member, and it operates within the Department of Licensing and Consumer Protection.
- Unlicensed practice prohibition
- A person may not practice optometry or use the title optometrist without a DC license; helping an unlicensed person practice is also a statutory violation.
- Statutory definition of optometry
- Optometry means examining eyes for defects and abnormal conditions and prescribing or adapting lenses and optical aids, plus related acts the statute and Board rules authorize.
- Force of Board regulations
- Rules adopted by the Board under Title 17 DCMR have the force of law and are enforced through the same complaint and disciplinary process as the Practice Act.
- Purpose of the Practice Act
- The Act exists to protect public health and safety, so violations are assessed by the risk of harm to patients rather than by the licensee's intent.
- Notice and hearing requirement
- Before adverse action becomes final, the licensee must receive notice of the charges and an opportunity for an administrative hearing under DC procedure.
- Board versus DLCP roles
- DLCP investigates complaints and prosecutes contested cases, while the Board hears evidence, finds facts, and recommends sanctions to the agency head.
- ACOE accreditation requirement
- Applicants must document graduation from an optometry program accredited by the Accreditation Council on Optometric Education or an equivalent the Board approves.
- NBEO examination requirement
- Initial licensure requires passing the National Board of Examiners in Optometry examinations, including the Treatment and Management of Ocular Disease part for therapeutic authority.
- DC jurisprudence examination
- Applicants must pass a DC jurisprudence examination covering the Practice Act and Board regulations; the score is reported to the Board for the licensure file.
- Renewal cycle requirements
- Renewal requires a timely application, the renewal fee, and attestation that continuing education requirements for the cycle have been completed.
- Continuing education mandate
- Each renewal cycle requires a Board-specified number of CE hours, including mandated topics such as pharmacology or ocular disease; carryover of excess hours is limited.
- Lapsed license restoration
- A license lapsed within the grace period may be restored on payment of late fees; practicing on an expired license is unlicensed practice and grounds for discipline.
- Nontransferable license rule
- A DC optometry license belongs only to the named licensee, cannot be transferred or shared, and must be surrendered or returned when the Board orders.
- Change of address reporting
- A licensee must notify the Board of a change of name or address within the time stated in the regulations so official notices reach the licensee.
- Licensure by credentials
- The Board may license applicants from jurisdictions with substantially equivalent requirements at its discretion, and may require additional examination or documentation.
- Therapeutic authority in DC
- DC optometrists may diagnose and treat conditions of the visual system and prescribe topical and oral medications within limits set by statute and Board rule.
- Prescriptive authority limits
- Prescribing is limited to drugs appropriate to optometric practice, such as topical ophthalmic agents, oral anti-infectives and anti-inflammatories, and glaucoma medications.
- Surgical exclusion
- Optometrists may not perform surgery, laser procedures, or intraocular injections in DC; patients needing these services must be referred to an ophthalmologist.
- Foreign body removal scope
- Optometrists may remove superficial foreign bodies from the cornea and conjunctiva; embedded or intraocular foreign bodies exceed scope and require referral.
- Prescription documentation
- Each prescription must rest on a documented evaluation recording the diagnosis, drug, dose, quantity, and directions; prescribing without evaluation is a violation.
- PDMP compliance
- When prescribing controlled substances, optometrists must follow DC and federal prescription drug monitoring program requirements, including required database queries.
- Referral and co-management duty
- A condition beyond optometric scope must be referred or co-managed with an ophthalmologist; failing to refer a patient needing specialized care is a violation.
- Delegation to assistants
- Unlicensed assistants may perform only tasks authorized by Board regulation under optometrist supervision, and the licensee remains responsible for those acts.
- Grounds for discipline
- Discipline may rest on licensure fraud, unprofessional conduct, gross negligence, incompetence, practicing beyond scope, or violating the Act or Board rules.
- Unprofessional conduct examples
- Unprofessional conduct includes misleading advertising, fee splitting, patient abandonment, practicing while impaired, and failing to maintain adequate patient records.
- Range of sanctions
- Sanctions include reprimand, censure, probation with conditions, suspension, revocation, civil fines, and required remedial education or supervised practice.
- Complaint investigation process
- DLCP investigates complaints; on a finding of probable cause the licensee receives notice of charges and may contest them at an administrative hearing.
- Duty to cooperate
- Licensees must cooperate with Board investigations and may not alter or destroy records relevant to a pending complaint; failure to cooperate is an independent violation.
- Patient confidentiality limits
- Patient information may not be disclosed without authorization except as law requires, such as mandatory reporting of specified public-health conditions.
- Mandatory reporting duty
- Licensees must report misconduct and impaired practice that endangers patients, and retaliating against a person who files a complaint is itself a disciplinary offense.