Scope of Services

A certified fitter-mastectomy is a healthcare professional who is specifically educated and trained in the provision of breast prostheses and post-mastectomy items and services. This includes patient evaluation, formulation of a treatment plan, implementation of the treatment plan, continuation of the treatment plan, and practice management. 

The certified fitter mastectomy is obligated to support and conform to professional responsibilities that promote and assure the overall welfare of the patient and the integrity of the profession. The time-limited certification expires without compliance with the Mandatory Continuing Education program. The practice of a certified mastectomy fitter includes, but is not limited to:

  1. Evaluation of specific prescription or patient’s needs for breast prostheses as it relates to or includes, but is not limited to, the evaluation of the following:

• physical assessment
• circulation
• skin integrity
• posture and balance
• mastectomy prosthetic requirements 

  1. Formulating a treatment plan based on an assessment to alleviate limitations and enhance function. The mastectomy fitter’s treatment includes, but is not limited to:

• verification of prescription/documentation
• a needs assessment based on patient and/or caregiver input
• analysis of design requirements
• consultation with and/or referral to other healthcare professionals

  1. Implementation of the mastectomy fitter’s treatment plan includes, but is not limited to:

• acquisition of physical assessment data
• material selection
• diagnostic fitting
• adjustments to accommodate individual anatomic contours
• patient education and instruction

  1. Utilization of a follow-up treatment plan that ensures successful mastectomy prosthetic outcomes, patient health, and quality of life which include but are not limited to:

• documentation of any changes in the patient’s condition
• formulation of modifications to ensure successful outcomes
• confirmation of patient education and instruction

  1. Compliance with practice management plans to develop and document policies and procedures to ensure patient well-being which includes, but is not limited to:

• adherence to applicable local, state, and federal laws and regulations
• following patient care guidelines and procedures
• maintaining a safe and professional environment for patient care
• comprehension of claims development and submission

  1. Promotion of competency and enhancement of post-mastectomy professional practice to contribute to the profession’s body of knowledge includes, but is not limited to, participation in:

• continuing education
• promotion of public awareness of the post-mastectomy profession
• consumer organizations, governmental and non-governmental organizations