SCOPE OF PRACTICE Flashcards

1
Q

within the scope of practice is any of these to effect stimulation of acupuncture points and channels: (4)

A
  1. needles
  2. moxibustion
  3. teishin
  4. electroacupuncture
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2
Q

In addition, the scope includes these methods as a part of the professional practice (22)

A
  1. acu-patches
  2. acuform
  3. acutotement
  4. acupressure
  5. cupping
  6. gua sha
  7. cold laser
  8. tuina
  9. massage
  10. ultrasound
  11. thermal methods
  12. magnetic stimulation
  13. breathing techniques
  14. therapeutic exercises and techniques
  15. oriental dietary therapy
  16. lifestyle education
  17. percutaneous and transcutaneous electrical nerve stimulation
  18. qigong
  19. biofeedback
  20. diagnostic assessment techniques taught through accredited schools
  21. taiji
  22. energetic therapy
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3
Q

acupuncturists can recommend these tx to patients (9)

A
  1. meditation
  2. homeopathy
  3. vitamins
  4. minerals
  5. enzymes
  6. glandulars
  7. amino acids
  8. non prescription substances
  9. nutritional or dietary supplements FDA approved
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4
Q

acupuncturists can USE the following when providing acupuncture:7

A
  1. solid filiform needles
  2. dermal needles
  3. plum blossom
  4. intradermal or press needles
  5. prismatic needles
  6. lancets
  7. non insertive pressure needles
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5
Q

Acupuncturists can NOT use these when providing acu

A
  1. staples
  2. hypodermic needles
  3. subcutaneous permanent needles or sutures
  4. herbs unless certified
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6
Q

to be a guest acupuncturist you must have

A

permission from the board
an instructor
a license in another state or country
the person in charge of the school must submit a request 60 days prior to presentation.

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7
Q

guest acupuncturist shall not

A

perform acupuncture services for more than 30 days in a calendar year
open an office or appoint a place to meet pts or receive calls from patients

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8
Q

anyone is unlicensed to practice acupuncture unless they are

A

a licensed acupuncturist
a physician or dentis
a guest acupuncturist
a student

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9
Q

what do you do if a piece of equipment comes into contact with blood or body fluids or penetrates the skin?

A

clean equipment with a disinfectant and then sterilize by steam autoclave, dry heat or ethylene oxide gas sterilization

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10
Q

steam autoclave or dry heat is used how

A

250 degrees f (120 celcius) and 15 pounds per inch of pressure x 30 minutes

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11
Q

what sterilization methods are prohibited

A

soaking in etoh or othr antiseptic

glass bead sterilization

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12
Q

if I learn that a patient has a blood borne infectious disease, what do i do

A

use only disposable needles in treating the pt

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13
Q

how do I prepare an employee about sanitation practices

A

train them and supply with a written outline of sterilization procedures.
keep a copy of the outline of procedures in the office

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14
Q

whats the rule for chart notes

A

acupuncturist shall prepare contemporaneous permanent professional tx records.
also shall keep billing records made to patients and third party carriers

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15
Q

how long re chart notes kept

A

seven years from last entry

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16
Q

what does the tx record need to have

A
  1. date of tx
  2. CC
  3. hx
  4. progress notes
  5. orders for tests or consultations
  6. informed consent documentation
  7. exam findings
  8. referral or dx by physician (name of dr, )
  9. recommendations made for other health care products or meditation
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17
Q

how do you make chart corrections

A

date and inital the change

18
Q

how shall a chart note made and maintained on a personal computer be prepared or kept

A
  1. it must have 2 forms of identification (name and record number)
  2. entry shall contain date of service, full printed name of provider, chart must be finalized with a confidentail personal code (cpc) and date
19
Q

transcipted notes must

A

be dated and identified as preliminary

20
Q

computer system must have what

A

internal permanent date and time stamp for all entries

and once chart note signed cannot be changed

21
Q

who gets access to the chart

A

physician OR representative of the board, the attorney general or the divison of cnsumer affairs no later than 10 days after a request is made
to the patient( or pt representative) within 30 days of the request

22
Q

how can a chart note be given to a patient

A

the actual chart info as, tx record, billing record, test results, subjective info OR a summary of that info

23
Q

for record copies given what can we charge

A

no more than $1/page or $100 for the entire record whichever is less. if record less than 10 pages can ask for $10. q

24
Q

if subpoenaed, we release records where and how

A

attorney general or board, such records shall be originals, unedited with full patient names.

25
Q

by professional judgement even without pts request an acupuncturist can do what

A

release pertinent info about the pts tx to another licensed health care professional who is providing care or will be or whose expertise is needed to assist the acupuncturist.

26
Q

when a pt requests release of records, in order to protect confidentiality of the records, the acupuncturist shall

A
  1. secure and maintain a current written authorization with pt signature
  2. assure scope of release is consistent with request
  3. forward records to the attention of the specific individual or mark material confidential
27
Q

If an acu closes practice or will be out of practcie for more than 3 months what do they do

A
  1. establish a procedure by whcih pts can obtain a copy of their records or transfer to another provider
  2. publish a notice of cessation once a monthx3 months in a local paper
  3. make reasomable efforts to directly notify patients treated 6 months prior
28
Q

continuing ed how much

A

30 hours per license renewal

29
Q

how many credit hours for publishing

A

up to 15 hours

30
Q

how many credit hours for seminars and conferences

A

1/contact hour

31
Q

how many credit hours for graduate coursework related to acu

A

1/credit hour

32
Q

how many credit hours for teaching a new course or seminar related to acu

A

1/contact hour up to 15 house

33
Q

how many credit hours for being a clinical supervisor at a school

A

1 credit hour/each 15 hours of supervision up to 10 hours

34
Q

distance learning course approved by nccaom

A

1/contact hour up to 15 hours

35
Q

continuing ed courses

A

1/contact hour

36
Q

sponsors of continuing ed programs seeking board approal need to do what

A

submit 90 days before course: detailed outline of course content and hours of instruction
curriculumn vitae of each lecturer and specificn info that qualifies them to teach

37
Q

sponsore of continuing ed courses must monitor what

A

attendance at each course: title date and location of course,
name and license number of attendee
hours of instruction provided
name and signature of sponsor and seal of organization
get evaluation sfrom attendees and instructors

38
Q

what documentation should I keep for my continuing ed

A

for published article: date of publicaion and name
for attendance at seminars: certificate of completion
for graduate work: transcript
for teaching a course or seminar: documentation including copy of the curriculum location, date and time of course, duration of course and letter from proveder confirming you taught
for clinical supervision- documentation signed by director of acupuncture program indicatin number of hours of clinical supervision

39
Q

credits taken in excess can be carried over true or false

A

false

40
Q

when will the board possibly waive continuing ed requirements

A

if the acupuncturist seeks in writing 90 days before license renewal an shows illness, disabiliy, military service or hardship