Current through Register Vol. 47, No. 17, September 10, 2024
A. Definitions. For
purposes of this Rule only:
1.
The
Director recognizes that "Injection therapy" is the stimulation of acupuncture
points, including trigger points(historically known as "AHSHI" points), by the
injection of saline, sterile herbs, vitamins, minerals, homeopathic substances,
glucose, lidocaine, procaine, and sarapin, or other similar substances
specifically manufactured for nonintravenous injection by means of hypodermic
needles.
B.
Except as restricted by paragraph (C) of this Rule, an acupuncturist with an
active license may practice injection therapy in the treatment of patients in
his or her care,
C. Requirements to
Practice Injection Therapy. The acupuncturist shall:
1. Possess a Colorado acupuncture license in
good standing;
2. Hold a current
Clean Needle Technique Certificate through the NCCAOM (or successor
organization); and
3. Be current in
basic life support (BLS) or cardiopulmonary resuscitation (CPR) approved by the
American Heart Association or American Red Cross;
4. Complete educational coursework covered in
subsection D.
D.
Acupuncturists employing injection therapy shall use only those substances and
techniques for which they have received training. Required Educational
Coursework shall include:
1. Anatomy and
Physiology;
2. Acupuncture physical
exam and differential diagnosis;
3.
Acupuncture point location, including underlying anatomy;
4. Acupuncture needling technique;
5. General injection safety;
6. Acupuncture point injection
therapy;
7. Pharmacology;
and
8. Clean Needle
Technique.
9. For the use of
injectable substances prepared from sterile herbs, completion of training in
Chinese herbology and injection of Chinese herbal injectables is required.
To demonstrate satisfying the training requirements in
Chinese herbology and injection of Chinese herbal injectables the Director will
accept NCCAOM, or a successor organization's, certification in Chinese
herbology and/or certification in Oriental Medicine.
10. For the use of substances listed in
(E)(3)(a)(12-17), instruction on the use of inhaled O2 and IM epinephrine for
emergency use is required.
E. Permissible Substances
1. An acupuncturist shall comply with all
federal and state laws that pertain to obtaining, possessing and administering
any drug;
2. A substance shall only
be approved for use if procured in compliance with all federal and state
laws;
3. The following drugs are
authorized in the modes of administration that are specified except as limited
or restricted by federal or state law:
a.
Permissible substances that an acupuncturist may obtain for injection therapy
as permitted per section
12-200-103(4),
C.R.S and as permitted by the Director:
(1)
Dextrose;
(2) d-glucose;
(3) Enzymes except urokinase;
(4) Glucose;
(4) Homeopathic Substances (to only include
those that are within the US Pharmacopia);
(5) Hyaluronic Acid;
(6) Minerals;
(7) Saline;
(8) Sarapin;
(9) Sodium chloride;
(9) Sterile water;
(10) Traumeel;
(11) Vitamins;
(12) Cyanocobalamin;
(13) Lidocaine;
(14) Marcaine (Bupivacaine Hydrochloride)
with or without epinephrine;
(15)
Sterile Herbs;
(16) Procaine;
and
(17) Vitamin B-12.
F. Patient
safety.
1. Acupuncturists shall have an
adverse event/emergency plan in place.
2. An acupuncturist practicing injection
therapy of substances listed in (E)(3)(a)(12)-(17) shall be equipped and
trained to treat patients with oxygen and epinephrine. The oxygen and emergency
epinephrine kit shall be on site where injection therapy utilizing substances
with potential allergic side effects are being rendered.
3. An acupuncturist authorized to practice
injection therapy shall not inject any substance intravenously.
G. Acupuncturists shall show
current medical malpractice coverage for this procedure and maintain coverage.
1. It is the acupuncturist's responsibility
to only inject substances that are listed in subsection E and are explicitly
covered by the acupuncturist's insurance policy obtained in compliance with
section 12-200-106(6),
C.R.S.
