Current through Register Vol. 35, No. 18, September 24, 2024
Each educational course shall provide the doctor of oriental
medicine, who successfully completes the course, with the following entry level
general knowledge and skills, as well as the specific knowledge and skills, at
the current professional standard of care within the context of an integrative
healthcare system, defined for each specific category of expanded practice
education.
A. Expanded practice and
prescriptive authority and oriental medicine: knowledge of how the principles
of the developmental system of oriental medicine such as yin, yang, qi and xue
apply to the expanded practice certifications.
B. Biomedical knowledge: anatomy, physiology,
pathology, endocrinology, biochemistry, pharmacology and diagnostic options
sufficient to provide a foundation required for the specific category of
expanded practice.
C. Pharmacology
knowledge:
(1) of the biochemistry,
pharmacology, clinical application, safety and handling, side effects,
interactions, contraindications, safeguards and emergency procedures for all
authorized substances in the formulary defined for the relevant specific
category of expanded practice;
(2)
of how to make a differential diagnosis relative to the prescription or
administration of authorized substances in the formulary defined for the
relevant specific category of expanded practice;
(3) of the potency and appropriate dosage of
single and combined authorized substances in the formulary defined for the
relevant specific category of expanded practice;
(4) and skill in utilizing appropriate clinic
based aseptic technique; and
(5) of
the compounding requirements of the USP797 with regard to the authorized
substances in the formulary defined for the relevant specific category of
expanded practice.
D.
Referral:
(1) knowledge and understanding of
the limits of their training, and skill and when it is appropriate to refer;
and
(2) knowledge of the options
available regarding referral including an understanding of the potential
benefit or contraindications of all categories of expanded practice.
E. Emergency care (previous
CPR/BLS certification):
(1)knowledge of how
to recognize a medical emergency situation arising in the clinic and what
emergency outcomes may arise relative to performing the authorized diagnostic
and therapeutic procedures and the prescription or administration of the
specifically authorized substances, what procedures and substances are best for
managing each emergency situation and whom to contact for emergency support and
care;
(2) skill in providing first
aid and basic life support until the medical emergency team arrives;
(3) appropriate initial screening for
potential allergic or adverse reactions;
(4) skill in identifying and responding to
adverse or allergic reactions or mild to severe; vasovagal reactions with
knowledge of appropriate support measures depending on the type of reaction:
(a) patient reassurance;
(b) patient positioning;
(c) oral OTC diphenhydramine (benadryl) if
appropriate;
(d) inhaled
oxygen;
(e) inhaled OTC epinephrine
(primatine mist) or IM injected epinephrine if appropriate; and
(f) emergency ambulance transport;
(5) the immediate and longer term
indications of inadvertent pneumothorax and the appropriate procedure for
patient care and guidance in such situations.
F. Record keeping, storage and dispensing of
dangerous drugs and controlled substances and knowledge of:
(1) the proper storage requirements in the
clinic for the drugs, dangerous drugs and controlled substances in the
specifically authorized formulary;
(2) how to keep accurate records of all
authorized drugs, dangerous drugs and controlled substances obtained, stored,
compounded, administered or dispensed; and
(3) skill in handling and using appropriate
clean or aseptic technique for all drugs, dangerous drugs and controlled
substances in the specifically authorized formulary.
G. Pharmaceutical law knowledge of:
(1) the appropriate areas of New Mexico
pharmaceutical law;
(2) USP-797
that relates to compounding of the authorized substances in the formulary
defined for the relevant specific category of expanded practice; and
(3) drugs, dangerous drugs, and controlled
substances and what dangerous drugs or controlled substances are or are not
authorized under the provisions of the specific category or categories of
expanded practice for which he is certified.
H. Scope of practice knowledge:
(1) of the areas of the New Mexico
Acupuncture and Oriental Medicine Practice Act and rules that are appropriate
to the scope of practice of a doctor or oriental medicine certified for the
specific category of expanded practice;
(2) understanding of what diagnostic or
therapeutic procedures are authorized by the specific category of expanded
practice; and
(3) understanding
what substances in a specific formulary are authorized for use by doctors of
oriental medicine certified for the specific category of expanded
practice.
