Current through Register Vol. 24-18, September 15, 2024
Acupuncturists or acupuncture and Eastern medicine
practitioners in the state of Washington shall provide to each patient prior to
or at the time of the initial patient visit the qualifications and scope of
practice form. The form must include:
(1) The acupuncturist's or acupuncture and
Eastern medicine practitioner's education. The degree obtained and the dates
and locations of the didactic and clinical training.
(2) License information, including state
license number and date of licensure.
(3) A statement that the practice of
acupuncture or acupuncture and Eastern medicine in the state of Washington
includes the following:
(a) Acupuncture and
Eastern medicine means a health care service utilizing acupuncture and Eastern
medicine therapeutic treatments, such as the practice of acupuncture techniques
and herbal medicine to maintain and promote wellness, prevent, manage, and
reduce pain, and treat substance use disorder;
(b) Use of presterilized, disposable needles,
such as filiform needles, and other acupuncture needles, syringes, or lancets
to directly and indirectly stimulate meridians and acupuncture points including
ashi points, motor points, trigger points, and other nonspecific points
throughout the body;
(c) Use of
electrical, mechanical, or magnetic devices to stimulate meridians and
acupuncture points including ashi points, motor points, trigger points, and
other nonspecific points throughout the body;
(d) Intramuscular needling and dry needling
of trigger points and other nonspecific points throughout the body in
accordance with acupuncture and Eastern medicine training;
(e) All points and protocols for ear
acupuncture including auricular acupuncture, national acupuncture
detoxification association protocol, battlefield acupuncture, and the Nogier
system;
(f) Use of contact needling
and noninsertion tools such as teishin, enshin, or zanshin;
(g) Moxibustion;
(h) Acupressure;
(i) Cupping;
(j) Dermal friction technique;
(k) Infrared;
(l) Sonopuncture;
(m) Laserpuncture;
(n) For the purposes of this section, point
injection therapy is defined as meaning the subcutaneous, intramuscular and
intradermal injection of substances consistent with the practice of acupuncture
or Eastern medicine to stimulate meridians, acupuncture points, ashi points,
motor points, trigger points, and other nonspecific points throughout the body.
(i) Point injection therapy includes trigger
points as a subset of acupuncture points and ashi points as recognized in the
current practice of acupuncture and Eastern medicine.
(ii) Point injection therapy does not include
injection of controlled substances contained in Scheduled I through V of the
Uniform Controlled Substance Act, chapter 69.50 RCW or steroids as defined in
RCW
69.41.300.
(iii) Substances that may be injected are
limited to:
(A) Saline;
(B) Sterile water;
(C) Herbs specifically manufactured for
injection by means of hypodermic needles;
(D) Minerals specifically manufactured for
injection by means of hypodermic needles;
(E) Vitamins in liquid form specifically
manufactured for injection by means of hypodermic needles;
(F) Homeopathic and nutritional substances
specifically manufactured for injection by means of hypodermic
needles;
(G) Local anesthetics,
such as lidocaine and procaine, for reduction of pain during point injection
therapy, consistent with the practice of acupuncture and Eastern medicine;
and
(H) Oxygen and epinephrine for
potential emergency purposes, such as an allergic or adverse reaction, for
patient care and safety, and may only be administered by an acupuncturist or
acupuncture and Eastern medicine practitioner using point injection therapy who
has met the training and education requirements established pursuant to
RCW
18.06.230.
(o) Dietary advice and health education based
on acupuncture or Eastern medical theory, including the recommendation and sale
of herbs, vitamins, minerals, and dietary and nutritional
supplements;
(p) Breathing,
relaxation, and Eastern exercise techniques;
(q) Qi gong;
(r) Eastern massage and Tuina (which is a
method of Eastern bodywork); and
(s) Superficial heat and cold
therapies.
(4) A
statement that side effects of the treatments listed in subsection (3) of this
section may include, but are not limited to, the following:
(a) Pain following treatment;
(b) Minor bruising;
(c) Infection;
(d) Needle sickness; and
(e) Broken needle.
(5) A statement that patients must inform the
acupuncturist or acupuncture and Eastern medicine practitioner if they have a
severe bleeding disorder or pacemaker prior to any treatment.
Statutory Authority: Chapter 18.06 RCW and 2010 c 286.
11-17-105, § 246-803-300, filed 8/22/11, effective
9/22/11.
