CTCMPAO Standards of Practice

8/10/2019 CTCMPAO Standards of Practice

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Approvedby

TAN

theTransitio

DAR

alCouncilon

SO

January14 J

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anuary15,20

CTI

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Standards of Practice

College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario Page 1

Contents

Introduction.................................................................................................................................................. 2

Legislation,StandardsandEthics.................................................................................................................. 6

DiagnosisandTreatment.............................................................................................................................. 7

SafePractice.................................................................................................................................................. 9

Communication........................................................................................................................................... 10

RecordKeeping........................................................................................................................................... 11


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Introduction

The

Standards

of

Practice

have

been

developed

by

the

College

of

Traditional

Chinese

Medicine

PractitionersandAcupuncturistsofOntario(CTCMPAO)todeterminewhetheraregisteredTraditional

ChineseMedicinePractitioner(R.TCMP)andAcupuncturist(R.Ac)canperformatanacceptablelevel.

TheStandardsofPracticereflecttheknowledge,skillsandjudgementR.TCMPsandR.Acsneedinorder

toperformtheservicesandproceduresthatfallwithinthescopeofpracticeoftheprofession.

TheRegulatedHealthProfessionsActandthecompanionhealthprofessionsActsgovernthepracticeof

regulatedhealthprofessionsinOntario.

TheRegulatedHealthProfessionsAct(RHPA)

TheRHPAconsistsofdifferentparts:aMainPartandaProceduralCodethatincludestheadministering

bodies,thecontrolledactsandrequirementsforalltheColleges.ThesepartsconstitutetheRHPA

properandapplyto,oraredeemedtoapplyto,alltheregulatedhealthprofessions.Thehealth

professionActslistprofessionspecificprovisions,suchastheprofessionsscopeofpracticestatement

andauthorizedacts.ThehealthprofessionActforR.TCMPsandR.AcsistheTraditionalChinese

MedicineAct.

TheprimarybodyresponsibleforadministeringtheRHPA,andthecompanionhealthprofessionActs,

suchastheTraditionalChineseMedicineAct,istheregulatoryCollegeofprofession.ForR.TCMPsand

R.Acs,thisistheCollegeofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario

(CTCMPAO).

Scopeofpractice/controlledactsmodel

Thismodelenhancespublicprotectionandchoicebyspecificallyidentifyingandcontrollingthe

performanceofthoseprocedurethatposeriskofharm(the14controlledacts),withoutgivingany

professionanexclusiveorlicensedareaofpractice.Instead,eachprofessionhasascopeofpractice

statement,whichdescribesingeneraltermswhattheprofessiondoes.Thecontrolledactprocedures

areauthorizedforspecifichealthprofessions.Proceduresthatarenotcontrolledactsareinthepublic

domainandmaybeperformedbyregulatedhealthprofessionsorbyunregulatedindividuals.Inthis

model,therefore,controlledactproceduresmaybelikenedtolicensedprocedures,becauseonly

personsauthorizedundertheRHPAmayperformthem.Thescopeofpracticestatements,however,are

notlicensed,andelementsofthescopestatementsmayoverlapbetweenprofessions.Theregulated

healthprofessions,therefore,areregistered,notlicensed.

Theintentofthismodelistoprovidethepublicwithprotectionandchoiceamongstregulatedhealth

careprofessionswhomayprovidearangeofhealthcareservices,subjecttoscope,standardsand

competence.


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Elementsofthemodel

Thismodelconsistsofanumberofelements,themainonesbeing:

ScopeofPracticeStatement:

Thescopeofpracticestatementcorrespondstowhatmembersoftheprofessionlearnintheirprograms

ofpreparationandsetsouttheareasofexpectedcompetence.Itestablishesthefoundationforthe

practiceoftheprofessionandservesasaframeofreferenceforsuchthingsasentrytopractice

requirements,theperformanceofauthorizedacts,andthestandardsofpracticeoftheprofession.The

scopeofpracticestatementsdonotestablishalicensedareaofpractice(i.e.,theareaofpracticeisnot

restrictedtoaparticularprofession),andelementsofthestatementsofthedifferenthealthprofessions

overlap,sothatvariousprofessionsmayprovidesimilarhealthcareservices.

ControlledActs:

Thereare14procedures,listedinSection27oftheRHPA,thataredeemedtoposeriskofphysicalharm

ifperformedbyunqualifiedpersons.UndertheprofessionspecifichealthprofessionAct,the

professionsareauthorizedtoperform,eitherinfullorinpart,thecontrolledacts,dependingonthe

professionsscopeofpracticeandexpectedcompetencies.Inadditiontopermittingperformanceof

controlledactprocedures,theRHPAalsogivestheoptiontodelegateortransfertheauthorityto

performthecontrolledactsfromthoseauthorizedtoperformthemundertheirhealthprofessionActto

otherswhoarenot.Therefore,professionshavetheoptiontodelegateprocedureswithintheir

authorizedactstoothersandtoacceptdelegationfromotherhealthcareprofessionalsofcontrolledact

procedures,eitherthroughlegislationordelegation.

AuthorizedActs:

Anauthorizedactisacontrolledact,orportionofacontrolledact,thatisauthorizedforaspecific

professiontoperformunderitshealthprofessionAct. Eachregulatedhealthprofessionisauthorizedto

performfrom0to13ofthe14controlledacts,eitherinfullorinpart,dependingonthescopeof

practiceandcompetenciesoftheprofession.Asanexample,inrelationtoControlledAct2,performing

aprocedureontissuebelowthedermis,belowthesurfaceofamucousmembrane,cornea,surfaceof

theteeth,

including

scaling:

physicians

are

authorized

to

perform

all

of

this

controlled

act

except

for

scaling.

PriortothepassingoftheTraditionalChineseMedicineActinDecemberof2006,acupuncturewas

entirelyexemptfromthecontrolledactofperformingaprocedurebelowthedermisandanyonewas

abletoperformthisactivity.However,withthepassingoftheTraditionalChineseMedicineAct,

acupunctureisnolongerentirelyexemptfromthiscontrolledact.


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Thefollowinghealthcareprofessionsareexemptfromtheprohibitionagainstperformingthecontrolled

actofacupuncture,underanexemptionforcontrolledactscontainedinaregulationmadeunderthe

authorityoftheRHPA(OntarioRegulation107/96,Controlledacts).

Inthetablebelow,Column1liststheCollegesandColumn2liststheprofessionswhocannowperform

acupunctureproceduresontissuebelowthedermis.However,acupunctureperformedbymembersof

theCollegeslistedinColumn1mustdosoinaccordancewiththestandardsofpracticeestablishedby

theCollegesandwithinthescopeofpracticeoftheprofessions.

TABLE

Column1(Colleges) Column2(Professions)

1. CollegeofChiropodistsofOntario Chiropody

2.

Collegeof

Chiropractors

of

Ontario

Chiropractic

3. CollegeofMassageTherapistsofOntario MassageTherapy

4. CollegeofNursesofOntario Nursing

5. CollegeofOccupationalTherapistsofOntario OccupationalTherapy

6. CollegeofPhysiotherapistsofOntario Physiotherapy

7. RoyalCollegeofDentalSurgeonsofOntario Dentistry

Forexample,thescopeofpracticeofoccupationaltherapyfromtheOccupationalTherapyAct(1991)

reads:

Thepracticeofoccupationaltherapyistheassessmentoffunctionandadaptivebehaviourandthe

treatmentandpreventionofdisorderswhichaffectfunctionoradaptivebehaviourtodevelop,

maintain,rehabilitateoraugmentfunctionoradaptivebehaviourintheareasofselfcare,

productivityandleisure.

TheCollegeofOccupationalTherapistsofOntariohasdevelopedacupuncturestandardsofpracticefor

OccupationalTherapists.MembersoftheCollegeofOccupationalTherapistsofOntariocanonlyapply

acupunctureasitrelatestotheirscopeofpracticeandtheproceduremustbeincompliancewiththe

standardsforacupunctureasestablishedbytheCollege.

TheTraditionalChineseMedicineAct,2006setsoutthescopeofpracticestatementasfollows:

ThepracticeoftraditionalChinesemedicineistheassessmentofbodysystemdisordersthrough

traditionalChinesemedicinetechniquesandtreatmentusingtraditionalChinesemedicinetherapies

topromote,maintainorrestorehealth.

TheTraditionalChineseMedicineActalsosetsoutwhichofthe14controlledactsassetoutinthe

RegulatedHealthProfessionsActR.TCMPsandR.Acsareauthorizedtoperform.Theseareknownas

authorizedacts.TheTraditionalChineseMedicineActstates:


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1. Performingaprocedureontissuebelowthedermisandbelowthesurfaceofamucous

membraneforthepurposeofperformingacupuncture.

2. CommunicatingatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderas

thecauseofapersonssymptomsusingtraditionalChinesemedicinetechniques.

TheStandardsofPracticeforR.TCMPsandR.Acsareintendedtobegeneric.Theindicatorsfollowing

eachPracticeStandardareexamplesoftheapplicationofthatStandardofPracticeinaspecific

dimensionofpractice.TheStandardsofPracticearereferencedtothefollowingdocuments:

EntryLevelOccupationalCompetenciesforthePracticeofTraditionalChineseMedicinein

Canada,CanadianAllianceofRegulatoryBodiesofTCMPractitionersandAcupuncturists.

RecommendedtotheProvincialRegulatoryAuthoritiesOctober17,2009.


Canada(October2009),PerformanceIndicators,SubmittedbyPLACED,TheG.RaymondChang

SchoolofContinuingEducationRyersonUniversitytotheTransitionalCouncil/Collegeof

TraditionalChineseMedicinePractitionersandAcupuncturistsofOntario(TC/CTCMPAO)in

completionoftheMemorandumofUnderstandingbetweenPLACEDandTC/CTCMPAO,

ApprovedbytheTransitionalCouncilJanuary25,2010.


Canada,CanadianAllianceofRegulatoryBodiesofTCMPractitionersandAcupuncturists,May

2010.

CanadianAllianceofRegulatoryBodiesofTraditionalChineseMedicinePractitionersand

Acupuncturists

(CARB

ACOR),

Pan

Canadian

Standards

for

Traditional

Chinese

Medicine

PractitionersandAcupuncturists:PerformanceIndicatorsandAssessmentBlueprintsforthe

EntryLevelOccupationalCompetencies,RecommendedtotheProvincialRegulatory

Authorities,October24,2010.

SafetyProgramforTraditionalChineseMedicinePractitionersandAcupuncturists,British

ColumbiaandOntario,June2012.

JurisprudenceCourseHandbookImportantLegalPrinciplesPractitionersNeedtoKnow,College

ofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario,August2012.

IntheStandardsofPracticethetermlegislationreferstobothstatutesandregulations.Inthe

Standardsof

Practice

there

is

reference

to

the

Code

of

Ethics.

This

refers

to

the

code

of

ethics

for

CTCMPAOmembers(CodeofEthicsforMembers).ItisintendedthattheCodeofEthicsbeusedin

conjunctionwiththeStandardsofPractice.Together,thesedocumentsprovideamodelforensuring

safe,effectiveandethicalprofessionalperformancetoensuresafe,effectiveandethicaloutcomesfor

patients.

UndertheCollegesStandardsofPracticeR.TCMPsandR.Acsareexpectedtobe:

Competent:meaningtohavethenecessaryknowledge,skillsandjudgementtoensuresafe,effective

andethicaloutcomesforthepatient.ThismeansthatR.TCMPsandR.Acsmustmaintaincompetence


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intheirpractice,mustrefrainfromactingifnotcompetent,andmusttakeappropriateactiontoaddress

thesituation.

Accountable:meaningtotakeresponsibilityfordecisionsandactions.ThismeansthatR.TCMPsandR.

Acsmustaccepttheconsequencesoftheirdecisionsandactionsandactonthebasisofwhattheyin

theirclinicaljudgement,believeisinthebestinterestsofthepatient.

Collaborative:meaningtoworkwithothermembersofthehealthcareteamtoachievethebest

possibleoutcomesforthepatient.ThismeansthatthatR.TCMPsandR.Acsareresponsiblefor

communicatingwithothermembersofthehealthcareteam,andtakingappropriateactiontoaddress

gapsanddifferencesinjudgementaboutcareprovision.

1.

Legislation,

Standards

and

Ethics

Description

R.TCMPsandR.AcsaremembersoftheCollegeofTraditionalChineseMedicinePractitionersand

AcupuncturistsofOntario.Thisensuresthattheyhavemettheprofessionaleducationrequirementsof

theCollegeandthattheycontinuetoeducatethemselvesaboutpractical,legal,ethicalandother

matterspertainingtotheprofession.

StandardofPractice(1) Legislation,StandardsandEthics

R.TCMPsandR.Acsmustunderstand,andadhereto,thelegislationgoverningthepracticeofthe

profession,theStandardsofPracticesetbytheCollege,theCodeofEthicssetbytheCollegeandtheBy

laws.

PerformanceIndicators

R.TCMPsandR.Acsmust:

a) maintaintheknowledge,skillsandjudgementtoperformproceduresundertakeninthecourseof

practicingthe

profession;

b)

adheretoallrelevantprovincialandfederallegislationandmunicipallawandguidelinesgoverning

thepracticeoftheprofession;

c) adheretotheStandardsofPracticesetbytheCollege;

d) adheretotheCodeofethics;

e) adheretoallregulationsmadeundertheTraditionalChineseMedicineActincluding:

I. professionalmisconduct;

II.

registration;and


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III. qualityassurance.

2.

Diagnosisand

Treatment

Description

R.TCMPsandR.Acsarehealthcareprofessionalswhopossessafundamentalbodyofknowledge,skills

andjudgmentfollowingtraditionalChinesemedicineprincipleswhicharedirectedtoeffectivepatient

careinthediagnosisandtreatmentofpatients.R.TCMPsandR.Acsusetheessentialprinciplesof

traditionalChinesemedicinetoassesspatientsandpromotetheirhealth,andpreventandtreat

commondisease.Theircareischaracterizedbyethicalandsafeclinicalpracticeaswellaswitheffective

communicationinpartnershipwithpatientsandotherhealthcareproviders.

R.TCMPsandR.Acsareauthorizedtoperformtwocontrolledacts,whichtheyhavebeenauthorizedto

performwithintheirscopeofpracticeundertheTraditionalChineseMedicineAct.Thetwocontrolled

actsthatR.TCMPsandR.Acsareauthorizedtoperformare:

Performingaprocedureontissuebelowthedermisandbelowthesurfaceofamucous

membraneforthepurposeofperformingacupuncture.

CommunicatingatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderas

thecauseofapersonssymptomsusingtraditionalChinesemedicinetechniques.

Underthe

Regulated

Health

Professions

Act,R.

TCMPs

and

R.

Acs

may

delegate

the

two

controlled

acts

authorizedtoR.TCMPsandR.AcsundertheundertheTraditionalChineseMedicineAct providedthey

complywiththeRegulatedHealthProfessionsAct,andtheprofessionalmisconductregulationmade

undertheTraditionalChineseMedicineAct.

StandardofPractice(2) DiagnosisandTreatment

R.TCMPsandR.Acsmustbeabletoaccuratelyassessbodysystemdisordersthroughtraditional

Chinesemedicinetechniques.R.TCMPsandR.Acsmustbeproficientinprovidingtreatmentusing

traditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.R.TCMPsandR.Acs

mustbe

skilled

in

the

application

of

acupuncture

and

must

adhere

to

the

World

Health

Organization

(WHO)standardforthelocationofacupuncturepoints.R.TCMPsmustbeabletoaccuratelyselectand

recommendherbalmedicinesbasedontheTraditionalChineseMedicinediagnosisandtreatmentplan

andmakemodificationsbasedonthepatientsphysical,medicalandhealthhistoryasnecessary.

R.TCMPsandR.AcsmustbeabletoperformthetwocontrolledactsauthorizedtoR.TCMPsandR.Acs

asrequiredinthecourseofengaginginthepracticeoftheprofession.Theymustnotperformthe

authorizedacts,oranyexemptedcontrolledacts,unlesstheconditionsundertheRegulatedHealth

ProfessionsAct,theTraditionalChineseMedicineActandtheirrespectiveregulationshavebeenmet.


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R.

TCMPs

and

R.

Acs

must:

a)

performonlythosecontrolledactsthathavebeenauthorized,underthelegislation;

b) notperformanyprocedurewhichmayresultinseriousphysicalharm,unlessthatprocedureis

withinthescopeofpracticeoftheprofessionortheR.TCMP andR.Acisauthorizedorpermitted

todosobylegislation;

c)

carryoutassessmentandtreatmentonlywiththeinformedconsentofthepatient,orthepatients

substitutedecisionmaker;

d) useappropriateaseptictechniquesandinfectioncontrolproceduresinthecourseofexaminations

andtreatment;

e)

instructthe

patient

to

remove

only

the

clothing

and

items

that

would

interfere

with

the

examinationortreatmentprocedures;

f) provideuseofappropriatedrapingmaterialstocoverareaswhereclothingwasremoved;

g) explaintothepatientwhenandwheretheR.TCMPandR.Acmighttouchthepatientandwhy;

h) touchthepatientinonlythoseareasneededtofacilitatethecarryingouttheprocedure;

i) effectivelyperformaphysicalassessmentofthepatientforthepurposeofhealthpromotion,

diagnosisand/ormanagementthatisrelevantandaccurate.

j) effectivelyanalysetheinformationtodetermineadiagnosisandestablishaneffectivetreatment

plan;

k) adheretotheWorldHealthOrganization(WHO) standardforthelocationofacupuncturepoints;

l)

applysafe

and

accurate

procedures

and

processes

in

implementing

the

treatment

plan;

m) accountforeveryneedlethatisinserted,removed,anddisposedofduringtreatment;

n) initiateemergencyresponseproceduresasrequiredifapatientsuffersanyadversereactiontoa

treatment;

o) communicateatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderasthe

causeofapersonssymptoms;

p) assessthepatientsconditionduringthecourseofthetreatmentorproceduresandrespond

accordingly;

InadditionR.TCMPsmust:

q) takeintoaccountallprecautionsandcontradictionsoftheherbsandformulasrecommendedtothe

patient;

r)

select,recommendandcombineherbalmedicinesbasedontheTraditionalChineseMedicine

diagnosisandtreatmentplanandmakemodificationsbasedonthepatientsphysical,medicaland

healthhistoryasnecessary;and

s) advisepatientsabouttheuseofherbaltreatmentincludingthedosagerouteofadministration,and

scheduleforadministration.


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3. SafePractice

Description

R.TCMPsandR.AcsassessbodysystemdisordersthroughtraditionalChineseMedicinetechniques

andtreatmentusingtraditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.

Toensureprotectiontopatients,thegeneralpublic,membersofthehealthcaresystem,aswellas

practitionersR.TCMPsandR.Acsendeavortoreducetheriskofharmbyengaginginsafepractices,

andcontinuingtomaintainandupgradetheirsafepracticeskillsbyreferencingagenciessuchasthe

CTCMPAOandfederalandprovincialgovernmenthealthministries.

StandardofPractice(3) SafePractice

R.TCMPsandR.Acsmusthavetheknowledge,skillsandjudgementtopractisesafelybyadheringtothe

relevantprovincialandfederallegislationandguidelinesandmanufacturersdirectionspertainingto

healthandsafety.Intheeventofanyunexpectedproblemsoremergencies,R.TCMPsandR.Acsmust

becompetentandpreparedtohandlethemanagementofthesituation.



a)

observeall

relevant

municipal,

provincial

and

federal

legislation

and

guidelines

pertaining

to

health

andsafety,suchasthe:

i. RegulatedHealth ProfessionsActanditsregulations;

ii. TraditionalChineseMedicineActanditsregulations;

iii. OccupationalHealthandSafetyActanditsregulations

iv. WorldHealthOrganization(WHO)standardforthelocationofacupuncturepoints;

v. WorkplaceHazardousMaterialsInformationSystem;

b) determinerisksandcontraindicationsforacupuncturetreatment;

c)

determinerisks

and

contraindications

for

moxibustion

treatment;

d) takeintoaccountthepatientsphysicalandemotionallimitations,andensurethatthepatientwill

notbeexpectedtoperformanytaskormovementthatwouldcausephysicalharm;

e) usesterileneedletechniquetoreducetheriskofinfections,diseasesandtransmissionssuchas

HepatitisBinperformingtheprocedureofacupunctureincompliancewiththeCTCMPAOguidelines

pertainingtoacupuncture;

f) useappropriateaseptictechniquesandinfectioncontrolproceduresinthecourseofexaminations

ortreatment;


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g) protectthemselves,theircolleagues,staff,othermembersofthehealthcareteam,anyother

individualswhomaybepresent,aswellasanypatient,fromanycommunicableandinfectious

diseases;

h) conductappropriatemaintenanceproceduresforallequipment andsubstancestobeusedinan

examinationortreatment;

i)

takecorrectiveactionifthemaintenanceprocedureresultsarenotwithinacceptablelimits;

j) initiateemergencyresponseproceduresifapatientsuffersanyadversereactiontoatreatmentora

substanceadministeredorally;

k) initiateemergencyresponseproceduresintheeventthatapatientexhibitsabusiveorviolent

behaviour;

l) disposeofexpiredorcontaminatedsubstancesormaterialsIaccordancewithlegislationandall

CTCMPAOguidelinespertainingtowastemanagement;


m) determinerisks,contraindicationsandriskofanadversereactionfortreatmentwithherbals.

4. Communication

Description

R.TCMPsandR.Acseffectivelycommunicatewiththeirpatients,families,caregivers,other

professionalsand

other

important

individuals.

R.

TCMPs

and

R.

Acs

recognize

that

good

communication

skillsareessentialforestablishingrapportandtrustwiththepatient,formulatinganassessment,

deliveringinformation,strivingformutualunderstanding,andfacilitatingasharedplanofcare.

StandardofPractice(4) Communication

R.TCMPsandR.Acsmustbeabletodevelopatrustingandtherapeuticrelationshipswithpatients.They

musthavegoodcommunicationskillstoelicitandcombinerelevantinformationtoassessthepatient

anddevelopandimplementatreatmentplan. R.TCMPsandR.Acsmustbeabletoaccuratelyconvey

relevantinformationandexplanationstopatients,families,colleaguesandotherprofessionals.



a) provideclearandunderstandableinformationtothepatient,orthepatientssubstitutedecision

maker,priorto,duringandaftertreatment,usinganinterpreterifnecessary;

b) givethepatient,orthepatientssubstitutedecisionmaker,anopportunitytoaskquestions;


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c) carryoutexaminationsortreatmentonlywiththeinformedconsentofthepatient,orthepatients

substitutedecisionmaker;

d) keepallpatientinformationconfidential,exceptwhennecessarytofacilitateanassessmentor

treatmentofthepatientorwhenlegallyobligedorallowedtodisclosesuch information;

e)

observeallrelevantlegislation,suchastheHealthCareConsentAct,andallCTCMPAOguidelines

pertainingtoconsent;

f) observetheRegulatedHealthProfessionsActandallguidelinesoftheCTCMPAOpertainingto

boundariesandthepreventionofsexualabuse;

g) usearangeofcommunicationskillstodevelopandmaintaineffectiveprofessionalrelationships;

h) collaboratewithothermembersofthehealthcareteamtopromotethebestpossibleoutcomesfor

thepatient;

i) usearangeofrelationshipskillstoaddressprofessionaldifferencesthatmayleadtoconflict;

j)

provide

care

to

patients

regardless

of

their

race,

ancestry,

place

of

origin,

colour,

ethnic

origin,

citizenship,creed,sex,sexualorientation,age,maritalstatus,familystatus,ordisability.

5.

RecordKeeping

Description

Creatingandmaintainingrecordsandreportsareessentialcomponentsoftheprofessionalpracticeof

allR.TCMPsandR.Acsasrecordsandreportsprovideinformationtootherhealthcareprofessionals

aboutrelevantaspectsofpatientcare,treatmentandassessment.

StandardofPractice(5) RecordKeeping

R.TCMPsandR.Acsmusthavetheknowledge,skillsandjudgmenttocreateandmaintainadaily

appointmentlog,patientfilesandbillingrecordsandotherrecordsthatattesttothetreatmentofthe

patient. R.TCMPsandR.Acsmustbeproficientinmaintainingrecordsthatdescribeworkplaceand

safetyproceduresthathavebeencarriedout.R.TCMPsandR.Acsmustbeskillfulinproducingrecords

andreportsthatarealwaysaccurate,complete,legibleandtimely.



a) maintainawrittenorelectronicdailyappointmentlogthatoutlinesthedate,name,andthetimeof

theappointmentforeachrespectivepatient;

b) createandmaintainacomprehensivefileforeachpatientinaccordancewiththerecordkeeping

guidelinesestablishedbytheCTCMPAO;

c) arrangeandorganizeallmaterialinpatientrecordsinamannerthatallowsforeasyandprompt

retrievalandensuressecurityandconfidentiality;


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d) complywithallrelevantlegislationsuchastheHealthCareConsentActandallCTCMPAOguidelines

pertainingtoconsent;

e) comply withanyprivacylegislationsuchasthePersonalHealthInformationProtectionActandall

CTCMPAOguidelinespertainingtoprivacy;

f)

maintaincompleteandaccuraterecordsrelatedtobillingorpaymentforgoodsorservicesprovided

bythepractitionertothepatientinaccordancewiththerecordkeepingguidelinesestablishedby

theCTCMPAO;

g) maintainequipmentandsupplyrecordstomakedeterminationsastotheequipmentquality,

serviceabilityandoperabilityandtakeanycorrectiveactionsrequiredtomeetstandardssetby

legislation,manufacturesguidelinesandallCTCMPAOguidelinespertainingtoequipment;

h) ensurethatallelectronicandwrittenrecordsaremanagedaccordingtotheprinciplesand

guidelinesestablishedbytheCTCMPAO;

i)

implement

record

retention

and

destruction

processes

in

compliance

with

the

RHPA

and

all

CTCMPAOguidelinespertainingtorecordretentionanddestructions;


j) maintainanaccurateinventoryofherbstorecordpurchases,supply andprescriptions(TCM)to

patients;

k) ensuresafestorage,labellingandhandlingofherbstoguaranteethattheherbswillbekeptfree

fromcontaminationandthattheherbqualityismaintainedincompliancewithalegislationsuchas

theNaturalHealthProductsDirectorateandtheCTCMPAOpoliciesandguidelinesrelatedtothe

safemanagementofherbalproducts;

l) conductappropriatequalitycontroltestsforallsubstancestoberecommendedinatreatmentplan;

m) takecorrectiveactionifthequalitycontroltestsarenotwithinacceptablelimits;

n) onlyuseherbsbeforetheirexpirytimeordate;

o) ensurethatallherbalprescriptions(TCM)arelegible,andcontainallofthenecessaryinformationto

allowtheprescription(TCM)tobeaccuratelyandsafelydispensed(TCM),usedandtracked.

Acknowledgements

ThankstotheCollegeofMedicalRadiationTechnologistsofOntarioforitssupportandfortheuse

ofitsmaterials.


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CTCMPAO Standards of Practice

Documents

Transcript of CTCMPAO Standards of Practice