Thursday, September 10, 2015
Prescribing in the Hospital setting: Pharmaceuticals, med review, Neutraceuticals, Self-Care
keywords: hospital practice, prescribing, medical review, SOAP notes, CHM, self-care, practice standards, documentation standards
Pharmaceuticals. L.Ac.s do not prescribe or advise on pharmaceutical medications. However, an L.Ac. must know what medications a patient is taking because it affects the larger TCM diagnostic picture. Example: symptoms of fatigue as side effect of medication
Medication Review. Medication review must be done at first visit. Recommend updating this review when patient reports a new med added or removed. Recommend updating the med review during TCM re-evaluations.
Neutraceuticals and Chinese Herbal Medicine L.Ac.s can prescribe Chinese Herbal Medicine (CHM) when they have
a. the required training and NCCAOM board certification status (see point #2 on CHM practice in hospitals)
b. it is in their scope of practice at the hospital. Can be an add-on to credentialing paperwork.
c. see related section on CHM practice in hospitals for more details
d. see related state license for “neutraceuticals”
Self-care. L.Ac.s can prescribe self-care/home care to patients that may include but is not limited to: acupressure, tai chi, qi gong, meditation, breathing exercises, TCM nutrition recommendations, reflexology homework, self-care massage, hot/cold therapy, orthotic devices, movement therapy . . .