HAR §16-88-57. Education and training requirements for parenteral therapy

(a) To qualify to administer parenteral therapy in the naturopathic physician's practice, a naturopathic physician shall submit an application and applicable fees to the board and demonstrate that the naturopathic physician has: (1) A current naturopathic physician's license in this State; and (2) Completed a qualifying course on parenteral therapy from an approved course provider as provided in this section. (b) The qualifying course shall consist of a minimum of thirty classroom hours on parenteral administration through injection of applicable naturopathic formulary substances. (1) At a minimum, the qualifying course shall have covered all of the following topics: (A) Current and historical research on parenteral therapy; (B) Indications and contraindications of parenteral therapy; (C) Parenteral therapy side effects and toxicity, nutrient/drug interactions; (D) Parenteral therapy and practical application, vein selection, and insertion techniques; (E) Intravenous solutions, equipment, supplies, catheters, and pic lines; 88-11 §16-88-57 (F) Initial evaluation and treatment monitoring requirements; (G) Frequency of parenteral treatments; (H) Charting requirements, standards of care, office procedures, consent to treat, nutrition and lifestyle recommendations during treatment, errors and adverse reactions; and (I) Practicum on mixing and administering parenteral solutions, including observation of intravenous set up and administration (the licensee shall have observed at least ten of these); and successful completion of intravenous set up (the licensee shall have completed at least ten of these). (2) The licensee shall have successfully completed a written examination developed and administered by the course provider, and the practicum described in subparagraph (b)(1)(I). The written examination shall consist of at least fifty questions that are relevant to the topics set forth in this subsection. Successful completion of the written examination shall be a passing score of at least seventy-five percent or its equivalent. (3) One classroom hour is defined as fifty minutes out of each sixty minute segment and may include time devoted to examinations. (4) No credit shall be granted for distance education, including but not limited to correspondence courses, internet courses, or video or remote television offerings. (c) Schools, universities, or colleges that meet the requirements of section 455-3, HRS, and schools, universities, or colleges that are accredited by a regional or national accrediting body recognized by the United States Department of Education, shall automatically be approved course providers. The dean of these approved course providers shall certify to the board that the qualifying course and licensee met the requirements of subsection (b). (d) Course providers that are not automatically approved pursuant to subsection (c) shall submit an application and applicable fees, course description and outline, and course instructor qualifications to the board for approval. (1) Course instructors shall have had at least one year of experience teaching parenteral therapy at a school, university or college as described in 16-88-57(c), and at least five years' experience and training combined in parenteral therapy. (2) These course providers shall: (A) Provide attendees within sixty days of completion of the course or the examination, completion certificates which shall include information regarding the number of 88-12 §16-88-59 classroom hours and, whether there was successful passage of the course examination; and (B) Keep attendance records for a minimum of seven years. (3) Completion certificates shall be issued only if the attendee physically attended the course. (4) Attendees may take no more than one make-up examination; provided that the examination is taken within ninety days after the end date of the course. [Eff and comp 2/14/11; comp 4/13/12] (Auth: HRS §455-6) (Imp: HRS §§455-3, 455-6, 455-11)