Standards of practice day 1 and 2
Who is the current Registrar?
Corrine Flitton
Provide an example for the ethical principle of RESPECT FOR PERSONS
Do not discriminate against sex, race or religion
When do you get a client to fill out a health history form?
- Before initial treratment - after client absent for a year - every year at minimum
What are the guidlines for an interprofessional disagrerement?
- Client not place din middle of disagrerement - client consent is obtained prior to speaking with the other provider - discussion with other provider to attempt to resolve issue - client provided with the most accurate info possible - client choice of provider and treatment approach is respected
What's a risk for treratment positioning and covering?
Falling off of the bed, exposure
How long must you wash your hands &forarms? When ?
min 10 seconds before & after each client
MCQ
multiple choice questionaire
Can a 16 year old give consent or should a SDM be used?
providing the 16 year old is competent and understands consent, they can give it themselves.
RMT
registered massage therapist
RMTO
registered massage therapists association of ontario
RHPA
regulated health professionals act
What are the 4 basic principles of massage?
respect for persons responsible care integrity for relationship responsibility to society
What does the quality assurace program consist of?
self assessment, peer assessment and CEU
What is a code of ethics?
statement whick expresses the primary ethical values, obligations & goals of the profession
SDA
substitute desion act
What is a Registrar?
the chief administrative officer
AODA
accessibility for ontarians with disabilities act
MT
massage therapists
MTA
massage therapy act
What are the CMTO's committiee's?
- appeals - clients relations - disipline - executive - fitness for practice - inquires/complaints/reports - quality assurance - registration
What is the purpose of the HCCA and SDA?
- assist Massage Therapist's in understanding the general procedures which they are obligated to follow in obtaining consent and outline changes which make the consent process straighforward
What must be included in the standard 4 interview questions?
- client goals for treatment - limitations to activities of daily life - identification of area(s) client would like to focus on - discovery of contributing factor
What needs to be included in recipts? who issues them?
- date, name of client and duration of treatment - signature and registration number of MT and must read message therapy treatment * MT's issue the recipt
What are the guidlines conducting a public edication class?
- difference between the education provided to individuals during a teratment encounter and the education provided to customer in classroom setting - type of program they want to offer - expectations of the participants
Consent must be?
- documented - occur before the treatment/assessment/reassessment - consistent within the MT scope of practice - be voluntary - must not be obtained through misrepresentation or fraud
What are some roles of the CMTO
- ensure the public interest is placed at the center of all college activities - establishes min education standards - encourages CEU - regulates profession - provides public with a forum to report any complaints
What does the minister of health do?
- ensures that the professions are regulated in te public interest - ensures the standards of pracrtice are developed and maintained - can initiate a process to deregulate a profession
What does the RHPA do ?
- sets out powers of the Minister of Health - defines the scope of practice for each profession - assigns controlled acts to each profession - ensures each regulatory college is working in the best interest of the client
In " technique Standard 1" what are the 4 basic principles>?/
1 - superficial, deep, superfical 2- general, specific, genereal 3- proximal, distal, proximal 4- peripheral, central, peripheral
What are the 4 principles of massage ethics?
1- Respect for persons 2- Responsible Care 3- Integrity in Relationships 4- Responsibility to society
In the physical setting of your clinic, what are two things you may not include?.
1- inapropriate placement of a mirror 2- video cameras
What are the guidlines for conducting a clinical massage therapy practice?
1- physical setting 2- staffing 3- Equipment 4- Policies and procedures
Ongoing records need to include what?/
1- time/date and duration of treratment 2- Fee 3- results from assessment & techniques used 4- area's trerated 5- clients reaction and feedback 6- informed concent 7- used/recommened RMX / hydrother etc
How long do you have to keep records?
10 years or 10 years after the individual has turned 18
How many communication/public health standards are there?
16
How many CEU's required & how often?
30 ( 20 category A, 10 category B) Every 3 years
How many people make up the counsil for the CMTO?
9 RMT's and up to 8 non RMT's ( 3 year term, can be elected 2 more times with a max of 9 years)
If a client files a complaint, where does the complaint, where does it go?
CMTO
Who is our governing body?
CMTO
What can advertising contain>
Basic info Education qualifications Typoes of services available
Why should RMT's take CPR?
Because we are health care professionals and may run into an emergency situation
When do you inform the client of the fee & Obtain his/her agrerement to a fee schedule>?
Before the message occurs
Where do you find the mandatory CEU articles?
CMTO website under touchpiont
If you make a change in the treatment plan you must?
Get concent from client and document
What act is the Substitute Decisions Act under?
HCCA
Which act is professional misconduct under?
MTA
Which act regulates record keeping and is deemed to be part of health professions procedural code?
MTA- massage therapy act
When was the health care concent act amended?
March 29th, 1996
Who is responsible for keeping records confidential?
Massage therapist and staff
When do MT's need to renew their registration
November 1st each year
Two components to the certification examination>?
OSCE and MCQ
If the client is incapable of giving consent, what do you do?
Obtain consent from a Substitute Desision Maker
What must you do if there is a request for a clients file?
Obtain written concent from the client
An employer must report to the college when?
Professional misconduct, incompetence or incapacity
It is considered the framework in regards to Health Care in Ontario and includes health procedural code?
RHPA
Where do you look to find out if a particular health profession is regulated.?
RHPA
Which membership is voluntary?
RMTAO
Who is our professional association?
RMTAO - registered massage therapisst's association of ontario
Which standard is defined by the infection control for regulated proffesionals document?
SOP #1 Prepare the treatment area
Client informed of risks, benifits, possible complications, CI's and area's of body involved - which stanard is it?
SOP #7 - Consent
True or False? it is not an act of professional mmuissconduct for a member to refuse to provide copies from a client health record until the member is paid a resonable fee?
TRUE
What happens if a members certificate of registration is suspended for more than 2 years?
The licence is revoked
What are standards of prractice?
Tools to determine whether a MT can do the job at an acceptable level
Is the CMTO not for profit?
YEA...
Is membership manditory with the CMTO?
YES!
As a health professional, are you obligated to report another health professional that is abusing a client? in if so, where do you report it to ?
Yes to the CMTO
How does the CMTO deal with complaints related to secual abuse?
Zero Tolerance will investigate and take the approprate action
ADR
alternative dispute resolution
Provide an example for the ethical principle of RESPONSIBLE CARE
be compasionate & empatheric
When do you get concent?
before begining the assessment/reassessment/ treratment
CMTO
college of massage therapists of ontario
Provide an example for the ethical principle of RESPOSIBILITY TO SOCIETY
conduct ourselves in a professional manner inside and outside of the work place
CEU
continued education unit
What is a scope of practice?
descirbes in a general way, why & what a profession does what it does and the methods it uses
What is a standard>?
description of a minimum level of performance that is required to demonstrate in the achievement of a task
When do you tell a client about positioning & covering
during concent process, before massage takes place
Provide an example for the ethical principle of INTEGRITY IN RELATIONSHIPS
ensure we act in our clients best interest
HCCA
health care concent act
Why must health history info be regulated
legal document clients could be at rick or harm
OSCE
objectively structed clinical evaluation
What does a standard include?
one or more of the following technical quality interpersonal quality safety timeliness
What is the massage therapy's scope of practice?
the practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissues and joints by manipulation to develope, maintain, rehabilitate or augment physical function or relieve pain
According to the SDA what is spouse>?
to whom a person is married or living with for more then a year or have children together, while living together
According to the SDA what is a partner?
two people who have lived together for more then one year and have a close personal relationshiop that is of primary importance in their lives.
What area's are considered sensitive areas for massage?
upper chest , inner thigh, breats and glutel.
Why have Standards of Practice?
serve as a reference tool for -therapists to better understand their job requirments - educators to address as objectives in curriculum design - registration - complaints investigation - discipline hearings - Fitness practice - quality assurance - client relations - the public