Standards
of Practice - 2006
Disponible en Francais
INTRODUCTION
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 tissue and
joints by manipulation to develop, maintain, rehabilitate
or augment physical function, or relieve pain. (Massage
Therapy Act 1991)
What
are Standards of Practice
The College of Massage Therapists of Ontario has developed
the Standards of Practice for Massage Therapists. Through
the development and use of these Standards the College of
Massage Therapists continues to display its commitment to
the protection of the public, serving its members, and promoting
the highest possible quality of massage therapy practice
in a safe and ethical manner.
The
Standards of Practice are intended to be generic and have
been developed to describe the outcomes of the various tasks
the therapist is required to perform within the Scope of
Practice. The Standards of Practice describe how well a
therapist is expected to perform. How to do each task will
be determined by the curriculum developed by the educational
programs.
The
Standards of Practice form a live and dynamic document that
will evolve as changes in practice evolve.
Why
have Standards of Practice
The Standards of Practice have been developed as a tool
to determine whether a
Massage Therapist can do the job at an acceptable level.
These Standards will serve as a reference tool for:
- The
therapists to better understand their job requirements
- Educators
to address as objectives in curriculum design
- Registration
(admission to the College)
- Complaints
investigation
- Discipline
hearings
- Fitness
to Practice
- Quality
Assurance
- Client
relations
- The
public, by providing objective standards by which to assess
the quality of treatment.
Confidentiality
Statement
Massage Therapists are advised that giving information about
a client to any person except as required or allowed by
law or except to facilitate diagnosis or treatment of a
client is considered to be professional misconduct under
the Professional Misconduct Regulations.
Accountability
for Standards
The Massage Therapist must comply with any requirement as
defined in any existing legislation related to the performance
of the therapist's job.
The
Massage Therapist is only held accountable to meet a Standard
if he/she is the person who has performed the task.
Relevant
Legislation
Massage therapists are accountable to the following pieces
of legislation:
- Regulated
Health Professions Act, 1991 (RHPA)
- Massage
Therapy Act, 1991 (MTA)
- Regulations
of the Massage Therapy Act, General (O.Reg. 544/94 as
amended), Registration (O. Reg. 864/93 as amended)
- Health
Care Consent Act, 1996
- Personal
Health Information Protection Act, 2004
- Personal
Information Protection and Electronic Documents Act, 2000
Glossary
of Terms:
A standard of practice consists of three inter-related subcomponents
that describe:
Conditions:
Conditions
describe the situation in which the task must be accomplished,
including any resources, tools, materials, etc. that are
given/available.
Task:
A task
is a description of what a therapist is expected to accomplish.
Standard:
A standard
is a description of a minimum level of performance one is
required to demonstrate in the achievement of a task.
A standard
is stated in observable and measurable terms. It must be
precise and clear to the therapist who is held accountable
for accomplishing it. It must also be clear to the clients
and the public (who assess the therapist's ability to accomplish
a task as measured by the required standard).
Standards
include one or more of the following measures:
- Technical
Quality
- Interpersonal
Quality
- Safety
- Timeliness
Communication/Public
Health Standards
Standard
1 Prepare the Treatment Area
Standard
2 Inform the Client of the Fees and Obtain His/Her Agreement
to a Fee Schedule
Standard
3 Wash Your Hands and Any Skin Surface that Will/Has Come
in Contact with the Client
Standard
4 Interview the Client to Obtain His/Her Treatment Goals
Standard
5 Risk Identification and Management for an Outbreak of
Infectious Diseases
Standard
6 Obtain, Update and Record the Client's Health History
Standard
7 Consent
Standard
8 Determine the Client's Condition by Conducting Assessment/Re
Assessment
Standard
9 Determine if Massage Therapy Treatment is Indicated
Standard
10 Treatment and Treatment Plans
Standard
11 Pre / Post Treatment Protocol
Standard
12 Draping
Standard
13 Recommend Self Care
Standard
14 Client Health Record
Standard
15 Use of Personal Protective Equipment During a Treatment
Standard
16 Discharge of a Client
Technique
Standards
Standard
1 Introduction to the Standards for Specific Massage Therapy
Techniques
Standard
2 Perform a Stroking Technique
Standard
3 Perform a Rocking or Shaking Technique
Standard
4 Perform an Effleurage Technique
Standard
5 Perform a Petrissage Technique
Standard
6 Perform a Friction Technique
Standard
7 Perform a Vibration Technique
Standard
8 Perform a Tapotement Technique
Standard
9 Apply Deep Fascial Techniques
Standard
10 Myo Fascial Trigger Points
Standard
11 Apply Low Grade Joint Mobilization (Sustained Grade I
or II or Grade I or II Oscillations)
Standard
12 Apply High Grade Joint Mobilization (Sustained Grade
II and or Oscillations III and IV Joint Mobilization)
Standard
13 Perform a Stretch Technique
Standard
14 Perform an Intra Oral Treatment
Standard
15 Perform Breast Massage
Standard
16 Perform Massage to the Chest Wall
Standard
17 Apply Hydrotherapy
Additional Techniques
Standards
Standard
1 Introduction to the Standards for Specific Additional Massage Therapy Techniques
Standard
2 Perform an Acupuncture Treatment
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