Ariz. Admin. Code § 4-49-406

Current through Register Vol. 30, No. 50, December 13, 2024

Section R4-49-406 - Professional Standards of Care and Training and Education Qualifications for Delivery of Dry Needling Therapeutic Modality

A. Effective September 30, 2022, before providing the therapeutic modality "dry needling" in accordance with A.R.S. § 32-4101(4)(D) and as defined in R4-49-101(13), an athletic trainer shall:

1. Meet the qualifications established in subsection (B) and

2. Provide the Board with documented proof of compliance with the qualifications listed in subsection (C) in a format as prescribed by the Board.

B. Course content that meets the training and education qualifications for "dry needling" shall contain all of the following:

1. The course content shall be approved by one or more of the following entities prior to the course or courses being completed by the athletic trainer:

a. Commission on Accreditation of Athletic Training Education,

b. National Athletic Trainers' Association,

c. Board of Certification, Inc.,

d. State or district associations of the National Athletic Trainers' Association, or

e. Specialty groups or societies of the National Athletic Trainers' Association.

2. The course content shall include all of the following components of education and training:

a. Clean needle techniques to include one of the following standards:

i. The U.S. Centers for Disease Control and Prevention, or

ii. The U.S. Occupational Safety and Health Administration.

b. Anatomical review,

c. Blood borne pathogens, and

d. Contraindications and indications for "dry needling".

3. The course content required in subsection (B) of this Section shall include passing both a written examination and practical examination before completion of the course content. Practice application course content must be completed in a synchronous environment and examinations shall be done in-person to meet the qualifications of subsection (B).

4. The course content required in subsection (B) of this section shall total a minimum of 24 contact hours of education.

C. The standard of care for "dry needling" includes:

1. Dry needling cannot be delegated to any assistive personnel.

2. Referral to one or more appropriate health care practitioners when required by A.R.S. § 32-4151(A).

3. Documentation of the "dry needling" as required by A.R.S. § 32-4153(18).

4. If the patient is a minor, parent or guardian consent for treatment is obtained and documented in the patient record.

5. Dry needling must be addressed in the written protocols approved by the physician providing direction.

Ariz. Admin. Code § R4-49-406

New Section made by exempt rulemaking at 28 A.A.R. 2435, effective 9/30/2022.