1. (a) Naturopathic doctors may use therapeutic devices that are parenteral or non-parenteral to administer natural medicines listed in Nat 406 in accordance with manufacturer instructions.

2. (b) Therapeutic devices shall not be used by a naturopathic doctor for the following:

   1. (1) To perform surgery or surgical operations;
   2. (2) To perform general or spinal anesthesia, epidurals, or any other intrathecal procedures;
   3. (3) To perform intra-arterial or intracardiac procedures;
   4. (4) For parenteral or non-parenteral administration of formulary medicines using methods inconsistent with completed education;
   5. (5) To perform acupuncture unless a specialty certificate in naturopathic acupuncture is obtained; and
   6. (6) For use during childbirth unless a specialty certificate in naturopathic childbirth is obtained.

3. (c) Medical charting for parenteral treatments shall include the following information:

   1. (1) Patient, name, and date;
   2. (2) Type of carrier solution and amount, if applicable;
   3. (3) Type and amount of each medication added to the carrier solution, if applicable;
   4. (4) Rate of infusion, if applicable;
   5. (5) Route of administration, such as whether the treatment was topical, intravenous, intramuscular, intra-articular, or subcutaneous; and
   6. (6) Type and gauge of access device used, such as a needle, catheter, butterfly, or central venous access device.

Source. #13140, eff 11-26-20