MY SUGGESTED DRAFT OF WAC 246-830 AS OF APRIL 1, 2016. SEE ORIGINAL VERSION BELOW
(1) Prior to performing breast massage, a licensed massage practitioner must:
(a) Acquire prior signed written consent before proceeding with the breast massage. The written consent must:
(i) Be maintained with the client’s records,
(ii) Include a statement that the client may discontinue the treatment at any time for any reason,
(iii) If the client is under 18 years of age, prior written consent will be obtained in accordance with the Revised Code of Washington and the Mature Minor Rule;
(b) Use appropriate draping techniques as identified in WAC 246-830-xxx (draping section);
(c) Document in the client’s record a therapeutic rationale for the breast massage.
(2) In addition to the requirements identified in subsection 1, to perform any massage to the breast or nipple, a licensed massage practitioner shall maintain evidence of the completion of at least 16 specialized contact hours as training beyond the minimum competencies, which includes but is not limited to, breast anatomy and physiology, pathology, indications, contraindications, therapeutic treatment techniques, draping, appropriate practitioner-client boundaries, expected outcomes, and client safety related to breast massage.
WA DEPT OF HEALTH DRAFT LANGUAGE AS OF MARCH 21, 2016.
(1) Prior to performing breast massage, a licensed massage practitioner must:
(a) Acquire prior signed written consent before proceeding with the breast massage. The written consent must:
(i) Include the client’s option to accept or decline a witness in the treatment room, in addition to the client and licensed massage practitioner and
(ii) Be maintained with the client’s records.
(b) Use appropriate draping techniques as identified in WAC 246-830-xxx (draping section);
(c) Document in the client’s record a therapeutic rationale for the breast massage; and
(d) Acquire prior written consent from the client’s parent or legal guardian if the client is under 18 years of age. The actual presence of a parent or legal guardian is required in the treatment room when treating individuals under 18 years of age.
(2) Licensed massage practitioners shall not massage or touch a female or male breast nipple(s) or areola unless medically indicated under subsection 3.
(3) In addition to the requirements identified in subsection 1, to perform any breast massage to treat a diagnosed medical condition, a licensed massage practitioner shall:
(a) Maintain evidence of the completion of specialized contact hours as training beyond the minimum competencies, which includes but is not limited to, indications, contraindications, therapeutic treatment techniques, expected outcomes, and client safety related to breast massage to treat a diagnosed medical condition; and
(b) Document in the client’s records that a referral or prescription has been made by a licensed medical health care provider for this modality of treatment.