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Survey on Invasive Techniques and Voluntary Consent

  1. Does the course content you provide address any therapeutic techniques involving parts of the body printed in bold type on the enclosed copy of NCBTMB Standards of Practice, Standard VI.
    _________ Yes _________ No

    If you answered YES, please complete the rest of the survey. If you answered NO, please go to question #5 on the back of this page.
  1. If you answered YES to question one (1), please check any or all of the following areas addressed in your course content:
_________ Ear Canal _________ Modality Used
_________ Nasal Passages _________ Modality Used
_________ Oropharynx _________ Modality Used
_________ Anal Canal _________ Modality Used
_________ Breast _________ Modality Used
_________ Other (please list, along with Modality Used)
  1. What type of consent, if any, do you encourage students of your course to collect?
Ear Canal Written________ Verbal________ No Consent________
Nasal Passages Written________ Verbal________ No Consent________
Oropharynx Written________ Verbal________ No Consent________
Anal Canal Written________ Verbal________ No Consent________
Breast Written________ Verbal________ No Consent________
Other________________________________________________________
  Written________ Verbal________ No Consent________
Other________________________________________________________
  Written________ Verbal________ No Consent________
  1. Does your course content cover potential emotional effects and/or client behavior from applying the therapeutic techniques listed above?
    O Yes     O No
  • If you answered YES, would you please include any course materials used (or a summary of such course materials) explaining emotional effects and client behavior.
  • Also please indicate where in the course (beginning, middle, end) such topics are covered.
  • Please use additional paper as necessary for your response.

Best Practices

Whether or not your course content addresses invasive techniques, would you please answer the following questions with what you consider to be the best and most effective way to present the topic of invasive techniques and informed voluntary consent.

5. What type of consent, if any, would you encourage students of your course to collect?

Ear Canal Written_____ Verbal_____ No Consent_____ Modality Used_____
Nasal Passages Written_____ Verbal_____ No Consent_____ Modality Used_____
Oropharynx Written_____ Verbal_____ No Consent_____ Modality Used_____
Anal Canal Written_____ Verbal_____ No Consent_____ Modality Used_____
Breast Written_____ Verbal_____ No Consent_____ Modality Used_____
Other______________________________________________________________
  Written_____ Verbal_____ No Consent_____ Modality Used_____
Other______________________________________________________________
  Written_____ Verbal_____ No Consent_____ Modality Used_____
  1. How would your course content cover potential emotional effects and/or client behavior from applying the therapeutic techniques listed above? Where in the course (beginning, middle, end) would these topics be covered?

 

 

  1. Your additional thoughts and comments on this topic:

 

 

  1. Name/Educational Institution

_______________________________________________________________ (Optional)

Thank you for your time and assistance.
Please print this survey and return it to:
Ashleigh Millner
NCBTMB
8201 Greensboro Dr., Suite 300
McLean, VA 22102
Fax: 703-610-9005

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