Articles about

CNT Manual

Let Us Tell You about Our AERD! No, wait, come back...

January 1st, 2021 — Granted, you have to be a true safety nerd to get excited about an adverse events reporting database. Given that the acupuncture profession has never actually had one, though, we thought when we made one back in 2018, everybody else would be at least receptive. Not quite.

"That Last Treatment Made Me Worse"

February 4th, 2021 — The phone rings in your clinic. When you pick it up, a patient says, “Hi, I need to talk to you about something. I think that last treatment made me worse.” What do you do next? Here’s an outline of how to create a positive outcome, i.e. make some safety, from this stressful and unavoidable situation. If you treat enough people, you will certainly get this phone call at some point!

Stray Needles and Swiss Cheese Safety

January 12th, 2021 — Of the 160 incidents reported so far in our AERD, 26% are related in some way to forgotten or stray needles. This post is about the difference between following safety guidelines and creating safety.

When Acupuncture Overwhelms

April 7th, 2021 — Psycho-emotional triggers aren’t listed in the Clean Needle Technique Manual as an adverse event related to acupuncture, but according to our AERD data, they’re more common than fainting (which is listed).

Kind of Like a Pit Bull

January 18th, 2021 — A common argument among acupuncturists is that nobody can safely practice acupuncture without at least three years of post graduate training at an accredited acupuncture school. Also, dogs.

Work in Progress: Safety/Risk Continuum for Acupuncture Styles

January 28th, 2021 — As part of encouraging a neutral, analytical, non judgmental, safety-positive relationship to risk, it seems like it’s worth describing a safety/risk continuum for acupuncture styles. There’s no one right way to practice acupuncture AND certain styles are clearly less risky than others.

Clean Needle Technique, Social Safety, and the Benefits of Being a Safety Nerd

April 12th, 2022 — The idea behind Clean Needle Technique is that an acupuncturist needs to approach every patient as if they had all possible bloodborne diseases. This is important for your individual safety as a punk because you can’t depend on patients to 1) know their status or 2) tell you. But approaching every patient in the exact same way is also crucial to the social safety of the clinic -- and the bigger the clinic, the more people involved, the more concerning the potential consequences become for *not* treating every patient in the same way.

Why We Do This, Part Two

April 20th, 2022 — It’s hard for students (and also licensed acupuncturists!) to wrap their minds around the range of ways that people can respond to acupuncture, which in turn makes it challenging for them to learn how to manage risks associated with treatment. It’s hard to take risk seriously when it doesn’t feel real! And often the only thing that can make risk feel real is firsthand experience of an unintended outcome.

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