Scope of Practice

SCOPE OF PRACTICE

FOR HNA CERTIFIED HIJAMA PRACTITIONERS

HNA ACCREDITED HIGHER DIPLOMA IN HIJAMA CUPPING THERAPY (DIP. HCT) [email protected]|WWW.HIJAMANATION.COM

HNA SCOPE OF PRACTICE 2019

CONTENTS

Disclaimer Page 3

Mission Statement Page 4

HNA Scope of Practice for HNA CHP Page 5

HIJAMA NATION ACADEMY

DISCLAIMER

Hijama Nation Ltd is an online Course Provider and teach Holistic and Traditional Islamic Medicine Courses such as: Hijama Cupping Therapy, Sunnah Health, Unani Medicine and others. Our courses are approved, recognized and insured in the UK and are for educational and vocational purposes within the UK. There are currently no UK regulations for Hijama Cupping Therapy, so Certified Practitioners can set up a business and practice commercially in a clinic. We only issue certificates of qualification. We do not issue Hijama Therapy Licenses in the UK or other countries.

We provide these online courses for international students for informational purposes only. We are not registered, approved, regulated or insured in any other countries. Hijama Cupping Therapy may not be recognized, approved or legal in other countries. Our courses may not be accepted in other countries. We cannot guarantee that these qualifications and certificates will be accepted in any other Government or local authority.

If students choose to enrol on to any of our online courses, they are responsible for finding out what the regulations are in performing Hijama Cupping Therapy legally in own their town, city, state, province and national governmental departments of health, medical board, licensures, or public health or others.

We do not make claims about the legality of performing Hijama Cupping Therapy in other countries and it is not our responsibility to find out the regulations of every country. We have had it recognized and approved in Canada and USA with the PMA (www.pmai.us) under Religious Therapy Licensure. This is optional and there is no insurance coverage to date (2019) for Hijama Cupping Therapy.

However, this does not guarantee that your own state or local Authority will allow you to perform Hijama Cupping Therapy, even if you are performing it as a religious therapy only and not as a medical procedure.

Hijama Nation Ltd cannot be held responsible or liable if graduates are unable to perform Hijama Cupping Therapy legally in their own country after qualifying with us. We are just an educational institution issuing certification which is accepted in the UK. We do not currently make claims to deal with or influence national governments and have no involvement in regulatory procedures in other countries.

Students should research and carry out due diligence before paying and enrolling on to the course. We cannot refund tuition fees for this reason alone, after people have qualified and then found out this information after studies have been completed.

MISSION STATEMENT

1. Hijama Nation Association (HNA) aims to have Hijama Cupping Therapy recognized as a core Therapy qualification under Traditional Islamic Medicine (TIM) in the UK and internationally.

2. HNA aims to promote awareness of Hijama Cupping Therapy to the general public through means of advertising, social media, free workshops and lectures.

3. HNA aims to train and facilitate as many Practitioners in the community as possible. The aim is to provide Hijama Therapy for all people and make it easily accessible and safe for all Clients.

4. HNA has a philosophy of a HOLISTIC approach to natural medicine and Hijama Cupping Therapy, based upon the spiritual and scriptural principles of Traditional Islamic Medicine, Naturopathy and integrative healing.

SCOPE OF PRACTICE

FOR

HNA CERTIFIED HIJAMA PRACTITIONERS

Job Title: HNA Certified Hijama Practitioner (CHP)

Qualification: Diploma in Hijama Cupping Therapy (Dip.HCT)

Discipline: Hijama Cupping Therapy (Holistic) [Islamic, Religious, Spiritual, Healing, Detox, Cleansing, Chinese Medicine, Natural, Complementary, Alternative, Holistic].

Definition: “HCT is a Holistic Detox and Cell Cleansing Procedure using cupping equipment, applications, suction, negative pressure and a size 15, single use, steel blade to make shallow 2mm incisions on the skin surface. This draws a minimal amount of toxic blood to the surface of the skin from the capillaries.

The skin coloration created by Cupping is “Ecchymosis”. It is caused by increased blood circulation and vasodilation of the blood vessels under the subcutaneous skin (due to the suction of Cupping). It is not caused by trauma. It is not a “Hematoma” or bruise, which is painful and typically caused by trauma.

HCT is not a recognized, approved and regulated medical procedure. It is an Islamic, religious, spiritual healing method to relieve various conditions in the mind, body and soul of the Client. It can also relieve metaphysical issues.”

Size 15 Blade to be used:

HNA SCOPE OF PRACTICE:

1. The Certified Hijama Practitioner (CHP) should know and declare that healing and recovery comes only from God (Allah, The Exalted, The Almighty). Faith, prayer, good deeds, charity and positivity are also major factors which contribute to spiritual, physical and mental health.

2. The CHP should disclose that HCT is an Islamic, spiritual, religious practice using natural methods for detox and cleansing through the extraction of toxic blood. It was divinely revealed by God (Allah, The Exalted, The Almighty) and ordained by the Angels to Prophet Mohammad (Peace Be Upon Him). It is a Prophetic Medicine and a Sunnah (practiced by Prophet Mohammad (PBUH)). It is part of Traditional Islamic Medicine and has been practiced globally for centuries.

3. The CHP should not make claims to “Cure” or “Treat” the Client.

4. Based on the country you reside in, CHP have to be careful of the language they use when advertising themselves. For public and commercial advertising and promotion (online and offline), Hijama Cupping Therapy can be described as and defined in terms of a:

• Hijama Cupping • Hijama Wet Cupping • Hijama Cupping Procedure • Holistic therapy • Detoxification • Natural Remedy • Remedy • Natural Therapy • Traditional Islamic Medicine • Islamic Medicine • Sunnah Medicine • Sunnah Remedy • Natural Medicine • Religious Therapy • Spiritual Therapy • Healing • Healing Therapy

5. Hijama Cupping Therapy should not to be defined or presented as an approved medical procedure, medical treatment or medicine.

6. The CHP should not make any claims that Hijama Cupping Therapy is an approved medical treatment, therapy or procedure. They should not claim that HCT will “treat”or “cure” a Client of any disease. HCT is a spiritual, religious, natural, holistic means of detoxification, healing and pain management.

7. The CHP has a “Duty of Care” to his/her Client and should “Do No Harm”. It is their role to assist the Client to detox naturally through the Hijama Cupping procedure.

8. The CHP should act responsibly and professionally at all times, as outlined in HNA Regulations.

9. The CHP should put Client Care first. It is a priority to make sure that the Client is safe, secure, respected and modest at all times during the sessions.

10. The CHP should be of sound mind, responsible and have detailed knowledge about Hijama theory, cupping applications, anatomy, safety and protocols, in accordance to the HNA Dip. HCT modules.

11. HCT is an equal opportunities field and both men and women can train, qualify and perform Hijama on men and women (within the segregation and modesty boundaries of Islam).

12. The CHP should be in a clean and pure state through spiritual, ritual bathing and ablution. The CHP should also instruct the Client to be in a clean and pure state too.

13. HCT can be performed upon non-Muslim Clients.

14. HCT can be performed by Non-Muslim CHP as Wet Cupping (such as Chinese Medicine Practitioners).

15. If Muslim, the CHP should be practicing, spiritually grounded, well versed in Holy Scriptures such as the Quran and hadith. The CHP should be able to recite verses of the Quran proficiently. The CHP should inform the Client of the importance of faith, prayer, good deeds, charity and positivity are also major factors which contribute to spiritual, physical and mental health.

16. The CHP should seek permission to recite basic “Ruqyah” (Quranic Verses) upon the Client as a protection for him/herself and the Client against negative energies.

17. The CHP should maintain all Client confidentiality in areas of personal or medical information.

18. The CHP should inform the Client of their qualifications, job description and explain that:

• CHP are not Licensed Medical Doctors, Licensed Acupuncturists, Massage Therapists or any other Medical/Health Professionals (unless they actually are formally trained, qualified and licensed by a recognized Authority).

• To inform the Client that CHP are not qualified to diagnose or treat any medical conditions (unless they actually are a formally trained and qualified Medical/Health Professional and licensed by a recognized Authority).

• To inform the Client that CHP are not qualified to prescribe any medications to the Client (unless they actually are a formally trained and qualified Medical/Health Professional and licensed by a recognized Authority).

• In some cases, the CHP may be licensed to “Break the Skin Barrier”and legally practice HCT in professions such as Medicine, Acupuncture, Nursing, Phlebotomy and so on and HCT may come under their Scope of Practice, so they should check with the relevant authorities regarding their status.

• The CHP should advise the Client to inform their General Practitioner (GP) or Licensed Physician that they intend to have HCT administered by a CHP.

• The CHP should never instruct the Client to come off their prescribed medication.

• The CHP should advise the Client to speak to their General Practitioner (GP) or Licensed Physician before reducing, weaning off or stopping prescribed medications. This should only be done with proper medical management.

• If the Client is taking bloodthinners, they should not stop or wean off them without proper medical supervision. However, HCT is a safe therapy, and serves as a natural blood thinner. Regular Hijama sessions over a period of a few weeks can reduce the need to take blood thinners, under advisement of the GP.

• If the Client is taking medication, the CHP should advise the Client to not take the medication before the Hijama session as there may be a risk of low blood sugar or low blood pressure during the HCT session. So medication should be delayed until after the Hijama session is finished. If the Client does not follow this rule, the CHP reserves the reight to decline performing HCT upon the Client and can reschedule.

• The CHP should check if all female Clients are pregnant, had a recent miscarriage, still born birth, labour and delivery, post natal, on menstrual cycle, taking contraceptives or pre-menopausal, menopausal or post menopausal.

19. If the Client is requiring HCT for infertility, and is not sure if she is pregnant or not between menstrual cycles and Hijama sessions, it is recommended that the CHP asks the Client to take a pregnancy test before the Hijama session. If the test is positive, Hijama not should be performed.

20. The CHP should inform female Clients that HCT should not be performed in the first trimester in case of miscarriage, or in third trimester, in case of early labour and delivery. It is safe to perform Hijama on the upper back during the second trimester.

21. The CHP should inform female Clients that HCT can be performed upon post-natal and nursing females, as long as they are healthy and are not experiencing heavy bleeding.

22. The CHP should make sure they have the correct and appropriate documentations, disclosures and disclaimers for the Client to read and sign before treatment.

23. The CHP should make sure that if they are insured, the insurance company is fully aware of the full HCT procedure and has approved it.

24. The CHP should only refer to their paying or non paying customers as “Clients” and not “Patients” (unless they actually are a formally trained and qualified Medical/Health Professional and licensed by a recognized Authority in which case they have “Patients” whom they diagnose, “treat” and prescribe medication to).

25. The CHP should explain the HCT procedure fully, and obtain written permission to perform HCT and break the skin barrier with a size 15, sterile, single use blades (OR diabetic needle with lancet if needed) with medical exam gloves only.

26. The CHP should explain that the skin coloration created by Cupping is “Ecchymosis”. It is caused by increased blood circulation and vasodilation of the blood vessels under the subcutaneous skin (due to the suction of Cupping). It is not caused by trauma. It is not a “Hematoma” or bruise, which is painful and typically caused by trauma.

27. The CHP should make sure that they explain VERBALLY AND IN WRITING, the Aftercare at the start of the session and ask the Client to sign the Client Intake form, Medical History and Aftercare disclaimers with full knowledge of contraindications and aftercare procedures such as:

• Everyone reacts differently. • Possible “Healing Crisis” and detox for a few days. • For itchy or irritable incisions, apply coconut or olive oil on Hijama sites for a few days, as needed. • Shower rinse only with no shampoo, soap or chemicals. No soak in bath or swimming. • No exertive physical activity.

• No sexual relations for 24 hours. • Eat balanced diet and stay well hydrated. • May be tired or sleepy. • May feel energetic. • May have mood swings. • May have different bowel movements or urinary patterns. • May experience spots or skin breakouts. 28. The CHP has a “Duty of Care” to the Client only. In the case of children under age 16 years, vulnerable clients such as the elderly, mentally ill, disabled or Special Educational Need (SEN) individuals under the care of a guardian or responsible adult, their safety comes first.

29. The CHP should provide suitable facilities for disabled, immobile and wheelchair Clients.

30. The Parent/s, Carer, Guardian or responsible adult should inform the Clients GP about the choice of receiving HCT as an Alternative Therapy, provide written information about the HCT procedure, and if possible, receive written consent or agreement to proceed from the GP before commencing with the HCT treatment.

31. For ALL vulnerable Clients such as the elderly, mentally ill, disabled or Special Educational Need individuals, a responsible adult, Carer or Guardian should also be present in the room during the HCT procedure.

32. Consent and Disclaimer forms should be signed by Clients themselves, as well as the Parent/s, Carer, Guardian or responsible adult.

In the case of under 16’s:

• The Child and both Parent/s (as appropriate) or Guardian/Carer have to give their written permission to receive the HCT.

• The Parent/s or responsible adult will remain present in the room during the whole HCT procedure.

• If the Parent/s are separated, divorced, travelling or abroad, then the CHP has the right to contact the unavailable parent to obtain verbal and written consent from the said parent.

• The CHP will stop the treatment at any time, if the child is uncomfortable and wishes to stop.

• The CHP, Parent/s or responsible adults must not force the child to have the HCT. The Child will not undergo any “significant harm” or “undue stress” or “stress with no justification” during or after the HCT procedure.

• The treatment should be recorded on video, as an extra measure of legal safety to avoid any liability and so the child cannot “be perceived to be under undue stress” during the HCT session. The footage will remain confidential and not be used for any promotional purposes. However, it may be used in any legal proceedings in any case of malpractice.

33. If Muslim, the CHP should be aware of Ruqyah (recitation of verses of the Quran), recite it during the Hijama treatment and inform the Client to do so too.

34. The CHP should disclose that Hijama deals with metaphysical issues such as satanic, evil or negative energies. It can remove issues of Jinn possession, Black Magic and Evil Eye.

35. The CHP should ask the Client to sign a consent and disclaimer form to perform Ruqyah and contact emergency family contacts or emergency services if needed.

36. If metaphysical issues are known to the Client or CHP, the CHP should have an assistant with them or the Client should bring next of kin or responsible adult, who knows all their emergency contact details.

37. The CHP should disclose the rare and uncommon possibilities of reaction to these metaphysical entities and describe reactions:

• Fainting • Dizziness • Seizures • Vomiting • Headaches

38. The CHP should not panic and perform full “Duty of Care” to the Client by calming them and reciting Ruqyah upon them.

39. The CHP should stop the Hijama and safely remove the blood cups from the body, and lay the Client in the safety position if needed.

40. The CHP should make sure they follow Best Practices in Self Care and wear protective clothing and equipment against blood born diseases, pathogens and infections such as:

• Medical exams gloves • Plastic apron or medical gown • Scrubs • Protective plastic glasses • Face mask • Hair cap

41. The CHP should not wear rings, bracelets, watches. Hair and long beards should be tied back or covered. Sleeves should be rolled up. Head scarves (Hijabs) should be tied back or tucked into the gown. The CHP should have short nails and maintain good personal hygiene.

42. The CHP should not work or perform HCT on Clients if s/he is unwell, poorly or carrying an infection or contagious disease.

43. The CHP should give appropriate Pre and Post treatment care instructions verbally and in writing before and after the session. All contraindications and after effects should be explained in detail and given in writing. It should be disclosed that HCT is a safe treatment with no liability cases to date for HNA Management, Staff and Graduates. It should be highlighted that HCT is a Sunnah, as practiced by Prophet Muhammad (PBUH) and a sacred therapy.

44. The CHP must make sure that the Client is empty stomach before a session (not eaten for 2-3 hours).

45. The CHP must check for any medications taken before the Hijama session, pregnancy, diabetes, blood disorders, seizures, blood borne diseases before a session as a basic minimum. If the Client has taken medication, or is pregnant, the CHP has the right to refuse treatment.

46. The CHP must carry out a full Holistic Client Intake form at the first session and obtain the Clients full medical history and medication list. All contraindications should be explained and after effects of Hijama, as well as aftercare instructions.

47. The CHP should safely assess the Clients’ condition and create suitable treatment plans to potentially help the Client experience relief and recovery.

48. The HCT can safely and professionally combine other treatments in to the HCT procedure and use an integrative and multidisciplinary approach (if they actually are formally trained and qualified Medical/Health Professional and licensed by a recognized Authority). This includes (but is not exclusive to) Massage, Reflexology, Chiropractic, Osteopathic, Physiotherapy, Herbal, Homeopathic, Colonic and so forth.

49. The CHP can measure height, weight, ph levels, blood pressure and blood sugar levels with the appropriate equipment to record data to check progress and before and after results.

50. The CHP must perform Hijama Cupping Therapy (HCT) upon Clients with their written permission to “Break the Skin Barrier” on Islamic, Religious grounds. This applies to:

• Children under age 16, with written consent from both parents and the child. • Pregnant women. • Elderly over age 70.

• Mental Health Clients. • Clients with disabilities, special needs or Special Educational Needs (SEN). • High risk or vulnerable Clients.

This includes:

• Dry Cupping-Fixed and Moving Cupping (with oil) and no cupping magnets.

• Wet Cupping-Hijama with a size 15 single use blade (OR diabetic needle with lancet if needed) to break the skin barrier and make small, shallow incisions which should be 2mm long maximum.

51. The CHP should only refer to Moving Cupping with oil as “Moving Cupping” and NOT “Massage Cupping” unless s/he is a Licensed Massage Therapist (LMT) and actually performing a proper, full massage session in combination with HCT. Do not combine Aromatherapy with Hijama Cupping Therapy.

52. The CHP should not use cupping magnets for Moving Cupping or Hijama Wet Cupping procedures.

53. The CHP must ensure the safe usage of high quality cupping equipment as a minimum, including (but not exclusive to):

• Cups o Dry Cupping-single use, disposable, plastic valve cups, silicone, glass o Hijama Wet Cupping-single use, disposable, plastic valve cups.

• Pumps (plastic manual or electric) • Size 15 single use blade only (OR diabetic needle with lancet pen if needed) • Soft tissues • Alcohol swabs for sterilization (or equivalent) • Coconut or Olive (Do not use essential oils for sealing or Aromatherapy during Hijama) • Medical exam gloves • Plastic apron

54. The CHP should only use the cups and blade/needles one time only-Blood items are NOT to be re-used on the same or different Clients.

55. The CHP should not use shaving, razor blades (snapped in half or quarter in some cases) or any type of blade besides size 15 blades.

56. The CHP should not use the blade to make incisions while it is still encased in the foil wrapper. The CHP should hold the blade only-not the packet or any other coverings, tools or implements. COPYRIGHT © 2011-2019 HIJAMA NATION LTD. V6.0

57. The CHP should not use a lancet/blade holder to avoid deep cutting.

58. The CHP should sanitize the Hijama site with alcohol wipes before making incisions. Wipe in a circular motion, starting in the centre of the circle. Use one wipe per Hijama site.

59. The CHP should only make small, shallow incisions on the surface of the skin, to draw a minimum amount of toxic blood with negative pressure. Incisions should be 2mm long maximum. This should only be done WITHIN the circle of the cupped Hijama sites. The same rule applies for diabetic needles with lancet pens.

60. Incisions should be 2mm short, shallow, superficial and many of them, using the curve of the size 15 blade.

61. Incisions should be vertical, from head to toe and cut across the circle at the Hijama Site. Incisions should not be made downwards.

62. Incisions should not be horizontal, from side to side of the body.

63. Clean the Clients blood from the body with tissues in both hands and minimum spillage. Wipe gently downwards in a vertical motion.

64. The CHP should sanitize the Hijama site with alcohol wipes after making incisions. Wipe downwards. Use one wipe per hijama site.

65. The CHP should seal the incisions on the Hijama sites with coconut or olive oil, and strictly using clean medical exam gloves, a cot, one earbud or cotton ball per Hijama site.

66. The CHP should advise the Client to keep moisturizing the Hijama sites with oil every few hours, for a few days as needed. This will prevent itching, irritation and scarring. It will allow quicker healing and more comfort for the Client.

67. The CHP should inform the Client that they may experience a “Healing Crisis” after HCT, and may feel worse before they feel better. This is a normal bodily reaction to a powerful detox. They should explain that every human being is different and reacts to HCT in various ways. They may experience changes to their body systems and habits such as bowel movement, urinary, sleep, appetite and so forth. The CHP should not diagnose or prescribe medication to the Client.

68. The CHP must advise the Client to eat a balanced meal after Hijama, stay well hydrated and apply coconut or olive oil on to the incisions on the Hijama sites every few hours as needed for 2-3 days.

69. If the CHP is qualified and licensed in nutrition, herbs, fitness or any other disciplines, they can give appropriate advice and future treatment plans with an integrative approach.

70. The CHP should give water to the Client immediately after a cupping session (Dry or HTC) and advise them to eat a balanced diet and rest.

71. The CHP should advise the Client that they can take a shower rinse, but not use soap, shampoo or chemicals for 24 hours. They as should not soak in the bath tub or go swimming.

72. The CHP should make and professional, detailed notes to monitor the Clients’ progress over time.

73. The CHP should give advice about the importance of positive mindset, holistic, healthy living, lifestyle changes, hydration, dietary and nutritional changes, getting enough sleep.

74. The CHP may make a follow up call after the first HCT session, to check the Clients reactions and condition.

75. The CHP should follow all HNA Guidelines for health, hygiene and safety procedures as stated in the Dip. HCT Best Practices Module.

76. The CHP should clean up and dispose of all cupping equipment and blood items safely and appropriately, as stated in the Dip. HCT Best Practices Module.

77. CHP can work according to the business models:

• Self-Employed o Mobile Work: Travelling to the Client o Own Clinic: Setting up on Clinic in home or buying/renting space at a clinic/salon/office o Working on a charitable basis and not charging clients.

• Employed o Mobile Work-Working on behalf of a private business/clinic and going out to visit Clients. o Working at a Private Clinic/salon/office full or part time with an hourly/fixed rate or salary.

78. The CHP should not overcharge Clients and must offer competitive and reasonable rates which are comparable to other Holistic Therapy Practitioners in their locality. Clients should be charged per time, and not per cup.

79. The CHP should not frauduently advertise or promote themselves in a misleading manner, lie or make false claims to cure people personally or that HCT can cure people.

80. The CHP should ensure that there is no misleading information or misrepresentation on their website or any other online platforms from themselves or from Client testimonials.

81. It is highly recommended that the CHP should study Continued Professional Development (CPD) classes and get qualified in the following fields:

• First Aid (at Work and for Children) • Blood Borne Pathogens • Ruqyah Quranic Healing

82. The CHP may also consider becoming qualified in:

• Nutrition • Live Blood Analysis training, to supplement their skill set in the field of Holistic Hijama Cupping Therapy.

82. HN CHP are not permitted to teach, train or supervise HN students or non-HN individuals in Hijama Cupping Therapy without permission, formal training and Teacher Training certification from HNA.