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iMedic Scope of Practice
Professional scope of practice consists of activities for which an individual CSL Therapist is educated and trained and their competence to perform.
iMedic: (aɪ-ˈmɛdɪk), noun.— CSL Therapy provider trained, certified, and licensed to perform Incisional Drainage on clients after plastic surgery procedures for the first 7 days of a client’s recovery journey
Assist clients after surgery [in PPE compliant settings]; provide manual manipulation mobilizing soft tissue— which includes skin, fascia, T-interstitium fluid, muscles, tendons, and ligaments from Day 1 postOp to Day 7 postOp to trauma dermal tissue using topical anti inflammatory oils and creams and conducting gels, working with active incisions manually expelling fluid following PPE care and CSL Therapy sanitation protocols disposing of biohazard materials properly; clients are to be fully clothed during non-treatment interactions and in disposable garments during treatments; only uses Class 1 CSL devices on clients during treatment; may offer CSL direct complication diagnosis and prognosis not to identify any conditions outside of CSL Therapy complications— all other presentations are to be referred out. Incisions are not to be reopened by an iMedic past day 7. They specialize in moving fluid through the system, fundamental client education, early phases of compression, dressing maintenance, surgical drain care, lifestyle shifts, and supplemental directives. Treatments may include KT tape method applications using non-sports tape adhesive strips. Takes measurements, photos, and SOAP notes every client after every session maintaining good client records. Cannot provide PreOp massage treatments unless a licensed massage therapist with an active valid massage license and an advanced LANA approved lymphatic massage training certificate or its accredited educational equivalent. May not treat wounds or burns from basic dressing; may not manipulate osseous tissue; may not perform any duties or treatments above licensure level without having additional licenses to substantiate. Cannot work on clients after day 7 postOp; they must see someone who is also licensed in PostOp-Indur. May not remove drains, stitches, or sutures.
Modality Description
CSL Therapy Incisional Drainage modality is a specialized treatment designed to support client during their initial recovery period following a plastic surgery procedure. This modality is performed by trained and certified therapists who adhere to the guidelines and scope of practice set forth by CSL Therapy Incisional Agency.
From Day 1 to Day 7 after surgery, CSL Therapists aim to promote optimal healing and lymphatic function in clients before they transition to PostOp-Indur treatments. The techniques employed in this modality are gentle, utilizing a pressure gradient ranging from 1 to 3 [on a scale of 10]. The primary focus is on stimulating and clearing lymph nodes while gradually moving fluid proximal to distal through the client’s tissue. It is important to note that although many lymphatic vessels may have been transected during the surgery, the therapy works towards encouraging fluid movement towards the still-intact lymph nodes.
To ensure the highest standards of hygiene and wound care, Incisional sessions take place in a prepped setting where personal protective equipment (PPE) is utilized. This not only guarantees the well-being of the client but also ensures proper client hygiene throughout the treatment. Trained therapists wear full PPE during the sessions, following CSL Therapy sanitation protocols and disposing of biohazard materials appropriately.
The duration of each CSL Therapy session ranges between 45 to 90 minutes, taking into consideration the individual needs of the client, the type of procedure received, and the client’s temperament. The iMedic therapist incorporates manual manipulation techniques, employing topical anti-inflammatory oils, creams, and conducting gels to mobilize soft tissues, including the skin, fascia, T-interstitium fluid, muscles, tendons, and ligaments affected by the surgical trauma. Special care is taken when working with active incisions to expel fluid while maintaining proper PPE care.
During non-treatment interactions, clients are advised to be fully clothed, and disposable garments are provided for the duration of the therapy sessions. Only Class 1 CSL devices are used on clients during treatments, ensuring their safety and comfort. While CSL Therapy offers direct complication diagnosis and prognosis within its scope of practice, it is important to note that this modality is not intended to identify conditions outside of CSL Therapy complications. In such cases, appropriate referrals are made to other healthcare professionals.
The therapists specializing in Incisional Drainage are well-versed in wound care and specialize in fluid dynamics. They provide fundamental client education, implement early phases of compression, offer dressing maintenance, surgical drain care, lifestyle shift recommendations, and supplemental directives to optimize the client’s recovery process. Additionally, treatments may incorporate the application of KT tape using non-sports tape adhesive strips.
In order to maintain comprehensive client records, therapists take measurements, photos, and SOAP (Subjective, Objective, Assessment, Plan) notes after each session. These records enable accurate tracking of the client’s progress throughout their recovery journey.
CSL Therapy sessions must conclude by Day 7 post-surgery, after which clients are advised to seek the care of a licensed professional specializing in PostOp-Indur.
