Transforming and Supporting Patient Care - Health Professions ...

178Chapter 7 – Professions of Chiropody and Podiatrypractice in place will enable professionals to manage pain and to respond toemergency situations that may occur in the course of their practice.HPRAC supports the authority for the profession to dispense drugsfollowing clear standards of practice and in accordance with terms,limitations and conditions.HPRAC is about to undertake a major review of the scope of practice of theprofessions of chiropody and podiatry in Ontario. While minor changes tothe current drug regulation are recommended in this report, others thatmay involve a change in scope of practice will be examined in the contextof the broader ministerial referral.The current regulation 203/94 made under the Chiropody Act, 1991prescribes standards of practice for chiropodists who administersubstances by injection and prescribe drugs through schedules containingdrug lists. HPRAC is recommending that these provisions be repealed infavour of interprofessional collaborative standards of practice foradministering a substance, either by injection or inhalation, and forprescribing or dispensing drugs.Recommendations1: That chiropodists and podiatrists be authorized to administer asubstance by inhalation. Standards of practice should be determined by aninterprofessional process. Terms, limitations and conditions should beplaced on each member’s registration respecting the administration ofsubstances by inhalation.2: That standard emergency care equipment and drugs be required onsite inchiropody/podiatry clinics, with protocols established respecting themaintenance, storage and use of the emergency kit, and training requiredfor regulated professionals and unregulated personnel who may be requiredto utilize the equipment or perform emergency activity.3: That chiropodists and podiatrists be authorized to dispense drugs.That standards of practice for the dispensing of drugs be developed by aninterprofessional committee, taking into account the proficiencies of theprofession, that describes standards, limitations and conditions thatareappropriate for the dispensing requirements of the profession.4: That oral antifungals be added to the classes of drugs for podiatristsand chiropodists, and that anti-gout agents and the issue of viscosupplementationbe considered as part of the scope of practice review.5: That the following classes of drugs be included in a designated drugsregulation under the Chiropody Act, 1991. The specific agents and anyterms, limitations or conditions attached to the authority to prescribedrugs would be developed through a new drug approvals framework.HPRAC Critical Links January 2009