Transforming and Supporting Patient Care - Health Professions ...

227Chapter 10 – Profession of Midwifery• Hepatitis B immune globulin;• Hepatitis B vaccine;• Hydrocortisone anorectal therapy compound;• Miconazole;• Nystatin;• Oral ergonovine maleate;• Phytonadione; and• RhD immune globulin.The following drugs may be used on order of a member of the College ofPhysicians and Surgeons of Ontario:• Acetaminophen with codeine;• Antibiotics;• Antiemetic/sedative agents with narcotic analgesics;• Barbiturates;• Cervical ripening agents; and• Sedatives.Education and Continuing CompetencyThe Midwifery Education Program (MEP) in Ontario is a baccalaureateprogram jointly offered by Laurentian University, McMaster University andRyerson University and leads to the degree Bachelor of Health Sciences(B.H.Sc.) in midwifery. At McMaster and Laurentian, the program involvesfour years of full-time study, while at Ryerson the program is offered on apart-time basis.Competencies for pharmacotherapy are tested as part of the pharmacologycourse, the life sciences course and in midwifery clinical courses. Thepharmacotherapy course includes an overview of basic concepts inpharmacy, pharmacology and therapeutics relevant to the practice ofmidwifery in Ontario. Content areas include pharmacokinetics, toxicology,adverse drug reactions during pregnancy, drug transfer through lactationand pharmacology in the neonate. In the life science for clinical practicecourse, concepts of general microbiology including the growth andstructure of bacteria are taught. The concepts of microbial control (woundinfection, neonatal infection and sexually transmitted microbial diseasesuch as chlamydia and gonorrhea) and virology (e.g., hepatitis viruses, HIV,HPV and herpes) are also taught. All major families of antivirals, antibioticsand antifungals are taught.In addition to classroom instruction, the program includes six clinicalplacements, five with midwifery practices and one community placement.Clinical competencies are evaluated on an on-going basis as part of theclinical placement performance. Pharmacology comprises one of five areasof evaluation. 1313College of Midwives of Ontario and Ontario Association of Midwives. Submission to HealthProfessions Regulatory Advisory Council on Review of Non-Physician Prescribing and Administrationof Drugs Under the Regulated Health Professions Act. November 12, 2008: 15.HPRAC Critical Links January 2009