Transforming and Supporting Patient Care - Health Professions ...

246Chapter 10 – Profession of Midwifery5. That sections 1 to 5 of Ontario Regulation 884/93 (Designated Drugs)be repealed and the following substituted:1. For the purposes of paragraph 4 and paragraph 9 of section 4 ofthe Act,(a) a member may prescribe or administer, on the member’sown responsibility, the following classes of drugs and substances:i. antihistamines,ii. anti-infective agents – antibacterials, antifungals, antivirals,iii. blood derivatives,iv. galactagogues,v. CNS agents:general anaesthetics, analgesics and antipyretics,opiate antagonists, anxiolytics, sedatives and hypnotics,vi. hormones and synthetic substitutes – adrenals,vii. local anaesthetics,viii. uterotonics,ix. serums, toxoids and vaccines,x. vitamins, andxi. emergency medications.(b) a member may prescribe or administer by injection orinhalation, on order of a member of the College of Physiciansand Surgeons of Ontario, any drug or substance.2. A member may use, on order of a member of the College ofPhysicians and Surgeons of Ontario, any drug.3. A member may prescribe, administer or order any drug orsubstance that may lawfully be purchased or acquired withouta prescription.4. For the purposes of subsection 1(a), a member may onlyprescribe or administer, on the member’s own responsibility,those drugs and substances within the classes designated insubsection 1(a) that are listed in the Drug List and mustprescribe or administer those listed drugs and substances inaccordance with the terms, limitations and conditionscontained in the Drug List. For the purposes of this section,“Drug List” has the meaning given to it in the Regulated HealthProfessions Act, 1991.6. That Ontario Regulation 867/93 (Registration) under the MidwiferyAct, 1991 be amended by adding the following:3.1 It is a term, condition and limitation of a certificate ofregistration of any class that the holder who performs aprocedure under the authority of section 4 of the Act mustensure the procedure is performed in accordance with anystandards of practice established and published by theCollege from time to time.HPRAC Critical Links January 2009