Transforming and Supporting Patient Care - Health Professions ...

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278Chapter 12 – Profession of NursingAdditional requirements for authorized actsA member shall not perform a procedure unless,(a) the performance of the procedure by the member is permitted bythe regulations and the member performs the procedure inaccordance with the regulations; or(b) the procedure is ordered by a person who is authorized to do theprocedure by section 5.1 of this Act or by the Chiropody Act, 1991,the Dentistry Act, 1991, the Medicine Act, 1991 or the Midwifery Act,1991.Additional Authorized Acts: Extended Class NursingThe Nursing Act, 1991 includes additional authorized acts for the extendedclass of nurses (NPs) as follows:In the course of engaging in the practice of nursing, a member who is aregistered nurse who holds an extended certificate of registration inaccordance with the regulations is authorized, subject to the terms,conditions and limitations imposed on his or her certificate ofregistration, to perform the following additional acts:Consultation1. Communicating to a patient or his or her representative adiagnosis made by the member identifying, as the cause of thepatient’s symptoms, disease or disorder that can be identifiedfrom,i) the patient’s health history,ii) the findings of a comprehensive health examination, oriii) the results of any laboratory tests or other tests andinvestigations that the member is authorized to order orperform.2. Ordering the application of a form of energy prescribed by theregulations under this Act.3. Prescribing a drug designated in the regulations.5. Administering, by injection or inhalation, a drug that the membermay prescribe. 11A member is not authorized to communicate a diagnosis unless themember has complied with the prescribed standards of practice respectingconsultation with members of other health professions.11Ibid: c. 32, s.5.1(1).HPRAC Critical Links January 2009
279Chapter 12 – Profession of NursingRegulationsThe Nursing Act 1991 authorizes the CNO Council to make regulations,subject to the review of the Minister and approval of the LieutenantGovernor in Council, including designating the drugs that a member mayprescribe, as well as the circumstances in which a member may prescribethe drugs. 12 A regulation may designate individual drugs or categories ofdrugs. 13Education and Continuing CompetencyOntario’s education programs for nursing are well established and wellrespected. The entry to practice requirement for RNs is a four-yearbaccalaureate degree in nursing from a community college-universitycollaborative program or a university. RPNs are graduates from a two-yeardiploma in practical nursing from a community college. NPs are RNs whohave obtained advanced education and passed the extended classexamination. NPs have an expanded scope of practice in the areas ofassessment, diagnoses, prescription of tests and treatments and healthpromotion. 14Training in pharmacotherapy is embedded through all levels of nursingeducation, with RNs completing two years of study in addition to theeducation received by RPNs.Nursing studies include the following elements:• General concepts related to pharmacology;• How to accurately calculate drug dosages;• Various forms of drug preparation;• How to interpret the components of a medication order;• The principles of medication administration (which aligns withdispensing), and• The action and interaction within the body of selectedpharmaceutical preparations and the impact on nursing care. 15All practicing nurses must demonstrate that they have met entry topractice competencies related to pharmacotherapy, including safemedication practices. For NPs, entry to practice requirements includedemonstrating two years of safe nursing practice over the past five years,including one year in an advanced NP role, graduation from an approvedNP education program, successful completion of a regulatory exam andregistration or eligibility to register as an RN.12Ibid: s. 14(1)(d).13Ibid: s. 14(1.1).14CNO. Classes of Registration. Available: http://www.cno.org/reg/regclasses.html.15CNO. Submission to HPRAC: 15.HPRAC Critical Links January 2009
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Table of ContentsCritical Links:Tra
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5Chapter 1 - An Introductionprofess
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9Chapter 1 - An IntroductionThrough
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14Chapter 1 - An Introductiondate.
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16Chapter 1 - An Introductionprofes
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18Chapter 1 - An Introductionwithin
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20Chapter 2 - Excellence in Health
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56Chapter 3 - A New Drug Approvals
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88Chapter 4 - Critical Links: Propo
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100Chapter 4 - Critical Links: Prop
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102Chapter 5 - Scope of Practice of
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164Chapter 7 - Professions of Chiro
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186Chapter 8 - Profession of Dental
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214Chapter 9 - Profession of Dentis
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224Chapter 10 - Profession of Midwi
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226Chapter 10 - Profession of Midwi
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328Chapter 13 - Profession of Optom
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340Chapter 14 - Profession of Pharm
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366Chapter 15 - Profession of Physi
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378Chapter 16 - Profession of Respi
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394Chapter 17 - Conclusionscontinui
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396Chapter 17 - Conclusionsincluded
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398Chapter 18 - Summary of Proposal
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