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366Chapter 15 – Profession of PhysiotherapyTHE PRESCRIBING AND USE OF DRUGS IN THEPROFESSION OF PHYSIOTHERAPYThe College of Physiotherapists of Ontario (CPO) and the OntarioPhysiotherapy Association (OPA) made a joint submission to HPRACrequesting that physiotherapists be granted the authority to administer, byinhalation, oxygen or drugs that have been prescribed by a healthprofessional with prescribing authority.Review of Physiotherapy Scope of PracticeHPRAC recently reviewed the scope of practice for the profession ofphysiotherapy. In that review, the CPO and the OPA partnered with theacademic community to submit a joint response to HPRAC’s scope ofpractice questionnaire.The profession requested a number of changes including amendments to itsscope of practice statement and authorized acts in the Physiotherapy Act,1991. One of the requests was specific to the controlled act ofadministration of a substance by inhalation, and proposed thatphysiotherapists should be authorized to administer oxygen or othersubstances when the order or prescription has been made by a person whois authorized to do so. 1 HPRAC’s recommendations included:That physiotherapists be authorized to administer oxygen or an inhaleddrug or substance that has been ordered by a person authorized to do so. 2HPRAC also recommended that the scope of practice statement forphysiotherapy be amended to read:The practice of physiotherapy is the assessment of neuromuscular,musculoskeletal and cardiorespiratory systems, the diagnosis ofdiseases or disorders that are associated with physical dysfunction,injury or pain to develop, maintain, rehabilitate or augment function, torelieve pain or to promote mobility.HPRAC was also asked by the Minister to consider the prescribing and use ofdrugs by non-physicians, and determined that scope of practice reviews werean essential first step in making recommendations on whether a professionshould be authorized to prescribe, dispense, compound or sell drugs, andunder what conditions. The administration of drugs is an essential componentof the Minister’s question about the “use” of drugs. HPRAC thereforeconsidered the question of drug regulations under the Physiotherapy Act, 1991as a matter to be considered as the second phase of its examination, followingthe review of the scope of practice of the profession. 31College of Physiotherapists of Ontario and Ontario Physiotherapy Association. Joint submissionto HPRAC on Interprofessional Collaboration: 4.2HPRAC. Interim Report to the Minister. September 2008: 175.3Ibid./HPRAC Critical Links January 2009
367Chapter 15 – Profession of PhysiotherapyIn this current review of prescribing and use of drugs by health professions,the CPO and the OPA are consistent with their recommendation thatphysiotherapists have demonstrated their competencies to administercertain drugs and substances by inhalation. 4HPRAC’s Central ResponseHPRAC concluded in its review of the scope of practice of physiotherapythat members have the knowledge, skill and judgment as entry to practisecompetencies, to administer oxygen or other drugs or substances byinhalation. The procedure must be ordered by persons authorized to do soand can be undertaken within the practice of physiotherapy interventionsto maintain or improve cardiopulmonary function.Physiotherapy in OntarioThe practice of physiotherapy has evolved significantly over the last 20years, as practitioners’ skills are being maximized in new models ofcollaborative care. 5 The current scope of practice of physiotherapy is “theassessment of physical function and the treatment, rehabilitation andprevention of physical dysfunction, injury or pain, to develop, maintain,rehabilitate or augment function or to relieve pain”. 6 The profession isseeking, and HPRAC recommended in its recent review of the scope ofpractice of physiotherapy, a broadened scope of practice to reflect the fullcompetencies of members of the profession.Physiotherapy is governed through the Regulated Health Professions Act,1991 (RHPA) and the Physiotherapy Act, 1991. The CPO is the regulatorybody for the profession and ensures safe, effective physiotherapy carethrough regulations, by-laws and standards of practice to which allmembers must adhere. The CPO sets standards for entry into theprofession and develops programs to enhance the practice ofphysiotherapists in Ontario. The OPA is the voluntary professionalassociation representing physiotherapists throughout the province. Thereare approximately 6,400 registered physiotherapists in Ontario. 7There are five accredited graduate degree programs in physiotherapy inOntario.4College of Physiotherapists of Ontario and Ontario Physiotherapy Association. Joint submissionto HPRAC on Interprofessional Collaboration: 45HPRAC. Interprofessional Collaboration Phase II, Part 1: 163.6Physiotherapy Act, 1991, c. 37, s.3.7CPO. http://www.collegept.org retrieved Jan 4/09.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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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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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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250Chapter 11 - Profession of Natur
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274Chapter 12 - Profession of Nursi
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310Chapter 13 - Profession of Optom
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