Transforming and Supporting Patient Care - Health Professions ...

429Chapter 18 – Summary of Proposals for Implementationsituations beyond his or her expertise by consulting with orreferring patients to other health care professionals.3. That sections 11(1) and 11(2) of the Midwifery Act, 1991 be repealed andthe following substituted:Regulations11. (1) Subject to the approval of the Lieutenant Governor inCouncil and with prior review by the Minister, the Council maymake regulations,(a) requiring members to keep prescribed records and to provide tothe Minister reports containing prescribed information respectingthe prescribing of drugs; and(b) specifying requirements for the performance of proceduresunder the authority of section 4.4. That the title of Ontario Regulation 884/93 (Designated Drugs) berenamed Drugs and Substances.5. That sections 1 to 5 of Ontario Regulation 884/93(Designated Drugs) be repealed and the followingsubstituted:1.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’s ownresponsibility, 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 andantipyretics, opiate antagonists, anxiolytics, sedatives andhypnotics,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 Physicians andSurgeons 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.HPRAC Critical Links January 2009