O. Reg. 203/94: GENERAL, Chiropody Act, 1991, S.O. 1991, c. 20
Chiropody Act, 1991
Loi de 1991 sur les podologues
ONTARIO REGULATION 203/94
GENERAL
Historical version for the period September 26, 2008 to April 6, 2015.
Last amendment: O. Reg. 338/08.
This Regulation is made in English only.
CONTENTS
|
|
Sections |
INJECTIONS, PRESCRIPTIONS AND STANDARDS OF PRACTICE |
1-5., 6 |
|
ADVERTISING |
7-12 |
|
RECORDS |
13-20 |
|
QUALITY ASSURANCE |
|
|
|
25-27 |
|
|
28-29 |
|
|
30 |
|
|
31 |
|
|
Assessment and Remediation of Behaviour or Remarks of a Sexual Nature |
32 |
NOTICE OF MEETINGS AND HEARINGS |
33-34 |
|
COMMUNICATION AND PUBLICATION OF PANEL DECISIONS |
35-36 |
|
Substances administered by injection into the foot |
|
|
Drugs that may be prescribed by chiropody class member |
|
|
Drugs that may be prescribed by podiatry class member |
|
|
Courses and education |
1-5 |
Part I
injections, prescriptions and standards of practice
1. (1) For the purposes of paragraph 2 of subsection 5 (1) and paragraph 3 of subsection 5 (2) of the Act, a member may administer by injection into the foot a substance set out in Schedule 1 to this Regulation, if the member complies with the standards of practice set out in section 2. O. Reg. 338/08, s. 1.
(2) For the purposes of paragraph 3 of subsection 5 (1) of the Act, a chiropody class member holding a general or academic class certificate of registration may prescribe a drug set out in Schedule 2 to this Regulation, if the member complies with the standards of practice set out in sections 3 and 4. O. Reg. 338/08, s. 1.
(3) For the purposes of paragraph 4 of subsection 5 (2) of the Act, a podiatry class member holding a general or academic class certificate of registration may prescribe a drug set out in Schedule 3 to this Regulation, if the member complies with the standards of practice set out in sections 3 and 4. O. Reg. 338/08, s. 1.
2. (1) Subject to the other provisions of this section, it is a standard of practice of the profession that a member who administers a substance by injection into the foot shall first have successfully completed at least one of the following which has been approved by the Council:
1. A course on administering substances by injection into the foot.
2. A program that includes administering substances by injection into the foot.
3. Relevant training in administering substances by injection into the foot. O. Reg. 338/08, s. 1.
(2) A member is deemed to have met the standard of practice referred to in subsection (1) if the member was, on September 26, 2008,
(a) a podiatry class member; or
(b) a chiropody class member who had successfully completed a course listed in Schedule 4, together with meeting any other applicable educational requirements set out in that Schedule. O. Reg. 338/08, s. 1.
(3) Despite subsection (1), a member holding an educational class certificate of registration may administer by injection into the foot a substance set out in Schedule 1, if,
(a) the administration by injection is done as part of an educational program which is a specific requirement for the issuance of that educational class certificate of registration; and
(b) the administration by injection is performed under the direct supervision of a member who is authorized under subsection 1 (1) to perform that administration by injection. O. Reg. 338/08, s. 1.
(4) Despite subsection (1), a member holding a general or academic class certificate of registration may administer by injection into the foot a substance set out in Schedule 1, if,
(a) the administration by injection is done as part of a course, program or training approved by the Council; and
(b) the administration by injection is performed under the direct supervision of a member who is authorized under subsection 1 (1) to perform that administration by injection. O. Reg. 338/08, s. 1.
3. (1) Subject to the other provisions of this section, it is a standard of practice of the profession that a member who prescribes a drug shall first have successfully completed at least one of the following which has been approved by the Council:
1. A pharmacology course.
2. A pharmacology program.
3. Relevant training in pharmacology. O. Reg. 338/08, s. 1.
(2) A member is deemed to have met the standard of practice referred to in subsection (1) if the member was, on September 26, 2008,
(a) a podiatry class member; or
(b) a chiropody class member who had successfully completed a course listed in Schedule 4, together with meeting any other applicable educational requirements set out in that Schedule. O. Reg. 338/08, s. 1.
4. (1) For the purposes of subsections 1 (2) and (3), and subject to subsection (3), it is a standard of practice of the profession that a member may prescribe a drug set out in the following table for the indicated maximum duration, in the indicated maximum daily dosage:
Drug |
Maximum duration |
Maximum daily dosage |
Ketorolac tromethamine |
Five days |
10 mg. every 4-6 hours, as needed for pain, not to exceed 4 doses per day, or 40 mg, in total. |
O. Reg. 338/08, s. 1.
(2) For the purposes of subsection 1 (3), and subject to subsection (3), it is a standard of practice of the profession that a podiatry class member may prescribe a drug set out in the following table for a patient, prior to the performance of any act that member is authorized to perform, for a maximum of a single dose only, in the indicated maximum daily dosage:
Drug |
Maximum daily dosage |
Diazepam |
10 mg. |
Hydroxyzine hydrochloride |
25 ml. or 50 mg. |
Lorazepam |
3 mg. |
O. Reg. 338/08, s. 1.
(3) A member who may prescribe a drug set out in the tables to subsections (1) and (2) may prescribe the drug in a prescription that exceeds the maximum duration or maximum daily dosage or both, if the member first consults with the patient’s physician, and retains records of that consultation. O. Reg. 338/08, s. 1.
5., 6. Revoked: O. Reg. 384/06, s. 1.
7. (1) An advertisement with respect to a member’s practice must not contain,
(a) anything that is false, misleading or self laudatory;
(b) anything that, because of its nature, cannot be verified;
(c) an endorsement other than an endorsement by an organization that is known to have expertise relevant to the subject-matter of the endorsement;
(d) any testimonial;
(e) a reference to a drug or to a particular brand of equipment used to provide health services;
(f) a claim or guarantee as to the quality or effectiveness of services provided;
(g) anything that promotes or is likely to promote the excessive or unnecessary use of services. O. Reg. 746/94, s. 2.
(2) An advertisement must be readily comprehensible to the persons to whom it is directed. O. Reg. 746/94, s. 2.
8. (1) In any advertisement, a member who is registered as a chiropodist shall clearly identify himself or herself as a chiropodist and a member who is registered as a podiatrist shall clearly identify himself or herself as a podiatrist. O. Reg. 746/94, s. 2.
(2) No member shall hold himself or herself out,
(a) as a chiropodist unless the member is registered as a chiropodist; or
(b) as a podiatrist unless the member is registered as a podiatrist. O. Reg. 746/94, s. 2.
9. No member shall indicate after his or her name,
(a) a diploma or degree other than a diploma or degree held by the member; and
(b) the word “chiropodist” if the member is not registered as a chiropodist or the word “podiatrist” if the member is not registered as a podiatrist. O. Reg. 746/94, s. 2.
10. A member shall not contact or communicate individually with, or cause or allow any person to contact or communicate individually with, a potential patient either in person, by telephone, by mail or by any other means of individualized communication, in an attempt to solicit business. O. Reg. 746/94, s. 2.
11. No member shall appear in, or permit the use of the member’s name in, an advertisement that is for a purpose other than the promotion of the member’s own practice if the advertisement implies, or could be reasonably interpreted to imply, that the professional expertise of the member is relevant to the subject-matter of the advertisement. O. Reg. 746/94, s. 2.
12. A member shall not advertise or permit advertising with respect to the member’s practice in contravention of this Part. O. Reg. 746/94, s. 2.
13. (1) A member shall, in relation to his or her practice, take all reasonable steps necessary to ensure that records are kept in accordance with this Part. O. Reg. 746/94, s. 2.
(2) Reasonable steps under subsection (1) shall include the verification by the member, at reasonable intervals, that the records are kept in accordance with this Part. O. Reg. 746/94, s. 2.
14. A daily appointment record shall be kept that sets out the name of each patient whom the member examines or treats or to whom the member renders any service. O. Reg. 746/94, s. 2.
15. An equipment service record shall be kept that sets out the servicing for every potentially hazardous piece of equipment used to examine, treat or render any service to patients. O. Reg. 746/94, s. 2.
16. (1) If a patient is charged a fee, a financial record shall be kept for the patient. O. Reg. 746/94, s. 2.
(2) The financial record must contain,
(a) the patient’s name and address;
(b) the date the service was rendered; and
(c) the fees charged to and received from or on behalf of the patient. O. Reg. 746/94, s. 2.
17. (1) A patient health record shall be kept for each patient. O. Reg. 746/94, s. 2.
(2) The patient health record must include the following:
1. The patient’s name and address.
2. The date of each of the patient’s visits to the member.
3. The name and address of the primary care physician and any referring health professional.
4. A history of the patient.
5. Reasonable information about every examination performed by the member and reasonable information about every clinical finding, diagnosis and assessment made by the member.
6. Reasonable information about every order made by the member for examinations, tests, consultations or treatments to be performed by any other person.
7. Every written report received by the member with respect to examinations, tests, consultations or treatments performed by other health professionals.
8. Reasonable information about all significant advice given by the member and every pre and post-operative instruction given by the member.
9. Reasonable information about every post-operative visit.
10. Reasonable information about every controlled act, within the meaning of subsection 27 (2) of the Regulated Health Professions Act, 1991, performed by the member.
11. Reasonable information about every delegation of a controlled act within the meaning of subsection 27 (2) of the Regulated Health Professions Act, 1991, delegated by the member.
12. Reasonable information about every referral of the patient by the member to another health professional, service or agency.
13. Any pertinent reasons a patient may give for cancelling an appointment.
14. Reasonable information about every procedure that was commenced but not completed, including reasons for the non-completion.
15. A copy of every written consent. O. Reg. 746/94, s. 2.
(3) Every part of a patient health record must have a reference identifying the patient or the patient health record. O. Reg. 746/94, s. 2.
(4) The member shall be personally responsible for all things recorded in relation to a patient, including all treatments, orders, advice and referrals and the member responsible and the author of the record should both be identified in the record. O. Reg. 746/94, s. 2.
(5) Every patient health record shall be retained for at least 10 years following,
(a) the patient’s last visit; or
(b) if the patient was less than 18 years old at the time of his or her last visit, the day the patient became or would have become 18 years old. O. Reg. 746/94, s. 2.
18. (1) It is an act of professional misconduct for the purpose of clause 51 (1) (c) of the Health Professions Procedural Code if a member fails to provide access to or copies from a patient health record for which the member has primary responsibility as required by this section. O. Reg. 746/94, s. 2.
(2) A member shall provide access to and shall provide copies from a patient health record over which the member has custody and control to any of the following persons upon their request:
1. The patient.
2. A personal representative who is authorized by the patient to obtain copies from the record.
3. If the patient is dead, the patient’s legal representative.
4. If the patient lacks capacity to give an authorization described in paragraph 2,
i. a committee of the patient appointed under the Mental Incompetency Act,
ii. a person to whom the patient is married,
iii. a person, with whom the patient is living in a conjugal relationship outside marriage, if the patient and the person,
A. have cohabited for at least one year,
B. are together the parents of a child, or
C. have together entered into a cohabitation agreement under section 53 of the Family Law Act,
iv. the patient’s son or daughter,
v. the patient’s parents. O. Reg. 746/94, s. 2; O. Reg. 389/06, s. 1.
(3) It is not an act of professional misconduct under paragraph 2 of subsection (2) for a member to refuse to provide copies from a patient health record until the member is paid a reasonable fee. O. Reg. 746/94, s. 2.
(4) A member may provide copies from a patient health record for which the member has primary responsibility to any person authorized by a person to whom the member is required to provide copies under subsection (2). O. Reg. 746/94, s. 2.
(5) A member may, for the purpose of providing health care or assisting in the provision of health care to a patient, allow a health care professional to examine the patient health record or give a health professional any information, copy or thing from the record. O. Reg. 746/94, s. 2.
(6) A member may provide information or copies from a patient health record to a person if,
(a) the information or copies are to be used for health administration or planning or health research or epidemiological studies;
(b) the use of the information or copies is in the public interest as determined by the Minister; and
(c) anything that could identify the patient is removed from the information or copies. O. Reg. 746/94, s. 2.
19. (1) A record required to be kept under this Part may be kept by means of an electronic or optical storage system. O. Reg. 746/94, s. 2.
(2) The electronic or optical storage system referred to in subsection (1) shall be designed and operated so as to ensure that all reports are secure from loss, tampering, interference or unauthorized use or access. O. Reg. 746/94, s. 2.
20. It is an act of professional misconduct for the purpose of clause 51 (1) (c) of the Health Professions Procedural Code for a member to fail to take reasonable steps, before resigning as a member or ceasing to reside in Ontario, to ensure that for each patient health record for which the member has primary responsibility,
(a) the record is transferred to another member; or
(b) the patient is notified that the member intends to resign and that the patient can obtain copies from the patient health record. O. Reg. 746/94, s. 2.
Part iv (ss. 21-24) Revoked: O. Reg. 248/99, s. 1.
25. In this Part,
“assessor” means an assessor appointed under section 81 of the Health Professions Procedural Code;
“Committee” means the Quality Assurance Committee;
“evaluation” means a program designed to evaluate the member’s knowledge, skills and judgment;
“practice assessment” means an assessment of a member’s care of patients, the member’s records of the care of patients or the premises where the member practises. O. Reg. 183/99, s. 1.
26. (1) The Committee shall administer the quality assurance program, which shall include the following components:
1. Self-assessment and continuing education.
2. Practice assessment.
3. Evaluation and remediation.
4. Assessment and remediation of behaviour and remarks of a sexual nature. O. Reg. 183/99, s. 1.
(2) Every member shall comply with the requirements of the quality assurance program that apply to him or her. O. Reg. 183/99, s. 1.
(3) The self-assessment and continuing education component, the practice assessment component and the evaluation and remediation component apply only to members who hold a general certificate of registration. O. Reg. 183/99, s. 1.
(4) The remediation component referred to in paragraph 4 of subsection (1) applies to all members. O. Reg. 183/99, s. 1.
27. (1) A panel of the Committee shall be composed of at least three members of the Committee selected by the chair, at least one of whom shall be a person appointed to the Council by the Lieutenant Governor in Council. O. Reg. 183/99, s. 1.
(2) If a member of the panel becomes ill or is otherwise unable to continue as a member of the panel,
(a) the remaining members may continue to act as if the panel were fully constituted; or
(b) the chair may appoint another member to replace the member who is unable to act. O. Reg. 183/99, s. 1.
(3) A panel of the Committee may act on behalf of the Committee with respect to any matter that arises under this Part. O. Reg. 183/99, s. 1.
Self-Assessment and Continuing Education
28. (1) The self-assessment and continuing education requirements shall be set out in the quality assurance policy that is approved by Council and published and distributed to the members. O. Reg. 183/99, s. 1.
(2) On being registered or on being reinstated, the member becomes subject to, and shall comply with, the self-assessment and continuing education requirements set out in the policy referred to in subsection (1). O. Reg. 183/99, s. 1.
(3) If a member is registered or reinstated at any time after the beginning of a continuing education cycle, the number of continuing education credits that the member is required to obtain during the cycle is prorated to the time remaining in the cycle at the time of the registration or reinstatement. O. Reg. 183/99, s. 1.
29. (1) A member shall maintain a record of his or her self-assessments and continuing education activities and submit them to the College upon request. O. Reg. 183/99, s. 1.
(2) If a member fails to submit the records referred to in subsection (1) when requested to do so, the Registrar shall refer the matter to the Committee and notify the member in writing that this has been done and that the member may make written submissions to the Committee within 30 days after receiving the notice. O. Reg. 183/99, s. 1.
(3) After considering the member’s written submissions, if any, the Committee may,
(a) grant the member an extension for a specified period of time during which the member shall submit the records;
(b) require the member to undergo a practice assessment by an assessor in accordance with section 30. O. Reg. 183/99, s. 1.
(4) If the member submits the records but fails to meet the self-assessment and continuing education requirements set out in the quality assurance policy approved by Council, the Registrar shall refer the matter to the Committee and notify the member in writing that this has been done and that the member may make written submissions to the Committee within 30 days after receiving the notice. O. Reg. 183/99, s. 1.
(5) After considering the member’s written submissions, if any, the Committee may,
(a) grant the member an extension for a specified period of time during which the member shall comply with the requirements;
(b) grant the member an exemption from some or all of the requirements; or
(c) require the member to undergo a practice assessment by an assessor in accordance with section 30. O. Reg. 183/99, s. 1.
(6) If an extension granted under clause (3) (a) or (5) (a) elapses without the member having provided satisfactory evidence of having satisfied the requirements, the Committee may require the member to undergo a practice assessment by an assessor in accordance with section 30. O. Reg. 183/99, s. 1.
(7) The Committee may appoint one or more assessors to perform one or more of the following:
1. Monitor participation in and compliance with the self-assessment and continuing education requirements.
2. Conduct a practice assessment under section 30.
3. Conduct an evaluation under section 31. O. Reg. 183/99, s. 1.
30. (1) A member is required to undergo a practice assessment under this section if,
(a) the member is selected at random under subsection (2);
(b) the member has been referred to the Committee by the Executive Committee, the Discipline Committee or the Complaints Committee; or
(c) the member has been referred under clause 29 (3) (b) or (5) (c), or under subsection 29 (6). O. Reg. 183/99, s. 1.
(2) The College shall select at random the names of holders of general certificates required to undergo a practice assessment. O. Reg. 183/99, s. 1.
(3) A practice assessment shall be conducted by an assessor, who shall prepare a written report on his or her findings and submit it to the Committee. O. Reg. 183/99, s. 1.
(4) The Committee shall provide the member with a copy of the assessor’s report. O. Reg. 183/99, s. 1.
(5) The member shall have at least 14 days to make written submissions in response to the report. O. Reg. 183/99, s. 1.
(6) After considering the assessor’s findings and the submissions of the member, if any, the Committee may do one or both of the following if the report identifies deficiencies in the member’s practice:
1. Recommend to the member ways in which the deficiencies may be corrected.
2. Require the member to undergo an evaluation. O. Reg. 183/99, s. 1.
(7) If the Committee takes action under paragraph 1 of subsection (6), the Committee may require a reassessment of the member’s practice, and subsections (3), (4), (5) and (6) apply to the reassessment. O. Reg. 183/99, s. 1.
(8) A member whose practice has been reassessed under subsection (7) may not be reassessed again. O. Reg. 183/99, s. 1.
31. (1) A member is required to undergo an evaluation under this section if,
(a) the member has been referred to the Committee by the Executive Committee, the Discipline Committee or the Complaints Committee; or
(b) the member is required to undergo an evaluation pursuant to paragraph 2 of subsection 30 (6). O. Reg. 183/99, s. 1.
(2) An evaluation shall be conducted by an assessor, who shall prepare a written report on his or her findings and submit it to the Committee. O. Reg. 183/99, s. 1.
(3) The Committee shall provide the member with a copy of the assessor’s report. O. Reg. 183/99, s. 1.
(4) The member shall have at least 14 days to make written submissions in response to the report. O. Reg. 183/99, s. 1.
(5) After considering the report and the member’s submissions, if any, the Committee may, if it finds that the member’s knowledge, skills or judgment are unsatisfactory, do one or more of the following:
1. Direct the member to participate in a specified remedial program.
2. Direct the Registrar to impose terms, conditions or limitations on the member’s certificate of registration for a specified period not exceeding six months. O. Reg. 183/99, s. 1.
(6) A member who has been required to participate in a remedial program may be required to undergo another evaluation, and subsections (2), (3), (4) and (5) apply to that evaluation. O. Reg. 183/99, s. 1.
(7) A member who has been re-evaluated under subsection (6) may not be re-evaluated again. O. Reg. 183/99, s. 1.
(8) If the member fails to participate in a specified remedial program or fails to complete the program successfully, the Committee may direct the Registrar to impose terms, conditions or limitations on a member’s certificate of registration for a specified period not exceeding six months. O. Reg. 183/99, s. 1.
(9) If the Registrar imposes terms, conditions or limitations on the member’s certificate of registration for a specified period pursuant to a direction given by the Committee under paragraph 2 of subsection (5) or under subsection (8), the Committee may direct the Registrar to remove the terms, conditions or limitations before the end of the specified period if it is satisfied that the member’s knowledge, skills and judgment are now satisfactory. O. Reg. 183/99, s. 1.
(10) No direction shall be given to the Registrar under paragraph 2 of subsection (5) or under subsection (8) unless the member has been given notice of the Committee’s intention to give the direction and the member has been given at least 14 days to make written submissions to the Committee. O. Reg. 183/99, s. 1.
Assessment and Remediation of Behaviour or Remarks of a Sexual Nature
32. (1) This section applies to matters relating to sexual abuse as defined in clause 1 (3) (c) of the Health Professions Procedural Code that are referred to the Committee by,
(a) a panel of the Complaints Committee under paragraph 4 of subsection 26 (2) of the Code; or
(b) the Executive Committee, Complaints Committee or Board under section 79.1 of the Code. O. Reg. 183/99, s. 1.
(2) The Committee may require a member to undergo a psychological assessment or another assessment specified by the Committee if a matter respecting the member is referred as provided in subsection (1). O. Reg. 183/99, s. 1.
(3) After receiving the report of an assessment referred to in subsection (2), the Committee may require the member to undertake specified measures such as education, therapy or counselling, if
(a) the Committee is of the opinion that the measures will help the member to refrain from such behaviour or remarks; and
(b) the member has been given written notice of the Committee’s intention to require the member to undertake measures, a copy of the report and at least 14 days to make written submissions to the Committee. O. Reg. 183/99, s. 1.
(4) If the member makes written submissions, the Committee shall take them into account before requiring the member to undertake specified measures. O. Reg. 183/99, s. 1.
(5) If the member refuses to undergo an assessment under subsection (2) or to undertake specified measures under subsection (3), or fails to complete those measures, the Committee may direct the Registrar to impose terms, conditions or limitations on the member’s certificate of registration for a period not exceeding six months. O. Reg. 183/99, s. 1.
(6) The Committee shall not give a direction under subsection (5) unless the member has been given notice of the Committee’s intention and at least 14 days to make written submissions to the Committee. O. Reg. 183/99, s. 1.
(7) If the Registrar imposes terms, conditions or limitations on a member’s certificate of registration under subsection (5), the Committee may direct the Registrar to remove them before the end of the specified period if the Committee is satisfied that they are no longer needed. O. Reg. 183/99, s. 1.
PART VI
NOTICE OF MEETINGS AND HEARINGS
33. (1) The Registrar shall ensure that notice of every Council meeting that is required to be open to the public under the Act is given in accordance with this Part. O. Reg. 183/99, s. 1.
(2) The notice shall be published in a daily newspaper of general circulation throughout Ontario at least 14 days before the date of the meeting. O. Reg. 183/99, s. 1.
(3) The notice shall be in English and French. O. Reg. 183/99, s. 1.
(4) The notice shall include the intended date, time and place of the meeting and indicate its purpose. O. Reg. 183/99, s. 1.
(5) The Registrar shall give notice of Council meetings to every person who requests it. O. Reg. 183/99, s. 1.
34. (1) The Registrar shall ensure that information concerning every hearing into allegations of professional misconduct or incompetence held by a panel of the Discipline Committee is given to every person who requests it. O. Reg. 183/99, s. 1.
(2) The information to be provided must include the name of the member against whom the allegations have been made, his or her principal place of practice, the intended date, time and place of the hearing and a summary of the allegations. O. Reg. 183/99, s. 1.
(3) For requests received more than 30 days before the date of the hearing, the Registrar shall, where possible, provide the information at least 30 days before that date. O. Reg. 183/99, s. 1.
(4) For requests received less than 30 days before the date of the hearing, the Registrar shall provide the information as soon as reasonably possible before that date. O. Reg. 183/99, s. 1.
(5) The information provided must be in English or, upon request, in French. O. Reg. 183/99, s. 1.
PART VII
COMMUNICATION AND PUBLICATION OF PANEL DECISIONS
35. The Registrar shall communicate the decision of a panel of the Fitness to Practise Committee, the reasons for decision or a summary of the reasons, to the complainant, if any, upon the release of the decision. O. Reg. 183/99, s. 1.
36. (1) The College shall publish the decisions of the Fitness to Practise Committee and the reasons for decision, or a summary of such reasons, in its annual report and may publish the decisions and reasons or summary in any other publication of the College. O. Reg. 183/99, s. 1.
(2) In publishing the information mentioned in subsection (1), the College shall publish the name of the member who was the subject of the proceeding if the result of the proceeding may be obtained by a person from the Register under subsection 23 (3) of the Health Professions Procedural Code. O. Reg. 183/99, s. 1.
Schedule 1
Substances Administered by Injection into the foot
Betamethasone sodium phosphate beta-acetate
Dexamethasone sodium phosphate
Hydrocortisone sodium succinate
Methylprednisolone acetate
Triamcinolone acetonide
Denatured alcohol 4% (ethyl alcohol)
Bupivacaine
Lidocaine hydrochloride (with or without epinephrine)
Mepivacaine hydrochloride
Sterile saline solution
B12- Cyanocobalamin
O. Reg. 338/08, s. 2.
Schedule 2
drugs that may be prescribed by Chiropody Class Member
Antibiotics for Topical Use
Bacitracin
Framycetin sulfate
Fusidic acid
Gentamicin sulfate
Mupirocin
Silver sulfadiazine
Erythromycin
Bacitracin/neomycin sulphate
Neomycin sulphate/polymyxin B sulphate/bacitracin
Neomycin sulphate/polymyxin B sulphate/gramicidin
Antifungals for Topical Use
Ciclopirox olamine
Clotrimazole
Ketoconazole
Miconazole nitrate
Nystatin
Terbinafine HCl
Tolnaftate cream
Undecylenic acid
Analgesics for Topical Use
Benzocaine
Capsaicin
Diethylamine Salicylate
Lidocaine/prilocaine
Astringents for Topical Use
Aluminum Chloride hexahydrate
Corticosteroids for Topical Use
Amcinonide
Betamethasone diproprionate
Betamethasone valerate
Clioquinol/hydrocortisone
Desoximetasone
Flumethasone/clioquinol
Fluocinonide
Halcinonide
Hydrocortisone
Hydrocortisone 17 valerate
Mometasone furoate
Triamcinolone acetonide
Caustics for Topical Use
Cantharidin Podophyllin Salicylic acid combination (1% or less Cantharidin with 2% or less Podophyllin with 30% or less Salicylic acid)
Salicylic acid (70% or less)
Silver Nitrate (95% or less)
5-Fluorouracil (5% or less)
Salicylic acid/lactic acid combination (Salicylic acid 16.7% and Lactic acid 16.7% in flexible collodion)
Salicylic acid/lactic acid/formalin combination (Salicylic acid 25%, Lactic acid 10%, Formalin 5%)
Immune Response Modifier for Topical Use
Imiquimod
Wound Healing Agents/Dressings for Topical Use
Becaplermin
Santyl collagenase
Antibiotics for Oral Use
Amoxicillin trihydrate
Amoxicillin trihydrate/clavulanate potassium
Azithromycin dihydrate
Cefadroxil
Cephalexin monohydrate
Ciprofloxacin hydrochloride
Clindamycin hydrochloride
Cloxacillin sodium
Sulfamethoxazole/trimethoprim
Erythromycin
Tetracycline hydrochloride
Non-steroidal Anti-inflammatories for Oral Use
Diclofenac potassium
Diclofenac sodium
Diclofenac sodium/misoprostol
Diflunisal
Ibuprofen
Indomethacin
Meloxicam
Ketorolac tromethamine
Naproxen
Naproxen sodium
Tiaprofenic acid
O. Reg. 338/08, s. 2.
Schedule 3
drugs that may be prescribed by Podiatry Class Member
Antibiotics for Topical Use
Bacitracin
Framycetin sulfate
Fusidic acid
Gentamicin sulfate
Mupirocin
Silver sulfadiazine
Erythromycin
Bacitracin/neomycin sulphate
Neomycin sulphate/polymyxin B sulphate/bacitracin
Neomycin sulphate/polymyxin B sulphate/gramicidin
Antifungals for Topical Use
Ciclopirox olamine
Clotrimazole
Ketoconazole
Miconazole nitrate
Nystatin
Terbinafine HCl
Tolnaftate cream
Undecylenic acid
Analgesics for Topical Use
Benzocaine
Capsaicin
Diethylamine Salicylate
Lidocaine/prilocaine
Astringents for Topical Use
Aluminum Chloride hexahydrate
Corticosteroids for Topical Use
Amcinonide
Betamethasone diproprionate
Betamethasone valerate
Clioquinol/hydrocortisone
Desoximetasone
Flumethasone/clioquinol
Fluocinonide
Halcinonide
Hydrocortisone
Hydrocortisone 17 valerate
Mometasone furoate
Triamcinolone acetonide
Caustics for Topical Use
Cantharidin Podophyllin Salicylic acid combination (1% or less Cantharidin with 2% or less Podophyllin with 30% or less Salicylic acid)
Salicylic acid (70% or less)
Silver Nitrate (95% or less)
5-Fluorouracil (5% or less)
Salicylic acid/lactic acid combination (Salicylic acid 16.7% and Lactic acid 16.7% in flexible collodion)
Salicylic acid/lactic acid/formalin combination (Salicylic acid 25%, Lactic acid 10%, Formalin 5%)
Immune Response Modifier for Topical Use
Imiquimod
Wound Healing Agents/Dressings for Topical Use
Becaplermin
Santyl collagenase
Antibiotics for Oral Use
Amoxicillin trihydrate
Amoxicillin trihydrate/clavulanate potassium
Azithromycin dihydrate
Cefadroxil
Cephalexin monohydrate
Ciprofloxacin hydrochloride
Clindamycin hydrochloride
Cloxacillin sodium
Sulfamethoxazole/trimethoprim
Erythromycin
Tetracycline hydrochloride
Non-steroidal Anti-inflammatories for Oral Use
Diclofenac potassium
Diclofenac sodium
Diclofenac sodium/misoprostol
Diflunisal
Ibuprofen
Indomethacin
Meloxicam
Ketorolac tromethamine
Naproxen
Naproxen sodium
Tiaprofenic acid
Anxiolytics for Oral Use
Diazepam
Hydroxyzine hydrochloride
Lorazepam
O. Reg. 338/08, s. 2.
SCHEDULE 4
courses and education
1. A course in prescribing drugs and administering drugs and other substances by injection into the foot containing both a clinical and didactic component taken at the Michener Institute for Applied Health Sciences as part of a program, the successful completion of which program was a requirement for the issuance of a certificate of registration as a chiropody class member.
2. A course in prescribing drugs and administering drugs and other substances by injection into the foot containing both a clinical and didactic component taken at a program in podiatry in either Canada or the United States of America, which program was, at the time the person took it, accredited by the Council on Podiatric Medical Education or another accreditation body approved by the Council.
3. A course in prescribing drugs and administering drugs and other substances by injection into the foot containing both a clinical and didactic component approved by the Council.
4. A course in prescribing drugs and administering drugs and other substances by injection into the foot containing both a clinical and didactic component taken while a member of the College, which was set or approved by the Council as a course which would adequately train a member to prescribe drugs and administer drugs and other substances by injection into the foot, in accordance with the current standards of practice of the profession.
5. A course or courses in prescribing drugs and administering drugs and other substances by injection into the foot taken while a member of the College, if the Registration Committee is satisfied the course or courses together with the formal education and professional experience of the member has resulted in the member having sufficient knowledge, skill and judgment to prescribe drugs and administer drugs and other substances by injection into the foot, in accordance with the current standards of practice of the profession.
O. Reg. 338/08, s. 2.