ontario regulation 190/06
made under the
Nursing Act, 1991
Made: January 18, 2006
Approved: May 3, 2006
Filed: May 8, 2006
Published on e-Laws: May 9, 2006
Printed in The Ontario Gazette: May 27, 2006
Amending O. Reg. 275/94
(General)
1. Section 0.1 of Ontario Regulation 275/94 is amended by adding the following definition:
“registered practical nurse in the general class” means a member who holds a general certificate of registration as a registered practical nurse.
2. Paragraph 4 of subsection 15 (5) of the Regulation is amended by striking out “sole”.
3. The Regulation is amended by adding the following section:
15.1 (1) For the purpose of clause 5 (1) (a) of the Act, a registered practical nurse in the general class may perform a procedure set out in subsection (2) if he or she meets all of the conditions set out in subsection (3).
(2) The following are the procedures referred to in subsection (1):
1. With respect to the care of a wound below the dermis or below a mucous membrane, any of the following procedures:
i. cleansing,
ii. soaking,
iii. dressing.
2. A procedure that, for the purpose of assisting an individual with health management activities, requires putting an instrument,
i. beyond the point in the individual’s nasal passages where they normally narrow,
ii. beyond the individual’s larynx, or
iii. beyond the opening of the individual’s urethra.
3. A procedure that, for the purpose of assisting an individual with health management activities, requires putting a hand or finger beyond the individual’s labia majora.
4. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument or finger beyond the individual’s anal verge.
(3) The following are the conditions referred to in subsection (1):
1. The registered practical nurse has the knowledge, skill and judgment to perform the procedure safely, effectively and ethically.
2. The registered practical nurse has the knowledge, skill and judgment to determine whether the individual’s condition warrants performance of the procedure.
3. The registered practical nurse determines that the individual’s condition warrants performance of the procedure, having considered,
i. the known risks and benefits to the individual of performing the procedure,
ii. the predictability of the outcome of performing the procedure,
iii. the safeguards and resources available in the circumstances to safely manage the outcome of performing the procedure, and
iv. other relevant factors specific to the situation.
4. The registered practical nurse accepts accountability for determining that the individual’s condition warrants performance of the procedure.
Made by:
Council of the College of Nurses of Ontario:
Anne .L. Coghlan
Executive Director
Sandra Keating
President
Date made: January 18, 2006.