O. Reg. 188/24: DESIGNATED DRUGS AND SUBSTANCES, Filed May 3, 2024 under Midwifery Act, 1991, S.O. 1991, c. 31
ontario regulation 188/24
made under the
Midwifery Act, 1991
Made: March 8, 2024
Approved: April 25, 2024
Filed: May 3, 2024
Published on e-Laws: May 6, 2024
Published in The Ontario Gazette: May 18, 2024
Designated Drugs and Substances
CONTENTS
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Prescribing drugs |
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Administration by inhalation |
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Administration by injection, general |
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Administration by injection, controlled substances |
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Use, etc. on order |
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Non-prescription drugs and substances |
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Revocation |
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Commencement |
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Drugs that may be prescribed |
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Substances that may be administered by inhalation |
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Substances that may be administered by injection |
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Controlled drugs and substances |
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Prescribing drugs
1. (1) For the purposes of paragraph 6 of section 4 of the Act, a member may, on the member’s own responsibility, prescribe a drug set out in Schedule 1 to this Regulation, subject to any conditions noted in that Schedule.
(2) For the purposes of paragraph 6 of section 4 of the Act, a member may prescribe a drug set out in Schedule 4 to this Regulation for the purpose of being administered in a public hospital, if the member complies with the standards of practice set out in subsection (3) of this section.
(3) It is a standard of practice of the profession that a member who prescribes a drug set out in Schedule 4 shall first have either,
(a) satisfied the Registrar or the Registration Committee that the member has sufficient knowledge, skill and judgment, based on the member’s formal education and training, to safely and competently prescribe drugs set out in Schedule 4; or
(b) successfully completed a course approved by the Council on prescribing drugs set out in Schedule 4.
Administration by inhalation
2. For the purposes of paragraph 5 of section 4 of the Act, a member may, on the member’s own responsibility, administer by inhalation a substance set out in Schedule 2 to this Regulation.
Administration by injection, general
3. For the purposes of paragraph 5 of section 4 of the Act, a member may, on the member’s own responsibility, administer by injection a substance set out in Schedule 3 to this Regulation.
Administration by injection, controlled substances
4. (1) For the purposes of paragraph 5 of section 4 of the Act, a member may, in a public hospital, on the member’s own responsibility, administer by injection a substance set out in Schedule 4 to this Regulation, if the member complies with the standards of practice set out in subsection (2) of this section.
(2) It is a standard of practice of the profession that a member who administers by injection a substance set out in Schedule 4 shall first have either,
(a) satisfied the Registrar or the Registration Committee that the member has sufficient knowledge, skill and judgment, based on the member’s formal education and training, to safely and competently administer by injection substances set out in Schedule 4; or
(b) successfully completed a course approved by the Council on administering by injection substances set out in Schedule 4.
Use, etc. on order
5. (1) In the course of engaging in the practice of midwifery, a member may use any drug on the order of a member of the College of Physicians and Surgeons of Ontario or on the order of a member of the College of Nurses of Ontario who holds an extended certificate of registration as a registered nurse.
(2) In the course of engaging in the practice of midwifery, a member may administer any substance by injection or inhalation on the order of a member of the College of Nurses of Ontario who holds an extended certificate of registration as a registered nurse.
Non-prescription drugs and substances
6. A member may administer, prescribe or order any drug or substance that may lawfully be purchased or acquired without a prescription.
Revocation
7. Ontario Regulation 884/93 is revoked.
Commencement
8. This Regulation comes into force on the later of March 1, 2024 and the day this Regulation is filed.
SChedule 1
drugs that may be prescribed
1. Covid-19 vaccine.
2. DTaP-IPV-Hib.
3. Hepatitis B immune globulin.
4. Hepatitis B vaccine.
5. Influenza vaccine.
6. Measles-mumps-rubella virus vaccine.
7. Pneumococcal conjugate.
8. Respiratory syncytial virus (RSV) vaccine.
9. RhD immune globulin.
10. Rotavirus (Rot-1).
11. Tdap vaccine.
12. Varicella vaccine.
13. Varicella Zoster immune globulin.
14. Mupirocin-betamethasone valerate-miconazole.
15. Amoxicillin.
16. Amoxicillin-clavulanic acid.
17. Azithromycin.
18. Cefixime.
19. Cephalexin.
20. Ciprofloxacin.
21. Clindamycin.
22. Cloxacillin.
23. Doxycycline.
24. Erythromycin.
25. Metronidazole
26. Nitrofurantoin.
27. Penicillin VK.
28. Sulfamethoxazole-trimethoprim.
29. Trimethoprim.
30. Clotrimazole.
31. Fluconazole.
32. Miconazole.
33. Nystatin.
34. Acyclovir.
35. Famciclovir.
36. Valacyclovir.
37. Hormonal contraceptives, all types.
38. Diclofenac.
39. Doxylamine succinate-pyridoxine hydrochloride.
40. Ondansetron.
41. Prochlorperazine.
42. Cabergoline.
Vitamins, Minerals and Fluid Replacements
43. Vitamins, minerals and fluid replacements, all types.
(For the purposes of preventing and treating postpartum haemorrhage, inducing or augmenting labour, cervical ripening and for the management of spontaneous early pregnancy loss or retained placental tissue.)
44. Dinoprostone.
45. Ergonovine.
46. Misoprostol.
47. Misoprostol-Mifepristone.
48. Domperidone.
49. Hydrocortisone anorectal therapy compound.
50. Omeprazole.
51. Ranitidine.
SCHEDULE 2
SUBSTANCES THAT MAY BE ADMINISTERED BY INHALATION
1. Oxygen (therapeutic).
2. Nitrous oxide.
SCHEDULE 3
SUBSTANCES THAT MAY BE ADMINISTERED BY INJECTION
1. Covid-19 vaccine.
2. DTaP-IPV-Hib.
3. Hepatitis B immune globulin.
4. Hepatitis B vaccine.
5. Influenza vaccine.
6. Measles-mumps-rubella virus vaccine.
7. Pneumococcal conjugate.
8. Respiratory syncytial virus (RSV) vaccine.
9. RhD immune globulin.
10. Rotavirus (Rot-1).
11. Tdap vaccine.
12. Varicella vaccine.
13. Varicella Zoster immune globulin.
14. Ampicillin.
15. Benzathine Penicillin G.
16. Ceftriaxone.
17. Cefazolin.
18. Ciprofloxacin.
19. Clindamycin.
20. Cloxacillin.
21. Erythromycin.
22. Gentamicin.
23. Penicillin G.
24. Epinephrine hydrochloride.
25. Hormonal contraceptives, all types.
26. Bupivacaine.
27. Lidocaine hydrochloride with or without epinephrine.
28. Dimenhydrinate.
29. Ondansetron.
30. Prochlorperazine.
31. Naloxone hydrochloride.
Vitamins, Minerals and Fluid Replacements
32. Vitamins, minerals and fluid replacements, all types.
33. Carbetocin.
34. Carboprost tromethamine.
35. Ergonovine.
36. Oxytocin.
37. Tranexamic acid.
38. Diphenhydramine hydrochloride.
SCHEDULE 4
CONTROLLED drugs and SUBSTANCES
1. Fentanyl citrate.
2. Meperidine.
3. Morphine sulfate.
4. Nalbuphine.
Made by:
Pris par :
Council of the College of Midwives of Ontario:
Le Conseil de l’Ordre des sages-femmes de l’Ontario :
Claire Ramlogan-Salanga
Chair of Council
Kelly Dobbin
Registrar & CEO
Date made: March 8, 2024
Pris le : 8 mars 2024
