Proposed amendments to O. Reg. 275/94 (General) made under the Nursing Act, 1991, to authorize registered practical nurses (RPNs) to initiate certain procedures independently, without the need for an order.
The College of Nurses of Ontario is proposing regulatory amendments to expand the scope of practice for RPNs including:
Irrigation, probing, debriding, and packing of a wound below the dermis or below a mucous membrane, venipuncture to start intravenous access using a solution of normal saline, when an individual requires medical attention & delay is likely to be harmful, and certain procedures for the purpose of assessing and/or assisting an individual with health management activities:- putting an instrument, hand, or finger beyond the individual's labia majora - putting an instrument or finger into an artificial opening into the individual's body
Rabies testing and vaccination requirements in the Health Protection and Promotion Act (HPPA).
Regulation 557 establishes the responsibility for rabies cases. There exists no authority for Medical Officers of Health to order testing of deceased animals under observation, unless there are reasonable grounds to suspect that an animal is rabid. Without testing to rule out rabies, bite victims may have to undergo a publicly-funded rabies vaccination as part of the post-exposure protocol.
Regulation 567 defines conditions for the administration of the rabies vaccine in certain animals. This regulation allows for vaccination by licenced veterinarians within Ontario, animals vaccinated in other provinces, territories, or countries must be revaccinated to meet the regulation.