Regulation - LGIC

College of Nurses of Ontario

Regulation Number(s):
O.Reg. 387/11
O.Reg. 275/94
Instrument Type:
Regulation - LGIC
Bill or Act:
Nursing Act, 1991; Regulated Health Professions Statute Law Amendment Act, 2009 (RHPSLAA).
Summary of Decision:
Revoking Part III (controlled acts) of O. Reg. 275/94 (General), made under the Nursing Act, 1991 and replacing it with a new Part III (controlled acts), and proclaiming provisions of the Regulated Health Professions Statute Law Amendment Act, 2009 (RHPSLAA).

The above mentioned regulation was filed with the Registrar of Regulations on August 19, 2011 as O. Reg. 387/11, and was published in the Ontario Gazette on September 3, 2011.
Further Information:
Proposal Number:
11-HLTC002
Posting Date:
January 7, 2011
Summary of Proposal:
College Introduction

Under the Regulated Health Professions Act, 1991 (RHPA) and the Nursing Act, 1991, the College of Nurses of Ontario (CNO) is responsible for governing the self regulating profession of nursing in Ontario.

Under these Acts, the CNO may make regulations on a variety of subject matters, including with respect to the performance of controlled acts by nurses, subject to the prior review by the Minister of Health and Long-Term Care and the approval of the Lieutenant Governor in Council.

Under the RHPA and the Nursing Act, 1991, the College of Nurses of Ontario (CNO) is responsible for governing the profession of nursing in Ontario in the public interest.

In December 2009, Bill 179, Regulated Health Professions Statute Law Amendment Act, 2009 (RHPSLAA) amended the Nursing Act, 1991 to, among other things, expand the scope of practice of nurse practitioners (NPs).


Summary of Proposal

The College of Nurses of Ontario (CNO) is proposing the following amendments to its Controlled Acts Regulation.

1. Drug authorities applicable to all nurses - Dispensing.

- Dispensing involves the selection, preparation and transfer of one or more prescribed drugs to a client or the client?s representative for the client?s self-administration at a later point in time. The College is proposing certain limits and conditions for all nurses (i.e., NPs, RNs and RPNs) to ensure that drugs are dispensed safely.

- The regulation proposes situations in which it is appropriate for nurses to dispense. It also addresses conflicts of interest, such as a stipulation that nurses shall not obtain incentives or inducements as a result of dispensing a drug.

- Another provision in the regulation proposes information that needs to be included on a label when dispensing a drug to provide clients with details they need, and to enable the drug to be tracked to its source.

2. Drug authorities applicable to NPs.

- The College is proposing certain limits and conditions on NPs prescribing, selling or compounding a drug and administering a substance by injection or inhalation to ensure that NPs perform these activities safely.

3. Revocations and General Housekeeping items.
Contact Address:
Contact: General Inquires
Phone: 416-928-0900
Toll-Free: 1-800-387-5526
Email: cno@cnomail.org
Website: www.cno.org
Effective Date:
September 3, 2011
Decision:
Approved