O. Reg. 60/03: GENERAL

 

ONTARIO regulation 60/03

made under the

homes for the aged and rest homes act

Made: March 5, 2003
Filed: March 7, 2003
Printed in The Ontario Gazette: March 22, 2003

Amending Reg. 637 of R.R.O. 1990

(General)

1. The definition of “registered nursing assistant” in subsection 1 (1) of Regulation 637 of the Revised Regulations of Ontario, 1990 is revoked and the following substituted:

“registered nurse in the extended class” means a member of the College of Nurses of Ontario who is a registered nurse and who holds an extended certificate of registration under the Nursing Act, 1991;

“registered nursing staff” means those members of the nursing staff who are registered nurses including registered nurses in the extended class or registered practical nurses;

“registered practical nurse” means a member of the College of Nurses of Ontario who holds a certificate of registration as a registered practical nurse under the Nursing Act, 1991;

2. Clause 12.25 (2) (a) of the Regulation is amended by adding “or registered nurse in the extended class attending the resident” after “resident’s physician”.

3. (1) The definition of “pharmacist” in subsection 14 (1) of the Regulation is revoked and the following substituted:

“pharmacist” means a member of the Ontario College of Pharmacists;

(2) The definition of “prescription drug” in subsection 14 (1) of the Regulation is revoked and the following substituted:

“prescription drug” means,

(a) a controlled drug mentioned in Schedule G to the Food and Drugs Act (Canada),

(b) a controlled substance as defined in the Controlled Drugs and Substances Act (Canada).

(3) Subsection 14 (2) of the Regulation is amended by striking out “all nursing staff” at the end and substituting “all registered nursing staff”.

(4) Subsection 14 (3) of the Regulation is revoked and the following substituted:

(3) Every drug cabinet or storeroom shall be kept locked and the keys shall be under the control of a registered nurse who is on duty or a registered practical nurse on duty or the administrator in the absence of a registered nurse and registered practical nurse.

(5) Subsection 14 (4) of the Regulation is amended by striking out “legally qualified medical practitioner or a pharmacist” at the end and substituting “a legally qualified medical practitioner, pharmacist or registered nurse”.

(6) Subsection 14 (7) of the Regulation is revoked and the following substituted:

(7) A drug shall be taken by or administered to a resident only on the individual prescription or written direction of a legally qualified medical practitioner, a member of the Royal College of Dental Surgeons of Ontario, or a registered nurse in the extended class. 

(7) Subsection 14 (8) of the Regulation is revoked and the following substituted:

(8) A prescription drug shall be administered to a resident only by a legally qualified medical practitioner, a member of the Royal College of Dental Surgeons of Ontario, a registered nurse or a registered practical nurse. 

4. (1) Subsection 26 (4) of the Regulation is revoked and the following substituted:

(4) The medical director, a registered nurse in the extended class or the attending physician shall report any incidence of reportable or communicable disease outbreaks to the local medical officer of health in accordance with sections 25 and 26 of the Health Protection and Promotion Act.

(2) Subsection 26 (8) of the Regulation is revoked and the following substituted:

(8) At least once a year, each resident shall be given a complete physical examination by the attending physician, the medical director or a registered nurse in the extended class.

(3) Subsection 26 (12) of the Regulation is revoked and the following substituted:

(12) Where the medical director, the attending physician or a registered nurse in the extended class directs, a resident of a home shall be given a special diet. 

5. Section 28 of the Regulation is revoked and the following substituted:

28. (1) A resident, or the person who is lawfully authorized to make a decision on behalf of the resident concerning the resident’s personal care, may retain an attending physician to attend the resident and provide the resident with medical care.

(2) A resident, or the person who is lawfully authorized to make a decision on behalf of the resident concerning the resident’s personal care, may retain a registered nurse in the extended class to attend the resident and provide the resident with care.

(3) The registered nurse in the extended class retained under subsection (2) shall comply with the “Standards for Consultation with Physicians by RN(EC)s” including “Collaboration” set out in the publication of the College of Nurses of Ontario entitled “Standards of Practice for Registered Nurses who hold an extended class certificate of registration” as amended from time to time.

(4) The medical director shall attend and prescribe medication or medical care for any resident of the home who has no attending physician of his or her own or who requests that the services of the medical director be made available. 

6. (1) Clause 47 (2) (a) of the Regulation is amended by adding “or registered nurse in the extended class” after “a physician”.

(2) Clause 47 (3) (a) of the Regulation is amended by adding “or registered nurse in the extended class” after “a physician”.

7. Subsection 68 (1) of the Regulation is revoked and the following substituted:

(1) The municipality, municipalities or board maintaining and operating a home shall ensure that each resident’s plan of care is reviewed at least quarterly by at least the following members of the interdisciplinary team providing the resident’s care:

1. The physician providing the resident’s care.

2. The registered nurse in the extended class, if any, providing the resident’s care.

3. The nursing staff providing the resident’s care.

4. The food services supervisor or dietitian responsible for the resident’s meals.