Health Professions Council

FOREWORD

Under the Health Professions Act, the Health Professions Council is a six-person advisory body appointed by the Government of British Columbia to make recommendations to the Minister of Health and Minister Responsible for Seniors about the regulation of health professions.

This report is the result of the Health Professions Council's review of the scope of practice of 15 recognized health professions pursuant to the Terms of Reference from the Minister of Health and Minister Responsible for Seniors.

Mr. Epstein did not participate in the review of optometry. Another member, Brenda McBain, served on the scope panel for that review, chaired by Dr. Kazanjian.

CONTENTS

PART I – VOLUME 1

I.     EXECUTIVE SUMMARY – POLICY ISSUES

1. MANDATE

2. SHARED SCOPE AND RESERVED ACTS

3. SUPERVISED ACTS

4. RESERVED TITLES

5. OBJECTIVE

6. PROCESS

II.     EXECUTIVE SUMMARY – ISSUES OF GENERAL APPLICATION

1. RESERVED ACTS

2. SUPERVISED ACTS

3. MEANING OF THE TERM "ORDER"

4. THE SOCIETY ACT

5. REVIEW OF THE COUNCIL’S RESERVED ACTS LIST

6. ACCESS TO LABORATORY AND DIAGNOSTIC FACILITIES

7. REVIEW OF RESERVED ACTS GRANTED PRIOR TO THE SCOPE OF PRACTICE REVIEW

8. DELEGATION PROTOCOL – DELEGATION TO UNREGULATED INDIVIDUALS

9. RISK OF HARM CLAUSE

10. EXEMPTIONS FROM THE RESERVED ACTS SYSTEM

11. RELEASE OF PRESCRIPTIONS

III.     EXECUTIVE SUMMARY – PROFESSIONS

1. CHIROPRACTORS

2. DENTAL TECHNICIANS

3. DENTISTS

4. EMERGENCY MEDICAL ASSISTANTS

5. MASSAGE THERAPISTS

6. NATUROPATHIC PHYSICIANS

7. NURSES, LICENSED PRACTICAL

8. NURSES, REGISTERED

9. NURSES, REGISTERED PSYCHIATRIC

10. OPTOMETRISTS

11. PHARMACISTS

12. PHYSICAL THERAPISTS

13. PHYSICIANS AND SURGEONS

14. PODIATRISTS

15. PSYCHOLOGISTS

IV.     THE SCOPE OF PRACTICE REVIEW PROCESS

1. INTRODUCTION

   1. The Nature of the Review
   2. The Process of the Scope of Practice Review

2. HEALTH PROFESSIONS POLICY

3. DISCUSSION OF ISSUES

   1. Scope of Practice
   2. Reserved Acts

      1. The Shared Scope of Practice Model Working Paper
      2. Investigation of Reserved Acts
         1. Hazardous Energy
         2. Hazardous Substances
         3. Investigation

      3. Reserved Acts on Order

   3. Supervised Acts
   4. Reserved Titles

      1. The Society Act
      2. Christian Science Nursing

   5. Additional Issues

      1. Review of the Council’s Reserved Acts List
      2. Access to Laboratory and Other Diagnostic Facilities
      3. Review of Reserved Acts Granted Prior to the Scope of Practice Review
      4. Delegation Protocol – Delegation to Unregulated Individuals
      5. Other Elements of the Reserved Acts System
         1. Risk of Harm Clause
         2. Exemption from the Reserved Acts System

      6. Release of Prescriptions

4. A FINAL WORD

APPENDIX A: TERMS OF REFERENCE AND GUIDELINES

APPENDIX B: RESERVED ACTS LIST

APPENDIX C: SHARED SCOPE OF PRACTICE MODEL WORKING PAPER

PART I – VOLUME 2

PRELIMINARY SCOPE OF PRACTICE REPORTS AND
SUMMARY OF POST- HEARING CHANGES

1. CHIROPRACTORS
   Preliminary Report
   Post-Hearing Update
   

2. DENTAL TECHNICIANS
   Preliminary Report
   Post-Hearing Update
   

3. DENTISTS
   Preliminary Report
   Post-Hearing Update
   

4. EMERGENCY MEDICAL ASSISTANTS
   Preliminary Report
   Post-Hearing Update
   

5. MASSAGE THERAPISTS
   Preliminary Report
   Post-Hearing Update
   

6. NATUROPATHIC PHYSICIANS
   Preliminary Report
   Post-Hearing Update
   

7. NURSES, LICENSED PRACTICAL
   Preliminary Report
   Post-Hearing Update
   

8. NURSES, REGISTERED
   Preliminary Report
   Post-Hearing Update
   

9. NURSES, REGISTERED PSYCHIATRIC
   Preliminary Report
   Post-Hearing Update
   

10. OPTOMETRISTS
    Preliminary Report
    Post-Hearing Update
    

11. PHARMACISTS
    Preliminary Report
    Post-Hearing Update
    

12. PHYSICAL THERAPISTS
    Preliminary Report
    Post-Hearing Update
    

13. PHYSICIANS AND SURGEONS
    Preliminary Report
    Post-Hearing Update
    

14. PODIATRISTS
    Preliminary Report
    Post-Hearing Update
    

15. PSYCHOLOGISTS
    Preliminary Report
    Post-Hearing Update
    

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