(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.
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,
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
successfully completed a course approved by the Council on prescribing drugs set out in Schedule 4.
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.
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.
(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.
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,
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
successfully completed a course approved by the Council on administering by injection substances set out in Schedule 4.
(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.
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.
A member may administer, prescribe or order any drug or substance that may lawfully be purchased or acquired without a prescription.
Omitted (revokes other Regulations).
Omitted (provides for coming into force of provisions of this Regulation).
SChedule 1 drugs that may be prescribed
Immunizations
Covid-19 vaccine.
DTaP-IPV-Hib.
Hepatitis B immune globulin.
Hepatitis B vaccine.
Influenza vaccine.
Measles-mumps-rubella virus vaccine.
Pneumococcal conjugate.
7.1 Respiratory syncytial virus (RSV) monoclonal antibody.
Respiratory syncytial virus (RSV) vaccine.
RhD immune globulin.
Rotavirus (Rot-1).
Tdap vaccine.
Varicella vaccine.
Varicella Zoster immune globulin.
Anti-infectives
Mupirocin-betamethasone valerate-miconazole.
Antibacterials
Amoxicillin.
Amoxicillin-clavulanic acid.
Azithromycin.
Cefixime.
Cephalexin.
Ciprofloxacin.
Clindamycin.
Cloxacillin.
Doxycycline.
Erythromycin.
Metronidazole
Nitrofurantoin.
Penicillin VK.
Sulfamethoxazole-trimethoprim.
Trimethoprim.
Antifungals
Clotrimazole.
Fluconazole.
Miconazole.
Nystatin.
Antivirals
Acyclovir.
Famciclovir.
Valacyclovir.
Hormonal Contraceptives
Hormonal contraceptives, all types.
Analgesics and Antipyretics
Diclofenac.
Antiemetics
Doxylamine succinate-pyridoxine hydrochloride.
Ondansetron.
Prochlorperazine.
Dopamine Agonists
Cabergoline.
Vitamins, Minerals and Fluid Replacements
Vitamins, minerals and fluid replacements, all types.
Oxytocics and Prostaglandins
(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.)
Dinoprostone.
Ergonovine.
Misoprostol.
Misoprostol-Mifepristone.
Galactagogues
Domperidone.
Corticosteroids
Hydrocortisone anorectal therapy compound.
Proton Pump Inhibitors
Omeprazole.
Histamine Blockers
Ranitidine.
SCHEDULE 2 SUBSTANCES THAT MAY BE ADMINISTERED BY INHALATION
Oxygen (therapeutic).
Nitrous oxide.
SCHEDULE 3 SUBSTANCES THAT MAY BE ADMINISTERED BY INJECTION
Immunizations
Covid-19 vaccine.
DTaP-IPV-Hib.
Hepatitis B immune globulin.
Hepatitis B vaccine.
Influenza vaccine.
Measles-mumps-rubella virus vaccine.
Pneumococcal conjugate.
7.1 Respiratory syncytial virus (RSV) monoclonal antibody.
Respiratory syncytial virus (RSV) vaccine.
RhD immune globulin.
Rotavirus (Rot-1).
Tdap vaccine.
Varicella vaccine.
Varicella Zoster immune globulin.
Antibacterials
Ampicillin.
Benzathine Penicillin G.
Ceftriaxone.
Cefazolin.
Ciprofloxacin.
Clindamycin.
Cloxacillin.
Erythromycin.
Gentamicin.
Penicillin G.
Adrenergic Agents
Epinephrine hydrochloride.
Hormonal Contraceptives
Hormonal contraceptives, all types.
Local Anaesthetics
Bupivacaine.
Lidocaine hydrochloride with or without epinephrine.
Antiemetics
Dimenhydrinate.
Ondansetron.
Prochlorperazine.
Opiate Antagonists
Naloxone hydrochloride.
Vitamins, Minerals and Fluid Replacements
Vitamins, minerals and fluid replacements, all types.
Oxytocics and Prostaglandins
Carbetocin.
Carboprost tromethamine.
Ergonovine.
Oxytocin.
Haemostatics
Tranexamic acid.
Antihistamines
Diphenhydramine hydrochloride.
SCHEDULE 4 CONTROLLED drugs and SUBSTANCES
Opioid Analgesics
Fentanyl citrate.
Meperidine.
Morphine sulfate.
Nalbuphine.