Definitions

1   In this regulation:

"authorized health professional", in relation to the performance of a restricted activity, means a person who is one of the following:

(a) a person who is authorized under the Act to practise one of the following designated health professions:

(i) if the restricted activity is performed by a clinical perfusionist or radiation therapist, medicine;

(ii) if the restricted activity is performed by a medical laboratory technologist, medicine, podiatric medicine, dentistry, nursing, psychiatric nursing, midwifery or naturopathic medicine;

(iii) if the restricted activity is performed by a respiratory therapist, medicine or nursing as a nurse practitioner;

(b) a person who is authorized to practise an equivalent health profession in Alberta, Yukon or the Northwest Territories, if the person's patient

(i) has transferred from one of those jurisdictions to British Columbia and, on transfer, requires immediate health services, and

(ii) has not been assessed by whichever of the following applies:

(A) in the case of orders issued to clinical perfusionists or radiation therapists, by a medical practitioner;

(B) in the case of orders issued to medical laboratory technologists, by a person who is authorized to practise a designated health profession described in paragraph (a) (ii) of this definition;

(C) in the case of orders issued to respiratory therapists, by a medical practitioner or nurse practitioner;

"clinical perfusion" means the health profession in which a person provides the types of health services referred to in section 19 [scope of practice for clinical perfusion];

"clinical perfusionist" means a licensee who is authorized to practise clinical perfusion;

"medical laboratory technologist" means a licensee who is authorized to practise medical laboratory technology;

"medical laboratory technology" means the health profession in which a person provides the types of health services referred to in section 24 [scope of practice for medical laboratory technology];

"radiation therapist" means a licensee who is authorized to practise radiation therapy;

"radiation therapy" means the health profession in which a person provides the types of health services referred to in section 27 [scope of practice for radiation therapy];

"respiratory therapist" means a licensee who is authorized to practise respiratory therapy;

"respiratory therapy" means the health profession in which a person provides the types of health services referred to in section 31 [scope of practice for respiratory therapy].

Designation of health professions

2   Each of the following continues to be designated as a designated health profession for the purposes of the Act:

(c) clinical perfusion;

(d) medical laboratory technology;

(e) radiation therapy;

(f) respiratory therapy.

Health profession corporations

4   A corporation that does not hold a health profession corporation permit must not carry on the business of providing health services to the public, if the health services are provided by licensees who practise any of the following designated health professions:

(c) respiratory therapy.

Exclusive titles

18   Except as permitted under the Act, only a clinical perfusionist may use the title "clinical perfusionist".

Scope of practice for clinical perfusion

19   (1) The following types of health services, provided primarily for the purpose set out in subsection (2), constitute the scope of practice for clinical perfusion:

(a) assessing the physical health status of patients for the purpose of providing the health services referred to in paragraph (b);

(b) treating and managing diseases, disorders or conditions by managing cardiorespiratory function

(i) on a temporary basis, and

(ii) under the direction of a medical practitioner;

(c) assembling, preparing and operating perfusion equipment.

(2) The primary purpose for providing health services in the practice of clinical perfusion is to maintain physical health.

Practice standards

20   The board must make bylaws establishing or adopting practice standards respecting the application, by clinical perfusionists, of ultrasound.

List of limited restricted activities

21   A clinical perfusionist may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(a) item 16 [substances];

(b) item 28 [ultrasound];

(c) items 47 and 49 [drugs].

Restricted activities if order

22   A clinical perfusionist may perform the following restricted activities if acting under an order issued by an authorized health professional:

(a) administer a substance or Schedule III drug by parenteral instillation;

(b) apply ultrasound for diagnostic or imaging purposes;

(c) compound a Schedule I or II drug;

(d) administer Schedule I, IA or II drugs by parenteral instillation.

Exclusive titles

23   Except as permitted under the Act, only a medical laboratory technologist may use the title "medical laboratory technologist".

Scope of practice for medical laboratory technology

24   The types of health services that constitute the scope of practice for medical laboratory technology are collecting, preparing and analyzing biological samples.

Venipuncture

25   A medical laboratory technologist may perform venipuncture

(a) for the purposes of collecting a blood sample, and

(b) if acting under an order issued by an authorized health professional.

Exclusive titles

26   Except as permitted under the Act, only a radiation therapist may use the title "radiation therapist".

Scope of practice for radiation therapy

27   (1) The following types of health services, provided primarily for the purpose set out in subsection (2), constitute the scope of practice for radiation therapy:

(a) assessing the physical health status of patients for the purpose of providing the health services referred to in paragraph (b);

(b) treating and managing diseases, disorders or conditions by providing radiation treatment;

(c) advising on treatment planning, verification and post-treatment care.

(2) The primary purpose for providing health services in the practice of radiation therapy is to maintain physical health.

List of limited restricted activities

28   A radiation therapist may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(a) item 16 [substances];

(b) item 18 [insertions];

(c) item 36 [hazardous energy].

Restricted activities if order

29   A radiation therapist may perform the following restricted activities if acting under an order issued by an authorized health professional:

(a) administer a substance or Schedule III drug by parenteral instillation;

(b) insert an instrument, device or finger into the external ear canal;

(c) apply X-rays for imaging purposes, including for the purpose of a computed tomography scan.

Exclusive titles

30   Except as permitted under the Act, only a respiratory therapist may use the title "respiratory therapist".

Scope of practice for respiratory therapy

31   (1) The following types of health services, provided primarily for the purposes set out in subsection (2), constitute the scope of practice for respiratory therapy:

(a) assessing cardiorespiratory function for the purpose of providing the health services referred to in paragraph (b);

(b) managing and treating cardiorespiratory function.

(2) The primary purposes for providing health services in the practice of respiratory therapy are to maintain and restore cardiorespiratory function.

Practice standards

32   The board must make bylaws establishing or adopting practice standards for the performance, by respiratory therapists, of the restricted activities described in the following items of the Restricted Activities Table:

(a) items 12 to 16 [substances];

(b) items 19, 20 and 24 [insertions];

(c) item 31 [hazardous energy];

(d) items 47 and 49 [drugs].

List of full restricted activities

33   A respiratory therapist may perform the restricted activities described in the following items of the Restricted Activities Table:

(a) items 11 to 16 [substances];

(b) items 19, 20 and 24 [insertions].

List of limited restricted activities

34   A respiratory therapist may perform the restricted activities described in the following items of the Restricted Activities Table, but only as provided for in this Division:

(a) item 31 [hazardous energy];

(b) items 47 and 49 [drugs].

Drugs

35   (1) A respiratory therapist may compound a Schedule I or II drug.

(2) A respiratory therapist may administer a Schedule I or II drug by injection, inhalation or mechanical ventilation, if administered for the purpose of treating any of the following:

(a) anaphylaxis;

(b) angina pectoris;

(c) cardiac dysrhythmia;

(d) chronic obstructive pulmonary diseases;

(e) respiratory distress in a known asthmatic.

Other restricted activities if order

36   A respiratory therapist may administer a Schedule I or II drug by injection, inhalation, mechanical ventilation or parenteral instillation if acting under an order issued by an authorized health professional.

Other restricted activities if certified

37   A certified respiratory therapist may apply electricity for the purpose of affecting activity of the heart.