COMPLETE EXAM|WITH ACCURATE QUESTIONS AND
VERIFIED ANSWERS|GRADED A
Regulated Health Professions Act (RHPA) and Nursing Act Ans✓✓✓ -
Legislation that governs Ontario's regulated health professions' Colleges.
- College of Nurses of Ontario
- Scope of practice
- Controlled acts authorized to nursing
Controlled Acts Ans✓✓✓ - Acts considered harmful if performed by
unqualified persons.
- 5 of 14 authorized to nursing when ordered
Controlled Acts for Nursing Ans✓✓✓ 1) Perform a prescribed
procedure below the dermis/mucous membrane.
2) Administer a substance by injection or inhalation
3) Put an instrument, hand or finger beyond a body orifice or artificial
opening in the body.
,4) Dispensing a drug. (NEW for RPNs)
5) Treating by means of Psychotherapy
Authorizing Mechanisms Ans✓✓✓ - Order
- Directive
Having the authority to administer a medication does not necessarily
mean it is appropriate to do so!
Order Ans✓✓✓ Written, client-specific
Directive Ans✓✓✓ Written, pre-existing orders, a group of clients
When is an order required? Ans✓✓✓ - Controlled act
- Injection or inhalation
- Below the dermis
- Instrument or hand/finger beyond body orifice
- Dispensing a drug
- Part of medical POC
- Lab tests
,- Not included within RHPA but included in other legislation (eg. X-
Ray)
Canadian Food and Drug Act Ans✓✓✓ - Primary piece of legislation
governing foods, drugs, cosmetics, and medical devices
- According to the Act, drugs must comply with official prescribed
standards
- Recognized formularies
- Various schedules
- Health Products and FoodBranch federal regulator
Open Access/Unscheduled Ans✓✓✓ Pharmacist not required, sold in
any store, used to Tx minor discomforts i.e. Tylenol
Open Access/Scheduled Ans✓✓✓ Pharmacist must be available to
answer questions, used for self-limiting problems i.e. suppositories,
ulcer medications, antihistamines
Restricted Access/Scheduled Ans✓✓✓ "BTC", dispensed by pharmacist
i.e. low dose codeine Tylenol #1
Non-Narcotic Prescription Drugs [Schedule F] Ans✓✓✓ May be
prescribed and refilled only by qualified practitioners: MD, dentist etc.
i.e. antibiotics, corticosteroids etc.
, Controlled Drugs and Substances Act (CDSA) Ans✓✓✓ - Replaced the
Narcotic Control Act in 1997.
- Provides requirements for the control and sale of narcotics, controlled
drugs, and substances of misuse
- The letter N and the symbol C are printed on the label of every narcotic
drug.
- RCMP is responsible for enforcement of the CDSA
Restrictions for Narcotics Ans✓✓✓ - Restricted possession
- Persons in possession of these drugs must ensure their security,
promptly report any loss/theft and maintain complete records of the
disposition of the drugs
- Can only be dispensed by prescription, for a specified amount of time
before reassessment
Legal Possession of Narcotics by a Nurse Ans✓✓✓ - When
administering to a client with a Dr.'s order