list of controlled acts

a list of controlled acts is set out in section 27 of the regulated health professions act

27(2) a "controlled act" is any one of the following done with respect to an individual:

1. communicating to the individual or his or her personal representative a diagnosis identifying a disease or disorder as the cause of symptoms of the individual in circumstances in which it is reasonably foreseeable that the individual or his or her personal representative will rely on the diagnosis.

2. performing a procedure on tissue below the dermis, below the surface of a mucous membrane, in or below the surface of the cornea, or in or below the surfaces of the teeth, including the scaling of teeth.

3. setting or casting a fracture of a bone or a dislocation of a joint.

4. moving the joints of the spine beyond the individual's usual physiological range of motion using a fast, low amplitude thrust.

5. administering a substance by injection or inhalation.

6. putting an instrument, hand or finger,

i. beyond the external ear canal,

ii. beyond the point in the nasal passages where they normally narrow,

iii. beyond the larynx,

iv. beyond the opening of the urethra,

v. beyond the labia majora,

vi. beyond the anal verge, or

vii. into an artificial opening into the body.

7. applying or ordering the application of a form of energy prescribed by the regulations under this act.

8. prescribing, dispensing, selling or compounding a drug as defined in subsection 117(1) of the drug and pharmacies regulation act, or supervising the part of a pharmacy where such drugs are kept.

9. prescribing or dispensing, for vision or eye problems, subnormal vision devices, contact lenses or eye glasses other than simple magnifiers.

10. prescribing a hearing aid for a hearing impaired person.

11. fitting or dispensing a dental prosthesis, orthodontic or periodontal appliance or a device used inside the mouth to protect teeth from abnormal functioning.

12. managing labour or conducting the delivery of a baby.

13. allergy challenge testing of a kind in which a positive result of the test is a significant allergic response.

the nursing act, 1991 sets out which "controlled acts" nurses may perform:

4. in the course of engaging in the practice of nursing, a member is authorized, subject to the terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:

1. performing a prescribed procedure below the dermis or a mucous membrane.

2. administering a substance by injection or inhalation.

3. putting an instrument, hand or finger,

i. beyond the external ear canal,

ii. beyond the point in the nasal passages where they normally narrow,

iii. beyond the larynx,

iv. beyond the opening of the urethra,

v. beyond the labia majora,

vi. beyond the anal verge, or

vii. into an artificial opening into the body.

5. (1) a member shall not perform a procedure under the authority of section 4 unless,

(a) the performance of the procedure by the member is permitted by the regulations and the member performs the procedure in accordance with the regulations; or

(b) the procedure is ordered by a person who is authorized by the chiropody act, 1991, dentistry act, 1991, medicine act, 1991 or midwifery act, 1991 to do the procedure.

it is grounds for misconduct to perform a procedure without proper authorisation

(2) in addition to the grounds set out in subsection 51(1) of the health professions procedural code, a panel of the discipline committee shall find that a member has committed an act of professional misconduct if the member contravenes subsection (1).