I-8, r. 2 - Regulation respecting the professional activities which may be performed by persons other than nurses

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SCHEDULE I
(s. 5)
PROFESSIONAL ACTIVITIES THAT MAY BE PERFORMED BY A NURSING EXTERN
(1) Apply the following invasive measures for the maintenance of therapeutic equipment:
(1.1) irrigate a nasogastric tube;
(1.2) irrigate a nasoduodenal tube;
(1.3) irrigate a gastrostomy tube;
(1.4) irrigate a jejunostomy tube;
(1.5) maintain an indwelling urinary drainage system;
(1.6) give tracheostomy care.
(2) Take the following samples, according to a prescription:
(2.1) blood;
(2.2) urine;
(2.3) stool;
(2.4) wound exsudate;
(2.5) tracheal secretions;
(2.6) gastric secretions;
(2.7) vaginal secretions.
(3) Provide care and treatment related to the wounds and alterations of the skin and integuments, according to a prescription or according to the nursing treatment plan, in the following cases:
(3.1) do an aseptic dressing, including a drain or packing;
(3.2) apply a dressing to prevent and treat pressure lesions (stages 1 and 2);
(3.3) remove staples and sutures;
(3.4) provide intestinal stomy care (colostomy, ileostomy);
(3.5) provide care around the periphery of a gastrostomy, jejunostomy, cystostomy and nephrostomy tube.
(4) Check neurological, neurovascular and vital signs.
(5) Mix substances to complete the preparation of a medication, according to a prescription.
(6) Administer, according to the indicated route, the following medication or substances, when they are prescribed and, in the case of PRN medication, when the patient’s state has been assessed by a nurse beforehand:
(6.1) oxygen, via the respiratory tract;
(6.2) a medication or substance other than a serum, a medication related to a research protocol, a substance related to allergy tests or a subcutaneous anesthetic substance:
(6.2.1) by oral and sublingual route;
(6.2.2) by nasogastric and gastrostomy tube if the tube is in place;
(6.2.3) by nasal, ophthalmic and otic route;
(6.2.4) by topical route;
(6.2.5) by vaginal and rectal route;
(6.2.6) by intradermal, subcutaneous and intramuscular route, after verification by a nurse;
(6.2.7) by respiratory tract;
(6.3) a drug or other controlled substance, by oral, rectal, intradermal, transdermal, subcutaneous and intra-muscular route, after verification by a nurse.
(7) Take part in the vaccination procedure forming part of a vaccination operation under the Public Health Act (chapter S-2.2).
(8) Provide the following medical treatments, according to a prescription:
(8.1) install a nasogastric tube;
(8.2) perform a gastric residue;
(8.3) administer enteric feeding;
(8.4) perform aspiration of nasopharyngeal secretions;
(8.5) install, change or remove a urinary catheter;
(8.6) perform a bladder catheterization;
(8.7) monitor an irrigation of the bladder;
(8.8) give an enema;
(8.9) give a colostomy enema;
(8.10) install a butterfly needle for an intermittent subcutaneous injection or for a perfusion by subcutaneous route;
(8.11) install a short peripheral intravenous catheter measuring less than 7.5 cm;
(8.12) administer an intravenous solution without additives, using a short peripheral intravenous catheter measuring less than 7.5 cm, when the solution has been checked beforehand by a nurse;
(8.13) install and irrigate with an isotonic solution a short, intermittent injection, peripheral intravenous catheter measuring less than 7.5 cm.
O.C. 551-2010, Sch. I; 332-2016O.C. 332-2016, s. 5.
SCHEDULE I
(s. 5)
PROFESSIONAL ACTIVITIES THAT MAY BE PERFORMED BY A NURSING EXTERN
(1) Apply the following invasive measures for the maintenance of therapeutic equipment:
(1.1) irrigate a nasogastric tube;
(1.2) irrigate a nasoduodenal tube;
(1.3) irrigate a gastrostomy tube;
(1.4) irrigate a jejunostomy tube;
(1.5) maintain an indwelling urinary drainage system;
(1.6) give tracheostomy care.
(2) Take the following samples, according to a prescription:
(2.1) blood;
(2.2) urine;
(2.3) stool;
(2.4) wound exsudate;
(2.5) tracheal secretions;
(2.6) gastric secretions;
(2.7) vaginal secretions.
(3) Provide care and treatment related to the wounds and alterations of the skin and integuments, according to a prescription or according to the nursing treatment plan, in the following cases:
(3.1) do an aseptic dressing, including a drain or packing;
(3.2) apply a dressing to prevent and treat pressure lesions (stages 1 and 2);
(3.3) remove staples and sutures;
(3.4) provide intestinal stomy care (colostomy, ileostomy);
(3.5) provide care around the periphery of a gastrostomy, jejunostomy, cystostomy and nephrostomy tube.
(4) Check neurological, neurovascular and vital signs.
(5) Mix substances to complete the preparation of a medication, according to a prescription.
(6) Administer, according to the indicated route, the following medication or substances, when they are prescribed and, in the case of PRN medication, when the patient’s state has been assessed by a nurse beforehand:
(6.1) oxygen, via the respiratory tract;
(6.2) a medication or substance other than a serum, a medication related to a research protocol, a substance related to allergy tests or a subcutaneous anesthetic substance:
(6.2.1) by oral and sublingual route;
(6.2.2) by nasogastric and gastrostomy tube if the tube is in place;
(6.2.3) by nasal, ophthalmic and optic route;
(6.2.4) by topical route;
(6.2.5) by vaginal and rectal route;
(6.2.6) by intradermal, subcutaneous and intramuscular route, after verification by a nurse;
(6.2.7) by respiratory tract;
(6.3) a drug or other controlled substance, by oral, rectal, intradermal, transdermal, subcutaneous and intra-muscular route, after verification by a nurse.
(7) Take part in the vaccination procedure forming part of a vaccination operation under the Public Health Act (chapter S-2.2).
(8) Provide the following medical treatments, according to a prescription:
(8.1) install a nasogastric tube;
(8.2) perform a gastric residue;
(8.3) administer enteric feeding;
(8.4) perform aspiration of nasopharyngeal secretions;
(8.5) install, change or remove a urinary catheter;
(8.6) perform a bladder catheterization;
(8.7) monitor an irrigation of the bladder;
(8.8) give an enema;
(8.9) give a colostomy enema;
(8.10) install a butterfly needle for an intermittent subcutaneous injection or for a perfusion by subcutaneous route;
(8.11) install a short peripheral intravenous catheter measuring less than 7.5 cm;
(8.12) administer an intravenous solution without additives, using a short peripheral intravenous catheter measuring less than 7.5 cm, when the solution has been checked beforehand by a nurse;
(8.13) install and irrigate with an isotonic solution a short, intermittent injection, peripheral intravenous catheter measuring less than 7.5 cm.
O.C. 551-2010, Sch. I.