(Direct Orders and Medical Directives)
Of the five controlled acts authorized to RTs via the RTA, three require additional authorizing mechanisms such as direct orders or medical directive.
Table 4: Authorizing Mechanisms
|RTA||DIRECT ORDER/MEDICAL DIRECTIVE REQUIRED?|
|#1. Performing a prescribed procedure below the dermis.||Yes|
|#2. Intubation beyond the point in the nasal passages where they normally narrow or beyond the larynx.||Yes|
|#3. Suctioning beyond the point in the nasal passages where they normally narrow or beyond the larynx.||No|
|#4. Administering a substance by injection or inhalation.||Yes|
|#5. Administering a prescribed substance by inhalation.||No|
The RTA s 5(1) states RTs are only permitted to accept a direct order/medical directive from one of the following regulated health care professionals:
a member of the College of Physicians and Surgeons of Ontario, the College of Midwives of Ontario or the Royal College of Dental Surgeons of Ontario;
a member of the College of Nurses of Ontario who holds an extended certificate of registration under the Nursing Act, 1991; or
a member of a health profession that is prescribed by regulation.
Additional information on authorizing mechanisms can be found in the CRTO’s Orders for Medical Care PPG.