Delegating a Controlled Act


When delegating a controlled act, to another regulated health professional or someone else, naturopaths must follow the rules in Part III (Delegation) of the General Regulation. The following summarizes the requirements around:
  • responsibility;
  • conditions before delegating;
  • making and recording a delegation;
  • contents of the record of delegation; and
  • restriction on delegation of communicating a diagnosis.

Responsibility


A naturopath who delegates the performance of a controlled act to another individual, whether or not that individual belongs to another regulated health profession, is responsible for the decision to delegate. This means the delegating naturopath must have met all of the conditions for making a delegation.

Conditions before Delegating


Before delegating any controlled act, a naturopath must ensure that he or she has:
  • The authority under the Act to perform the controlled act.
  • The knowledge, skill and judgment to perform the controlled act safely and ethically.
  • A naturopath-patient relationship with the person on whom the controlled act will be performed.
  • Considered whether the delegation is appropriate and serves the patient’s best interests and needs.
  • Taken reasonable steps to ensure sufficient safeguards and resources are available to the person receiving the delegation. The delegating naturopath must be satisfied that the controlled act may be performed safely and ethically.
  • Considered whether to attach any conditions to ensure the controlled act may be performed safely and ethically, and has made the delegation subject to any necessary conditions.
  • Put in place a communication plan with the person receiving the delegation, covering the management of any adverse events that may occur as a result of the delegation.
  • Taken reasonable steps to ensure, and is satisfied that, the person receiving the delegation has the knowledge, skill and judgment to perform the controlled act. If the person receiving the delegation is a member of a regulated health profession, they must have a professional relationship with the patient.  If the person receiving the delegation is not a member of another regulated health profession, the delegating naturopath also must ensure that the act is appropriate for the patient.