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:
- conditions before delegating,
- making and recording a delegation,
- contents of the record of delegation,
- restriction on delegation of communicating a diagnosis, and
- restriction on delegation of acupuncture.
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.
Making and Recording a Delegation
The delegation of a controlled act may be made orally or in writing.
A Member who delegates a controlled act shall:
- Ensure that a written record of the particulars of the delegation is available in the place where the controlled act is to be performed before it is performed,
- Ensure that a written record of the particulars of the delegation, or a copy of the record, is placed in the patient's record at the time the delegation takes place or within a reasonable period of time afterwards, or
- Records the particulars of the delegation in the patient record either at the time the delegation takes place or within a reasonable period of time afterwards.
- Ensure that a copy of the communication plan is part of the written record.
Contents of the Record of a Delegation
Any record of the particulars of a delegation must include:
- The date of the delegation
- The delegator's name, if the controlled act was delegated to the Member,
- The delegate's name, if the controlled act was delegated by the Member, and
- The conditions, if any, applicable to the delegation.
Restriction on Delegation of Communicating a Diagnosis
It is a standard of practice of the profession that a Member shall not delegate the controlled act of communicating a naturopathic diagnosis identifying, as the cause of an individual's symptoms, a disease, disorder or dysfunction that may be identified through an assessment that uses naturopathic techniques.
Restriction on Delegation of Acupuncture
A Member is prohibited from delegating the performance of acupuncture to another individual. This is due to the fact that naturopaths are only allowed to perform the controlled act by an exemption, and such exemptions cannot be delegated.