34. (1) For the purposes of paragraph 2 of subsection 4 (1) of the Act, a member referred to in subsection (2) who meets all the requirements in subsection (3) is authorized to perform the following acts: 1.  Administering a substance specified in Schedule 1 by injection to a patient. 2.  Administering a substance specified in Schedule 2 by inhalation to a patient. O. Reg. 452/16, s. 1 (1). (2) A Part A pharmacist, an intern or a registered pharmacy student is authorized to perform an act provided for in subsections (1), (4) and (5), subject to the terms, conditions and limitations imposed on his or her certificate of registration. O. Reg. 302/12, s. 1; O. Reg. 452/16, s. 1 (2). (2.1) A pharmacy technician is authorized to perform an act provided for in subsection (4.1), subject to the terms, conditions and limitations imposed on their certificate of registration. O. Reg. 766/21, s. 1. (3) A member may only perform an act provided for in subsection (1) if he or she complies with the following: 1.  Before performing the act, the member must receive an informed consent from the patient or the patient’s authorized agent. i.  must explain that purpose to the patient or his or her authorized agent, and ii.  must receive an informed consent from the patient or his or her authorized agent. 2.  The member shall ensure that he or she only performs the act in an environment that is clean, safe, private and comfortable for the patient. 3.  The member shall ensure that appropriate infection control procedures are in place. 4.  The member must possess sufficient knowledge, skill and judgment respecting the substance to be administered, and sufficient understanding of the condition of the patient, to be able to administer the substance safely. 5.  The member must consider whether administering a substance by injection or inhalation to the patient is appropriate, given the known risks and benefits to the patient and the safeguards and resources available to safely manage the outcome after administration and any other relevant circumstances. 6.  The member must maintain a patient record that includes, i.  the name and address of the patient, ii.  the name and address of the member, iii.  the date the act was performed, iv.  the name, strength (where applicable) and quantity of the substance that the member administered to the patient, v.  the circumstances relating to the administration of the substance to the patient and any adverse reaction experienced by the patient, and vi.  confirmation that an informed consent was given by the patient or his or her authorized agent. 7.  Where administering a substance specified in Schedule 1 by injection to a patient through an established central or peripheral venous access device, the member must only do so in collaboration with a member of the College of Nurses of Ontario who is a registered nurse in the extended class or a member of the College of Physicians and Surgeons of Ontario. 8.  Where the act is performed for a purpose other than that of patient education or demonstration the member must, within a reasonable time after performing the act, notify the following persons that the member performed the act, and provide details respecting the act: i.  The prescriber, if any, of the substance that was administered. ii.  The patient’s primary care provider, where the member knows that the patient has such a care provider other than the prescriber. O. Reg. 302/12, s. 1; O. Reg. 95/23, s. 1 (1, 2). (3.1) Where a limitation or a route of administration is indicated with respect to a substance listed in Schedule 1, a member shall only administer the substance in compliance with the limitation and in accordance with the route of administration specified. O. Reg. 95/23, s. 1 (3). (4) For the purposes of paragraph 2 of subsection 4 (1) of the Act, a member referred to in subsection (2) is authorized to administer influenza vaccine by injection to a patient who is two years of age or older, if the member, (a)  administers the vaccine in accordance with Ontario’s Universal Influenza Immunization Program as described on the Ministry’s website; (b)  receives an informed consent from the patient or his or her authorized agent; and (c)  meets all the requirements in paragraphs 2 to 6 of subsection (3). O. Reg. 302/12, s. 1; O. Reg. 452/16, s. 1 (3); O. Reg. 742/20, s. 1. (4.1) For the purpose of paragraph 2 of subsection 4 (1) of the Act, a member referred to in subsection (2.1) is authorized to administer influenza vaccine by injection to a patient who is two years of age or older, if the member, (a)  administers the vaccine in accordance with Ontario’s Universal Influenza Immunization Program as described on the Ministry’s website; (b)  possesses sufficient knowledge, skill and judgment to be able to administer the influenza vaccine safely; (c)  meets all the requirements in paragraphs 2, 3 and 6 of subsection (3); and (d)  has confirmed that a member referred to in subsection (2), or another regulated health professional authorized to administer the influenza vaccine by injection, has, (i)  received an informed consent from the patient or the patient’s authorized agent, (ii)  a sufficient understanding of the influenza vaccine and condition of the patient for the influenza vaccine to be administered safely, and (iii)  considered whether administering the influenza vaccine by injection to the patient is appropriate, given the known risks and benefits to the patient and the safeguards and resources available to safely manage the outcome and any other relevant circumstances. O. Reg. 766/21, s. 1. (5) For the purposes of paragraph 2 of subsection 4 (1) of the Act, a member referred to in subsection (2) is authorized to administer a vaccine from one of the vaccines specified in Schedule 3 by injection to a patient who is five years of age or older, if the member, (a)  receives an informed consent from the patient or his or her authorized agent; (b)  meets all the requirements in paragraphs 2 to 6 of subsection (3); and (c)  notifies the patient’s primary care provider (if any) within a reasonable time that the member administered a vaccine to the patient and provides details respecting the administration. O. Reg. 452/16, s. 1 (4).