Administration of drugs
 140. (1) Every licensee of a long-term care home shall ensure that no drug is used by or administered to a resident in the home unless the drug has been prescribed for the resident. O. Reg. 246/22, s. 140 (1). (2) The licensee shall ensure that drugs are administered to residents in accordance with the directions for use specified by the prescriber. O. Reg. 246/22, s. 140 (2). (3) Subject to subsections (4) and (6), the licensee shall ensure that no person administers a drug to a resident in the home unless, (a)  where the administration involves the performance of a controlled act under subsection 27 (2) of the Regulated Health Professions Act, 1991, the person is authorized to administer the drug by virtue of a health profession Act, the Regulated Health Professions Act, 1991 or any relevant regulation; or (b)  where the administration does not involve the performance of a controlled act under subsection 27 (2) of the Regulated Health Professions Act, 1991, the person is, (i)  a member of a regulated health profession and is acting within their scope of practice, or (ii)  a personal support worker who has received training in the administration of drugs in accordance with written policies and protocols developed under subsection 123 (2), who, in the reasonable opinion of the licensee, has the appropriate skills, knowledge and experience to administer drugs in a long-term care home, who has been assigned to perform the administration by a member of the registered nursing staff of the long-term care home and is under the supervision of that member in accordance with any practice standards and guidelines issued by the College of Nurses of Ontario, and who, (A)  meets the requirements set out in subsection 52 (1) or who is described in subsection 52 (3), or (B)  is an internationally trained nurse who is working as a personal support worker. O. Reg. 66/23, s. 28 (1). (4) A member of the registered nursing staff may permit a nursing student to administer drugs to residents if, (a)  the licensee has verified with the Ontario post-secondary institution that offers the nursing educational program in which the nursing student is enrolled that they have received education or training about the administration of drugs as part of the program; (b)  the nursing student has been trained by a member of the registered nursing staff in the written policies and protocols for the medication management system referred to in subsection 123 (2); (c)  the member of the registered nursing staff who is permitting the administration is satisfied that the nursing student can safely administer drugs; and (d)  the nursing student administers the drugs under the supervision of the member of the registered nursing staff. O. Reg. 66/23, s. 28 (1). (5) For greater certainty, where the administration of a drug to a resident involves a controlled substance, a person may only administer the drug in compliance with any applicable requirements, restrictions or limitations under the Controlled Drugs and Substances Act (Canada) or the Food and Drugs Act (Canada). O. Reg. 66/23, s. 28 (1). (6) The licensee shall ensure that no resident administers a drug to themself unless the administration has been approved by the prescriber in consultation with the resident. O. Reg. 246/22, s. 140 (6). (7) Where a resident of the home may administer a drug to themself under subsection (6), the licensee shall ensure that there are written policies to ensure that the residents who do so understand, (a)  the use of the drug; (b)  the need for the drug; (c)  the need for monitoring and documentation of the use of the drug; and (d)  the necessity for safekeeping of the drug by the resident where the resident is permitted to keep the drug on their person or in their room under subsection (8). O. Reg. 246/22, s. 140 (7); O. Reg. 66/23, s. 28 (2). (8) The licensee shall ensure that no resident who may administer a drug to themself under subsection (6) keeps the drug on their person or in their room except, (a)  as authorized by a physician, registered nurse in the extended class or other prescriber who attends the resident; and (b)  in accordance with any conditions that are imposed by the physician, the registered nurse in the extended class or other prescriber. O. Reg. 246/22, s. 140 (8); O. Reg. 66/23, s. 28 (3). (9) In this section, “internationally trained nurse” means an individual who, (a)  has been trained in a country other than Canada to practice the profession of nursing, and (b)  has held a certificate, licence, registration or other form of official recognition that authorized the individual to practice the profession of nursing in a country other than Canada, and that was granted to the individual by a body authorized in that jurisdiction to grant such a certificate, licence, registration or other form of official recognition. (“infirmière ou infirmier formé à l’étranger”) “nursing student” means a person who is, (a)  enrolled in an educational program, the successful completion of which meets the educational requirements for the issuance of a certificate of registration as a registered nurse or registered practical nurse as set out in the regulations made under the Nursing Act, 1991, and (b)  working in the long-term care home as part of the clinical placement requirement of the educational program described in clause (a) pursuant to an agreement between the licensee and the Ontario post-secondary institution that offers the educational program. (“étudiante infirmière ou étudiant infirmier”) O. Reg. 246/22, s. 140 (9); O. Reg. 66/23, s. 28 (4-6). (10) Revoked: O. Reg. 66/23, s. 28 (7).