Medical and Related or Ancillary Services
15. (1) In this section and section 16, “attending physician” means a legally qualified medical practitioner other than the physician for a charitable institution who is appointed under section 14. R.R.O. 1990, Reg. 69, s. 15 (1). (2) The physician appointed under subsection 14 (1) is responsible for the medical care provided for or administered to the residents of the charitable institution. O. Reg. 63/03, s. 3 (1). (2.1) All medications and drugs provided for or used in the charitable institution are subject to the approval of the physician appointed under subsection 14 (1) or a registered nurse in the extended class appointed under subsection 14 (6). O. Reg. 63/03, s. 3 (1). (2.2) A registered nurse in the extended class appointed under subsection 14 (6) is responsible for the care provided to or administered to the residents of the charitable institution that is within the competence of a registered nurse in the extended class. O. Reg. 63/03, s. 3 (1). (3) At least once a year, or at such other more frequent intervals as the board requires, the physician for the institution shall submit to the board and to the Director, a report summarizing the general health conditions of the residents, the medical, nursing, activational and other therapeutic services provided to them and shall include in the report any recommendations that he or she considers necessary to ensure proper conditions of health and an adequate state of well-being for all residents. R.R.O. 1990, Reg. 69, s. 15 (3). (4) The physician for the institution, a registered nurse in the extended class or the attending physician retained under subsection (4.2) shall, (a) ensure that the sanitary conditions in the institution are inspected at least once a month; (b) report on such inspections to the board; and (c) take any steps that he or she considers necessary to ensure that any of his or her recommendations for the correction of any unsanitary condition is carried out. (d) Revoked: O. Reg. 334/04, s. 1. R.R.O. 1990, Reg. 69, s. 15 (4); O. Reg. 63/03, s. 3 (2); O. Reg. 334/04, s. 1. (4.1) Clauses (4) (a), (b) and (c) do not apply to approved charitable homes for the aged. O. Reg. 371/94, s. 5. (4.2) A resident, or the person who is lawfully authorized to make a decision on behalf of the resident concerning the resident’s personal care, may retain an attending physician to attend the resident and provide the resident with medical care. O. Reg. 63/03, s. 3 (3). (4.3) A resident, or the person who is lawfully authorized to make a decision on behalf of the resident concerning the resident’s personal care, may retain a registered nurse in the extended class to attend the resident and provide the resident with care. O. Reg. 63/03, s. 3 (3). (4.4) The registered nurse in the extended class retained under subsection (4.3) shall comply with the “Standards for Consultation with Physicians by RN(EC)s” including “Collaboration” set out in the publication of the College of Nurses of Ontario entitled “Standards of Practice for Registered Nurses who hold an extended class certificate of registration” as amended from time to time. O. Reg. 63/03, s. 3 (3). (5) The physician for the institution shall attend and prescribe medication or treatment for any resident who has no attending physician of his or her own or who requests that the services of the physician for the institution be made available to him or her. R.R.O. 1990, Reg. 69, s. 15 (5). (5.1) Any registered nurse in the extended class appointed under subsection 14 (6) shall attend and prescribe medication or treatment for any resident who requests his or her services. O. Reg. 63/03, s. 3 (4). (6) At least once a year, each resident of the institution shall be given a complete physical examination by the physician for the institution, the attending physician or a registered nurse in the extended class. O. Reg. 63/03, s. 3 (5). (7) One of the persons mentioned in subsection (6) shall make a detailed written report of the results of each physical examination of a resident and any recommendations pertaining to the examination, and the report shall be retained along with other records of the resident for at least 20 years after the last entry in the records with respect to the resident or, where the resident dies, for at least five years after the death of the resident. O. Reg. 63/03, s. 3 (5). (8) A resident shall be given any special diet that may be directed by the physician for the institution, the attending physician or a registered nurse in the extended class. O. Reg. 63/03, s. 3 (5).