British Columbia Order in Council — Order under Medical Practitioners Amendments to the Rules of the College of Physicians and Surgeons of British Columbia (O.C. 1001/2000)

O.C. 1001/2000

British Columbia — Orders in Council

PROVINCE OF BRITISH COLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL Order in CouncilA10.- 1001 , Approved and Ordered JUL _ 6 2000 I Lieutenant Governor Executive Council Chambers, Victoria On the recommendation of the undersigned, the Lieutenant Governor, by and with the advice and consent of the Executive Council, orders that the amendments to the Rules of the College of Physicians and Surgeons of British Columbia, as set out in the attached resolutions of the Council of the College, dated September 22, 1999, are hereby approved. Minister of Heal -2 2---7and Minister Responsible for Seniors Presiding Member of the Executive Council (This

part is for administrative purposes only and is not part of the Order) Authority under which Order is made: Act and section:- Medical Practitioners Act,

section 5 Other (specify):- KAMPA\01Mules2.doceMarcb 13. 2000 ipalOoli 3

4 ••• .\011 BRITIS:f/LUIABIA COLLEGE OF PHYSICIANS & SURGEONS OF BRITISH COLUMBIA RESOLUTION NO. 99-155 OF THE COUNCIL OF THE COLLEGE OF PHYSICIANS & SURGEONS OF BRITISH COLUMBIA, MADE THE 22ND DAY OF SEPTEMBER, 1999 AT VANCOUVER, BRITISH COLUMBIA RESOLVED THAT, in accordance with the authority established in

section 4 of the Medical Practitioners Act, the Council amend the Rules as follows:

Part V — Practitioners' Records Rule 13 is amended by adding Rule 13(d) "(

d) a record of all narcotics and controlled drugs purchased or obtained for the physician's practice and a record of all such narcotics and controlled drugs administered or furnished to a patient in or out of the physician's office, showing: (

i) the name, strength and quantity of the drug purchased or obtained; (ii) the name, strength, dose and quantity of the drug administered or furnished; (iii) the name and address of the person to whom it was administered or furnished, and, if applicable, the name and address of the person who took delivery of the drug; and (iv) the date on which the drug was obtained and the date(

s) on which the drug was administered, furnished or otherwise disposed of. This record must be kept separate from the patient's medical record." subject to the approval of the Lieutenant Governor in Council. CERTIFIED A TRUE COPY Registrar 1807 Vas: lot i i AVENUE, VANCOUVER, B.C. V6J 2A9 1-800-461-3008 TH. (604) 733-7758 FAX (604) 733-3503

spa BRITISH COLUMBIA COLLEGE OF PHYSICIANS & SURGEONS OF BRITISH COLUMBIA RESOLUTION NUMBER 99-156 OF THE COUNCIL OF THE COLLEGE OF PHYSICIANS & SURGEONS OF BRITISH COLUMBIA, MADE THE 22ND DAY OF SEPTEMBER, 1999 AT VANCOUVER, BRITISH COLUMBIA RESOLVED THAT, in accordance with the authority established in

section 4 of the Medical Practitioners Act, the Council amend the Rules by adding

Part XXII as follows: "Part XXII — Committee on Standards of Prescribing 178.

In this Part: (a) "committee" means the Committee on Standards of Prescribing appointed by the council of the college under Rule 180; (b) "methadone program" means a college program for establishing, monitoring and enforcing standards of education and practice for members who prescribe methadone; (c) "methadone prescriber" means a member of the college authorized by the Federal Minister of Health to prescribe methadone and whose name is recorded on a list of such prescribers kept by the college. (d) "triplicate prescription" means a prescription written by a member of the college for a drug determined by the council to require such a prescription. 179.

The responsibility of the committee is to establish and administer standards of prescribing of selected drugs for members of the college and, subject only to the direction of the council or executive committee, to be responsible for the administration of the Rules in this Part. 180. The council shall appoint a committee of not less than five (5) members which shall include two members of each of the subcommittees referred to in Rule 181, and at least one (1) member of the council. A member of such committee shall serve on same at the pleasure of the council. 1807 XXI s I loll I AV! WI, VANOW ■TR, B.C.

V6J 2A9 1-800-461-3008 . (604) 733-7758 FAX (604) 733-3503

181. The committee shall be responsible for the following subcommittees (the "subcommittees"): (

a) the Advisory Committee on Prescription Review ("ACPR"); (

b) the Advisory Committee on Opiod Dependency (the "ACOD"); and (

c) such other sub-committees appointed by the council. 182. The committee shall make and keep minutes of its meetings. 183. The responsibility of the committee shall be to: (

a) oversee and co-ordinate all of the activities of the college and its members relating to standards of prescribing of drugs, including but not restricted to: (

i) setting standards and protocols, to be carried out by the ACPR, for provision of narcotic and non-narcotic prescriptions and education of members of the college; (ii) setting standards and protocols, to be carried out by the ACOD, for the prescribing of methadone and the education of methadone prescribers. (

b) reporting to the council on the activities of the committee and the subcommittees. ADVISORY COMMITTEE ON PRESCRIPTION REVIEW ("ACPR") 184. The ACPR shall be a subcommittee of the committee. The ACPR shall be appointed by the council and consist of not less than six members. A member of the ACPR shall serve on same at the pleasure of the council. 185. The purpose of the ACPR is to monitor the prescription of selected drugs by members of the college and to provide education to members in order to encourage appropriate prescribing practices by members of the college. 186. The ACPR shall make and keep minutes of its meetings. 187. The responsibility of the ACPR shall include the following: (

a) to review and monitor selected drugs requiring the use of a triplicate prescription and selected drugs not requiring a triplicate prescription and provide guidance to members of the college; 2

(

b) to identify and review prescribing concerns and with respect to such concerns it may: (

i) attempt to resolve the concern with the member of the college by providing recommendations to the member; (ii) where a concern is not resolved with the member of the college, or for any other reason at any time refer the matter to the executive committee or council with any recommendation it sees fit to make; (

c) with respect to any matter resolved by the ACPR under Rule 187(b)(i): (

i) it shall inform the member of its opinion; (ii) it may make recommendations to a member with respect to the member's prescribing of drugs; and (iii) it may, through the registrar, cause its opinion or decision on a matter of general application to the profession to be communicated to the members of the college without identifying the member of the college. (

d) to provide educational guidance to members of the college by: (

i) identifying members of the college who could benefit from such educational guidance; and (ii) providing seminars to educate members on the appropriate prescribing of selected drugs. (

e) to review and make recommendations to the committee regarding standards and protocols. 188. Every member of the college shall co-operate fully with the ACPR. The co-operation required of a member includes: (

a) providing information requested by the ACPR; and (

b) attending to be interviewed by the ACPR if requested to do so. 189. Every member shall provide, on a triplicate prescription, the information as determined by the ACPR from time to time. 3

ADVISORY COMMITTEE ON OPIOD DEPENDENCY ("ACOD") 190. The ACOD shall be a subcommittee of the committee. The ACOD shall be appointed by the council and consist of not less than six members A member of the ACOD shall serve on same at the pleasure of the council. 191. The purpose of the ACOD is to set guidelines for the college's support of the authorization of a member of the college to prescribe methadone and for the appropriate prescribing of methadone. 192. The ACOD shall make and keep minutes of its meetings. 193. The responsibility of the ACOD shall include the following: (

a) to monitor and supervise the methadone program; (

b) to recommend to the Federal Minister of Health the approval or withdrawal of approval of members of the college as methadone prescribers; (

c) to establish guidelines for: (

i) the education of methadone prescribers or applicants seeking authorization to become a methadone prescriber; (ii) methadone prescribers to use to determine a patient's suitability for admission to the methadone program; (iii) the audit of the practice of a methadone prescriber; (

d) to maintain a list of methadone prescribers and of patients receiving methadone and from whom they receive methadone, along with such other information as specified by the ACOD from time to time; (

e) to review and make recommendations to the committee regarding standards and protocols. 194. The following provisions shall govern recommendations to the Federal Minister of Health concerning a member's authorization to become a methadone prescriber: (

a) the member shall apply, to the ACOD, in the written form specified by the ACOD for the college's support of authorization to be a methadone prescriber; (h► upon receipt of an application which conforms with the requirements of the ACOD, a member of the ACOD or its designate shall interview the member 4

regarding the member's knowledge and experience in the field of narcotic addiction treatment; (

c) the member must successfully complete a preceptorship program with a preceptor chosen by the ACOD and submit written confirmation in the form specified by the ACOD; (

d) the member must attend a seminar approved by the ACOD for methadone prescribers; (

e) the member must undertake to complete 12 hours of education that is acceptable to the ACOD and to do so in the first year after being authorized by the Federal Minister of Health to be a methadone prescriber; (

f) the member must establish and maintain methods of urine collection and testing which are acceptable to the ACOD; (

g) the member must have provided any additional undertakings specified by the ACOD with respect to his or her practice; (

h) the ACOD may decide in its discretion to recommend that a member be a methadone prescriber when all of the above requirements have not been met if it is satisfied that the member will meet the requirements by a time specified by the ACOD; 195. A decision of the ACOD refusing to recommend to the Federal Minister of Health that a member be authorized to prescribe methadone may be appealed to the ACOD within 30 days of the date of the decision. 196. The ACOD may recommend to the Federal Minister of Health that a member's authorization as a methadone prescriber be revoked if, by the first anniversary date of the member becoming a methadone prescriber: (

a) the member has not completed the education requirements established by the ACOD; (

b) the member does not agree to allow the ACOD to perform an audit of the member's methadone practice; or (

c) the ACOD determines, in its discretion, that the member should not be a methadone prescriber; 5

197. At any time, the ACOD, in its discretion, may recommend to the Federal Minister of Health that a member's authorization as a methadone prescriber be revoked. 198. Prior to the ACOD making a recommendation to the Federal Minister of Health as provided for in Rule 196 or 197, the ACOD will give to the member 30 days notice of its intention to act under such Rule and notice of the member's right to seek a review of the intended decision by the ACOD within 30 days of the date of the notice." subject to the approval of the Lieutenant Governor in Council. CERTIFIED A TRUE COPY ) /'' /_.4.r,,,..j Wzgistrar 6

Document details

Collection	British Columbia — Orders in Council
Citation	O.C. 1001/2000
Type	order_in_council
Volume / chapter	arc oic 1001 2000
Language	en
Format	pdf
Source	PROVINCIAL
Identifier	44fea27f7577ac6a3a9afccc832f05d2ca1b9563

Source file is stored in the law ingest library (pdf).