Bill 1250 — Pharmacy Act, 2012 (47th General Assembly, 1st Session)
Bill 1250
Newfoundland and Labrador — Bills
First
Session, 47th General Assembly
Elizabeth II, 2012
BILL 50
AN ACT TO REGULATE THE
PRACTICE OF PHARMACY
Received and Read the First Time ...................................................................................................
Second Reading .................................................................................................................................
Committee ............................................................................................................................................
Third Reading .....................................................................................................................................
Royal Assent ......................................................................................................................................
HONOURABLE
SUSAN SULLIVAN
Minister of Health and Community Services
Ordered
to be printed by the Honourable House of Assembly
EXPLANATORY NOTES
This Bill would repeal and substitute
the Pharmacy Act . The Bill would
change the composition of the
board to include the Dean of the School
of Pharmacy of Memorial University ,
a pharmacy technician elected by pharmacy technicians and 2 members appointed
by the board to represent the public interest;
allow the board to regulate
pharmacy technicians;
allow the board to register
interns;
allow pharmacy students and
interns to perform, under the supervision of a pharmacist, tasks within the
scope of practice of a pharmacist;
require the board to maintain a
website and prescribe the information to be contained on the website;
establish a quality assurance
program that includes continuing education and professional development; and
incorporate quality assurance
measures by authorizing the appointment of a quality assurance committee to
perform quality assurance reviews, and by requiring compliance with those reviews.
A BILL
AN ACT TO REGULATE THE PRACTICE
OF PHARMACY
Analysis
Short title
Definitions
Non-application of Act
PART
ASSOCIATION
Association continued
PART
LICENSING BOARD
Licensing board
Appointed members
Objects
Meetings of the board
Annual report
Fees
By-laws
Committees
Website
PART
III
REGISTRATION, ADMISSION AND
EXAMINATION
Registration of pharmacists
Registration of interns
Registration of students
Pharmacy technicians
Registration renewal
Registers
Entry on register
Certificate of registration
Proof of registration
Pharmacy licence
PART
PRACTICE
Members only to use designation
Prohibition
Out of province prescriptions
Display of licence
Responsibility
Hospital pharmacy
Cessation of operation
Protection from liability
Disclosure of information
Notices
Compliance with request for information
PART
DISCIPLINE
Definitions
Committees
Allegation
Effect of filing allegation
Complaints authorization committee
Adjudication tribunal
Hearing
Copies of books, etc. as evidence
Guilty plea by respondent
Powers of adjudication tribunal
Filing and publication of decisions
De-registration and suspension
Failure to comply
Supplementary hearing
Costs of the board
Collection of fine
Appeal to Trial Division
PART
QUALITY ASSURANCE
Quality assurance program
Quality assurance committee
Assessment
Report and compliance
Costs
Termination of review
Duty to report
PART
VII
GENERAL
Regulations
Contravention
Actions
Offence and penalties
PART
VIII
TRANSITIONAL, CONSEQUENTIAL, REPEAL AND COMMENCEMENT
Transition
SNL2011 cM-4.02 Amdt.
SNL2008 cP-7.01 Amdt.
SNL2006 cP-12.01 Amdt.
SNL1993 cT-4.1 Amdt.
SNL1994 cP-12.1 Rep.
Commencement
Be it enacted by the Lieutenant-Governor and
House of Assembly in Legislative Session convened, as follows:
Short title
1. This
Act may be cited as the Pharmacy Act,
Definitions
2. In
this Act
(a) "association" means the Pharmacists'
Association of Newfoundland and Labrador Inc. referred to in
section 4;
(b) "board" means the Newfoundland and Labrador Pharmacy Board
referred to in
section 5;
(c) "certificate" means a certificate of
registration issued under this Act;
(d) "department" means the department presided
over by the minister;
(e) "dispense" means to provide a
substance or item ordered by prescription but does not include the
administration of that substance or item to a person or animal;
(f) "drug" means a substance or
combination of substances used or intended to be used to diagnose, treat,
mitigate or prevent disease, disorder or an abnormal physical or mental state
or a symptom of them, or to restore, correct or modify organic functions in
humans or animals, including those substances or combinations of substances
listed or referred to in the regulations;
(g) "hospital" means a hospital operated by a regional health authority under the
Regional Health Authorities Act;
(h) "licence" means a licence issued
under
section 23;
(i) "member" means a person elected or
appointed as a member of the board;
(j) "minister" means the minister
appointed under the Executive Council Act to administer this Act;
(k) "pharmacist" means a person
registered under
section 14;
(l) "pharmacy" means that portion of a
place of business, shop, store or other location including that portion of a
hospital, institution or retail operation, compounding or re-packaging
facility, where scheduled drugs are, or were, prepared, compounded, dispensed
or sold or where the practice of pharmacy is or was carried out;
(m) "pharmacy technician" means a person
registered under
section 17;
(n) "practice of pharmacy" means
(
i) promoting the health, prevention and treatment
of diseases, disorders and dysfunctions through monitoring and management of
drug therapy,
(ii) assisting and advising patients by
contributing drug and non-drug therapy knowledge on drug and non-drug therapy
selection and use,
(iii) compounding, preparing, dispensing, administering
and selling drugs,
(iv) supervising and managing drug distribution systems
to maintain public safety and drug system security, and
(
v) conducting or collaborating in health-related
research
and includes teaching, consulting or advising
in the areas of pharmaceutical services, education, policy or research by a
person registered under this Act;
(o) "prescription" means an instruction,
directing that a drug be dispensed to or for a person or animal, given orally, in
writing or by an electronic means approved by the board by a person authorized
to do so by
an Act of the province or by a prescriber referred to in
section
26;
(p) "registrar" means the person
appointed as registrar by the board under
section 5;
(q) "scheduled drug" means a drug or
device listed in the
schedule to the regulations;
(r) "sell" means, directly or
indirectly, upon a pretence or by any means, to barter, distribute, give or
deliver, whether or not for consideration, including attempting to sell,
barter, give or deliver and offering, advertising, exposing or keeping for
sale; and
(s) "standards of practice" means the
minimal professional practice expectations for a registered pharmacy student,
intern, pharmacy technician or pharmacist in any setting or role, approved by the
board, including standards of practice and practice policies adopted by the
board or otherwise inherent in the pharmacy profession.
Non-application
of Act
(1) This
Act does not apply to
(
a) a medical practitioner licensed and acting
under the Medical Act, 2011 ;
(
b) a dentist or dental surgeon licensed and
acting under the Dental Act, 2008 ;
(
c) a veterinarian licensed and acting under the Veterinary Medical Act, 2004 ;
(
d) an optometrist licensed and acting under the Optometry Act, 2012 ; and
(
e) a nurse practitioner licensed and acting under
the Registered Nurses Act, 2008.
(2) This Act shall not extend to or interfere with
the dispensing of necessary drugs or medicines by registered nurses in the
course of duty when practising with the approval and under the general supervision
of a regional health authority.
PART I
ASSOCIATION
Association continued
(1) The Pharmacists Association of
Newfoundland and Labrador Inc. is continued as a corporation without share
capital for the purposes of
Part XXI of the Corporations Act .
(2) The objects of the association shall include,
notwithstanding anything in the by-laws of the association,
(
a) promoting and advancing pharmacy and related
disciplines, increasing the knowledge, skill, standards and proficiency of its
members in the practice of pharmacy and maintaining the honour and integrity of
the profession of pharmacy;
(
b) promoting liaison among the various branches
of pharmacy; and
(
c) negotiating with providers of prescription
drug payment programs.
(3) A pharmacist who pays the membership fee set
by the association is a member of the association notwithstanding anything in
the by-laws of the association.
(4) Notwithstanding its incorporation under this
Act, the association shall be governed by the Corporations Act for all
purposes, including a change of the name of the association.
PART II
LICENSING BOARD
Licensing board
(1) The Newfoundland and Labrador Pharmacy Board is
continued as a corporation without share capital for the purposes of
Part XXI
of the Corporations Act .
(2) The board shall consist of:
(a) 7 members elected from and by pharmacists in
accordance with the by-laws;
(b) 2 members appointed by the minister under subsection
6(1) who are not pharmacists;
(c) 2 members appointed by the board under subsection
6(2) who are not pharmacists;
(
d) the Dean of the School
of Pharmacy of Memorial
University of Newfoundland
and Labrador ;
(
e) a pharmacy technician elected from and by pharmacy
technicians in accordance with the by-laws; and
(
f) the registrar of the board appointed by the
other members of the board in accordance with the by-laws, who shall not vote
on a matter before the board, its executive or a committee of the board.
(3) Notwithstanding paragraph (2)(e), the first
pharmacy technician shall be appointed by the board for a term not exceeding 24
months and this
section applies to the pharmacy technician as if he or she were
elected under that paragraph.
(4) A member of the board of the association is
ineligible to be a member of the board.
(5) A member may be elected for a term set by the
by-laws which shall not exceed 3 years and is eligible to be re-elected, but
shall not be a member for more than 9 consecutive years.
(6) Where the term of office of a person elected
under this
section expires, he or she continues to be a member of the board
until re-elected or replaced.
(7) An elected member may resign by written notice
to the board.
(8) Where an elected member resigns, dies or
becomes incapable of performing his or her duties, the remaining members shall
appoint a replacement to serve until the next annual general meeting.
(9) Elected members shall serve without payment
for their services, but their travel and other expenses associated with their
duties as members shall be paid by the board, in accordance with the by-laws.
(10) The board may pay the registrar for performing
his or her duties under this Act, in accordance with the by-laws.
(11) The board may appoint one or more pharmacists
as assistant registrars and may assign them duties which may include duties assigned
to the registrar by this Act.
(12) The board shall elect an executive from the
members including a chairperson who chairs meetings of the board, a
vice-chairperson who shall preside over meetings in the absence of the
chairperson and other officers as provided for in the by-laws.
Appointed members
(1) The minister shall appoint 2 members
of the board who are not pharmacists who are suitable to represent the public
interest.
(2) The board shall appoint 2 members of the board
who are not pharmacists who are suitable to represent the public interest.
(3) A person appointed under this
section holds office
for a term of 3 years and is eligible to be re-appointed.
(4) Where a person appointed under this
section
holds office for a period of 9 consecutive years the person is not eligible for
appointment as a member of the board until the expiration of 12 months from the
end of the year in which he or she was last a member.
(5) Where the term of office of a person appointed
under this
section expires, he or she continues to be a member of the board
until re-appointed or replaced.
(6) The board shall pay the expenses of a person
appointed to the board under this
section in accordance with guidelines
established by the Lieutenant-Governor in Council.
(7) A person appointed under subsection (1) may be
removed from office by the minister before the expiration of his or her term of
office and no compensation shall be paid to him or her other than an amount
owing under subsection (6).
(8) A person appointed under subsection (2) may be
removed from office by the board before the expiration of his or her term of office
and no compensation shall be paid to him or her other than an amount owing under
subsection (6).
(9) A person appointed under subsection (1) may resign
from the board by written notice to the minister.
(10) A person appointed under subsection (2) may resign
from the board by written notice to the board.
Objects
(1) The board shall regulate the practice
of pharmacy and the pharmacy profession in the public interest.
(2) The objects of the board include
(
a) the promotion of
(
i) high standards of practice, and
(ii) continuing competency and quality improvement
through continuing education;
(
b) the administration of a registration and
licensing program;
(
c) the establishment, maintenance and development
of standards for the operation of pharmacies; and
(
d) ensuring that the public interest is protected
in all matters relating to the practice of pharmacy.
Meetings of the
board
(1) A quorum of the board is 50% plus one
member, one of whom shall be a member appointed to represent the public interest.
(2) Where there is a tie vote on a motion or
resolution of the board, that motion or resolution shall be considered to be
defeated.
(3) The board shall hold an annual general
meeting, to which all pharmacists and pharmacy technicians shall be invited.
(4) At the annual general meeting the board shall
(
a) appoint an auditor to audit the accounts of
the board;
(
b) report on the financial statement prepared by
the board; and
(
c) report on the work of the board during the
preceding year.
(5) Except where prohibited in the by-laws, a
member of the board may, where all the members consent, participate in a
meeting of the board by means of the telephone or other telecommunication
device that permits all persons participating in the meeting to communicate
with each other.
Annual report
(1) The board shall
prepare and submit to the minister before July 1 in a year
(
a) a report on the activities of the board; and
(
b) the board's audited financial statements.
(2) The report referred to in paragraph (1)(
a) shall contain statistics respecting the frequency and circumstances of access
to patient records without patient consent under
section 54.
(3) The minister shall publish the annual report
on the Health and Community Services website.
(4) The board shall publish the annual report on
its website in a manner that the annual report may be accessed by a member of
the public.
(5) Where the board fails to comply with
subsections (1), (2) or (4), the board is guilty of an offence and is liable on
summary conviction to a fine of $1,000.
Fees
(1) The
board may set fees payable under this Act, and in so doing the board shall, so
far as it is practicable, ensure that the amount of fees is sufficient to
enable it to discharge its duties under this Act.
(2) All money received by the board shall be
applied by it to its duties under this Act.
By-laws
(1) The board may make by-laws not
inconsistent with this Act respecting
(
a) the holding of its meetings and the procedure
at those meetings;
(
b) the appointment, remuneration and duties of
the registrar;
(
c) the election of members under subsection 5(2)
and setting the terms of office;
(
d) the payment of travel and other expenses of
elected members;
(
e) the election of an executive under subsection
5(12);
(
f) a code of ethics which may include a
definition of "professional misconduct" and "conduct
unbecoming" for the purposes of
Part V and methods of advertising
considered advisable for pharmacists and pharmacies;
(
g) the remuneration and payment of travel
expenses of members of adjudication panels;
(
h) the participation of members at a meeting of
the board by telephone or other telecommunications device under
section 8;
(
i) the voting of the board by mail or electronic
means;
(
j) the types of registers to be kept by the registrar
and the information to be maintained on those registers;
(
k) the appointment and definition of duties of
examiners;
(
l) the issuance and term of certificates and
licences; and
(
m) information required from applicants for
registration or licensing.
(2) A by-law may be made, amended or repealed at a
meeting of the board provided that 30 days notice, in writing, of the making,
amendment or repeal of the by-law and of the meeting are given to members.
(3) The board shall have its by-laws available for
inspection by the public on reasonable notice and at reasonable hours.
Committees
12. The board may appoint committees to carry out
duties and functions directed by the board.
Website
(1) The
board shall maintain a website which shall be available to the public and shall
include
(
a) the board's annual report;
(
b) the registers maintained under
section 19;
(
c) copies of the regulations and by-laws made by
the board; and
(
d) the other information required by regulations.
(2) A person may request and the board shall
provide the information on its website to the person in paper form, and may
charge a reasonable fee for so doing.
PART III
REGISTRATION, ADMISSION AND
EXAMINATION
Registration of
pharmacists
14. The
board shall register an applicant as a pharmacist where he or she
(
a) applies in a manner and form prescribed by the
board;
(
b) provides proof satisfactory to the board that
he or she
(
i) has graduated from a Faculty of Pharmacy accredited
by the Canadian Council for the Accreditation of Pharmacy Programs or another
accreditation body approved by the board, or
(ii) was, immediately before making an application
for registration under this Act, registered, licensed, in good standing and
practising as a pharmacist under the laws of another province or territory of
Canada;
(
c) successfully completes a licensing examination
based upon the professional competency requirements that the board may establish;
(
d) provides a copy of the certificate of
qualification issued to him or her by the Pharmacy Examining Board of Canada or
another body approved by the board;
(
e) provides proof that he or she has obtained
professional liability insurance coverage in a form and amount satisfactory to
the board;
(
f) establishes that he or she is not suspended or
restricted with respect to the practice of pharmacy by a board or equivalent
body governing the practice of pharmacy in a jurisdiction outside the province;
sufficient to enable him or her to practice pharmacy in the province;
(
h) has completed a practical training period
(
i) pays the fees set by the board and any
outstanding fines or penalties which are owed to the board; and
(
j) meets the other requirements that may be prescribed
by regulations.
Registration of
interns
(1) The
board may register an applicant as an intern where he or she
(
a) applies in a manner and form prescribed by the
board;
(
b) provides proof satisfactory to the board that
he or she has graduated from a Faculty of Pharmacy accredited by the Canadian
Council for the Accreditation of Pharmacy Programs or another accreditation
body approved by the board;
(
c) provides proof that he or she has obtained
professional liability insurance coverage in a form and amount satisfactory to
the board;
(
d) pays the fees set by the board and any
outstanding fines or penalties which are owed to the board; and
(
e) meets the other requirements that may be
prescribed by regulations.
(2) Registration of an intern confers upon the
intern the right to perform tasks within the scope of practice of a pharmacist,
but only under the supervision of a pharmacist in accordance with the standards
of practice.
Registration of
students
(1) The
board shall register an applicant as a pharmacy student where
(
a) he or she applies in a manner and form
prescribed by the board;
(
b) he or she provides proof satisfactory to the
board that he or she is enrolled in a Faculty of Pharmacy accredited by the
Canadian Council for the Accreditation of Pharmacy Programs or another
accreditation body approved by the board;
(
c) he or she pays the fees set by the board and
any outstanding fines or penalties which are owed to the board; and
(
d) meets the other requirements that may be prescribed
by regulations.
(2) Registration of a student confers upon the
student the right to perform tasks within the scope of practice of a pharmacist,
but only under the direct supervision of a pharmacist.
(3) Only a registered pharmacy student enrolled in
a course of study in a Faculty of Pharmacy accredited by the Canadian Council
for the Accreditation of Pharmacy Programs or another accreditation body
approved by the board may identify himself or herself as a pharmacy student.
(4) Practical experience placements shall only be
completed by students registered with the board.
Pharmacy technicians
(1) The
board shall register an applicant as a pharmacy technician where he or she
(
a) applies in a manner and form prescribed by the
board;
(
b) provides proof satisfactory to the board that
he or she
(
i) has graduated from a pharmacy technician
educational program accredited by the Canadian Council for the Accreditation of
Pharmacy Programs or another accreditation body approved by the board,
(ii) was, immediately before making an application
for registration under this Act, registered, licensed, in good standing and
practising as a pharmacy technician under the laws of another province or
territory of Canada, or
(iii) has graduated from a Faculty of Pharmacy
accredited by the Canadian Council for the Accreditation of Pharmacy Programs
or another accreditation body approved by the board;
(
c) successfully completes a pharmacy technician licensing
examination based upon the professional competency requirements that the board
may establish;
(
d) provides proof satisfactory to the board that
he or she has successfully completed the Pharmacy Examining Board of Canada
qualifying exam;
(
e) provides proof that he or she has obtained
professional liability insurance coverage in a form and amount satisfactory to
the board;
(
f) establishes that he or she is not suspended or
restricted by a board or equivalent body governing the practice of pharmacy technicians
in a jurisdiction outside the province;
language sufficient to enable him or her to practise as a pharmacy technician in
the province;
(
h) pays the fees set by the board and any
outstanding fines or penalties which are owed to the board; and
(
i) meets the other requirements that may be
prescribed by regulations.
(2) Notwithstanding subsection (1), the board may
register an applicant as a pharmacy technician where he or she
(
a) applies for registration no later than
December 31, 2017;
(
b) provides proof satisfactory to the board that
he or she worked a minimum of 2000 hours as the equivalent of a pharmacy
assistant in the 3 year period immediately before the date of application;
(
c) provides proof satisfactory to the board that
he or she successfully completed a pharmacy technician bridging program
approved by the board; and
(
d) has met the requirements in paragraphs (1)(
c) to (i).
Registration renewal
18. The
board shall renew a pharmacist's or pharmacy technician's registration where he
or she
(
a) applies in the form and manner prescribed by
the board;
(
b) has been engaged in the practice of pharmacy
for at least 420 hours in the preceding 2 calendar years;
(
c) meets the minimum continuing education
requirements prescribed in the regulations; and
(
d) pays the annual registration fee and any
outstanding fines or penalties which are owed to the board.
Registers
(1) The registrar shall maintain registers
containing the names of those qualified and registered to practise pharmacy in
the province and other registries and information required by the by-laws.
(2) The registrar shall, upon payment of the
required fees, comply with a request for verification of information contained
in a register established under subsection (1).
(3) The board shall have its registers available
for inspection by the public on reasonable notice and at reasonable hours.
Entry on register
(1) An
entry in a register under this Act which has been fraudulently or incorrectly
made or omitted may be removed, corrected or added by the registrar upon the
written direction of the board.
(2) A person who by fraudulent means obtains
registration under this Act commits an offence and shall be considered to have
conducted himself or herself in an unprofessional manner.
(3) A person may appeal a decision of the
registrar regarding entry on a register of that person to the board by filing a
notice of appeal with the chairperson at the offices of the board within 30
days of receiving notice of the decision.
Certificate of
registration
(1) The
registrar shall issue an annual certificate of registration to a person who has
applied and met the registration requirements of the Act and regulations.
(2) A pharmacist or pharmacy technician who has
not held an annual certificate of registration for 2 years immediately before
the year in which that pharmacist or pharmacy technician seeks that certificate
shall not be entitled to obtain registration and a certificate unless he or she
meets additional requirements which may be prescribed by regulation.
(3) It is a condition of a certificate of
registration of a pharmacist that he or she
(
a) be a member of the association or within one
month of the date of issuing the certificate become a member of the association;
and
(
b) abide by the Act, regulations, by-laws,
standards of practice and policies of the board.
(4) It is a condition of a certificate of
registration of a pharmacy student, intern and pharmacy technician that he or
she abide by the Act, regulations, by-laws, standards of practice and policies
of the board.
Proof of
registration
22. The
production in a court or proceeding of a register or a copy of or an extract
from a register under this Act, certified by the registrar is evidence of the
statements on that register without proof of the fact that the signature is
that of the registrar.
Pharmacy licence
(1) Not
less than 30 days before opening a pharmacy for business or acquiring a
pharmacy, a corporation, partnership or individual shall provide to the
registrar the information required by the by-laws.
(2) The information provided under subsection
(1) shall be confirmed and signed by the pharmacist in charge of that pharmacy.
(3) A person shall not operate a pharmacy business
and a pharmacist, intern, pharmacy student or pharmacy technician shall not dispense
or sell a drug unless it is
(
a) from a pharmacy licensed under this Act; and
(
b) in accordance with restrictions, terms or
conditions in force respecting that pharmacy under this Act.
(4) This
section applies to a hospital pharmacy.
(5) The registrar shall issue an annual
licence to a pharmacy that has applied and met the requirements prescribed by
this Act and the regulations.
(6) Where the ownership of a pharmacy licensed
under this Act changes, the pharmacist in charge shall deliver the pharmacy licence
to the board by the effective date of that change and the licence of that
pharmacy shall be cancelled immediately.
(7) Where a pharmacist in charge ceases his or her
duties by reason of illness or death, the pharmacy formerly under his or her
charge may continue to operate for not more than 60 days under the direction of
another pharmacist in charge at which time a new licence shall be required for
that pharmacy.
PART IV
PRACTICE
Members only to
use designation
(1) Only
a pharmacist registered under this Act is entitled to use the title or
designation pharmacist, registered pharmacist or R.Ph.
(2) Only a pharmacy technician registered under
this Act is entitled to use the title or designation pharmacy technician,
registered pharmacy technician or R.Pt.
Prohibition
(1) A
person other than a pharmacist with a certificate shall not
(
a) represent or hold himself or herself out as or
as being entitled to use the title or designation of pharmacist, registered
pharmacist or R.Ph;
(
b) carry on the practice of pharmacy in the
province;
(
c) conduct a business or operation for selling scheduled
drugs except as expressly permitted under this Act; or
(
d) hold himself or herself out, conduct himself
or herself in a manner or use a sign, emblem, title or advertisement which may
reasonably lead the public to infer that he or she is registered as a
pharmacist and qualified to practise pharmacy under this Act.
(2) A pharmacist may delegate tasks within the
practice of pharmacy to a pharmacy student, intern or a person within a
prescribed class, under the prescribed level of supervision and in accordance
with the standards of practice.
(3) A person shall not
(
a) display, use or permit to be displayed or used
on premises owned or leased by that person, a sign, advertisement or symbol
bearing the words "drugs", "medicines", "prescriptions",
"pharmacy" or "pharmacist" or other words of similar
meaning, unless those premises contain a pharmacy licensed under this Act and
under the direct and continuous supervision and control of a pharmacist;
(
b) employ a person who is not a pharmacist or
otherwise entitled under this Act to dispense a prescription; or
(
c) dispense, sell, offer for sale or handle drugs
or substances except in compliance with this Act.
Out of province
prescriptions
26. A
pharmacist may dispense a drug pursuant to a prescription authorized by a
prescriber licensed to practice in a province or territory
of Canada other than Newfoundland
and Labrador if the pharmacist has taken
reasonable steps to ensure that
(
a) the prescriber is licensed and practises in Canada ;
and
(
b) the prescriber belongs to a class of persons
who, if licensed in Newfoundland and Labrador,
would be entitled by law to prescribe that drug in Newfoundland
and Labrador .
Display of
licence
(1) A
pharmacy licence issued under
section 23 shall be displayed in a conspicuous
part of a pharmacy in full public view.
(2) A pharmacy shall not use the word
"pharmacy" on that pharmacy or the premises on which the pharmacy is
located unless that pharmacy has a current licence issued under
section 23.
Responsibility
(1) The
pharmacist in charge of a pharmacy operating under this Act shall ensure that
that pharmacy is operated in compliance with this Act and failure to do so
constitutes conduct deserving of sanction.
(2) A person other than a pharmacist in charge
shall not direct, control or manage a pharmacy.
(3) The duties of the pharmacist in charge shall
be as set out in the regulations.
(4) In this section, the pharmacist in charge of a
pharmacy is the person designated on the licence issued under
section 23.
Hospital pharmacy
(1) A
hospital with a pharmacy licensed under
section 23 shall not engage or employ a
person other than a pharmacist, intern, pharmacy student or pharmacy technician
registered under this Act to practise pharmacy in or from that hospital
pharmacy.
(2) This
section is binding on the Crown.
Cessation of operation
30. Where
a licensed pharmacy ceases to operate as a pharmacy, the pharmacist in charge
shall immediately
(
a) notify the board of that cessation;
(
b) ensure that all narcotic, controlled and other
drugs are disposed of in accordance with this Act or other laws relating to
that disposal;
(
c) ensure that prescription records are available
through another pharmacy;
(
d) provide in writing other information requested
by the board; and
(
e) satisfy other requirements that may be
prescribed in the regulations.
Protection from
liability
(1) An action for damages shall not lie
against a member of the board, or a committee designated by the board, the
complaints authorization committee, a person appointed by the complaints
authorization committee, the disciplinary panel, an adjudication tribunal, the
quality assurance committee, a person appointed by the quality assurance
committee or the individual members of those bodies, the registrar, assistant
registrar or an officer or employee of the board for
(
a) an act or failure to act, or a proceeding
initiated or carried out in good faith under this Act or purportedly under this
Act, or for carrying out duties or obligations as the registrar, a member, officer,
employee, designate, agent, committee member or person authorized under this
Act; or
(
b) for a decision or order made or enforced in
good faith under this Act, or purportedly under this Act.
(2) An action for defamation against a board
member, a member of a committee or panel, the chairperson, the vice-chairperson
or another officer or employee of or counsel for the board may not be founded
on the publication of a communication that consists of or pertains to an
allegation or complaint, where the communication is published in the course of
investigating the allegation or complaint or in the course of proceedings under
Part V.
(3) A member of the board is not personally liable
for a debt of the board beyond the amount of his or her unpaid dues, fees,
fines and penalties owed to the board, but all property of the board shall be
held for the payment of the debts of the board.
Disclosure of information
(1) The
board may disclose information in its possession, including information that
identifies the individual to whom it relates, to other bodies having authority
to regulate health professionals.
(2) The board, the complaints authorization
committee and the quality assurance committee shall disclose information in
their possession, including
(
a) information that identifies the individual to
whom it relates; and
(
b) personal health information
for those purposes, in the manner and to
those persons prescribed in the regulations.
Notices
(1) Notices
and documents or copies of notices and documents required for the purpose of
this Act to be sent to a person may be sent
(
a) by mailing them to that person by regular, registered
or certified mail at his or her last known address;
(
b) by e-mailing them to that person at his or her
last known e-mail address; or
(
c) by personal service upon that person.
(2) Proof of receipt of the notices, documents or
copies by a person referred to in paragraph (1)(
a) may be proved by production
of the receipt from the Canada Post Office.
(3) A notice or demand sent by mail to a person is
considered to be received by that person
(
a) when they actually receive the notice or
demand; or
(
b) except when postal services are not
functioning, on the expiry of 10 days after the date the notice or demand was
sent,
whichever is earlier.
(4) A notice or demand sent by e-mail to the last known
e-mail address of a person is considered to be received by that person on the
day the e-mail is sent.
Compliance with
request for information
(1) For the purpose of the administration
of the Newfoundland and Labrador Prescription Drug Program, including for the
purpose of processing, monitoring, verifying or reimbursing claims for payment
under the program and program development and evaluation, and upon the request
of an employee of the department authorized by the minister, a pharmacist shall
provide the information that the employee requests with respect to prescription
drugs prescribed to a resident of the province and received by that resident
with the assistance of the Newfoundland and Labrador Prescription Drug Program.
(2) An employee of the department authorized to do
so by the minister may provide the information obtained under subsection (1) to
an agent of the department approved by the minister for the purpose who may use
it for the purposes for which it was obtained on behalf of the minister.
(3) The information requested under subsection (1)
may include
(
a) prescriptions, patient records, notes and
other documents held by the pharmacist; and
(
b) photocopies of the information referred to in
paragraph (a).
(4) An action for damages does not lie against a
pharmacist or a pharmacy solely because the pharmacist provides the information
requested of him or her under subsection (1).
(5) A pharmacist is not guilty of professional
misconduct solely because that pharmacist provided information requested of him
or her under subsection (1).
PART V
DISCIPLINE
Definitions
35. In this Part
(a) "allegation" means a written
document alleging that a person has engaged in conduct deserving of sanction;
(b) "complainant" means a person making
an allegation described in
section 37;
(c) "conduct deserving of sanction"
includes
(
i) professional misconduct,
(ii) professional incompetence,
(iii) incapacity or unfitness to engage in the
practice of pharmacy,
(iv) conduct unbecoming a pharmacist or pharmacy
technician, and
(
v) acting in breach of this Act, the regulations,
or the code of ethics made under
section 11;
(d) "costs incurred by the board"
includes
(
i) out of pocket expenses incurred by or on
behalf of the board,
(ii) amounts paid by the board to adjudication
tribunal members as remuneration and for expenses, and
(iii) the actual cost of legal counsel for the board
and the adjudication tribunal;
(e) "disciplinary panel" means the panel
of persons appointed under
section 36 from which the members of an adjudication
tribunal are chosen; and
(f) "respondent" means a pharmacist, a
pharmacy technician or a former pharmacist or pharmacy technician against whom
an allegation is made.
Committees
(1) The board shall appoint the
chairperson, vice-chairperson and members of the complaints authorization
committee, and the pharmacists and pharmacy technicians to serve on the
disciplinary panel, one of whom shall be appointed the chairperson.
(2) The complaints authorization committee shall
consist of at least 3 persons, all of whom shall be members of the board, and
at least one of whom shall be a member who was appointed to represent the
public interest.
(3) The registrar is not eligible to be a member
of the complaints authorization committee.
(4) The disciplinary panel shall consist of not
less than
(a) 10 pharmacists who are not members of the
board;
(
b) one pharmacy technician; and
(c) 3 persons who are not pharmacists or pharmacy
technicians who shall be appointed by the minister to represent the public interest.
(5) A member appointed to the disciplinary panel
holds office for a term of 3 years and is eligible to be reappointed.
(6) Notwithstanding the expiry of his or her term,
a member of the disciplinary panel continues to be a member until he or she is
re-appointed or his or her replacement is appointed.
(7) Members of the disciplinary panel shall serve
as a member of the panel without payment for their services, but may be remunerated
for service as a member of an adjudication tribunal and paid their travel and
other expenses associated with the work of that tribunal by the board, in
accordance with and at the rates set by the by-laws.
(8) The complaints authorization committee and an
adjudication tribunal appointed under
section 40 and a person appointed by
either of them may summon a respondent or another person and require that the
respondent or another person give evidence, orally or in writing, upon oath or
affirmation, and produce the documents and things that either of them considers
necessary to the full investigation and hearing of an allegation or complaint
and shall have the powers, privileges and immunities that are conferred on a
commissioner appointed under the Public
Inquiries Act, 2006 .
Allegation
(1) An allegation shall be in writing and
signed by the complainant or his or her solicitor, and filed with the
registrar.
(2) The registrar may on his or her own motion
make an allegation and file it, and the allegation shall have the same effect
as an allegation referred to in subsection (1).
(3) Where the registrar has been informed that a respondent
has been convicted of an offence under the provisions of the Controlled Drugs and Substances Act
(Canada), the Criminal Code or a similar penal statute of another
country or has been suspended by a governing body of pharmacists or pharmacy
technicians in another province or territory of Canada or another territory or
country for reason of professional misconduct, conduct unbecoming a pharmacist or
pharmacy technician or professional incompetence, the information shall be
dealt with by the registrar as an allegation.
(4) For the purpose of subsection (3), a certified
copy of the record of a conviction or findings made or the action taken by an
external regulatory body constitutes proof, in the absence of evidence to the
contrary, of the conviction or findings made or the action taken by that body,
without proof of the signature of the convicting justice or person purporting
to have signed on behalf of that body.
Effect of filing
allegation
(1) Where it appears to the registrar
after notifying the respondent of the allegation that the allegation may be
resolved satisfactorily and where the complainant and the respondent consent,
the registrar may attempt to resolve the matter.
(2) Where the allegation is not satisfactorily
resolved by the registrar under subsection (1), the registrar shall refer the
allegation and all other allegations to the complaints authorization committee.
(3) The registrar shall inform a complainant and a
respondent of the referral of the allegation to the complaints authorization
committee.
Complaints authorization
committee
(1) After an allegation has been submitted
to the complaints authorization committee, the committee may exercise one of
more of the following powers:
(
a) refer the allegation back to the registrar for
an investigation or alternative dispute resolution in accordance with the regulations;
(
b) conduct an investigation itself or appoint a
person to conduct an investigation on its behalf;
(
c) conduct a practice review into the
respondent's practice or appoint a person to conduct a review on its behalf;
(
d) require the respondent to appear before
it; and
(
e) refer the allegation to the quality assurance
committee.
(2) Where the complaints authorization committee
is of the opinion there are no reasonable grounds to believe the respondent has
engaged in conduct deserving of sanction, the committee shall dismiss the
allegation and give notice in writing of the dismissal to the complainant.
(3) Where the complaints authorization committee
is of the opinion that there are no reasonable grounds to believe the
respondent has engaged in conduct deserving of sanction, the committee may, in
dismissing the allegation, direct the respondent with respect to his or her
practice, including direction that
(
a) the respondent comply with a specified
provision of the Act or regulations or of a by-law, policy or guideline of the
board;
(
b) the respondent successfully complete a
continuing or remedial education program;
(
c) the respondent complete an assessment of his
or her clinical skills and successfully complete a course of studies or clinical
experience recommended by the assessment; and
(
d) provide documentation, information or an
explanation in relation to the pharmaceutical care of the complainant or of
another person represented by the complainant where the person is deceased or
incompetent
and the respondent shall comply with the
direction of the committee.
(4) The committee may give a person or body it
considers appropriate notice of a direction, caution or counsel given under
this section, and may specify the time within which the direction, caution or
counsel is to be complied with and that the costs of compliance with the
direction, caution or counsel shall be borne by the respondent.
(5) Where a respondent fails to comply with a
direction, caution or counsel of the committee under subsection (3), the
registrar may deal with the failure as an allegation.
(6) Where the complaints authorization committee
is of the opinion that there are reasonable grounds to believe that a
respondent has engaged in conduct deserving of sanction, the allegation shall
be considered as constituting a complaint, and the committee may
(
a) counsel or caution the respondent; or
(
b) instruct the registrar to file the complaint
against the respondent and refer it to the disciplinary panel; and
(
c) suspend or restrict the respondent's
registration.
(7) A person conducting an investigation under
paragraph (1)(
a) or (
b) or a practice review under paragraph (1)(
c) may require
(
a) the respondent to
(
i) undergo practical and other examinations he or
she considers necessary and as arranged by the registrar or the board, and
(ii) permit the registrar or a member of the board
or another person appointed by the board to inspect and copy the records of the
respondent and other documents relating to the subject matter of the
investigation; and
(
b) another person to permit the registrar or a
member of the board or another person appointed by the board to inspect and
copy records of the respondent and other documents relating to the subject
matter of the investigation held by that person,
and the respondent or other person shall
comply.
(8) Where the registrar, a member of the board or
another person appointed by the board requires that a respondent or other
person provide information under subsection (7), that information shall be provided
within 7 days of receipt of the request or a different period as specified in
the request.
(9) An action for damages does not lie against a
pharmacist, pharmacy technician or another person to whom a request is made
solely because he or she provides information requested of him or her under
subsection (7).
(10) A complainant whose allegation is dismissed by
the complaints authorization committee under subsection (2) may within 30 days
after receiving notice of the dismissal appeal the dismissal to the Trial
Division by filing a notice of appeal with the Registrar of the Supreme Court.
(11) Subsections (7), (8), and (9) apply to the
Crown.
Adjudication tribunal
(1) For the purpose of dealing with
complaints referred to the disciplinary panel, the chairperson of the
disciplinary panel shall appoint from it an adjudication tribunal consisting of
3 persons, of whom 2 shall be
pharmacists and one shall be a member of the panel appointed to represent the
public interest.
(2) Notwithstanding subsection (1), where the
respondent is a pharmacy technician, the adjudication tribunal shall consist of
one person appointed to represent the public interest, one pharmacist and one
pharmacy technician where practicable.
(3) The chairperson of the disciplinary panel
shall appoint one of the pharmacists on an adjudication tribunal to be the chairperson.
(4) Notwithstanding the expiry of his or her term,
where a member of the adjudication tribunal has commenced a hearing he or she
continues to be a member until the hearing is concluded and a decision
rendered.
Hearing
(1) Where a complaint has been referred
under paragraph 39(6)(b), an adjudication tribunal shall hear the complaint.
(2) The parties to a hearing are the board and the
respondent and a party may be represented by his or her counsel at a hearing.
(3) A hearing shall be conducted in public but an
adjudication tribunal may exclude the public from a hearing, or from part of
it, where it considers the desirability of protecting a party to the complaint
or another person against the consequences of possible disclosure of personal matters
outweighs the desirability of holding the hearing in public.
Copies of books,
etc. as evidence
42. A
copy or extract of a book, record, document or thing certified by
(
a) a member of the complaints authorization
committee; or
(
b) a person authorized under subsection 39(7) to
conduct an inspection,
who made the copy or extract under
subsection 39(7) is admissible in evidence in an action, proceeding or
prosecution, in the absence of evidence to the contrary, as evidence of the
original book, record, document or thing and its contents.
Guilty plea by
respondent
(1) Where a respondent pleads guilty to
one or more of the charges set out in a complaint, the adjudication tribunal
shall, without calling evidence or hearing witnesses, unless the tribunal
believes it is appropriate to do so, hear submissions from the parties.
(2) Where a respondent pleads guilty, and
following submissions under subsection (1), the adjudication tribunal may
(
a) reprimand the respondent;
(
b) order that the respondent be suspended for a
fixed period that it considers appropriate, until conditions which it may
impose are fulfilled, or until further order of the adjudication tribunal;
(
c) allow or direct the respondent to surrender
his or her certificate to the board upon those conditions that may be considered
appropriate and, where the respondent's name appears on a register maintained
under this Act, strike the respondent's name from the register;
(
d) impose a fine not to exceed $10,000 to be paid
to the board;
(
e) order that the respondent pay the costs or a
part of the costs incurred by the board in the investigation and hearing of the
complaint;
(
f) order that the registrar publish a
summary of
the decision including the information set out in subsection 45(4) and other
information that the tribunal may specify; and
(
g) order that the respondent comply with one or
more of the following:
(
i) make restitution to the complainant or other
person affected by the conduct of the respondent,
(ii) obtain medical treatment,
(iii) obtain counselling,
(iv) obtain substance abuse counselling or
treatment, until the respondent can demonstrate to the board or other body or
person designated by the adjudication tribunal that a condition related to
substance abuse rendering the respondent incapable or unfit to practise has
been overcome,
(
v) engage in continuing education programs,
(vi) complete a course of studies or obtain
supervised clinical experience, or both, to the satisfaction of the board or
another body or person designated by the adjudication tribunal,
(vii) report on his or her compliance with an order
made under this
section and authorize others involved with his or her treatment
or supervision to report on it,
(viii) restrict his or her professional practice or
continue his or her practice under specified conditions,
(ix) permit periodic inspection of his or her
practice,
(
x) permit periodic inspection of records relating
to his or her practice, or
(xi) impose other requirements that are just and
reasonable in the circumstances.
(3) The costs incurred by the board to ensure the
compliance of a respondent with an order or direction of an adjudication
tribunal under this
section shall be borne by the respondent.
Powers of adjudication
tribunal
(1) Upon the hearing of a complaint, an
adjudication tribunal shall decide whether or not a respondent is guilty of
conduct deserving of sanction.
(2) Where an adjudication tribunal decides that a
respondent is not guilty, it shall dismiss the complaint and may, where it
believes that the submission of the complaint to the tribunal for a hearing was
unreasonable,
(
a) order that those costs that the tribunal
considers appropriate be paid by the board to the respondent; and
(
b) make another order that it considers
appropriate.
(3) Where an adjudication tribunal decides that a
respondent is guilty, it may,
(
a) reprimand the respondent;
(
b) order that the respondent be suspended for a
fixed period that it considers appropriate, until conditions which it may impose
are fulfilled, or until further order of the adjudication tribunal;
(
c) allow or direct the respondent to surrender
his or her certificate to the board upon those conditions that may be considered
appropriate and, where the respondent's name appears on a register maintained
under this Act, strike the respondent's name from the register;
(
d) impose a fine not to exceed $10,000 to be paid
to the board;
(
e) order that the respondent pay the costs or a
part of the costs incurred by the board in the investigation and hearing of the
complaint;
(
f) order that the registrar publish a
summary of
the decision including the information set out in subsection 45(4) and other
information that the tribunal may specify; and
(
g) order that the respondent comply with one or
more of the following:
(
i) make restitution to the complainant or other
person affected by the conduct of the respondent,
(ii) obtain medical treatment,
(iii) obtain counselling,
(iv) obtain substance abuse counselling or
treatment until the respondent can demonstrate to the board or other body or
person designated by the adjudication tribunal that a condition related to
substance abuse rendering the respondent incapable or unfit to practise has
been overcome,
(
v) engage in continuing education programs,
(vi) complete a course of studies or obtain
supervised clinical experience, or both, to the satisfaction of the board or
another body or person designated by the adjudication tribunal,
(vii) report on his or her compliance with an order
made under this
section and authorize others involved with his or her treatment
or supervision to report on it,
(viii) restrict his or her professional practice or
continue his or her practice under specified conditions,
(ix) permit periodic inspection of his or her
practice,
(
x) permit periodic inspection of records relating
to his or her practice, or
(xi) impose other requirements that are just and
reasonable in the circumstances.
(4) The costs incurred by the board to ensure the
compliance of a respondent with an order or direction of an adjudication
tribunal under this
section shall be borne by the respondent.
Filing and publication
of decisions
(1) An adjudication tribunal shall file a
decision or order made under subsection 43(2) or 44(3) with the registrar and
provide a copy to the complainant and the respondent and the respondent's employer.
(2) The registrar shall maintain a copy of a
decision or order filed under subsection (1) for a minimum of 10 years after
the day the decision is filed and shall upon receiving a request to view the
disciplinary records in relation to a pharmacist or pharmacy technician permit
a person to view a
summary of a decision where that pharmacist or pharmacy
technician was the respondent, prepared in accordance with subsection (4).
(3) The registrar shall publish a
summary of a
decision or order of an adjudication tribunal in a newspaper of general circulation
in or nearest to the community in which the respondent practises within 14 days
of the filing of the decision or order, where the decision or order
(
a) suspends the respondent;
(
b) allows or directs the respondent to surrender
his or her licence;
(
c) restricts the respondents practice;
(
d) specifies conditions for the continuing
practice of the respondent; or
(
e) requires that a
summary of the decision or
order be published.
(4) The
summary of the decision published under
subsection (3) shall include
(
a) the name of the respondent and the address
where he or she practises;
(
b) the date, location and a brief description of
the conduct of the respondent that was found to be deserving of sanction;
(
c) the name of the complainant, unless the
complainant has requested that his or her name be withheld;
(
d) the contents of the order in relation to the actions
referenced in paragraphs (3)(
a) to (d); and
(
e) other information specified for publication in
the decision or order.
(5) Where a decision published under this
section
is varied or set aside, the registrar shall within 14 days of the filing of the
subsequent decision or order publish a
summary of the decision or order and
subsections (3) and (4) apply, with the necessary changes.
(6) The registrar may give notice of the decision
and information respecting the decision to the other persons the board may
direct and shall include a
summary of the decision in a certificate of good
standing issued in relation to the respondent.
De-registration
and suspension
(1) Where a respondent is struck off the
register, his or her rights and privileges as a pharmacist or pharmacy
technician cease.
(2) Where a respondent is suspended, his or her
rights and privileges as a pharmacist or pharmacy technician cease for the
period of suspension.
(3) Where conditions or restrictions have been
imposed upon a respondents ability to carry on his or her practice, his or her
rights and privileges as a pharmacist or pharmacy technician shall be limited
to the extent specified by the conditions or restrictions.
Failure to comply
(1) On application by the board to the
disciplinary panel, an adjudication tribunal may make an order suspending the
rights and privileges of a respondent where it determines that the respondent
has failed to comply with a decision or an order under this Part.
(2) The parties to the application are the board
and the respondent.
(3) An order of an adjudication tribunal under
this
section may suspend the rights and privileges of the respondent for a
fixed period that the adjudication tribunal may consider appropriate, or until
conditions which it may impose are fulfilled, or until further order of the
adjudication tribunal.
Supplementary
hearing
(1) Where a decision or order of the
adjudication tribunal
(
a) suspends the respondent;
(
b) allows or directs the respondent to surrender
his or her licence;
(
c) restricts the respondents practice; or
(
d) specifies conditions for the continuing
practice of the respondent,
and where the respondent alleges that new
evidence has become available or a material change in circumstances has
occurred since the making of the decision or order, the respondent may apply to
the complaints authorization committee for a supplementary hearing to discharge
or vary the decision or order based on the new evidence or material change in
circumstances.
(2) An application under subsection (1) shall be
made not more than 90 days after the new evidence becomes available or the
material change in circumstances has occurred.
(3) Where an application is made to the complaints
authorization committee under subsection (1), and the committee is of the opinion
that new evidence has become available or that a material change in
circumstances has occurred, as alleged by a respondent, the matter shall be
referred to an adjudication tribunal as if it were a matter referred under paragraph
39(6)(
b) and sections 41 to 46 apply, with the necessary changes, to the
referred matter.
(4) The chairperson of the disciplinary panel
shall, where it is possible and appropriate, appoint to the adjudication
tribunal the same persons who constituted the adjudication tribunal that made
the decision referred to in subsection (1).
(5) The parties to a supplementary hearing under
this
section are the respondent and the board.
(6) For the purpose of this section, in addition
to an order that an adjudication tribunal may make under
section 44, a tribunal
may
(
a) vary the original decision or order made under
section 44; or
(
b) discharge the original decision or order, with
or without conditions.
Costs of the
board
(1) Where a person who was ordered to pay
the costs of the board under paragraph 43(2)(
e) or 44(3)(
e) fails to pay in the
time required, the board may suspend the registration of that person until the
costs are paid.
(2) Costs ordered to be paid under paragraph 43(2)(
e) or 44(3)(
e) are a debt due the board and may be recovered by the board by a
civil action.
Collection of
fine
(1) Where an order is made under
section 43
or 44 imposing a fine on a respondent, the board may issue a certificate
stating the amount of the fine due and remaining unpaid and the name of the person
by whom it is payable, and file the certificate with the Registrar of the
Supreme Court.
(2) Where a certificate is filed with the
Registrar of the Supreme Court under subsection (1), it has the same effect and
all proceedings may be taken on the certificate as if it were a judgment of the
Trial Division for the recovery of the amount stated in the certificate against
the person named in the certificate.
(3) A person named in a certificate filed under
this
section may, within 30 days after the certificate is filed, apply to a
judge of the Trial Division for a review, on a question of law or jurisdiction,
of the certificate.
(4) On an application under subsection (3), the
judge may make any amendment to the certificate that is necessary to make the
certificate accord with the judges decision.
(5) There is no appeal from a decision of a judge
made under this section.
(6) A certificate filed under this
section may
also be filed in the judgment enforcement registry on the expiration of the 30
day period referred to in subsection (3) in accordance with
Part III of the Judgment
Enforcement Act and be enforced in accordance with that Act.
Appeal to Trial
Division
(1) The board or the respondent may,
within 30 days after receiving notice of a decision or order of an adjudication
tribunal under this Act, appeal the decision or order to the Trial Division by
filing a notice of appeal with the Registrar of the Supreme Court.
(2) An appeal under this
section does not stay the
decision or order being appealed unless the Trial Division orders otherwise.
PART VI
QUALITY ASSURANCE
Quality assurance
program
(1) The
board shall establish and maintain a quality assurance program to promote high
standards of practice within the pharmacy profession.
(2) The quality assurance program shall include
mandatory continuing education and professional development and shall be
designed to promote continuing
(
a) competence; and
(
b) quality improvement.
Quality assurance
committee
(1) The
board may appoint a committee known as the quality assurance committee
consisting of a number of pharmacists and pharmacy technicians determined by
the board and at least one person appointed to the board under subsection 6(1)
or (2).
(2) The quality assurance committee shall
investigate a concern
(
a) on the referral of a quality assurance issue
(
i) the registrar, or
(ii) the complaints authorization committee; or
(
b) on its own accord.
(3) The quality assurance committee may
(
a) subpoena records, including patient records;
(
b) order a pharmacist or pharmacy technician to
undergo an evaluation, assessment or examination;
(
c) order a review of a pharmacists or pharmacy
technician's practice, including any consequential review of patient records;
(
d) order periodic or random audits of aspects of
a pharmacists or pharmacy technician's practice;
and
(
e) accept an agreement between the board and the pharmacist
or pharmacy technician to give effect to matters which could be ordered by the
quality assurance committee.
(4) Where a pharmacist or pharmacy technician fails
to comply with an order made by the quality assurance committee, that committee
shall refer that failure to comply as an allegation to the complaints authorization
committee.
Assessment
(1) The
quality assurance committee may appoint persons registered as pharmacists or
pharmacy technicians under this Act as assessors for the purpose of the quality
assurance program.
(2) An assessor may, for the purpose of the
quality assurance program
(
a) enter, without notice and at reasonable times,
places where pharmacy is practised to make necessary inspections;
(
b) inspect that pharmacists or pharmacy
technician's records of care administered to patients;
(
c) require from the pharmacist or pharmacy
technician information required by the quality assurance committee or the
assessor respecting the assessment and care of patients by the pharmacist or
pharmacy technician, or his or her records of care administered to patients;
and
(
d) require that that pharmacist or pharmacy
technician confer with the quality assurance committee.
(3) A pharmacist or pharmacy technician whose
standards of practice are the subject of an assessment under the quality
assurance program shall cooperate fully with the quality assurance committee
and assessors.
(4) An assessor may access patient records without
the consent of that patient.
(5) All records and specific information relating
to the quality assurance program or a review or recommendation under it are
confidential.
Report and compliance
55 .
(1) Upon
completion of an assessment an assessor shall submit a report of his or her
findings to the quality assurance committee and the committee shall review the
report and may
(
a) make no recommendation to the pharmacist or
pharmacy technician who has been assessed; or
(
b) confer with the pharmacist or pharmacy
technician assessed and make those remedial recommendations to him or her that
the quality assurance committee considers appropriate.
(2) The quality assurance committee may
(
a) direct the pharmacist or pharmacy technician who
has been assessed to comply with recommendations made by the committee under
subsection (1); and
(
b) direct that a pharmacist or pharmacy
technician be reassessed.
Costs
56. The
costs incurred by a pharmacist or pharmacy technician in implementing remedial
recommendations of the quality assurance committee shall be paid by that pharmacist
or pharmacy technician and shall not be a cost of the quality assurance committee
or the board.
Termination of
review
(1) Where
an assessor or a member of the quality assurance committee learns, in the
course of a review, that a pharmacist or pharmacy technician may be guilty of
conduct deserving of sanction within the meaning of
section 35, the assessment
shall be terminated, the pharmacist or pharmacy technician shall be advised,
and the matter shall be referred to the complaints authorization committee to
be dealt with as an allegation.
(2) Notwithstanding subsection 54(5), an assessor
or a member of a quality assurance committee shall provide all information and
documents in its possession relating to the review to the complaints authorization
committee.
(3) An order of the quality assurance committee
issued before it refers a matter to the complaints authorization committee
under subsection (1) remains in effect notwithstanding the referral of the
matter to the complaints authorization committee.
Duty to report
(1) A
pharmacist or pharmacy technician who has knowledge, from direct observation or
objective evidence, of conduct deserving of sanction of another pharmacist or
pharmacy technician shall report the known facts to the registrar.
(2) A person who dissolves a partnership with a pharmacist
or pharmacy technician based on direct knowledge of the pharmacists or
pharmacy technician's conduct deserving of sanction shall report the known
facts to the registrar.
(3) An action shall not be brought against a
pharmacist, pharmacy technician, officer, partnership or association for the
sole reason that the person, officer, partnership or association complied with
this section.
PART VII
GENERAL
Regulations
(1) The board may, with the approval of
the minister, make regulations
(
a) respecting the registration of pharmacists,
interns, students and pharmacy technicians;
(
b) prescribing categories of registration;
(
c) respecting registration and licence renewals;
(
d) respecting the scope of practice and expansion
of the scope of practice of pharmacists and pharmacy technicians;
(
e) respecting the educational, internship, practical
training or other requirements for registration and for the standard of the
practice of pharmacy, including provisions for mandatory continuing education
of pharmacists and pharmacy technicians;
(
f) prescribing courses of study, practical
training requirements and examinations;
(
g) prescribing
(
i) the tasks within the practice of pharmacy that
may be delegated by a pharmacist to a pharmacy student, intern or person within
a specified class,
(ii) the characteristics and qualifications of the
specified class of persons referred to in subparagraph (i),
(iii) the level of supervision required where
delegation is permitted under subparagraph (i), and
(iv) other conditions on the delegation of tasks;
(
h) respecting the qualifications and other
requirements for designation as a pharmacist in charge;
(
i) prescribing the duties of a pharmacist in
charge;
(
j) respecting the inspection of pharmacies;
(
k) prescribing, with respect to drugs, drug
products and substances
(
i) schedules,
(ii) conditions for dispensing and sale,
(iii) concentrations and manner of preparation, and
(iv) control to be exercised by a person;
(
l) respecting the adoption of schedules enacted
under the Food and Drugs Act ( Canada )
and the Controlled Drugs and Substances Act ( Canada );
(
m) respecting all aspects of the dispensing,
selling, handling and destruction of drugs;
(
n) respecting the maintenance of prescriptions,
prescription copies, records, the use of computers or other technology and the
information to be collected and retained by computer or other technology;
(
o) respecting the transfer of records,
prescriptions or other information by facsimile or other technology;
(
p) respecting the procedure regarding pharmacy
closures;
(
q) respecting telepharmacy;
(
r) respecting other information which may be
required to be included on the website of the board;
(
s) respecting information required in the annual
report;
(
t) respecting collaborative practice;
(
u) respecting alternative dispute resolution for
the purposes of
Part V and the procedure for that resolution;
(
v) prescribing time limits for events in the
disciplinary process under
Part V, including time limits for
(
i) the filing of an allegation,
(ii) the resolving of an allegation by the
registrar,
(iii) the conduct of an investigation under
section 39,
(iv) consideration of an allegation by the
complaints authorization committee following completion of an investigation,
(
v) responding to a complainant and respondent at
each stage of the process,
(vi) the conduct of a practice review under paragraph
39(1)(c),
(vii) the appointment of an adjudication tribunal
under
section 40, and
(viii) the conduct of a hearing and the filing of a
decision or order by an adjudication tribunal following completion of the
hearing;
(
w) respecting the quality assurance program
referred to in subsection 52(1);
(
x) the disclosure of information under
section 32
, including
(
i) the purpose for which information shall be
disclosed,
(ii) the manner and time periods in which
information shall be disclosed, and
(iii) the persons to whom information shall be
disclosed; and
(
y) generally to give effect to the purpose of
this Act.
(2) Notwithstanding subsection (1), the minister
may make regulations to prescribe time limits for events in the disciplinary
process under
Part V where the board does not do so within a time the minister
considers reasonable.
Contravention
60. A
pharmacist who contravenes
Part III
of the Pharmaceutical Services Act is
considered to have committed professional misconduct for the purposes of
Part V
of this Act.
Actions
61. An
action does not lie against a person by reason only of the prescribing or
dispensing of a substitute drug in accordance with
Part III
of the Pharmaceutical Services Act.
Offence and penalties
(1) A
person, pharmacist, pharmacy student, intern, pharmacy technician, firm, partnership,
corporation or association of persons who contravenes this Act, the regulations
or the by-laws commits an offence and is liable on
summary conviction
(
a) for the first offence, to a fine of not more
than $2,000 or to imprisonment for a term of not more than 3 months or to both
a fine and imprisonment; and
(
b) for a subsequent offence to a fine of not more
than $4,000 or to imprisonment for a term of not more than 6 months or to both
a fine and imprisonment.
(2) A prosecution under this
section shall be
commenced within 2 years after the commission of the alleged offence.
PART VIII
TRANSITIONAL, CONSEQUENTIAL, REPEAL AND COMMENCEMENT
Transition
(1) The
members of the board, the complaints authorization committee and the
disciplinary panel elected or appointed under the Pharmacy Act are continued as members until the expiry of their
terms.
(2) A complaint or discipline proceeding that was
started but not concluded before the commencement of this Act shall be
concluded under the former Act.
SNL2011 cM-4.02
Amdt.
64. (1) Paragraph 78(2)(
c) of the Medical Act, 2011 is repealed and the
following substituted:
(
c) the Pharmacy
Act, 2012 ;
(2) Subsection
78(3) of the Act is amended by deleting
the reference " Pharmacy Act"
and substituting the reference "Pharmacy
Act, 2012".
SNL2008 cP-7.01
Amdt.
(1) Subparagraph 2(j)(xii) of the Personal Health Information Act is
repealed and the following substituted:
(xii) Pharmacy
Act, 2012,
(2) Subparagraph 4(1)(g)(ii) of the Act is amended
by deleting the reference " Pharmacy
Act" and substituting the reference " Pharmacy Act, 2012".
(3) Paragraph 5(1)(
h) of the Act is amended by
deleting the reference " Pharmacy
Act" and substituting the reference " Pharmacy Act, 2012".
SNL2006 cP-12.01
Amdt.
(1) Paragraph 2(
g) of the Pharmaceutical Services Act is amended
by deleting the reference " Pharmacy
Act" and substituting the reference " Pharmacy Act, 2012".
(2) Paragraph 2(
o) of the Act is amended by
deleting the reference " Pharmacy
Act" and substituting the reference " Pharmacy Act, 2012".
SNL1993 cT-4.1
Amdt.
67. Paragraph 4.1(2)(
a) of the Tobacco Control Act is amended by deleting the reference "paragraph
2(
n) of the Pharmacy Act" and
substituting the reference "paragraph 2(
l) of the Pharmacy Act, 2012".
SNL1994 cP-12.1 Rep.
68. The Pharmacy
Act is repealed.
Commencement
Section 17 comes into force on June 30, 2013
and
Part VI comes into force on September 30, 2013.
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