Attending Health Professionals Regulations, R-8.2 Reg 4

1 ATTENDING HEALTH PROFESSIONALS R-8.2 REG 4 The Attending Health Professionals Regulations being Chapter R-8.2 Reg 4 (effective April 28, 2004) as amended by Saskatchewan Regulations 82/2007, 58/2009 and 62/2011, 55/2023 and 71/2024. NOTE: This consolidation is not official. Amendments have been incorporated for convenience of reference and the original statutes and regulations should be consulted for all purposes of interpretation and application of the law. In order to preserve the integrity of the original statutes and regulations, errors that may have appeared are reproduced in this consolidation. 2 R-8.2 REG 4 ATTENDING HEALTH PROFESSIONALS Table of Contents 1 Title 2 Interpretation 3 Application 4 Scope of practice not affected 5 Prohibition against unauthorized persons 6 Physicians 7 Dentists 8 Chiropractors 8.1 Midwives 9 Nurse practitioners 9.1 Physician assistants 10 Referral of diagnostic imaging examinations 11 Coming into force 3 ATTENDING HEALTH PROFESSIONALS R-8.2 REG 4 CHAPTER R-8.2 REG 4 The Regional Health Services Act Title 1 These regulations may be cited as The Attending Health Professionals Regulations. Interpretation 2 In these regulations: (a) “Act” means The Provincial Health Authority Act ; (b) “attend” means: (i) in relation to a physician, to have the principal responsibility for the health care needs of a person admitted to a facility as an in-patient or registered as an out-patient of a facility; and (ii) in relation to a health professional other than a physician, to have the principal responsibility for the health care needs described in clause 7(2)(b), clause 7(3)(b), subsection 8(2), clause 8.1(2)(c), clause 9(1)(b), clause 9(2)(c) or clause 9.1(2)(c) as the case may be; (c) “board” means: (i) the provincial health authority; or (ii) the board of directors of a health care organization that operates a facility to which these regulations apply; (d) “chiropractor” means a chiropractor who is entitled to practise chiropractic pursuant to The Chiropractic Act, 1994; (e) “dentist” means a dentist who is entitled to practise dentistry pursuant to The Dental Disciplines Act; (f) “health professional” means a chiropractor, a dentist, a midwife, a nurse practitioner, a physician or a physician assistant; (f.1) “midwife” means a midwife who is entitled to practise midwifery pursuant to The Midwifery Act; (g) “nurse practitioner” means a registered nurse who is entitled pursuant to The Registered Nurses Act, 1988 to practise in the nurse practitioner category; (h) “physician” means a duly qualified medical practitioner; (h.1) “physician assistant” means a physician assistant as defined in The Medical Profession Act, 1981 who is practising under the supervisionof a physician as approved by the College of Physicians and Surgeons of Saskatchewan; (i) “privileges” means, in relation to a facility, the authority granted by a board to a physician, physician assistant, chiropractor, dentist, midwife or nurse practitioner to admit, register, diagnose, treat or discharge patients in that facility. 7 May 2004 cR-8.2 Reg 4 s2; 21 Sep 2007 SR 82/2007 s3; 14 Jly 2023 SR 55/2023 s3; 6 Sep 2024 SR 71/2024 s3. 4 R-8.2 REG 4 ATTENDING HEALTH PROFESSIONALS Application 3(1) These regulations apply to all facilities operated by the provincial health authority or a health care organization other than the following facilities: (a) facilities designated as special-care homes pursuant to The Facility Designation Regulations; (b) facilities operated by a health care organization prescribed pursuant to clause (b) of the definition of ‘health care organization’ in section 1-2 of the Act that are established: (i) for the purpose of treating alcohol and drug abuse; or (ii) for the purpose of providing mental health services; (c) facilities operated by the provincial health authority that are established for the purpose of providing mental health services but do not accommodate in-patients. (2) If, in a facility operated by the provincial health authority, a portion of the facility is set aside for the purpose of providing mental health services but does not accommodate in-patients: (a) that portion of the facility is deemed to be a facility to which these regulations do not apply; and (b) those portions of the facility in which other health services are provided or in which in-patients are accommodated are deemed to be a separate facility to which these regulations apply. 14 Jly 2023 SR 55/2023 s4. Scope of practice not affected 4 Nothing in these regulations authorizes a health professional to do any thing that is not authorized by the licence issued to the health professional pursuant to the applicable Act. 7 May 2004 cR-8.2 Reg 4 s4. Prohibition against unauthorized persons 5 Except as provided in these regulations, no person shall: (a) admit a person to a facility as an in-patient; (b) cause a person to be registered as an out-patient of a facility; (c) attend, diagnose or treat a person admitted to a facility as an in-patient or registered as an out-patient of a facility; or (d) discharge a person admitted to a facility as an in-patient or registered as an out-patient of a facility. 7 May 2004 cR-8.2 Reg 4 s5. 5 ATTENDING HEALTH PROFESSIONALS R-8.2 REG 4 Physicians 6(1) This section applies to physicians to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A physician may, within the scope of his or her privileges, do any of the following: (a) admit a person to the facility as an in-patient; (b) cause a person to be registered as an out-patient of the facility; (c) attend, diagnose or treat a person admitted to the facility as an in-patient or registered as an out-patient of the facility; (d) discharge a person admitted to the facility as an in-patient or registered as an out-patient of the facility. 7 May 2004 cR-8.2 Reg 4 s6; 16 Sep 2011 SR 62/2011 s3. Dentists 7(1) This section applies to dentists to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A dentist may, within the scope of his or her privileges, do any of the following: (a) cause a person to be registered as an out-patient of the facility for the purpose of dental surgery or treatment; (b) attend, diagnose or treat a person registered as an out-patient of the facility for the purpose of dental surgery or treatment; (c) discharge an out-patient whom he or she is attending. (3) In addition to the authority conferred by subsection (2), a dentist who is registered and certified in oral and maxillofacial surgery by the College of Dental Surgeons of Saskatchewan may, within the scope of his or her privileges, do any of the following: (a) admit a person to the facility as an in-patient of the facility for the purpose of dental surgery or treatment; (b) attend, diagnose or treat a person admitted to the facility as an in-patient of the facility for the purpose of dental surgery or treatment; (c) discharge a person admitted to the facility as an in-patient of the facility for the purpose of dental surgery or treatment. 7 May 2004 cR-8.2 Reg 4 s7; 21 Sep 2007 SR 82/2007 s4; 16 Sep 2011 SR 62/2011 s4. 6 R-8.2 REG 4 ATTENDING HEALTH PROFESSIONALS Chiropractors 8(1) This section applies to chiropractors to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A chiropractor may, within the scope of his or her privileges, do one or both of the following: (a) cause a person to be registered as an out-patient of the facility for the purpose of obtaining: (i) plain film radiographs of the person’s skeletal system; or (ii) ultrasound images of the person’s musculoskeletal system; (b) on the request of the person’s attending physician, attend, diagnose or treat a person admitted to the facility as an in-patient or registered as an out-patient of the facility for the purpose of chiropractic treatment or services. 7 May 2004 cR-8.2 Reg 4 s8; 19 Jne 2009 SR 58/2009 s3; 16 Sep 2011 SR 62/2011 s5. Midwives 8.1(1) This section applies to midwives to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A midwife may, within the scope of his or her privileges, do any of the following: (a) admit a person to the facility as an in-patient for the purpose of midwifery care or services; (b) cause a person to be registered as an out-patient of the facility for the purpose of midwifery care or services; (c) attend, diagnose or treat a person admitted to the facility as an in-patient or registered as an out-patient of the facility for the purpose of midwifery care or services; (d) discharge a person admitted to the facility as an in-patient or registered as an out-patient of the facility for the purpose of midwifery care or services. 21 Sep 2007 SR 82/2007 s5; 16 Sep 2011 SR 62/2011 s6. Nurse practitioners 9(1) This section applies to each of the following: (a) nurse practitioners who are employed by a board with respect to a facility operated by the board; (b) nurse practitioners who are not employed by a board but to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A nurse practitioner may, within the scope of his or her terms of employment or privileges, do any of the following: (a) admit a person to the facility as an in-patient; 7 ATTENDING HEALTH PROFESSIONALS R-8.2 REG 4 (b) cause a person to be registered as an out-patient of the facility; (c) attend a person admitted to the facility as an in-patient or registered as an out-patient of the facility; (d) discharge a person admitted to the facility as an in-patient or registered as an out-patient of the facility whom the nurse practitioner is attending. 6 Sep 2024 SR 71/2024 s4. Physician assistants 9.1(1) This section applies to physician assistants to whom privileges have been granted by a board with respect to a facility operated by the board. (2) A physician assistant may, within the scope of his or her privileges, do any of the following: (a) provide care and treatment as a physician assistant pursuant to The Medical Profession Act, 1981 and in accordance with the scope of practice of the supervising physician; (b) cause a person to be registered as an out-patient of a facility operated by the board for the purpose of out-patient treatment or diagnostic services; (c) attend a person registered as an out-patient of a facility operated by the board for the purpose of diagnosis or treatment of common medical disorders; (d) in collaboration with the attending physician, treat in-patients of a facility operated by the board; (e) discharge an out-patient whom the physician assistant is attending. 14 Jly 2023 SR 55/2023 s5. Referral of diagnostic imaging examinations 10 A board shall ensure that: (a) any diagnostic imaging examination of a patient performed within a facility operated by the board is referred by a health professional, for the purpose of reviewing, interpreting and making a written report respecting the examination, to: (i) a radiologist; (ii) a physician whose practice is restricted to radiology and who: (A) is eligible for certification by the Royal College of Physicians and Surgeons of Canada in diagnostic radiology; (B) was practising in radiology before June 1, 2001; or (C) has been granted a minister’s permit to practise radiology pursuant to subsection 30(3) of The Medical Profession Act, 1981; (iii) a physician who has qualifications recognized by the College of Physicians and Surgeons of Saskatchewan in a specialty that includes the interpretation of diagnostic imaging examinations as an accepted function of the specialty; or 8 R-8.2 REG 4 ATTENDING HEALTH PROFESSIONALS (iv) in relation to a specific type of diagnostic imaging examination, a physician who has qualifications recognized by the College of Physicians and Surgeons of Saskatchewan for the interpretation of that type of diagnostic imaging examination; and (b) a written report received pursuant to clause (a) is placed on the health record of the patient to whom it relates. 7 May 2004 cR-8.2 Reg 4 s10. Coming into force 11 These regulations come into force on the day on which they are filed with the Registrar of Regulations. 7 May 2004 cR-8.2 Reg 4 s11. REGINA, SASKATCHEWAN Printed by the authority of THE KING’S PRINTER Copyright©2024