TORONTO - Ontario is set to expand the list of tests midwives can order and perform, as part of the government’s push to increase community care optio...
TORONTO - Ontario is set to expand the list of tests midwives can order and perform, as part of the government’s push to increase community care options and ease health system pressures.
“The big problem with lists is that they quickly become out of date when there is new evidence or when there are shifting standards of practice,” said Jasmin Tecson, president of the Association of Ontario Midwives. Part of the government’s plan for giving people more convenient health-care options closer to home involves “maximizing the expertise of our health care workforce by expanding scopes of practice,” Health Minister Sylvia Jones said in a recent letter to the chair of the College of Midwives of Ontario.
“The aim is to get us to that place to have clients have ... equal access to drugs and tests in the pregnancy and postpartum that they would get with any other health-care provider providing the same care,” she said in an interview. When it comes to medications, older versions of a drug to manage post-partum hemorrhaging are on the list, but not better and newer ones, Tecson said. They are also unable to prescribe medications for severe nausea and vomiting in pregnancy.
The government has said it is considering other scope expansions for health professionals, including allowing registered nurses to prescribe, allowing nurse practitioners to order and apply defibrillators and ECGs, and allowing chiropodists/podiatrists, optometrists and naturopaths to prescribe more drugs.
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