APPROVED
Executive Committee Meeting
College of Physicians and Surgeons of British Columbia
MINUTES
REGULAR
OPEN
Minutes of the Executive Committee of the College of Physicians and
Surgeons of British Columbia scheduled Friday, October 25, 2013 in the
Board Room, 669 Howe Street, Vancouver, BC.
Members
Present:
• Dr. L.C. Jewett (President)
• Dr. J.R. Stogryn (Vice‐President)
• Dr. G.A. Vaughan (Treasurer)
• Mr. W.M. Creed
• Ms. L. Charvat
Staff
Present:
• Dr. W.R. Vroom (Senior Deputy Registrar)
• Mr. G. Keirstead(Chief Legal Counsel)
Regrets:
• Dr. N.D. James
Regrets:
• Dr. H.M. Oetter (Registrar)
• Dr. A.M. McNestry (Deputy Registrar)
• Dr. A.J. Burak (Deputy Registrar)
• Dr. J.G. Wilson (Deputy Registrar)
• Mr. M. Epp (Chief Operating Officer)
• Ms. S. Prins (Director of Communications)
Recorder of Minutes:
• Ms. J. Bergen, Executive Assistant to
the Registrar
Summary of Resolutions discussed at meeting of Friday, October 25, 2013
RECORD OF RESOLUTIONS
Item #
1.
Item
Adoption of the
Agenda
October 25, 2013 Resolutions
Resolution No.
RESOLVED that the agenda for the open regular 13-752
meeting of the Executive Committee of the
College of Physicians and Surgeons of British
Columbia scheduled October 25, 2013, be
adopted as amended.
Meeting Convened
A quorum being present, Dr. L.C. Jewett, President, called the meeting to order at 1:35
p.m.
1.
Adoption of the Agenda
The following resolution was MOVED, SECONDED and CARRIED:
RESOLUTION 13-752
RESOLVED that the agenda for the open regular meeting of the Executive Committee of
the College of Physicians and Surgeons of British Columbia scheduled October 25, 2013,
be adopted as amended.
2.
Minutes – August 23, 2013
The Executive Committee was provided with the open Executive Committee minutes of
August 23, 2013 for their information.
3.
Report of the Registrar
• Article “Arbitrator upholds BC policy requiring health care workers to get flu shot or
wear masks”, from the Canadian Press, dated October 24, 2013
In Dr. Oetter’s absence, Dr. Vroom reported on the following:
•
On October 15, 2013, members of the registrar staff met with representatives from
the College of Licensed Practical Nurses in BC (CLPNBC) to address the use of “mediject” by LPNs, administration of Botox and fillers by LPNs and dispensing. The
CLPNBC reviewed the current status of LPN regulation and noted that restricted
activities had still not been posted and that the Ministry was not optimistic about
these regulation amendments taking place expediently. In the interim, the CLPNBC
had posted a “Scope of Practice for Licensed Practical Nurses” on their website”.
The CLPNBC advised the College that LPNs had been made aware that medi-ject is
off limits and that this activity had ceased. The College advised CLPNBC that LPNs
had been found injecting Botox and filers for patients even when there was no
physician present. It was noted that the CLPNBC had advised its registrants that
until such time as there is standardized education surrounding injection of Botox
that this activity is not within LPN’s scope of practice. CLPNBC noted that there is
little that they can do when former LPN registrants are delegated to perform these
activities by physicians.
The terms “dispense” is defined in legislation and includes both the administration
of medication and the determination of pharmaceutical and therapeutic suitability
College of Physicians and Surgeons of British Columbia
APPROVED Executive Committee Regular Open Minutes October 25, 2013
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of a medication for its intended use and ensuring its proper use. LPNs are not
trained to carry out such a determination. However, many emergency departments
are employing LPNs for the administration of medications. LPNs can only administer
medication under the direct physician order for which the physician takes full
responsibility. The “dispensing” of medication by LPNs will require a wording
change.
•
4.
The Executive Committee was provided with a copy of an article in The Canadian
Press “Arbitrator upholds BC policy requiring health care workers to get flu shot or
wear masks”. A BC arbitrator has upheld a provincial government policy requiring
health-care workers in the province to get a flu shot or wear a mask while caring for
patients during flu season.
Report of the President
No report.
5.
Unfinished Business
5.1
•
Marijuana for medical purposes
Briefing note from Dr. Oetter, dated October 2013
The Executive Committee was provided with a copy of an email from Dr. Fleur-Ange
Lefebvre, Executive Director and CEO, Federation of Medical Regulatory Authorities of
Canada (FMRAC), detailing the latest meeting between FMRAC and Health Canada
regarding medical marijuana and the new regulations. The old regulations, that will coexist with the new ones until midnight on March 31, 2014, allow a medical regulatory
authority (MRA) to request information from Health Canada about a physician. The new
regulations, that are already in effect, but will fly solo as of April 1, 2014, will allow the
MRA to seek information about a particular physician, either through the Narcotics
Control Regulations or by contacting the licensed producer directly. Health Canada will
not be the representative of this kind of information. The list of licensed producers is
available publicly, but an MRA seeking information about a particular physician would
have to contact each and every one in their jurisdiction unless they know which
producer is used by the patient in question.
This was provided to the committee for their information.
College of Physicians and Surgeons of British Columbia
APPROVED Executive Committee Regular Open Minutes October 25, 2013
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6.
Committee Reports
1. Diagnostic Accreditation Program (DAP)
The Executive Committee was provided with a copy of an Addendum to the Request for
Supplier Qualification (RFSQ) for Western Canada Laboratory and Diagnostic Imaging
Accreditation Programs for the western provinces. The RFSQ is an invitation for
interested parties to submit their qualifications on being able to submit proposals to
provide laboratory and diagnostic imaging accreditation programs as well as medical
quality assurance accreditation programs for pathologists and radiologists. Dr. Vroom
advised the committee that he will be meeting with other western registrars on October
28, 2013 where this will be discussed. Registrar staff will also be meeting with the
Deputy Minster to discuss at a date yet to be determined.
7.
New Business
None.
8.
Information Items
None.
9.
Next Meeting
The next open regular meeting of the Executive Committee of the College of Physicians
and Surgeons of British Columbia is scheduled for Friday, December 20, 2013.
Conclusion
The open regular meeting of the Executive Committee of the College of Physicians and
Surgeons of British Columbia held October 25, 2013 concluded at 1:58 p.m.
W.R. Vroom, MD, CM, CCFP (EM)
Senior Deputy Registrar
WRV/jb
College of Physicians and Surgeons of British Columbia
APPROVED Executive Committee Regular Open Minutes October 25, 2013
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