Prescribed Procedures Below the Dermis Regulation

One of the controlled acts authorized to respiratory therapists (RTs) is performing a prescribed procedure below the dermis. “Prescribed” in this case means listing the specific procedures in regulation. Part VII of Ontario Regulation (O. Reg) 596/94, sets out the prescribed procedures authorized to RTs, which are as follows:

1. Basic Procedures

i. Arterial, venous and capillary puncture

ii. Insertion, suturing, aspiration, repositioning, manipulation, and removal of an arterial cannula.

iii. Insertion, suturing, aspiration, repositioning, manipulation, and removal of a venous cannula.

2. Advanced Procedures

i. Manipulation or repositioning of a cannula balloon.

ii. Chest needle insertion, aspiration, reposition, and removal.

iii. Chest tube insertion, aspiration, reposition, and removal.

iv. Bronchoscopic tissue sample for the purpose of bronchoalveolar lavage and endobronchial brushing.

v. Intraosseous needle insertion.

vi. Subcutaneous electrode placement for interoperative and perinatal fetal monitoring.