Controlled Acts Practice Reflection


This form is one of four forms that are used by Registrants whose certificate of registration is in the Inactive Class and has been for more than 2 years. The forms allow a Registrant who has been in the inactive class for more than two years make an application to the College of Naturopaths of Ontario to demonstrate that they have the knowledge, skill and judgement to enter into the General Class of registration.


The four forms include:


• Standards of Practice Self-assessment Questionnaire

• Core Competencies Self-assessment

• Controlled Acts Practice Reflection

• Learning Plan.

1. INTRODUCTION

Under the Naturopathy Act, members of the profession have been authorized to perform certain controlled acts in accordance with the requirements outlined in the General Regulation. Applicants are encouraged to reflect on controlled acts and their knowledge and skill related to being able to perform the controlled acts safely.

2. REGISTRANT INFORMATION

Please provide the following information as it appears on the public register (Naturopath Search) on the College's website. This will allow the College to match the questionnaire with your application for presentation to the Registration Committee.

Please provide your given (first) name.

Please provide your middle name if you have one and it appears on the naturopathic doctor search published by the College.

Please provide your family (last) name.

3. CONTROLLED ACTS REFLECTION

3.1 Acupuncture

Naturopaths have been exempted from the prohibition of performing the controlled act. They can perform acupuncture as part of a naturopathic treatment plan.

1. Have you undertaken any training, education or professional development activities to maintain your acupuncture skills?*

If you believe this to be an area for growth but have not taken steps to maintain your knowledge and skill, please outline any necessary education and training, or other activities you will complete and include this information as part of your Learning Plan.

3.2 Naturopathic Manipulation

A Registrant who meets all of the standards of practice of the profession as set out in the General Regulation is authorized to move the thoracic, lumbar and sacral joints of the spine and the cervical joints of the spine (naturopathic manipulation). A Registrant may perform naturopathic manipulation only if they meet all of the following standards of practice:


1.The member shall use only one or more of the following low amplitude thrust procedures when he or she manipulates a patient’s cervical joints of the spine:

    i. Supine lateral flexion.

    ii. Supine rotary.

    iii. C2-C7 seated rotary.


The Registrant shall not perform naturopathic manipulation, if at the time it is proposed,

  1.  yhe patient has or may have one or more of the contraindications listed in the General Regulation or
  2. the member is in doubt about the accuracy of the patient’s health status or history in terms of the contraindications.

4. Have you undertaken any training, education or professional development activities to maintain your naturopathic manipulation skills?*

If you believe this to be an area for growth but have not taken steps to maintain your knowledge and skill, please outline any necessary education and training, or other activities you will complete and include this information as part of your Learning Plan.

3.3 Internal Examinations

A Registrant who meets all of the standards of practice of the profession as set out in the General Regulation is authorized to perform the following controlled acts:

  1. Putting an instrument, hand or finger beyond the labia majora but not beyond the cervix.
  2. Putting an instrument, hand or finger beyond the anal verge but not beyond the rectal-sigmoidal junction.


A Registrant may only perform this controlled act for one or more of the following purposes:

  1. Examining a patient in the course of an assessment or to formulate a naturopathic diagnosis.
  2. Treating the patient with naturopathic treatments or remedies.
  3. Taking or collecting a specimen.

7. Have you undertaken any training, education or professional development activities related to performing internal examinations?*

If you believe this to be an area for growth but have not taken steps to maintain your knowledge and skill, please outline any necessary education and training, or other activities you will complete and include this information as part of your Learning Plan.

3.4 Blood Draws

A Registrant who meets all of the standards of practice set out in the General Regulation is authorized to take blood samples from veins or by skin pricking for the purpose of performing one or more of the following naturopathic examinations on a patient’s blood sample: 1

  1. BTA Bioterrain Assessment.
  2. Glucose.
  3. Live blood cell analysis.
  4. Hemoglobin – A1C.
  5. Mononuclear Heterophile Antibodies (monospot).
  6. Fatty acids, free.
  7. Blood Group – ABO and RhD.


A Registrant shall perform the controlled act of taking blood if they meet all of the following standards of practice:

1.They shall perform the controlled act only for the purpose of,

        -- assessing the patient’s health status,

        -- communicating a naturopathic diagnosis, or

        -- monitoring or evaluating the patient’s response to treatment.

2.The Registrant shall only perform the specified naturopathic examination on a patient’s blood sample using a Class III medical device that has been approved by Health Canada.

10. Have you undertaken any training, education or professional development activities to ensure you have current knowledge pertaining to the profession’s ability to take or collect blood samples?

If you believe this to be an area for growth but have not taken steps to maintain your knowledge and skill, please outline any necessary education and training, or other activities you will complete and include this information as part of your Learning Plan.

4. DECLARATION & SIGNATURE

13. Declaration


I, the above-named individual, do hereby solemnly declare that: - I have completed this practice reflection on my own with no assistance or direction from others; - This self-assessment is a true reflection of my current knowledge of the controlled acts; and - I have been honest and truthful in completing this practice reflection.

14. Signature


By checking the box below, you are affixing a signature to this form and indicating that this form and the information contained herein is bound directly to you.

5. SUBMISSION COPY

Below is a check box to receive a copy of your submission. It is highly recommended that you check this box and enter your e-mail address for a second time. This will enable the on-line system to send you a copy of the information that you have provided to the College.

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