Supervision of Restricted Activities

Under Review: No
Issued by Council: January 1, 2010
Reissued by Council: April 1, 2017


This standard applies to supervision of restricted activities as defined in section 2 of Schedule 7.1 of the Government Organization Act. It does not imply any expectation or requirement for a regulated member of the College of Physicians & Surgeons of Alberta to supervise other regulated healthcare professionals performing restricted activities within their scope of practice, training and authorization by their regulatory college.

  1. A regulated member may consent to supervising a person performing a restricted activity if the person is:
    1. another regulated healthcare professional;
    2. a clinical trainee undergoing training leading to certification in a regulated health profession and the regulated member has taken reasonable steps to confirm that the supervised person is a clinical trainee; or
    3. an unregulated healthcare provider.
  2. A regulated member who supervises a person performing a restricted activity must:
    1. be personally:
      1. competent to perform the restricted activity;
      2. authorized to perform the restricted activity without supervision;
      3. satisfied with the knowledge, skill and judgment of the supervised person performing the restricted activity; and
      4. responsible for the restricted activity performed by the supervised person;
    2. ensure it is safe and appropriate for the supervised person to perform the restricted activity on the particular patient;
    3. obtain the patient’s informed consent for the restricted activity to be performed under supervision, unless consent is not possible because of emergency;
    4. provide a level of supervision commensurate with the skills and abilities of the person performing the restricted activity and the risk of harm to the patient;
    5. remain readily available for consultation during the performance of the restricted activity and for an appropriate follow-up period;
    6. have a quality assurance process in place to ensure the restricted activity is performed safely;
    7. ensure the person performing the restricted activity is clearly identified in the patient’s record; and
    8. ensure the equipment and resources used to perform the restricted activity are safe and appropriate.
  3. A regulated member who supervises an unregulated healthcare provider performing a restricted activity must ensure:
    1. the restricted activity is performed only under a direct order from a physician in the context of an established physician-patient relationship;
    2. there is minimal additional risk to the patient due to the unregulated healthcare provider performing the restricted activity; and
    3. the restricted activity is performed according to an established protocol and does not require medical knowledge or expertise.
  4. A regulated member must not supervise a person performing a restricted activity if that person:
    1. would be in violation of section 46 of the Health Professions Act regarding Mandatory Registration; or
    2. is registered as a regulated health professional in Alberta, but is not authorized or permitted by their profession’s regulatory college to perform that restricted activity.


The CPSA Standards of Practice are the minimum standards of professional behaviour and ethical conduct expected of all physicians registered in Alberta. Standards of practice are enforceable under the Health Professions Act and will be referenced in the management of complaints and in discipline hearings. About the CPSA Standards of Practice

Contact

For archived standards, policies and guidelines:
Chantelle.Dick@cpsa.ab.ca