Regulated Health Professions Act
The Regulated Health Professions Act (RHPA) was proclaimed by the Manitoba government January 1, 2014 and will bring all regulated health professionals under one umbrella act.
Each health profession comes under the RHPA separately and professional self-governance continues.
The RHPA provides consistent rules and processes for governance, registration, complaints and discipline, regulation and by-law making authority.
A major change with the RHPA is the institution of 21 Reserved Acts which are health care services or procedures that can only be performed by regulated health care professionals as defined by provincial and federal legislation, their regulatory college or association, and practice setting.
The mandate of the RHPA is to protect public interest by limiting Reserved Acts to those qualified and competent to do them due to the risk of harm if performed incompetently.
Each profession regulates the performance of Reserved Acts and when professionals require written orders, additional education and clinical decision tools.
Not all professions perform all Reserved Acts and there is often overlapping scopes of practice, therefore collaborative practice is encouraged.
Regulated health professions that have transitioned to governance under the RHPA:
2014 – Audiologists
2014 – Speech Language Pathologists
2017 – Registered Nurses
2018 – Paramedics
2018 – Physicians and Surgeons
2022 – Registered Psychiatric Nurses
All other regulated health professions continue to be governed by existing professional legislation until transition under the RHPA occurs.
Resources
Regulated Health Professions Act Resources
July 2023 – General
Manitoba Government – Regulated Health Professions Act
Regulations (Consolidated) (gov.mb.ca)
- Audiologists & Speech Language Pathologists (SLPs)
College of Audiologists and Speech Language Pathologists of Manitoba (CASLPM)
College of Audiologists and Speech-Language Pathologists of Manitoba General Regulation
Practice of Audiology and Practice of Speech-Language Pathology Regulation
Audiologist Authorized Reserved Acts
Speech Language Pathologist Authorized Reserved Acts - Registered Nurses (RNs) & Nurse Practitioners (NPs)
College of Registered Nurses of Manitoba (CRNM) resources:
Scope of Practice for RNs
Scope of Practice for RN(NP)s
Scope of Practice for RN (Authorized Prescriber)s
Criteria for Reserved Acts Requiring Additional Education
Practice of Registered Nursing Regulation
College of Registered Nurses of Manitoba General Regulation - Paramedics
College of Paramedics of Manitoba resources:
College of Paramedics of Manitoba General Regulation
Practice of Paramedicine Regulation - Physicians and Surgeons, Physician Assistants (PAs) & Clinical Assistants (CAs)
College of Physicians & Surgeons of Manitoba (CPSM) resources:
CPSM Standards of Practice Regulation
CPSM General Regulation
Practice of Medicine Regulation- For physicians and surgeons, the Manitoba Privileging Advisory Council (MPAC) provides direction on additional requirements for performing Reserved Acts through physician privileges. Otherwise, general scope of practice for physicians includes all Reserved Acts and requires each physician to self-assess knowledge and competency and determine when additional education is required to perform procedures. Southern Health-Santé Sud (SH-SS) requires additional education for physicians working in some program areas.
- For PAs and CAs, scope of practice is defined by the scope of practice of the supervising physician. If physicians are able to do a Reserved Act, they may teach and supervise the PA or CA to perform the skill. In SH-SS, PAs and CAs have “Practice Descriptions” and “Contracts of Supervision” that provide direction about specific scope of practice.
- Registered Psychiatric Nurses (RPNs)
College of Registered Psychiatric Nurses of Manitoba resources:
College of Registered Psychiatric Nurses of Manitoba General Regulation
Practice of Registered Psychiatric Nursing Regulation
SH-SS Representatives – Regulated Health Professions
Sept / 2023
Tamara Burnham, Registered Nurse
Lorraine Cassan, Registered Nurse
Vacant, Nurse Practitioner
Vacant, Registered Nurse-Authorized Prescriber
Dana Human, Registered Psychiatric Nurse
Vacant, Licensed Practical Nurse
Vacant, Physician
Dr. Timo Gosselin, Physician
Heidi Wilson, Physician Assistant
Vacant, Clinical Assistant
Diane Reimer, Physical Therapist
Nancy Klassen, Occupational Therapist
Heather Fiebelkorn, Audiologist
Loralee Peters, Speech Language Pathologist
Rizwan Ahmed, Pharmacist & Pharmacy Technician
Hilary Everton, Midwife
Craig Doell, Respiratory Therapist
Irene Maendel, Social Worker
Janelle Botterill, Dietitian
Chantelle D’Andreamatteo, Dietitian
Evelyn Green, Paramedic
Dane Johnson, Medical Laboratory Technologist
Reserved Acts Requiring Additional Education for Regulated Health Professions in SH-SS