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B.C. Reg. 282/2008
M242/2008
Deposited October 15, 2008
effective October 17, 2008
This consolidation is current to August 8, 2017.

Health Professions Act

Naturopathic Physicians Regulation

[includes amendments up to B.C. Reg. 156/2009, April 9, 2009]

Contents
1Definitions
2College name
3Reserved titles
4Scope of practice
5Restricted activities
6Limits or conditions on services and restricted activities
7Patient relations program
8Health profession corporations
Schedule

Definitions

1  In this regulation:

"Act" means the Health Professions Act;

"compound" means

(a) in respect of a drug, to mix with one or more other ingredients, and

(b) in respect of a therapeutic diet, to mix two or more ingredients;

"dispense" has the same meaning as in the Pharmacy Operations and Drug Scheduling Act, but excludes a sale, as defined in that Act;

"drug" means, except in the definition of "substance", a drug

(a) specified in Schedule I of the Drug Schedules Regulation, B.C. Reg. 9/98, other than a drug set out in the Schedule of this regulation, or

(b) specified in Schedule II of the Drug Schedules Regulation;

"enteral instillation" means instillation directly into the gastrointestinal tract;

"minor surgery" means a surgical procedure that

(a) is performed, for a diagnostic or therapeutic purpose, on a superficial anatomical structure, and

(b) does not involve

(i) sedation, general anaesthesia or respiratory assistance, or

(ii) a material risk to life;

"naturopathic medicine" means the health profession in which a person provides the services of prevention, assessment and treatment of an individual's diseases, disorders and conditions using education and naturopathic techniques, therapies or therapeutics to stimulate or support healing processes and promote, maintain or restore the overall health of the individual;

"parenteral instillation" means instillation directly into the blood stream;

"prescribe" means to issue a prescription, as defined in the Pharmacy Operations and Drug Scheduling Act;

"substance" includes air and water, but excludes a drug specified in Schedule I, IA, II or IV of the Drug Schedules Regulation.

[am. B.C. Reg. 156/2009, s. 1.]

College name

2  The name "College of Naturopathic Physicians of British Columbia" is the name of the college established under section 15 (1) of the Act for naturopathic medicine.

Reserved titles

3  (1) The following titles are reserved for exclusive use by registrants:

(a) naturopath;

(b) naturopathic physician;

(c) naturopathic doctor;

(d) physician;

(e) doctor.

(2) This section does not prevent a person from using

(a) the title "physician" or "doctor" in a manner authorized by another enactment that regulates a health profession, or

(b) an academic or educational designation that the person is entitled to use.

Scope of practice

4  A registrant may practise naturopathic medicine.

Restricted activities

5  (1) A registrant in the course of practising naturopathic medicine may do any of the following:

(a) use naturopathic techniques to make a diagnosis identifying, as the cause of signs or symptoms of an individual, a disease, disorder or condition;

(b) perform a procedure on tissue

(i) below the dermis, or

(ii) below the surface of a mucous membrane;

(c) move a joint of the spine beyond the limits the body can voluntarily achieve but within the anatomical range of motion using a high velocity, low amplitude thrust;

(d) administer a substance

(i) by injection,

(ii) by inhalation,

(iii) by irrigation,

(iv) by enteral instillation or parenteral instillation, or

(v) using a hyperbaric chamber;

(e) put an instrument or a device or finger

(i) into the external ear canal, up to the eardrum,

(ii) beyond the point in the nasal passages where they normally narrow,

(iii) beyond the opening of the urethra,

(iv) beyond the labia majora,

(v) beyond the anal verge, or

(vi) into an artificial opening into the body;

(f) put into the external ear canal, up to the eardrum, a substance that is under pressure;

(g) apply

(i) ultrasound for diagnostic or imaging purposes, including any application of ultrasound to a fetus,

(ii) electricity for the purposes of

(A) destroying tissue in the course of minor surgery, or

(B) defibrillation in the course of emergency cardiac care, or

(iii) X-rays for diagnostic or imaging purposes, excluding X-rays for the purpose of computerized axial tomography;

(h) issue an instruction or authorization for another person to perform, in respect of a named individual, a restricted activity specified in paragraph (g) (i) or (iii);

(i) in respect of a drug,

(i) prescribe the drug,

(ii) compound the drug,

(iii) dispense the drug, or

(iv) administer the drug by any method;

(j) if nutrition is administered by enteral instillation or parenteral instillation,

(i) select ingredients for a therapeutic diet,

(ii) compound a therapeutic diet, or

(iii) dispense a therapeutic diet;

(k) conduct challenge testing for allergies

(i) that involves injection, scratch tests or inhalation, if the individual being tested has not had a previous anaphylactic reaction, or

(ii) by any method, if the individual being tested has had a previous anaphylactic reaction;

(l) conduct desensitizing treatment for allergies

(i) that involves injection, scratch tests or inhalation, if the individual being tested has not had a previous anaphylactic reaction, or

(ii) by any method, if the individual being tested has had a previous anaphylactic reaction.

(2) Only a registrant may practise naturopathic medicine.

[en. B.C. Reg. 156/2009, s. 2.]

Limits or conditions on services and restricted activities

6  (1) A registrant may perform only surgery that is minor surgery.

(2) A registrant may prescribe, compound, dispense or administer a drug only if

(a) standards, limits and conditions have been established, under section 19 (1) (k) or (l) of the Act, respecting the prescribing, compounding, dispensing and administering of drugs by registrants,

(b) the standards, limits and conditions described in paragraph (a) are established on the recommendation of a committee that

(i) is established under section 19 (1) (t) of the Act, and

(ii) has the duty and power to develop, review and recommend those standards, limits and conditions, and

(c) the registrant has successfully completed a certification program established, required or approved under the bylaws to ensure that registrants are qualified and competent to prescribe, compound, dispense or administer a drug.

(3) A registrant may perform an activity described in section 5 (1) (d) (v), (k) or (l) only if

(a) standards, limits and conditions have been established, under section 19 (1) (k) or (l) of the Act, respecting the activity, and

(b) the standards, limits and conditions described in paragraph (a) are established on the recommendation of a committee that

(i) is established under section 19 (1) (t) of the Act, and

(ii) has the duty and power to develop, review and recommend those standards, limits and conditions.

[en. B.C. Reg. 156/2009, s. 3.]

Patient relations program

7  The college is designated for the purposes of section 16 (2) (f) of the Act.

Health profession corporations

8  Part 4 of the Act applies to naturopathic medicine.

Schedule

[en. B.C. Reg. 156/2009, s. 4.]

Excluded Schedule I Drugs

AcetohexamideChlorisondamine and its salts
AdalimumabChoriogonadotripin alfa
AdefovirCinacalcet and its salts
Agalsidase alfaCisplatin
AldesleukinCladribine and its salts
AlemtuzumabClobazam and its salts
AlfentanilClonazepam and its salts
Alkyl nitritesClorazepic acid and its salts
AlprazolamCodeine when prescribed as a single entity or
Altretaminewhen included in a preparation containing
Amifostine and its salts60 mg or more per dosage unit
AminoglutethimideCyclophosphamide
Aminopterin and its saltsCycloserine
Aminopyrine and its derivativesCyclosporine
Amprenavir and its salts and derivativesCytarabine and its salts
Amsacrine and its saltsDacarbazine
Anagrelide and it saltsDaclizumab
Anakinra and its salts and derivativesDactinomycin
AnastrozoleDaunorubicin and its salts
AncestimDelavirdine and its salts
AnileridineDesflurane
Anti-thymocyte globulinDexrazoxane and its salts
Atazanavir and its saltsDiazepam and its salts
Atracurium besilateDidanosine and its salts and derivatives
AuranofinDiethylstilbestrol and its derivatives
AurothioglucoseDihydrotachysterol
BasiliximabDinoprostone and its salts and derivatives
BevacizumabDocetaxel and its derivatives
BicalutamideDoxacurium chloride
BleomycinDoxercalciferol and its derivatives
BortezomibDoxorubicin and its salts
Bromazepam and its saltsDroperidol and its salts
BuprenorphineEdrophonium chloride
Buserelin and its saltsEfavirenz
BusulfanEmtricitabine
ButalbitalEnflurane
ButorphanolEnfuvirtide
Cabergoline and its saltsEpirubicine and its salts
Capecitabine and its salts and derivativesErythropoietin
CarboplatinEstazolam and its salts
CarmustineEstramustine and its salts
Cetrorelix and its saltsEtanercept
CetuximabEthambutol and its salts
Chlorambucil and its salts and derivativesEthchlorvynol
Chlordiazepoxide and its saltsEthionamide and its salts
Ethoheptazine and its saltsLeuprolide and its salts
Etoposide and its derivativesLevallorphane and its salts
ExemestaneLevamisole and its salts
Fenfluramine and its saltsLevorphanol
FentanylLincomycin and its salts and derivatives
FilgrastimLinezolid and its salts
FlucytosineLomefloxacin and its salts
Fludarabine and its salts and derivativesLomustine
FlumazenilLopinavir
Fluorouracil and its derivatives for parenteralLoracarbef and its salts and derivatives
use onlyLorazepam and its salts
Flurazepam and its saltsMazindol and its salts
FlutamideMecamylamine and its salts
Follicle stimulating hormoneMechlorethamine and its salts
Formestane and its salts and derivativesMelanoma therapeutic vaccine
FulvestrantMelphalan
Gallamine triethiodideMenotropins (human)
Ganirelix and its salts and derivativesMeperidine (pethidine)
GefitinibMercaptopurine
Gemcitabine and its saltsMeropenem and its salts and derivatives
Glatiramer and its saltsMesna
Gold and its saltsMetaraminol bitartrate
Goserelin and its saltsMethadone
Halazepam and its saltMethaqualone
Halofantrine and its saltsMidazolam and its salts
HalothaneMidodrine and its salts
Hydrocodone (dihydrocodeinone)Miglustat
Hydromorphone (dihydromorphone)Mitomycin and its salts
Hydroxychloroquine and its saltsMitotane (o,p'-DDD)
Idarubicin and its saltsMitoxantrone and its salts
IfosfamideMivacurium chloride
Imatinib and its saltsMolgramostim
ImigluceraseMorphine
Indinavir and its saltsMuromonab-CD3
InfliximabMycophenolic acid and its salts and derivatives
InterferonNalmefene and its salts
Iproniazid and its saltsNelfinavir and its salts
Irinotecan and its saltsNeostigmine salts
IsofluraneNetilmicin and its salts and derivatives
Ivermectin and its derivativesNevirapine and its salts
Kanamycin and its salts and derivativesNikethamide
Ketamine and its saltsNilutamide
Ketazolam and its saltsNitrazepam and its salts
Lamivudine and its saltsNormethadone
LaronidaseOctreotide
L-AsparaginaseOxazepam and its salts
Leflunomide and its saltsOxycodone
LetrozolePaclitaxel and its derivatives
PalivizumabStreptozocin
Pamidronic acid and its saltsSuccinylcholine and its salts
Pancuronium and its saltsSufentanil
PegfilgrastimSuxamethonium chloride
Pemetrexed and its saltsTacrolimus and its derivatives
Pentamidine and its saltsTegafur and its salts
PentazocineTemazepam and its salts
Pentolinium tartrateTemozolomide and its salts
Pentostatin and its saltsTeniposide
PerflutrenTenofovir and its salts and derivatives
Phentolamine and its saltsThalidomide
PipobromanThiocarlide
Porfimer and its saltsThioguanine
Pralidoxime and its saltsThiotepa
Prazepam and its saltsTiludronic acid and its salts
Prodilidine and its saltsTipranavir and its salts
PropofolTopotecan and its salts
PropoxypheneToremifene and its salts
PyrazinamideTrastuzumab
Pyridostigmine bromideTreosulfan
Raltitrexed and its salts and derivativesTreprostinil and its salts
RasburicaseTretamine
Rifabutin and its saltsTriazolam and its salts
Riluzole and its saltsTrimethaphan camsylate
RitonavirTrimetrexate and its salts
RituximabTroglitazone
Rocuronium bromideTubocurarine and its salts
RofecoxibValrubicin and its derivatives
Saquinavir and its salts and derivativesVecuronium bromide
SargramostinViomycin and its salts and derivatives
Sevelamer hydrochlorideZalcitabine and its salts
Sirolimus and its derivativesZidovudine
Sodium aurothiomalateZoledronic acid and its salts and derivatives
Stavudine

[Provisions of the Health Professions Act, R.S.B.C. 1996, c. 183, relevant to the enactment of this regulation: section 12 (2)]