Health professions (general) regulations 2000

[CH.233 – 11
HEALTH PROFESSIONS (GENERAL)
REGULATIONS, 2000
PRELIMINARY
1. These regulations may be cited as the Health Citation.
Professions (General) Regulations, 2000. 2. In these regulations —
“accredited” with respect to school, college, university, institution, program or course, means a school, college, university, institution, program or course recognized by the Ministry of Education that is approved by the Council, “medical practitioner” means a person licensed under Ch. 224. “training institution” means an agency or institution that meets the requirements referred to in the specific Part for a particular health profession. 3. (1) An application for registration as a health Registration.
professional under section 12 of the Act shall be accompanied by a statement from a licensed health professional that the applicant can read, write, speak and understand the English language and is otherwise a fit and proper person to be registered to practise as a health (a) proof of citizenship in the Commonwealth of (b) a certificate of permanent resident status in the Commonwealth of The Bahamas that permits the person to engage in gainful occupation; or ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– LRO 1/2002 CH.233 – 12] HEALTH
(2) For the purposes of section 12(3)(a) of the Act, an original certificate from a training institution that confirms that an applicant has successfully completed a course of study required to achieve the knowledge and skills competency requirements for the category of registration sought or, evidence of qualifications that the Council considers equivalent thereto, is evidence of qualifications as a health professional. (3) Where an original certificate from a training institution is not available, the applicant may submit a copy that has been certified by the training institution as being a true copy of the applicants certificate. (4) Where a person applies for registration as a health professional under the Act and the applicant does not hold a certificate from a training institution, it is the responsibility of the applicant to furnish the Council with such information as is necessary for the Council to (5) Where the Council is required to determine equivalency as part of an application under this section, the application shall be accompanied by an evaluation fee of twenty-five dollars and such fee shall be non-refundable. (6) A person who satisfies the Council that he is eligible to be registered as a health professional shall be registered upon submission of the appropriate registration fee set out in the First Schedule and upon payment of the said fee the Council shall issue to the health professional a certificate of registration as set out in Form I of the Second (7) A person is entitled to have his or her name entered in the health professions register for more than one health profession provided that the person meets the qualifications for registration for each profession. (8) A holder of a certificate of registration shall notify the Council forthwith of any change of business 4. (1) An application for a licence or renewal
thereof under section 13 (1) of the Act shall — (a) be made on a form provided by the Council; (b) have attached thereto a copy of a certificate of registration for the particular health profession [CH.233 – 13
(c) be accompanied by the appropriate fee set out in (2) A licence as a health professional shall be in Form 2 as set out in the Second Schedule. 5. (1) A training institution may be recognized by Training
the Council as a University, College or other body under institution. (a) the Council approves of the course of study of the University, College or other body used to provide the knowledge and skills for a person to (b) the institution meets the requirements of this (2) A training institution that is located in The Bahamas shall not issue a certificate to a person unless the person has successfully completed a course of study required to achieve the knowledge and skills competency requirements for the category of registration sought. (3) A training institution shall, on the request of the Council, provide to the Council for approval — (a) a description of the program content and learning methodologies employed to ensure that students acquire the knowledge and patient care (b) a description of the evaluation methodology and criteria utilized to determine competency to (4) The Council may at any time, upon provision of ninety days notice, require that a training institution confirm that it meets the requirements set out in a particular Part or require that a training institution provide any information referred to in paragraph (3). (5) Where a training institution fails to comply with paragraph (4), the Council may refuse to accept registration and licence applications from persons who are graduates of (6) Notwithstanding paragraph (4), a training institution shall confirm to the Council that it meets the requirements of a particular Part within ninety days of each third anniversary of having been approved by the council to provide training under that particular Part. ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 14] HEALTH
ACUPUNCTURE THERAPY
6. The practice of acupuncture therapy is the
stimulation of a certain point or points on or near the surface of the body by the insertion of needles to prevent or modify the perception of pain or to normalize physiological functions, including pain control for the treatment of certain diseases or dysfunctions of the body, and includes the techniques of electroacupuncture and cupping. 7. In the course of engaging in the practice of
acupuncture therapy as an acupuncturist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform or prescribe the use of oriental massage, acupuncture, moxibustion, breathing technique, exercise or nutrition, including the incorporation of drugless substances and herbs as dietary 8. The qualifications for registration as an
(a) has completed an accredited educational, train- (b) passed an examination approved by the Amer- ican Academy of Medical Acupuncture that tests the applicant’s ability competency and knowl- edge in the practice of acupuncture therapy; or (c) has successfully completed a program or examination in Acupuncture which the Council AUDIOLOGY AND SPEECH
LANGUAGE PATHOLOGY
9. (1) The practice of audiology is the assessment
of auditory function and the treatment and prevention of auditory dysfunction and to develop, maintain, rehabilitate or augment auditory and communicative functions. (2) The practice of speech language pathology is the assessment of speech and language functions and the [CH.233 – 15
treatment and prevention of speech, language and swal- lowing dysfunctions or disorders and to develop, maintain, rehabilitate or augment oral motor or communicative 10. (1) In the course of engaging in the practice of Authorized
audiology as an audiologist a person may, subject to the health services. terms, conditions and limitations imposed on his or her certificate of registration and upon the referral of a Medical Practitioner prescribe a hearing aid for a hearing impaired (2) In the course of engaging in the practice of speech language pathology as a speech language pathologist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, assess, treat and prevent speech and language dysfunction or disorders, in close collaboration with a 11. (1) The qualifications for registration as an Qualifications for
(a) has a master’s degree in audiology from a college or university accredited by the American Speech, Hearing and Language Association or a qualifi- cation that the Council considers equivalent (b) has successfully completed a qualifying examina- tion for certification as an audiologist in the jurisdiction where the person obtained their (2) The qualifications for registration as a speech language pathologist are that the person — (a) has a master’s degree in speech language pathology from a college or university accredited by the American Speech, Hearing and Language Association or a qualification that the Council (b) has successfully completed a qualifying examina- tion for certification as a speech language pathologist in the jurisdiction where the person ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 16] HEALTH
CHIROPODY AND PODIATRY
12. The practice of chiropody and podiatry is the
assessment of the foot and ankle and the treatment and prevention of disease, disorders or dysfunctions of the foot and ankle by medical, surgical, palliative or mechanical 13. (1) In the course of engaging in the practice of
chiropody as a chiropodist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) cutting into the subcutaneous tissues of the foot and ankle and bony tissues of the foot and ankle; (b) administering by injection into feet and ankles, a substance referred to in the Third Schedule; (c) prescribing a drug referred to in the Third (2) In the course of engaging in the practice of podiatry as a podiatrist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) communicate a diagnosis identifying a disease or disorder of the foot and ankle as the cause of (b) cutting into the subcutaneous tissues of the foot and ankle and bony tissues of the foot and ankle; (c) administering by injection into feet and ankles, a substance referred to in the Third Schedule; (d) prescribing a drug referred to in the Third 14. The qualifications for registration as a chiropodist
(a) has a degree or diploma from an institution accredited by the American Council on Podiatric (b) has successfully completed the Society of Chiropodists and Podiatrists of the United (c) has successfully completed a program in chir- opody or podiatry which the Council considers [CH.233 – 17
CHIROPRACTIC THERAPY
15. The practice of chiropractic is the assessment of Scope of practice.
conditions related to the spine, nervous system and joints and the diagnosis, prevention and treatment, primarily by adjustment of these structures. Such conditions include — (a) dysfunctions or disorders arising from the structures or functions of the spine and the effects of those dysfunctions or disorders on the (b) dysfunctions or disorders arising from the 16. In the course of engaging in the practice of Authorized
chiropractic as a chiropractor a person may, subject to the health services. terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) communicating a diagnosis identifying, as the (i) a disorder arising from the structures or functions of the spine and their effects on (ii) a disorder arising from the structures or functions of the joints of the extremities; (b) moving the joints of the spine beyond a person’s normal usual physiological range of motion (c) putting a finger beyond the anal verge for the 17. The qualifications for registration as a chiroprac- Qualifications for
tor are that the person has successfully completed a registration. qualifying examination as accredited by the American Academy of Chiropractic or its equivalent. CLINICAL PSYCHOLOGY
18. The practice of psychology is the assessment of Scope of practice.
behavioural and mental conditions, the diagnosis of neuropsychological disorders and dysfunctions and psy- chotic, neurotic and personality disorders and dysfunctions and the prevention and treatment of behavioural and ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 18] HEALTH
mental disorders and dysfunctions and the maintenance and enhancement of physical, intellectual, emotional, social 19. In the course of engaging in the practice of
clinical psychology as a clinical psychologist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, communicate a diagnosis identifying, as the cause of a person’s symptoms, a neuropsychological disorder or dysfunction, a psychosis, a neurosis, a personality disorder or dysfunction or a behavioural, mental or developmental disorder but does not 20. The qualifications for registration as a clinical
(a) holds a doctorate degree in psychology (Ph. D. or Psy. D.) from an accredited institution and has completed an internship program accredited (b) holds a master’s degree in psychology from an accredited institution and has, after receiving the degree, completed at least five (5) years clinical DIETETICS
21. The practice of dietetics is the assessment of
nutrition and nutritional conditions and the treatment and prevention of nutrition related disorders by nutritional 22. (1) In the course of engaging in the practice of
dietetics as a dietitian or nutritionist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) planning and regulating feeding according to (b) the treatment and prevention of nutrition related (2) In the course of engaging in the practice of dietetics as a dietary technician a person may, subject to the terms, conditions and limitations imposed on his or her [CH.233 – 19
certificate of registration, engage in the history taking and reviewing of nutritional practices under the direct super- 23. (1) The qualifications for registration as a dietitian Qualifications for
(a) holds a bachelors degree in dietetics or food and nutrition science from an accredited institution, has completed an accredited clinical internship program in the jurisdiction where the person obtained their degree and has passed a profi- ciency examination in the jurisdiction where the person obtained their degree that ensures that the person has the skills to be licensed or registered (b) has qualifications that the Council considers equivalent to the degree referred to in subpara- graph (a) together with at least one year intern- ship as a dietitian or nutritionist in the jurisdiction where the person obtained their equivalency degree and has passed a proficiency examination in the jurisdiction where the person obtained their degree that ensures that the person has the skills to be licensed or registered as a (2) The qualifications for registration as a dietary (a) holds an associate of arts degree in dietetics, food and nutrition science or food service manage- ment from an accredited institution or holds qualifications in nutrition or food management that the Council considers equivalent thereto; and (b) has completed a twelve months internship as a dietetic technician in the jurisdiction where the person received the degree referred to in (c) has passed an examination set by the Council. ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 20] HEALTH
PART VIII
EMERGENCY SERVICES
TECHNOLOGY
24. In this part —
“advanced life support” means patient care practices
“ambulance” means a conveyance used in an ambulance service for the purpose of transport- “ambulance service” means a person, agency or enterprise that is approved by the Minister to “basic life support” means patient care practices that “controlled medical act” means a medical act that can be delegated by a medical practitioner to a person licensed as an emergency services techni- “employed” means a person who is registered as an emergency services technician, who is the holder of a licence under this regulation and who receives remuneration for functioning as “medical advisor” means a medical practitioner who is appointed, employed or otherwise engaged by a training institution to provide medical over- sight and advice in regard to training to perform “medical direction” means the provision of direct on line medical control by a medical director or his or her designate or indirect supervision that follows standard protocols established by the medical director and approved by the Council and the provision of medical quality assurance by a medical practitioner, of the patient care practices and controlled medical acts performed by emergency services technicians operating in, employed by or engaged as volunteers in an [CH.233 – 21
“medical director” means a medical practitioner with postgraduate training in emergency medicine, anaesthesia, critical care, surgery or cardiology, appointed, employed or otherwise engaged to services technicians employed, operating in or engaged as a volunteer by a person, agency or enterprise that provides ambulance service; “operator” means a person who is approved by the Council to operate an ambulance service in the “volunteer” means a person who is registered as an emergency services technician, who is the holder of a licence under this regulation but does not receive remuneration for functioning 25. The practice of emergency services technology Scope of practice.
is the provision of pre-hospital emergency care and trans- portation to the ill and injured while operating, employed in, or acting as a volunteer with an ambulance service. 26. (1) In the course of engaging in the practice of Authorized
emergency services technology as an emergency services health services. technician basic a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following basic life support patient care and transportation skills with respect to an ill (a) assessing and managing the scene of a health (b) performing a primary patient survey; (c) providing basic airway management techniques; (d) taking a current and past history relevant to the (e) assessing the emergency health status of the person and determining a need for and the (f) assessing, evaluating and recording the vital signs of a patient including blood pressure, pulse rate, rhythm and volume, respiratory rate, level of consciousness and skin condition and colour; (g) maintaining the airway by manual manipulation or use of oral or nasal-pharyngeal airways; ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 22] HEALTH
(h) manually ventilating a patient by mouth-to- (j) administering oxygen by flow meter; (k) suctioning of the mouth and oral-pharynx; (l) recognizing external hemorrhage and apply (m) bandaging and general care of wounds and (n) splinting and otherwise immobilizing the body or parts of the body where fracture or injury to a (o) administering oral glucose for conscious hypo- (p) managing a patient experiencing a psychological (q) using lifting and moving technique to safely (r) providing patient care in a sanitary and safe environment for both the patient and the (s) protecting the confidence and dignity of the (t) recording of all pertinent information that may impact on the welfare and continuing care of the (u) providing concise and accurate patient status and care reports to receiving health care facility staff (v) operating an emergency vehicle in a manner that s consistent with the needs of the patient and in (2) In the course of engaging in the practice of emergency services technology as an emergency medical services technician intermediate a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform all of the skills referred to in paragraph (1) and perform the following patient care skills in respect to an ill and injured person — (a) auscultation of the chest and recognizing and [CH.233 – 23
(b) auscultation and palpation of the abdomen; (c) automated external cardiac defibrillation; (d) intravenous cannulation; (e) maintain peripheral intravenous locks and infusions of fluid for simple fluid replacement or (f) take of a blood sample from a peripheral vein; (g) administer under medical direction, epinephrine subcutaneously for anaphylaxis, salbutamol in- halations for respiratory distress, nitroglycerine sublingual for angina, aspirin for patients suspected of suffering myocardial infarction or intravenous glucose for hypoglycemia under (h) use advanced airway management techniques including — — foreign body removal by direct techniques; — use of devices that do not pass the glottis; (i) use pulse oximeter and evaluation of findings; (j) use end tidal carbon dioxide monitors and (3) In the course of engaging in the practice of emergency services technology as an emergency medical services technician advanced a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform all of the skills referred to in paragraphs (1) and (2) and perform the following patient care skills in respect to an ill and injured person — (a) administer advanced cardiac drugs and other emergency drugs in accordance with protocols (b) administer emergency drugs for childbirth, med- ical conditions and trauma in accordance with (c) perform endotracheal and nasotracheal intuba- (d) perform needle cricothyroidotomy and thora- (e) perform cardiac monitoring and rhythm inter- ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– LRO 1/2002 CH.233 – 24] HEALTH
(f) perform manual external cardiac defibrillation; (g) perform electrical cardioversion; (h) perform transthoracic cardiac pacing; (i) suction below the glottis; (j) perform urinary catheterization; (k) utilize intravenous infusion pumps; (l) provide care for drainage tubes and feeding (m) provide care during transport of chest tubes and 27. (1) Subject to paragraph (2), on and after the
coming into operation of these Regulations a person who is employed by or is a volunteer in an ambulance service to provide emergency patient care shall, upon submitting an application and the appropriate fee, be deemed to be registered and licensed as an emergency services technician (2) On and after December 31st, 2001 no person shall be employed by or engaged as a volunteer in an ambulance service to provide pre-hospital emergency care and transportation to the ill and injured unless the person who holds the qualifications referred to in paragraph (3), (4) or (5) is registered and is the holder of a corresponding licence as an emergency services technician basic, inter- (3) The qualifications for registration as an emergency technician basic are that the person has successfully completed an educational program for emergency services technician basic or holds qualification that the Council (4) The qualifications for registration as an emergency technician intermediate are that the person has successfully completed an educational program for emergency services technician intermediate or holds qualification that the Council (5) The qualifications for registration as an emergency technician advanced are that the person has successfully completed an educational program for emergency services technician advanced approved by Council or qualification that the Council considers equivalent thereto. [CH.233 – 25
(6) A person may only be registered as an emergency services technician in a specific category if that person holds all of the qualifications for that category. (7) A person who is licensed as an emergency services technician basic may, through delegation from and under the direct supervision and over-sight of a medical practitioner be authorized to perform one or more of the health services that an emergency services technician (8) A person who is licensed as an emergency services technician intermediate may, through delegation from and under the direct supervision and over-sight of a medical practitioner be authorized by the medical practitioner to perform one or more of the health services that an emergency services technician advanced is (9) In addition to those requirements set out in regulation 4 of Part I, an application for a licence or renewal thereof as an emergency services technician (a) contain a document, signed by an operator of an ambulance service that, confirms that the appli- cant is engaged in the delivery of emergency patient care at the level of emergency medical (b) where the application is for a licence as an emergency services technician intermediate or an emergency services technician advanced, contain evidence that the applicant has met the requirements of the National Registry of Emergency Technologists of the United States of America or a similar National Body in the United Kingdom, Canada or such other country 28. (1) An agency or institution in The Bahamas Training
shall only provide training to persons in emergency Institutions. services technology if the agency or institution meets the (2) A training institution that meets the requirements set out in regulation 29 is an agency or institution that shall be recognized by the Council as being capable of training persons to be licensed as emergency services technicians. ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 26] HEALTH
29. (1) An agency or institution providing training
for persons seeking to be registered under this Part shall — (i) provides medical oversight and supervision (ii) approves of the medical content of the (iii) approves of the evaluation methodology utilized to confirm competency to provide (b) have one or more course co-ordinators who — (i) for the emergency services technician basic course hold an emergency services techni- cian intermediate certificate from an accre- dited institution and have at least three (3) years experience as an emergency services technician intermediate or experience that the Council considers equivalent thereto; (ii) for the emergency services technician services technician advanced certificate from an accredited institution and have at or experience that the Council considers vanced course hold an emergency services accredited institution, have at least five (5) years experience as an emergency services technician advanced or experience that the Council considers equivalent thereto and hold an emergency services technician in- structors certificate from an accredited (c) have a competency based curriculum of study and training for emergency services technician basic, emergency services technician intermediate and emergency services technician advanced so as to prepare a student to provide each skill required to be licensed in the applicable category under the [CH.233 – 27
(d) demonstrate the presence and utilization of a continuous quality improvement process for the emergency services technician training program (e) make available for public scrutiny a written description of the training program content and educational methodologies and evaluation criter- ia utilized to ensure graduates are adequately prepared for licensure under these Regulations. (2) Where a training institution is a hospital licensed Ch. 235. under the Hospitalsand Health Care Facilities Act 1998, the medical advisor of the hospital shall be deemed to be the medical advisor of the training institution for the purposes MEDICAL LABORATORY
TECHNOLOGY
30. The practice of medical laboratory technology is Scope of practice.
the performance of laboratory investigations on the human body or on specimens taken from the human body and the evaluation of the technical sufficiency of the investigations 31. (1) In the course of engaging in the practice of Authorized
medical laboratory technology as a medical laboratory health services. technologist, or a medical laboratory technician, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, take blood (2) A medical laboratory technologist or a medical laboratory technician shall not perform a procedure referred to in paragraph (1) unless the procedure is ordered (3) In addition to the health services referred to in paragraph (1) a medical laboratory technologist may — (a) perform and interpret standard, complex and (b) evaluate quality assurance in order to implement ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 28] HEALTH
(c) perform troubleshooting, validation and preven- tative maintenance techniques to ensure proper (d) know, understand and follow standard proce- dures for collection and handling of specimens. (4) In addition to the health services referred to in paragraph (1) a medical laboratory technician may, perform the health services referred to in paragraph (3) under the supervision of a medical laboratory technologist. The qualifications for registration as a medical laboratory technologist are that the person — (a) holds a bachelor of science degree in medical technology from an accredited university; or (b) holds a certificate in medical technology from (c) holds a qualification in medical technology that the Council considers equivalent to a certificate (2) The qualifications for registration as a medical laboratory technician are that the person holds — (a) an associate degree from an accredited college in a medical laboratory technology or histotechnol- (b) a qualification in medical laboratory technology or histotechnology that the Council considers equivalent to a degree referred to in subpara- OCCUPATIONAL THERAPY
33. The practice of occupational therapy is the
assessment of function and adaptive behaviour and the treatment and prevention of disorders which affect function or adaptive behaviour and to develop, maintain, rehabilitate or augment function or adaptive behaviour in the areas of 34. (1) In the course of engaging in the practice of
occupational therapy as an occupational therapist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform any form of activity for the purpose of developing, [CH.233 – 29
maintaining, rehabilitating or augmenting function or adaptive behaviour in the areas of self-care, productivity (2) In the course of engaging in the practice of occupational therapy as an occupational therapy assistant a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the health services referred to in paragraph (1) if the person is under the direct supervision of an occupational therapist. 35. (1) The qualifications for registration as an Qualifications for
occupational therapist are that the person holds a degree or registration. diploma in occupational therapy from a school recognized by the World Federation of Occupational Therapists. (2) The qualifications for registration as an occupa- tional therapy assistant are that the person holds an associate of arts or science degree in occupational therapy from a school recognized by the World Federation of OPTOMETRY AND OPTICIANARY
36. (1) The practice of optometry is the assessment Scope of
of the eye and vision system and the diagnosis, treatment practice. (a) disorders of refraction; (b) sensory and oculomotor disorders and dysfunc- (c) the diseases, conjunctivitis and glaucoma, and (i) in relation to the diagnosis and prevention, diseases of the eye and vision system that can be determined by the findings from an (ii) in relation to treatment, diseases of the eye and vision system that can be treated other than by the prescribing of drugs, except for glaucoma or conjunctivitis where the opto- metrist is, in the opinion of the Council, trained in the diagnosis and treatment of the ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 30] HEALTH
(iii) in relation to treatment, diseases of the eye and vision system that can be treated other (2) The practice of opticianary is the provision, fitting and adjustment of subnormal vision devices, contact lenses or 37. (1) In the course of engaging in the practice of
optometry as an optometrist a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) communicating a diagnosis identifying as the cause of a person’s symptoms, a disorder of refraction, a sensory or oculomotor disorder of the eye or vision system, or a disease referred to in regulation 36(1)(c) that was determined by the findings from an oculo-visual assessment where the person is, in the opinion of the Council, trained in the diagnosis and treatment (b) applying sound waves for diagnostic ultrasound; (c) prescribing or dispensing, for vision or eye disorders, contact lenses or eye glasses; (d) for the purpose of conducting a diagnosis under regulation 36(1), the following drugs may be used in the practice of optometry for the (i) topical anaesthetics: proparacaine not over 0.5 per cent and benoxinate not over 0.4 per cent for facilitating the measurement of intraocular pressure and for facilitating for facilitating the observations of the fundus of the eyes when clinically required; not over 1.0 per cent for determining the refractive status of the eye when clinically (e) for the purpose of treating a disease referred to in paragraph 2 of regulation 36(1)(c), the following drugs may be used and prescribed for [CH.233 – 31
(i) topical drugs, to treat conjunctivitis where the optometrist is, in the opinion of the Council, trained in the diagnosis and treat- (ii) topical drugs to treat glaucoma where the Council, trained in the diagnosis and treat- (2) In the course of engaging in the practice of opticianary as an optician a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the dispensing of subnormal vision devices, contact lens or eye glasses upon the prescription of an optometrist or physician. 38. (1) The qualifications for registration as an Qualifications for
(a) has successfully completed a course in optometry at an accredited school of optometry; (b) holds the degree of doctor of optometry from an (c) holds a qualification as an ophthalmic optician recognized by the General Optical Council of the United Kingdom and provides evidence of holding a diploma, fellowship or licence in opticianary or optometry granted by an accre- (2) The qualifications for registration as an optician are that the person has successfully completed and graduated from an optician program at an accredited PHARMACY
39. The practice of pharmacy includes the Scope of
purchasing, custody, compounding and dispensing of practice. drugs, the provision of non-prescription drugs, health care aids and devices and the provision of information related to 40. (1) In the course of engaging in the practice of Authorized
pharmacy as a pharmacist a person may, subject to the health services. terms, conditions and limitations imposed on his or her ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 32] HEALTH
certificate of registration, engage in patient counselling, dispense, sell or compound a drug or supervise the part of a (2) In the course of engaging in the practice of pharmacy as a pharmacy technician a person may assist in the preparation and filling of prescriptions under the direct and personal supervision of a pharmacist who is registered The qualifications for registration as a (a) holds a pharmacy degree from an accredited (b) holds a certificate of competency in Pharmacy (c) has at least two thousand (2,000) hours of practical experience in pharmacy under the supervision of a person who is licensed as a pharmacist in the jurisdiction where the training (2) The qualifications for registration as a pharmacy (a) has successfully completed the examination as a Certified Pharmacy Technician or an equivalent examination acceptable to the Council; and (b) has completed at least eighteen hundred (1,800) hours as a pharmacy technician student under the direct and personal supervision of a person jurisdiction where the training takes place. PART XIII
PHYSIOTHERAPY AND
RESPIRATORY THERAPY
42. (1) The practice of physiotherapy is the assess-
ment of physical function and the treatment, rehabilitation and prevention of physical dysfunction, injury or pain, to develop, maintain, rehabilitate or augment function or to (2) The practice of respiratory therapy is the provid- ing of oxygen therapy, cardio-respiratory equipment [CH.233 – 33
monitoring and the assessment and treatment of cardio- respiratory and associated disorders to maintain or restore 43. (1) In the course of engaging in the practice of Authorized
physiotherapy as a physiotherapist, a person may, subject health services. to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) physical therapy evaluation, using tests and measurements to indicate, but not limit to postural alignment, joint mobility and function muscle and nerve function including electrophysiologic status, therapeutic exercises and manipulative skills which include spinal mobilization, gait analysis, fit (b) tracheal suctioning; (c) physical therapy instructions. (2) In the course of engaging in the practice of physiotherapy as a physiotherapy assistant, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the health services referred to in subsection (1) if the person is under the direct supervision of a physiotherapist. (3) In the course of engaging in the practice of respiratory therapy as a respiratory therapist, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform the following — (a) a prescribed procedure below the dermis (b) intubation beyond the point in the nasal passages where they normally narrow or beyond the (c) suctioning beyond the point in the nasal passages where they normally narrow or beyond (d) the administration of a substance by injection or (4) A respiratory therapist shall not perform a procedure referred to in subparagraph (a), (b) or (d) or paragraph (3) unless the procedure is ordered by a medical ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 34] HEALTH
The qualifications for registration as a (a) has graduated from an accredited educational (b) holds a degree or diploma in physiotherapy from (2) The qualifications for registration as a physiother- apy assistant are that the person, holds an associate of arts degree or a degree that the Council considers equivalent thereto from an accredited college or university. (3) The qualifications for registration as a respiratory therapist are that the person, holds a diploma or degree in respiratory technology from an accredited college RADIOGRAPHY
45. The practice of radiography is the use of
ionising radiation and the following forms of energy to produce diagnostic images and test results, the evaluation of the technical sufficiency of the images and tests and the therapeutic application of ionising radiation — (a) electromagnetism for magnetic resonance ima- 46. (1) In the course of engaging in the practice of
radiography as a radiographer, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform all general and fluoro- scopic radiographic procedures including vein puncture for (2) In the course of engaging in the practice of radiography as an x-ray technician, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform general fluoroscopic radiographic procedure in which he is competent under the [CH.233 – 35
(3) In the course of engaging in the practice of radiography as an ultrasound technologist or sonographer, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, perform studies including but not limited to neurosono- graphy, echocardiography, ophthalmology, abdominal pelvic investigations, musculoskeletal and vascular ultra- (4) In the course of engaging in the practice of nuclear medicine as a nuclear medicine technologist, a person may, subject to the terms, conditions and limitations imposed on his or her certificate of registration, use radioactive materials in the diagnosis and treatment of diseases. Through on the job training and advance certification nuclear medicine technologists may specialize in positron emission tomography (PET), x-ray computed tomography, magnetic resonance imaging and ultrasound. The qualifications for registration as a Qualifications for (a) has successfully completed a two-year formal training program in radiography at an institution approved by the Joint Review Committee on Education in Radiation Technology of the United States of America (JRCERT), or equiva- (b) has upon graduation from the formal training program passed a qualifying examination for (c) has provided evidence satisfactory to the Council that the person is competent to practise (2) The qualifications for registration as a X-ray Technician are that the person has provided evidence satisfactory to the Council that the person is competent to practise as a X-ray Technician. Licence is limited to the (3) The qualifications for registration as an ultra sound technologist or sonographer are that the person — (a) has successfully completed a one year formal training program in ultrasound at an institution approved by the Joint Review Committee on Education in Diagnostic Sonography of the ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 36] HEALTH
equivalent body and has upon graduation from the formal training program passed a qualifying examination for registration in the specific (b) has provided evidence satisfactory to the Council that the person is competent to perform (c) is a qualified radiographer, nuclear medicine technologist, radiation therapy technologist, nurse or other allied health professional who has been trained on the job in ultrasound by a registered sonographer and/or radiologist, and who has successfully passed a qualifying exam- ination in the ultrasound specialty of choice. (4) The qualifications for registration as a nuclear medicine technologist are that the person has successfully completed a minimum of one year formal training program in nuclear medicine technology at an institution approved by the Joint Review Committee on Education in Nuclear Medicine Technology of the United States of America (JRCNMT), or equivalent body and has upon graduation from the formal training program passed a qualifying examination for certification as a nuclear medicine technologist or has provided evidence satisfactory to the Council that the person is competent to perform as a [CH.233 – 37
FIRST SCHEDULE (Regulation 3)
The following fees are payable under the Act and the Regulations: CATEGORY OF
PROFESSIONAL
Acupuncture
Therapy
Acupuncturist
Audiology and Speech
Language Pathology
(a) Audiologist
Chiropody and Podiatry
Chiropractic Therapy
Clinical Psychology
Dietetics
Emergency Service
Technology
(a) Emergency
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 38] HEALTH
8. Medical
Laboratory
Technology
(a) Medical
9. Occupational
Therapy
(a) Occupational
10. Optometry
Opticianary
(a)
Optometrist 200.00 200.00 200.00 100.00 200.00 11. Pharmacy
12. Physiotherapy
Respiratory
Therapy
(a) Physiothera-
13. Radiography
Radiographer 100.00 100.00 100.00 50.00 100.00 [CH.233 – 39
SECOND SCHEDULE (Regulation 3)
CERTIFICATE OF REGISTRATION
of the Health Professions Act, 1998 and the regulations thereunder and is registered in the Health Professions Register as a . the . day of . 20 . Registration Number of Registrant: . Registrar Date of issue of Certificate . Seal of Council who was duly registered in the Health Professions Register on the licensed as a Health Professional under the Act and is authorized to Date of issue of Licence . Seal of Council ––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––– [Original Service 2001] CH.233 – 40] HEALTH
THIRD SCHEDULE
(Regulations 12 and 13)
PRESCRIBED SUBSTANCES/DRUGS —
CHIROPODY/PODIATRY
(4) Circulation Agents i.e. Daflon, Trental (5) Local FOURTH SCHEDULE (Regulation 43)
PRESCRIBED PROCEDURES — RESPIRATORY THERAPY
The following procedures are prescribed as procedures below the dermis for the purpose of subparagraph (a) of paragraph (3) (iii) tracheostomy tube change for an established stoma.; (iv) transtracheal catheter change for an established stoma. (i) removal of a cannula not less than seven (7) days old; (ii) manipulation or repositioning of a cannula; (v) suturing to secure indwelling cannulae; (vii) tracheostomy tube change for a fresh stoma that is less than seven days but not less than 24 hours; (viii) manipulation or reposition of a cannula balloon.

Source: http://laws.bahamas.gov.bs/cms/images/LEGISLATION/SUBORDINATE/2000/2000-0078/HealthProfessionsGeneralRegulations2000_1.pdf