The federal government has introduced new reporting requirements for Medical Assistance in Dying (MAiD) that are now in effect. The new requirements affect nurse practitioners, physicians and pharmacists, and the reportable information is included on BC's provincial forms for MAiD.
All required provincial forms for MAiD must now be submitted to the BC Ministry of Health MAiD Oversight Unit, which is the designated recipient of reportable information from physicians, nurse practitioners and pharmacists. The BC Coroners Service will no longer receive the provincial forms.
Nurse practitioners are responsible for reporting information about MAiD in the following situations:
Details about MAiD reporting requirements, the timelines for reporting, and provincial forms are available on the BC Ministry of Health's website.
A nurse practitioner's completion and submission of the provincial form(s) to the BC Ministry of Health will fulfill his/her provincial and federal reporting obligations regarding MAiD.
After Nov. 1, 2018, MAiD deaths only need to be reported by prescribers to the Coroners Service if the underlying condition giving rise to the request for MAiD relates to an accident, violence, or self-inflicted injury. In such an instance, the prescriber must report immediately following the death (the next business day if outside of normal business hours) by calling 1-855-207-0637 to be connected to a service that will direct the caller to the coroner on-call in the appropriate region. This reporting requirement is in addition to the obligation to report to the Ministry of Health's MAiD Oversight Unit.
All NPs should familiarize themselves with these requirements, such as the new reporting requirement relating to receipt of a written request for MAiD and transfer of the request and care.
BCCNP has updated the Medical Assistance in Dying standards for nurse practitioners to align with the new federal regulations and revised provincial processes. Refer to the Scope of Practice for Nurse Practitioners: Standards, Limits, and Conditions.
Please also note the timeframe for returning unused medication has been revised from 48 to 72 hours.
The provincial standardized forms for medical assistance in dying are available on the Ministry of Health's website (Forms page). These provincial forms are to be used by patients, practitioners, and pharmacists, and must be downloaded from this website each time they are required, to ensure the most recent version is used.
If you have any questions or concerns regarding the new reporting requirements or processes, please contact the BC Ministry of Health - Medical Assistance in Dying Oversight Unit:
If you have questions about the BCCNP MAiD standards, visit the BCCNP MAiD resource centre or email email@example.com.
This announcement was originally posted Oct. 11, 2018. It has been updated to reflect in-effect standards and information.