This is where you will find important updates, information and resources that impact nurses in Ontario.
UPDATE:
Effective Jan. 1, 2023, the following changes to MAID reporting requirements will occur:
- MAID providers will be required to report all MAID deaths by completing a new electronic reporting tool – the MAID Death Report (MDR). The MDR will be available on the Central Forms Repository by Jan. 3, 2023. MAID deaths that occur Jan. 1 or 2, 2023 can be reported directly to the Office of the Chief Coroner (OCC) at 416 314 4100 or 1 855 299 4100.
- The MDR must be completed and submitted by the next business day after the MAID death.
- Direct verbal reporting of certain MAID deaths will be required immediately after the death prior to the completion of the Medical Certificate of Death. These are deaths where injury, accident or fall may have contributed to the death.
- preliminary assessors for MAID must report cases where the person requesting MAID is ineligible Please read Health Canada’s guidance document on reporting MAID.
Timeline of Medical Assistance in Dying law
Date
|
Legislative change
|
June 17, 2016
|
Bill C-14 received royal assent, making it possible for eligible people to receive medical assistance in dying in Canada.
|
May 9, 2017
|
Ontario government passed legislation related to medical assistance in dying. The legislation provides more protection for clients, their families, health care providers and health care institutions. It also clarifies when Nurse Practitioners and physicians can complete the medical certificate of death.
|
Nov. 1, 2018
|
The Government of Canada’s new Monitoring of Medical Assistance in Dying regulations came into effect. The new regulations outline what information needs to be reported after a Nurse Practitioner receives a written request for medical assistance in dying.
|
Sept. 11, 2019
|
The Superior Court of Québec, in its Truchon v Canada (AG) decision, declared that it is unconstitutional for the federal Medical Assistance in Dying legislation to require that natural death must be reasonably foreseeable to be eligible for Medical Assistance in Dying.
|
Mar. 17, 2021
|
In response to the Truchon decision, Bill C-7 took effect, making a few amendments to the Criminal Code to expand the eligibility for Medical Assistance in Dying.
|
Oct. 26, 2022
|
Federal government passes regulations to amend the Regulations for the Monitoring of Medical Assistance in Dying that outlines the information MAID providers need to report on when providing MAID.
|
Jan. 1, 2023 |
New reporting requirements under the Regulations for the Monitoring of Medical Assistance in Dying take effect. |
For more information, read the Guidance on Nurses’ Roles in Medical Assistance in Dying.
Documentation Tools for NPs
NPs are accountable to meet the expectations for documentation outlined in the Documentation and Nurse Practitioner practice standards. The Ministry of Health and Long-Term Care has developed clinician aids to support the provision of medical assistance in dying. These clinician aids include forms that can be used by NPs to document that the legal requirements for medical assistance in dying have been met. You can access these forms through the following links: