What MRTs and ENPs Need to Know
Why This Guideline Matters
This guideline explains what the College expects when you give medications as part of your work. Even though giving medication isn’t a restricted activity, you’re still responsible for doing it safely, competently, and only when it fits your role. The College may review your conduct or competence if you don’t meet these expectations.
What the Regulations Say
Under Alberta’s laws, administering medication is not a restricted activity. You don’t need special College authorization to administer medications through non-invasive methods, like by mouth or skin.
Some methods, such as administering medication by IV, are restricted. You must complete approved training and get formal authorization from the College.
The College does not approve or monitor employer training for non-restricted tasks like general medication administration.
Stick to What Fits Your Practice Area and Role
Only administer medications that clearly relate to your role in diagnostic imaging or electroneurophysiology.
Follow your employer’s policies.
You Need to Be Trained and Competent
No matter how the medication is administered, you must be properly trained and confident before giving it. This means:
– Knowing how the medication works and what it’s for
– Understanding any side effects or risks
– Knowing how to monitor the patient and what to do if something goes wrong
– Following your employer’s procedures
– Speaking up if you don’t feel ready or confident—don’t go ahead if you’re unsure
Which Methods Need Authorization?
| Does Not Need Authorization | Needs Authorization |
|---|---|
| Mouth (oral) | IV (intravenous) |
| Skin (topical) | Injections below the skin (e.g., subcutaneous or intramuscular, depending on training) |
| Inhalation | Any method involving cutting into the body |
| Patches (transdermal) |
Even for non-restricted methods, you still need proper training and employer approval.
Be Safe Every Time
Before giving any medication, always check the 9 R’s:
– Right Medication
– Right Amount/Dose
– Right Patient
– Right Time
– Right Route
– Right Reason
– Right Documentation
– Right Response
– Right to Refuse
Also check for allergies and be prepared to respond to any reactions.
Document, Document, Document
After giving a medication, document:
– What you administered and how much
– When and how you administered it
– Any reaction the patient had
– Your name and professional title
Your Responsibilities
You’re responsible for making sure you’re trained, confident, and authorized before giving any medication. Follow your employer’s policies. If you’re unsure, ask. If it’s not part of your role or you’re not trained, don’t do it.
What Employers Are Responsible For
Employers must clearly define expectations around medication administration in your role. They must also provide appropriate training and ensure safe procedures are in place.