Information about Reserved Acts

The College will keep rosters listing the physiotherapists who are permitted to perform each Reserved Act. Before a physiotherapist is able to perform a reserved act in practice, the physiotherapist must apply for and be listed on the associated roster.

Rostering for a Reserved Act is a process where physiotherapists apply to have their name added to a list indicating they have the required training, education and experience to safely perform a higher-risk activity.

Physiotherapists must apply for the associated roster for each reserved act they perform in their practice, including:

  • Reserved Act 3(a) Performing a procedure below the dermis (Dry Needling/Acupuncture)
  • Reserved Act 4(e) Inserting a device, hand or finger, beyond the labia majora, or 4(f) beyond the anal verge (Pelvic Health Internals Notation)
  • Reserved Act 4(g) Inserting a device, hand or finger, into an artificial opening (Pelvic Health Artificial Openings Notation)
  • Reserved Act 10(a) applying or ordering the application of ultrasound for diagnostic or imaging purposes (Real Time Ultrasound Imaging (RTUI))

Rostering information will appear on a physiotherapist’s profile on the Public Directory.

It will not be necessary to roster for the following Reserved Acts under the RHPA:

  • Communicating a diagnosis relevant to Physiotherapy practice
  • Receiving Reports of Screening or Diagnostic Tests
  • Performing a Procedure Below the Dermis (Blood Glucose Monitoring, Wound Care)
  • Administering a Substance by Irrigation (Wound Care)
  • Inserting a Finger into the Externa, Ear Canal
  • Acts related to Suctioning
  • Administering a High Velocity Low Amplitude Thrust to the Spine (Spinal Manipulation)
  • Administering a substance by inhalation (oxygen administration)
  • Administering a Drug Prescribed by another Regulated Health Professional (Iontophoresis, Phonophoresis)
  • Setting a Dislocation

These Acts do not require rostering as the education to perform these activities was obtained during their entry-to-practice/foundational education in university or through on the job experience or additional post-graduate education. For these activities, registrants must practice within their individual knowledge, skills and abilities.

A physiotherapist would also not need to be rostered if they are performing a reserved act delegated by another health professional. Currently, Reserved Act 10(e) ordering the application of X-rays for diagnostic purposes will be under delegation when we transition to the RHPA.

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