Medical Assistance in Dying
Welcome to the Medical Assistance in Dying (MAiD) Online Portal. NPAO has established this portal to provide information and support Nurse Practitioners in the lawful provision of medical assistance in dying in Ontario.
On June 17, 2016, the federal government passed Bill C-14 which outlines requirements that patients must meet to be eligible to receive medical assistance in dying, and establishes safeguards that a doctor or nurse practitioner must follow to legally provide medical assistance in dying. Nurse practitioners and other providers must also adhere to provincial and territorial legislation and regulations in the provision of MAiD.
On April 19, 2017, the Ontario government passed regulations that enable NPs to prescribe controlled substances (CDS) if they have completed approved controlled substances education. This change enables NPs who are eligible to prescribe CDS to act as either primary clinician or secondary clinician in the provision of MAiD.
On May 10, 2017, Ontario’s Medical Assistance in Dying Statute Law Amendment Act, 2017, came into force. This Act addresses areas relevant to medical assistance in dying that fall under provincial jurisdiction including providing greater clarity and legal protection for health care providers as well as patients navigating medical assistance in dying.
The following information has been compiled for Nurse Practitioners related to MAiD:
- Comprehensive list of MAiD resources including links to College of Nurses of Ontario, Ministry of Health and Long-Term Care, and Centre for Effective Practice MAiD tool
- Standardized Drug Protocol Examples
- NPAO Speaks Out About MAiD
- CBC: Nurse practitioners not always compensated for providing medical assistance in dying