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Professional Practice Guidelines (PPGs)

Although Professional Practice Guidelines (PPG) are not legislation, they are used by the CRTO to define appropriate professional standards of practice for respiratory therapy in Ontario.


Certification Programs for Advanced Prescribed Procedures Below the Dermis Provides information regarding the certification programs that are currently required under Ont. Regulation 596/94 part VII – Prescribed Procedures. Component of the learning package and the processes for certification are outlined and the checklists provided.
Certification Programs for Advanced Prescribed Procedures Below the Dermis Checklist Form A
Certification Programs for Advanced Prescribed Procedures Below the Dermis Checklist Form B
Conflict of Interest Outlines what constitutes conflict of interest and provides direction for Members in dealing with conflict of interest situations.
Delegation of Controlled Acts Summarizes the standard of practice related to the delegation of controlled acts and contains flowsheets to aid in the determination of whether a Member can accept delegation and when they themselves can delegate.
Dispensing Medications Provides specific information regarding the interpretation of the controlled act of dispensing in order to assist Members in determining what is and what is not dispensing and when accepting the delegation to dispense medication is appropriate.
Documentation Outlines the standards and principles of proper medical documentation and deals with specific issues such as abbreviations, documentation of consent and electronic charting.
Interpretation of Authorized Acts This guideline provides information of the controlled acts authorized to Respiratory Therapists (RT) in the Respiratory Therapy Act (RTA). It contains examples under each act and it outlines the responsibilities of each RT to attain and upgrade relevant skills.
Orders for Medical Care Provides information on what constitutes a valid medical order and outlines various forms of orders such as RT driven protocols and medical directives.
Prevention of Abuse of Patients/Clients Defines what is abuse and outlines relevant legislation, reporting requirements and penalties. Guidelines for professional conduct are also discussed.
Registration and Use of Title Outlines what constitutes the practice of respiratory therapy and what would be considered to be “holding out” to be a member of the profession. Classes of registration and a definition of what terms, conditions and limitations are also provided.
Responsibilities of Members as Educators Differentiates between teaching alone and teaching in order to delegate as well as provided information of working with paid care providers and RT students.
Responsibilities Under Consent Legislation This guideline provided information regarding what constitutes informed consent, and the determination of the capacity to consent. Issues around substitute decision makers and the Consent & Capacity Board are also discussed.