The Ministry of Health has made minor updates to the provincial forms for Medical Assistance in Dying (MAiD) in response to feedback from practitioners and pharmacists. Physicians must use an up-to-date version of the forms, which are available for download from the Ministry of Health’s website here. Physicians should familiarize themselves with the following form changes:
1633 Assessment Record (Assessor) Form and 1634 Assessment Record (Prescriber) Form
Minor changes to clarify the meaning of specific questions, including
- any consultations with the patient prior to their request for MAiD,
- the assessment of the patient and if they are in an advanced state of irreversible decline, and
- the conclusion regarding the patient’s eligibility for MAiD.
A few additions to better reflect federal legislation, including
- a definition of the 10 clear days, noting that 10 clear days begins on the day on which the request was signed by the patient (day zero) and the day on which MAiD was provided (day 11 or later), and
- an affirmation of the agreement between the assessor and prescriber if MAiD has proceeded within less than 10 clear days.
The British Columbia Pharmacy Protocols guidance document and Prescription for Medical Assistance in Dying have been updated to include bupivacaine as an optional add-on medication for the intravenous drug protocol. Bupivacaine may be ordered at the discretion of the prescriber if there is risk of delayed cardiac arrest.
- When ordered for the intravenous drug protocol, bupivacaine is an optional add-on medication for the primary intravenous kit only, not the second back-up kit.
- When the oral drug protocol is ordered, bupivacaine is an optional add-on medication for the back-up intravenous kit.
The updated British Columbia Pharmacy Protocols guidance document (version 4) and Prescription for Medical Assistance in Dying are available to physicians through each health authority and through the College of Physicians and Surgeons of British Columbia and the College of Pharmacists of British Columbia.
For questions related to provincial forms:
BC Ministry of Health – Medical Assistance in Dying Oversight Unit