Restricted Activities Member Survey

Your College of Midwives of Alberta (CMA) Continuing Competence Committee has sent you this document to get your input and feedback on your status on identified restricted activities. This is truly and exciting initial step for you and the CMA to take on our HPA journey together!


Overall Goal:

The goal is to have over a period of time, all Registered Midwives in Alberta possess a complete and consistent package of identified restricted activities. The process is intended to increase self-confidence for RMs in these identified areas, and additionally increase the confidence of our clients, other Health Care Professionals and the public, in midwives in midwifery practice. These restricted activities are part of our professional responsibility to own and maintain a high level of competence in performing.


Definition of a Restricted Activity:

a high-risk health service listed in the Government Organization Act, Schedule 7.1, of Alberta. Restricted Activities are high risk activities performed as part of providing a health service that require specific competencies and skills to be performed safely. Restricted activities are not exclusive to any particular health profession and a number of regulated professionals may perform any particular restricted activity if approved by their regulatory college.

These restricted activities are considered to be Entry-to-Practice Competencies for midwives in Canada. As per the Midwives Profession Regulation (Alberta Regulation 237/2018), ” A Registered Midwife may carry out restricted activities within the practice of midwifery and in accordance with the Government Organization Act legislation, Midwives Profession Regulation, Standards of Practice for Midwifery, applicable policy, and Code of Ethics.”






For your reference …………..

2 (1)   Government Organization Act Schedule 7.1 Alberta (Dec 5, 2019) The following, carried out in relation to or as part of providing a health service, are restricted activities:

            (a) to cut a body tissue, to administer anything by an invasive procedure on body tissue or to perform surgical or other invasive procedures on body tissue

                 (i) below the dermis or the mucous membrane                

            (b) to insert or remove instruments, devices, fingers or hands

                 (i) beyond the cartilaginous portion of the ear canal,

                 (ii) beyond the point in the nasal passages where they normally narrow,

                 (iii) beyond the pharynx,

                 (iv) beyond the opening of the urethra,

                 (v) beyond the labia majora,

                 (vi) beyond the anal verge, or

                 (vii) into an artificial opening into the body;

            (c) to prescribe a Schedule 1 drug within the meaning of the Pharmacy and Drug Act;

            (d) to dispense, compound, provide for selling or sell a Schedule 1 drug or Schedule 2 drug within the meaning of the Pharmacy and Drug Act;

            (e) to administer a vaccine;

            (f) to prescribe, compound or administer blood or blood products;

            (g) to prescribe or administer anesthetic gases, including nitrous oxide, for the purposes of anesthesia or sedation;

            (h) to order any form of ionizing radiation in

                 (i) medical radiography,

               (j) to order or apply non‑ionizing radiation in

                 (i) ultrasound imaging, including any application of ultrasound to a fetus;

            (k) to manage labour or deliver a baby;


How does this list translate into actual midwifery activities?

The CMA Council has examined the above legislation, and selected a list of activities which apply to Section 16 of the Midwives Profession Regulation. The list of identified restricted activities appears below.

Our goal is to obtain complete information for each one of you on these activities. We realize that each member has varying degrees of education, skill and ability with each of the activities listed. Some of you will have certificates of completion, others will be looking for updates and renewal opportunities. Other items will need education components based on a general standard that will be undertaken by all members.

The self-assessment survey results will guide the Continuing Competence Committee on what education courses, skills sessions, verification actions and continuing education considerations are needed for our members to maintain a high level of competence with the restricted activities. PLEASE BE VERY HONEST when answering the questions.





Directions for Survey Completion

First determine where you are at with respect to each activity. (PS: we did not include the restricted activity “Manage Labor and birth”, as we figured that you had exceptional competence with that item!!)

  • Read each item and consider each of the sections: “Education”, “Skills”, “Have You Maintained Competence?” and “Certificate”, then click on “Yes” or “No” that best describes you. You can go back and change your answers at any time. For the section about “Times you have performed the skill in the last two years”, please estimate the number of times. Some items you will have done every week, or frequently; others you may not have run across since school. You are welcome to type in an appropriate answer, or a number, whatever is accurate for you.
  • There is also an “ Additional Comments” section below each item, for you to add any detail necessary. Please put any helpful information you can for us in this space ( eg. I took a practical session on frenotomy at Foothills Hospital in about 2009. I perform frenotomies as indicated since then; but have no certificate. I know that Dr XYZ would be willing to put on a course for RMs on this)
  • If there are personal situations that prohibit you from performing any restricted activity or achieving confidence or competence, please indicate that in the “Additional Comments” section on your survey.
  • Please also explain in the “ Additional Comments” section under each item what it would take for you to fully achieve competence with the restricted activity item.


The Continuing Competence Committee will then interpret and analyse the information gathered for levels of achievement and then where the gaps are, by item.

From there, it will be determined what course work is needed to achieve competence with each identified restricted activity. Your Continuing Competence Committee has researched a wide range of resources across Canada.

Your suggestions on various courses, skills sessions, evaluation tools and continuing competence activities are most welcome.

For any thoughts, comments or questions around this Survey, please do not hesitate to contact a member of the Continuing Competence Committee:

Kayla Blinkhorn

Marianne King:

Beth Larsson:

Anna Gimpel:

Sharon Prusky (403) 601-4071

Start Survey

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