{"id":68780,"date":"2026-09-09T16:59:51","date_gmt":"2026-09-09T16:59:51","guid":{"rendered":"https:\/\/www.comfortkeepers.ca\/toronto\/?p=68780"},"modified":"2026-09-09T20:47:03","modified_gmt":"2026-09-09T20:47:03","slug":"68780-2","status":"publish","type":"post","link":"https:\/\/www.comfortkeepers.ca\/toronto\/68780-2\/","title":{"rendered":"Home Care vs Private Nursing in Toronto"},"content":{"rendered":"<p><span data-contrast=\"none\">Non-medical home care and private nursing are two different services. Home care supports everyday life at home: personal care, meals, mobility, companionship and safety. Private nursing is clinical care from a nurse registered with the College of Nurses of Ontario, for tasks Ontario law reserves for regulated professionals. Home care does not diagnose, prescribe or provide clinical treatment. Some Toronto families use both. Call our Toronto team at (416) 663-2930 to talk it through.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Key Takeaways<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Home care vs private nursing in Toronto: caregivers support daily life, and nurses perform clinical acts Ontario restricts to regulated professionals.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Most of what families need day to day is non-medical home care: bathing, dressing, meals, mobility, company and supervision.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Ontario\u2019s controlled acts rules set the legal boundary. Training, the care setting and the provider\u2019s own policies decide the rest.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Personal support work is not a regulated profession in Ontario, so ask a provider directly how it screens, trains and supervises its caregivers.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">Publicly funded and private care work alongside each other, and arranging private support does not mean waiting. Call our Toronto team at (416) 663-2930.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Quick Answer: What Separates Home Care From Private Nursing<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">A caregiver can spend four hours helping your mother bathe, dress, eat and get to an appointment. A caregiver generally cannot give her an injection, unless the task falls within a legal exception or has been formally delegated. A nurse can, where the required authorization, order and practice conditions are in place. Which task belongs to which depends on Ontario\u2019s rules about restricted acts, and on training, the care setting and employer policy.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Table 1. Home care and private nursing at a glance<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:100}\">\u00a0<\/span><\/p>\n<table data-tablestyle=\"MsoNormalTable\" data-tablelook=\"1696\" aria-rowcount=\"5\" aria-colcount=\"4\">\n<tbody>\n<tr aria-rowindex=\"1\">\n<td data-celllook=\"69905\"><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Non-medical home care<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Private nursing<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Why the difference exists<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"2\">\n<td data-celllook=\"4369\"><b><span data-contrast=\"none\">What it covers<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Bathing, dressing, grooming, toileting, transfers and mobility. Meals, laundry, shopping, errands. Company and supervision at home.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Clinical care such as assessing a complex or non-healing wound, injections, and clinical follow-up after surgery.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Ontario reserves a defined set of clinical acts for regulated professionals. Everyday support is not among them.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"3\">\n<td data-celllook=\"4369\"><b><span data-contrast=\"none\">Who provides it<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Personal support workers (PSWs) and caregivers. Not a regulated health profession in Ontario.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Registered Nurses (RNs), Registered Practical Nurses (RPNs) and Nurse Practitioners (NPs), registered with the College of Nurses of Ontario (CNO).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nursing is one of Ontario\u2019s 27 regulated health professions. Personal support work is not on that list.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"4\">\n<td data-celllook=\"4369\"><b><span data-contrast=\"none\">Where the limits are<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Cannot diagnose, prescribe, or perform a restricted clinical act without a formal exception or delegation.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Does not replace the everyday support a person may also need. What is provided, and for how long, follows assessed need.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">The restricted acts are set out in law. How the rest of the day is covered is a practical choice.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"5\">\n<td data-celllook=\"4369\"><b><span data-contrast=\"none\">Who they answer to<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Their employer, which sets and enforces its own screening, training and supervision standards, and, for those who register voluntarily, Ontario\u2019s oversight authority, which records complaints and disciplinary action.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">The College of Nurses of Ontario, whose public register shows practice restrictions, hearing results, cautions and findings.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nursing has a college behind it. Non-medical care is governed by the provider\u2019s own standards, and by the oversight authority where a worker has registered.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span data-contrast=\"none\">Sources for this table: <\/span><\/i><a href=\"https:\/\/www.ontario.ca\/page\/regulated-health-professions\"><span data-contrast=\"none\">Government of Ontario list of regulated health professions<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/49041-scope-of-practice.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Scope of Practice practice standard<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/www.cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41014_workingucp.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario guideline on working with unregulated care providers<\/span><\/a><i><span data-contrast=\"none\">.<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:60,&quot;335559739&quot;:200}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">The Line Ontario Actually Draws<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">The boundary is written into Ontario law, in a set of restricted activities called controlled acts. Ontario regulates 27 health professions, each with its own legislation, and nursing is one of them (<\/span><a href=\"https:\/\/www.ontario.ca\/page\/regulated-health-professions\"><span data-contrast=\"none\">Government of Ontario list of regulated health professions<\/span><\/a><span data-contrast=\"none\">). Controlled acts may be performed only by authorized regulated health professionals. The College of Nurses of Ontario, or CNO, adds that they are considered potentially harmful if performed by someone without the required knowledge, skill and judgment (<\/span><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/49041-scope-of-practice.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Scope of Practice practice standard<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Three come up constantly in care at home: performing a prescribed procedure below the dermis or a mucous membrane, administering a substance by injection or inhalation, and putting an instrument, hand or finger past certain body openings. Legal authority is only part of the picture. Training, competence, the care setting and employer policy all bear on who does what.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Between the two sides sits a narrow middle ground, where the law lets someone who is not a regulated professional perform certain restricted acts. It is where most of the confusion lives, and we come back to it below.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:240,&quot;335559739&quot;:80}\"> <img decoding=\"async\" class=\"alignnone wp-image-68781 size-full lazyload\" data-src=\"http:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-1_Where-the-line-falls-scaled.png\" alt=\"\" width=\"2560\" height=\"1830\" data-srcset=\"https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-1_Where-the-line-falls-scaled.png 2560w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-1_Where-the-line-falls-768x549.png 768w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-1_Where-the-line-falls-1536x1098.png 1536w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-1_Where-the-line-falls-2048x1464.png 2048w\" data-sizes=\"(max-width: 2560px) 100vw, 2560px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2560px; --smush-placeholder-aspect-ratio: 2560\/1830;\" \/><\/span><\/p>\n<p><i><span data-contrast=\"none\">Figure 1. Where the line falls. On one side, everyday support that needs no authorization. On the other, controlled acts reserved for regulated professionals. Between them, the narrow middle ground where the exceptions and delegation operate.<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">What Non-Medical Home Care Helps With<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Home care covers the parts of a day a person can no longer manage alone, for as many hours as the family needs. Ontario groups it into personal support and homemaking (<\/span><a href=\"https:\/\/www.ontario.ca\/document\/guide-programs-and-services-seniors\/support-services-home-and-community\"><span data-contrast=\"none\">Government of Ontario guide to support services at home and in the community<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Personal Care, Meals and the Household<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Personal support covers dressing and undressing, eating, getting in and out of chairs, vehicles or bed, hair, mouth and skin care, toileting, washing and bathing, and getting to appointments. Homemaking covers laundry, housecleaning, meals, shopping, banking and bills.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Written down it sounds like a checklist. In a home it is a morning, and the difference between a good one and a bad one is usually whether the person doing it knows how your mother likes her tea and which side she leans on when she stands.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">That is the part of care nobody writes into a plan, and it is where our Toronto team spends its time. If that is the need, call (416) 663-2930 and we can talk through what a week might look like.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">What Help With Medication Covers<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">This is the area families ask about most, and the rules are narrower than people expect in one direction and wider in the other. Ontario\u2019s program standard for personal support workers describes assisting with medication following the care plan, and where it is a delegated act, under the supervision of a regulated health professional, or by exception under the most accountable person (<\/span><a href=\"https:\/\/files.ontario.ca\/mcu-personal-support-worker-jan2022-41469-en-2022-03-31.pdf\"><span data-contrast=\"none\">Ontario&#8217;s Personal Support Worker Program Standard<\/span><\/a><span data-contrast=\"none\">). Ontario\u2019s older training standard gives the familiar examples of physical assistance: opening the container, providing a glass of water, placing the pack in the person\u2019s hand (<\/span><a href=\"https:\/\/www.tcu.gov.on.ca\/pepg\/audiences\/pcc\/supportWorker.pdf\"><span data-contrast=\"none\">Ontario&#8217;s Personal Support Worker Training Standard<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Those examples are a description of assistance, not a legal ceiling. Giving an oral medication is not a controlled act at all: CNO\u2019s medication standard treats oral and topical routes as medication practices that do not involve one (<\/span><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41007_medication.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Medication practice standard<\/span><\/a><span data-contrast=\"none\">), and CNO answers directly that a nurse in the community can teach a support worker to administer oral medications, subject to the nurse\u2019s own competence to teach, a judgment about risk and predictability, evidence that the worker can do it safely, and employer policy (<\/span><a href=\"https:\/\/cno.org\/standards-learning\/practice-support\/practice-support-faqs\/teaching-an-unregulated-care-provider\"><span data-contrast=\"none\">the College of Nurses of Ontario uses exactly this example<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The firm line is the route, not the task. Administering a substance by injection or inhalation is a controlled act, so it belongs to a nurse or to someone acting under an exception or delegation. So ask a provider two things: what its own policy allows, and who taught and assessed the person doing it.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">What Private Nursing Is For<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Nursing covers the clinical side of care at home: assessing what is happening, performing restricted procedures, and managing a health condition. CNO sets out the practice of nursing as the promotion of health and the assessment of, provision of care for, and treatment of health conditions, in order to attain or maintain optimal function (<\/span><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41064_fsnursingact.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, An Introduction to the Nursing Act, 1991<\/span><\/a><span data-contrast=\"none\">). At home that can be a scheduled visit or a longer period of care, depending on what the person needs.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Who Counts as a Nurse in Ontario<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Ontario has three nursing titles: Registered Nurse (RN), Registered Practical Nurse (RPN) and Nurse Practitioner (NP). RNs and RPNs are authorized to perform the same five controlled acts, on an order, or where the regulation allows a nurse to initiate one, and as authorized in their practice setting (<\/span><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/49041-scope-of-practice.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Scope of Practice practice standard<\/span><\/a><span data-contrast=\"none\">). The entry requirement differs: a baccalaureate nursing degree for an RN, a practical nursing diploma for an RPN. RNs who complete CNO\u2019s approved education can additionally prescribe certain medications. NPs can do more still, including communicating a diagnosis, prescribing, and ordering diagnostic tests (<\/span><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41038_strdrnec.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Nurse Practitioner practice standard<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Older material sorts RNs and RPNs by how complex or unpredictable the client is. CNO replaced that framework in 2023, so some material still describes the distinction that way.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">One local detail matters, because it turns up on Ontario care websites fairly often. LPN, or Licensed Practical Nurse, is not the Ontario designation. Practical nurses registered to practise here use the title Registered Practical Nurse, or RPN (<\/span><a href=\"https:\/\/www.cno.org\/become-a-nurse\/examinations\/registered-practical-nurse-rpn-registration-examinations\/rex-pn-frequently-asked-questions\"><span data-contrast=\"none\">Ontario registers practical nurses as RPNs<\/span><\/a><span data-contrast=\"none\">). So if you see LPN on an Ontario care website, it is usually wording carried over from another province rather than a different qualification. The Ontario title to look for is RPN.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The titles are protected. Only CNO members may call themselves a nurse, a Registered Nurse, a Registered Practical Nurse or a Nurse Practitioner, in any language or abbreviation. Asked whether a personal support worker can use the title nurse, <\/span><a href=\"https:\/\/www.cno.org\/standards-learning\/practice-support\/practice-support-faqs\/can-a-ucp-or-psw-call-themselves-a-nurse\"><span data-contrast=\"none\">the College of Nurses of Ontario answers this directly<\/span><\/a><span data-contrast=\"none\">. The answer is no. Ontario nurses are registered rather than licensed, so &#8220;licensed nursing&#8221; is loose wording.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">How to Check That Someone Is Actually a Nurse<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">You can check in about a minute, and we think every family should. <\/span><a href=\"https:\/\/registry.cno.org\/\"><span data-contrast=\"none\">Find a Nurse, the College&#8217;s public register<\/span><\/a><span data-contrast=\"none\"> lets anyone look up a nurse by name. It shows membership status, class of registration, any current practice restrictions, and the results of past College hearings, cautions, charges and findings of guilt. If someone coming to your parent\u2019s home is described as a nurse, they should be in that register. If you cannot find them, ask why before the first visit. Physiotherapists and occupational therapists keep public registers too.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Table 2. Who answers to whom<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:100}\">\u00a0<\/span><\/p>\n<table data-tablestyle=\"MsoNormalTable\" data-tablelook=\"1696\" aria-rowcount=\"5\" aria-colcount=\"4\">\n<tbody>\n<tr aria-rowindex=\"1\">\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Role<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Regulated by<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Public register<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">What it tells you<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"2\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Registered Nurse, Registered Practical Nurse, Nurse Practitioner<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">College of Nurses of Ontario<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Yes, and it is open to anyone<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Membership status, class of registration, practice restrictions, hearing results, cautions, charges, findings of guilt<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"3\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Personal support worker<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Not a health regulatory college. The Health and Supportive Care Providers Oversight Authority (HSCPOA) oversees those who register with it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Yes, but registration is voluntary, so not everyone appears<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">For those who register: status, languages spoken, complaints and disciplinary actions<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"4\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Physiotherapist<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">College of Physiotherapists of Ontario<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Yes<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Searchable by name, registration number, clinic, city, discipline history, language, and the controlled acts they can perform<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"5\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Occupational therapist<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">College of Occupational Therapists of Ontario<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Yes<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">The College is required to maintain it, and anyone may view the listed details<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span data-contrast=\"none\">Sources for this table: <\/span><\/i><a href=\"https:\/\/registry.cno.org\/\"><span data-contrast=\"none\">Find a Nurse, the College&#8217;s public register<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/hscpoa.com\/public\/public-register\/\"><span data-contrast=\"none\">public register of registered personal support workers<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/portal.collegept.org\/en-US\/public-register\/\"><span data-contrast=\"none\">College of Physiotherapists of Ontario<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/www.coto.org\/resources\/the-colleges-public-register\/\"><span data-contrast=\"none\">College of Occupational Therapists of Ontario<\/span><\/a><i><span data-contrast=\"none\">.<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:60,&quot;335559739&quot;:200}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The second row is the one that changes how families think. Personal support workers are not members of an Ontario health regulatory college, and CNO notes that unregulated care providers are accountable to their employers (<\/span><a href=\"https:\/\/www.cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41014_workingucp.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario guideline on working with unregulated care providers<\/span><\/a><span data-contrast=\"none\">). That is no longer the whole picture: HSCPOA maintains a <\/span><a href=\"https:\/\/hscpoa.com\/public\/public-register\/\"><span data-contrast=\"none\">public register of registered personal support workers<\/span><\/a><span data-contrast=\"none\"> and began registering personal support workers in December 2024. Registration is voluntary, so a good support worker may simply not be on it (<\/span><a href=\"https:\/\/hscpoa.com\/faqs\/\"><span data-contrast=\"none\">the Health and Supportive Care Providers Oversight Authority<\/span><\/a><span data-contrast=\"none\">), though <\/span><a href=\"https:\/\/hscpoa.com\/registrants\/annual-renewal-faqs\/\"><span data-contrast=\"none\">the oversight authority notes that many employers require it<\/span><\/a><span data-contrast=\"none\"> as a condition of employment. A registered worker is subject to HSCPOA oversight. An unregistered one is accountable mainly through their employer. Either way, how a provider screens, trains and supervises its people is worth asking about directly. Ask us. We would rather answer that on the phone than have you take it on trust from a website.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Situations That May Require a Nurse<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">A nurse is needed when the task is a restricted clinical act, or when it calls for clinical judgment rather than a steady routine. The test is not how serious the situation feels, but whether the task crosses one of the lines Ontario draws.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Table 3. Common situations and who they usually point to<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:100}\">\u00a0<\/span><\/p>\n<table data-tablestyle=\"MsoNormalTable\" data-tablelook=\"1696\" aria-rowcount=\"12\" aria-colcount=\"3\">\n<tbody>\n<tr aria-rowindex=\"1\">\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">The situation<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Usually points to<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"69905\"><b><span data-contrast=\"none\">Why<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"2\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Help with bathing, dressing and moving around the house<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Caregiver<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Everyday personal support. No restricted act involved<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"3\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Meals, laundry, shopping, rides to appointments<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Caregiver<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Ontario lists these as homemaking and personal support services<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"4\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Reminders, opening the container, handing over the pack<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Caregiver<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Assisting with medication, as Ontario\u2019s standards describe it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"5\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Giving an oral medication<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Caregiver, where taught, assessed and permitted<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Oral administration is not a controlled act. Training, employer policy and the care plan govern it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"6\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Routine ostomy appliance and skin care<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Caregiver, where trained and permitted by the care plan and employer policy<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Emptying or changing an appliance does not by itself involve a restricted act<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"7\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">A complex or non-healing wound that needs assessing and a care plan<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nurse<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Wound assessment and planning is specialized nursing work<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"8\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">A dressing change<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Depends on the procedure<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">A simple surface dressing is not a controlled act. A prescribed procedure below the dermis or a mucous membrane is<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"9\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Injections, including insulin<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nurse. A caregiver only where a formal exception or documented delegation applies, and the provider\u2019s policy and care plan permit it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Administering a substance by injection is a controlled act<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"10\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Inserting a urinary catheter past the urethral opening<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nurse. A caregiver only under a formal exception or documented delegation, where policy and the care plan permit it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Putting an instrument, hand or finger past a specified body opening is a controlled act<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"11\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Inserting an instrument or finger into a stoma<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Nurse. A caregiver only under a formal exception or documented delegation, where policy and the care plan permit it<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">An artificial opening is one of the specified openings<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<tr aria-rowindex=\"12\">\n<td data-celllook=\"4369\"><span data-contrast=\"none\">The first weeks home after surgery<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Often both<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<td data-celllook=\"4369\"><span data-contrast=\"none\">Clinical follow-up on one side, daily support and supervision on the other<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span data-contrast=\"none\">Sources for this table: <\/span><\/i><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/49041-scope-of-practice.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario, Scope of Practice practice standard<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/www.cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41014_workingucp.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario guideline on working with unregulated care providers<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/www.tcu.gov.on.ca\/pepg\/audiences\/pcc\/supportWorker.pdf\"><span data-contrast=\"none\">Ontario&#8217;s Personal Support Worker Training Standard<\/span><\/a><i><span data-contrast=\"none\">; <\/span><\/i><a href=\"https:\/\/ontariohealthathome.ca\/community-care\/specialized-services\/wound-care\/\"><span data-contrast=\"none\">Ontario Health atHome describes wound care<\/span><\/a><i><span data-contrast=\"none\">. This table describes how Ontario draws the line in general. It is not advice about a particular person\u2019s care. Comfort Keepers Toronto provides non-medical home care, and where a task falls on the clinical side of this line we will say so.<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:60,&quot;335559739&quot;:200}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Wound care is the one families most often flatten into a single thing. Changing a simple surface dressing is not a controlled act. Working out why a wound is not healing is different work: <\/span><a href=\"https:\/\/ontariohealthathome.ca\/community-care\/specialized-services\/wound-care\/\"><span data-contrast=\"none\">Ontario Health atHome describes wound care<\/span><\/a><span data-contrast=\"none\"> as assessing and diagnosing the wound type and determining what else is affecting healing. A wound that is not improving is a reason to call someone clinical.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">When a Caregiver Can Do It Anyway<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Which leaves a fair question: why can the caregiver not just do it, when the family can?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Ontario law contains exceptions that let someone who is not a regulated health professional perform certain controlled acts. Two matter at home, and they are not the same size (<\/span><a href=\"https:\/\/www.cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41014_workingucp.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario guideline on working with unregulated care providers<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"none\">A member of the household <\/span><\/b><span data-contrast=\"none\">may perform the injection and body-opening acts in any circumstance. That is why a wife can give her husband his insulin.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">A paid care provider <\/span><\/b><span data-contrast=\"none\">may perform those same two acts only where they count as assisting with a routine activity of living. Anything beyond that needs delegation.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">Neither exception covers procedures below the skin or a mucous membrane. <\/span><\/b><span data-contrast=\"none\">For family and paid caregivers alike, that always needs formal delegation from someone authorized to perform it.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">The routine activity test has a defined meaning: a procedure counts when its need, response and outcome have been established over time and are predictable. A settled, long-standing routine can fall inside it. Something new, or something where the dose or the response keeps shifting, does not.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Insulin is CNO\u2019s own worked example, and it shows how fine the line is. Where a client receives a regular, same-dose daily injection and their condition is predictable, <\/span><a href=\"https:\/\/cno.org\/standards-learning\/practice-support\/practice-support-faqs\/teaching-an-unregulated-care-provider\"><span data-contrast=\"none\">the College of Nurses of Ontario uses exactly this example<\/span><\/a><span data-contrast=\"none\">: a support worker can be taught to give it as a routine activity of living. Where it does not meet that test, the same injection needs delegation, and <\/span><a href=\"https:\/\/cno.org\/standards-learning\/ask-practice\/sliding-scale-insulin\"><span data-contrast=\"none\">sliding scale insulin needs delegation<\/span><\/a><span data-contrast=\"none\"> rather than falling within the exception.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Delegation is a formal transfer of authority, not a favour. A nurse who delegates has to be authorized and competent to perform the act, confirm the person receiving it can do it safely, stop it if safety is in question, and document it. Being shown how to do something is not the same as being allowed to: <\/span><a href=\"https:\/\/cno.org\/standards-learning\/ask-practice\/assigning-supervising-or-teaching-an-activity\"><span data-contrast=\"none\">the College of Nurses of Ontario is explicit that teaching is not the same as delegating<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">It also explains why an answer can change. CNO expects a mechanism to monitor whether a task still meets the routine test, so a task that is fine one month can need a nurse the next. A provider that flags that change is doing what the rules require.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:240,&quot;335559739&quot;:80}\"> <img decoding=\"async\" class=\"alignnone wp-image-68782 size-full lazyload\" data-src=\"http:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-2_Does-this-need-a-nurse-scaled.png\" alt=\"\" width=\"2560\" height=\"2411\" data-srcset=\"https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-2_Does-this-need-a-nurse-scaled.png 2560w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-2_Does-this-need-a-nurse-768x723.png 768w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-2_Does-this-need-a-nurse-1536x1446.png 1536w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/TOR-ART-002_Figure-2_Does-this-need-a-nurse-2048x1929.png 2048w\" data-sizes=\"(max-width: 2560px) 100vw, 2560px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2560px; --smush-placeholder-aspect-ratio: 2560\/2411;\" \/><\/span><\/p>\n<p><i><span data-contrast=\"none\">Figure 2. A decision path for working out which side of the line a task sits on, set out in words in the paragraph below.<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559738&quot;:0,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The same path in words: everyday support goes to a caregiver. If a task is not everyday support and is not one of the three restricted acts, confirm it with the provider, because other clinical requirements may apply. Of the three, a prescribed procedure below the dermis or a mucous membrane is covered by neither the household nor the routine activities exception, so it needs a nurse or a formal delegation. An injection or inhalation, or an instrument, hand or finger past a body opening, may fall within the routine activities exception where it is established and predictable for a paid caregiver, and otherwise needs a nurse or delegation. A member of the household sits outside that last question altogether.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">When Families Use Both<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Some families use both services, with nursing addressing defined clinical needs and non-medical home care supporting daily routines. The caregiver holds the routine, the meals and the company. The nurse comes for the clinical work.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The everyday hours matter because someone is already doing them, usually unpaid, and usually an adult child or a spouse. The <\/span><a href=\"https:\/\/www.cihi.ca\/en\/indicators\/caregiver-distress\"><span data-contrast=\"none\">Canadian Institute for Health Information&#8217;s caregiver distress indicator<\/span><\/a><span data-contrast=\"none\"> reports that 95 percent of home care clients in the reporting jurisdictions, Ontario among them, have an unpaid caregiver, and that more than two in five of those caregivers are distressed. Both figures are published as CIHI, 2024.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Coming home from hospital is where the timing gets tight. According to <\/span><a href=\"https:\/\/www.cihi.ca\/en\/indicators\/hospital-stay-extended-until-home-care-services-or-supports-ready\"><span data-contrast=\"none\">the Canadian Institute for Health Information&#8217;s indicator on hospital stays extended while home care is arranged<\/span><\/a><span data-contrast=\"none\">, published as CIHI, 2024, around one in ten hospital patients wait for home care services or supports. Half of them wait eight days or less, and one in ten wait 41 days or more. Private non-medical care can cover the everyday hours in that gap, and it is not subject to that queue. It does not replace nursing or clinical care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">How Private Care Fits With Ontario Health atHome<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Publicly funded home care in Ontario is coordinated by <\/span><a href=\"https:\/\/ontariohealthathome.ca\/home-care\/\"><span data-contrast=\"none\">Ontario Health atHome<\/span><\/a><span data-contrast=\"none\">, which arranges care coordination, nursing, physiotherapy, occupational therapy, speech therapy, social work, nutritional counselling, personal support, and medical supplies and equipment. Anyone can make a referral, and Ontario residents with a valid Ontario Health Insurance Plan (OHIP) card are eligible for an assessment by a care coordinator (<\/span><a href=\"https:\/\/ontariohealthathome.ca\/getting-started\/\"><span data-contrast=\"none\">how to get started with Ontario Health atHome<\/span><\/a><span data-contrast=\"none\">). If you qualify, the Ontario government pays for home care, and the same page notes you can also pay for your own care through private companies (<\/span><a href=\"https:\/\/www.ontario.ca\/page\/home-community-care\"><span data-contrast=\"none\">Government of Ontario page on home and community care<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">What you receive is based on your assessed needs and on the services available locally, so the amount comes out of the assessment. Assessments are requested through Ontario Health atHome, and its <\/span><a href=\"https:\/\/ontariohealthathome.ca\/region\/toronto-central\/\"><span data-contrast=\"none\">Toronto Central office<\/span><\/a><span data-contrast=\"none\"> serves the city. Many families request one and arrange private support in the meantime rather than waiting.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Questions to Ask Before Arranging Care<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><img decoding=\"async\" class=\"alignnone wp-image-68788 lazyload\" data-src=\"http:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/26f871e6-fb11-416b-97de-323a6cda4999-CKWinnipegAugBlog2-768x456.jpeg\" alt=\"\" width=\"1361\" height=\"808\" data-srcset=\"https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/26f871e6-fb11-416b-97de-323a6cda4999-CKWinnipegAugBlog2-768x456.jpeg 768w, https:\/\/www.comfortkeepers.ca\/toronto\/wp-content\/uploads\/sites\/171\/2026\/09\/26f871e6-fb11-416b-97de-323a6cda4999-CKWinnipegAugBlog2-1170x694.jpeg 1170w\" data-sizes=\"(max-width: 1361px) 100vw, 1361px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1361px; --smush-placeholder-aspect-ratio: 1361\/808;\" \/><\/p>\n<p><span data-contrast=\"none\">These are worth asking any provider in Toronto, including us. A provider that knows its own answers will give you specifics.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Questions About the People Coming Into the Home<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Who exactly is coming, and in what role? Ask for the title, and whether that person is a regulated health professional.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">If they are described as a nurse, ask for their class of registration, then confirm it yourself in the College register.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Which type of police record check was done? Ontario defines three, and the vulnerable sector check is the one designed for people in a position of trust over vulnerable persons.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"none\">Who supervises the caregiver, and who does the family call if something is wrong at eight in the evening?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"10\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"none\">What happens when the regular caregiver is sick or on holiday? Ask how a replacement is briefed, not just whether one exists.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">A vulnerable sector check adds findings a standard criminal record check leaves out, and requires the consent of the person being checked (<\/span><a href=\"https:\/\/www.ontario.ca\/page\/police-record-checks\"><span data-contrast=\"none\">Government of Ontario guidance on police record checks<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Questions About What Happens When Needs Change<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">If a task moves from something the caregiver can do to something they cannot, who notices, and who tells the family?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">If a task is being done under a delegation, who delegated it, and what happens if that person is no longer involved?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">How do you decide when a task has moved beyond what a caregiver can do, and how quickly is the family told?<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Questions About Cost and Paperwork<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">We do not publish rates here, because a number without hours, timing and needs behind it is misleading. Tell us the shape of the week you are trying to cover and we will give you a real figure: (416) 663-2930. What we can point to here is money that already exists and often goes unclaimed. This is general information rather than tax advice, and thresholds change from year to year, so confirm the current rules or ask your tax preparer.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Ask whether you qualify for the <\/span><a href=\"https:\/\/www.ontario.ca\/page\/ontario-seniors-care-home-tax-credit\"><span data-contrast=\"none\">Ontario Seniors Care at Home Tax Credit<\/span><\/a><span data-contrast=\"none\">, which is refundable: up to 25 percent of claimable medical expenses up to $6,000, for a maximum credit of $1,500, reduced by 5 percent of family net income over $35,000 and fully phased out by at most $65,000. You or your spouse must have turned 70 or older in the year, and you must be resident in Ontario at year end.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">Ask what receipts you will get. Certain attendant care expenses may also be claimable federally. For attendant care at home, CRA requires that you either be eligible for the disability tax credit or have written certification from a medical practitioner that the services are necessary (<\/span><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/forms-publications\/publications\/rc4065\/medical-expenses.html\"><span data-contrast=\"none\">CRA Guide RC4065 on attendant care<\/span><\/a><span data-contrast=\"none\">). The general <\/span><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/tax\/individuals\/topics\/about-your-tax-return\/tax-return\/completing-a-tax-return\/deductions-credits-expenses\/lines-33099-33199-eligible-medical-expenses-you-claim-on-your-tax-return.html\"><span data-contrast=\"none\">Canada Revenue Agency rules on eligible medical expenses<\/span><\/a><span data-contrast=\"none\"> set out the thresholds for each tax year.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">Some families consider hiring a caregiver directly. It is worth understanding first that this can make you their employer, with payroll, insurance and coverage obligations an agency otherwise carries. See <\/span><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/tax\/businesses\/topics\/payroll\/payroll-deductions-contributions\/special-situations\/employing-a-caregiver-baby-sitter-domestic-worker.html\"><span data-contrast=\"none\">Canada Revenue Agency guidance on payments to caregivers and domestic workers<\/span><\/a><span data-contrast=\"none\"> and <\/span><a href=\"https:\/\/www.wsib.ca\/en\/operational-policy-manual\/domestic-workers\"><span data-contrast=\"none\">the Workplace Safety and Insurance Board&#8217;s policy on domestic workers<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Toronto Next Steps<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Plenty of households here are working through the same question. In the 2021 Census, 476,990 Toronto residents were 65 or over, and since 2016 the city has had more people 65 and over than under 15 (<\/span><a href=\"https:\/\/www.toronto.ca\/wp-content\/uploads\/2022\/04\/9654-City-Planning-2021-Census-Backgrounder-Age-Sex-Gender-DwellingType.pdf\"><span data-contrast=\"none\">2021 Census figures published by the City of Toronto<\/span><\/a><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">If the need is daily life, start with our <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/toronto\/home-care-services-for-seniors\/\"><span data-contrast=\"none\">home care services for seniors in Toronto<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">If the need may be clinical, call us. We will help you work out which parts of the week need a nurse and which are everyday support, and we will be straight about what we do and do not provide. You can also read about <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/toronto\/in-home-nursing-services\/\"><span data-contrast=\"none\">in-home nursing<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559683&quot;:0,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"none\">If you are not sure which it is, that is the most common call we get. You can also look through <\/span><a href=\"https:\/\/www.comfortkeepers.ca\/toronto\/our-services\/\"><span data-contrast=\"none\">our Toronto services<\/span><\/a><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559685&quot;:-188,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:110}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Call our Toronto team at (416) 663-2930. We are Comfort Keepers Toronto, based at 245 Fairview Mall Drive, Suite 401 in North York, and we provide non-medical home care across Toronto and North York.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">About the Author and Reviewer<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">This guide was written by the Comfort Keepers Canada Editorial Team. That is a local service-accuracy review, not a clinical or medical review. You can learn more about our team on the Comfort Keepers Toronto team page. This article explains how Ontario distinguishes non-medical home care from nursing. It does not replace medical advice, diagnosis or treatment, and it is not advice about any particular person\u2019s care.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"none\">Published September 2026 \u00b7 Last reviewed September 2026<\/span><\/i><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Sources<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<p><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/49041-scope-of-practice.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario. Scope of Practice, practice standard (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41014_workingucp.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario. Working With Unregulated Care Providers, practice guideline (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41064_fsnursingact.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario. An Introduction to the Nursing Act, 1991, fact sheet (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41007_medication.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario. Medication, practice standard (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/Assets\/CNO\/Documents\/Standard-and-Learning\/Practice-Standards\/41038_strdrnec.pdf\"><span data-contrast=\"none\">College of Nurses of Ontario. Nurse Practitioner, practice standard (2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/standards-learning\/ask-practice\/assigning-supervising-or-teaching-an-activity\"><span data-contrast=\"none\">College of Nurses of Ontario. Assigning, Supervising or Teaching an Activity, Ask Practice (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/standards-learning\/practice-support\/practice-support-faqs\/teaching-an-unregulated-care-provider\"><span data-contrast=\"none\">College of Nurses of Ontario. Teaching an unregulated care provider, practice support FAQ (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/cno.org\/standards-learning\/ask-practice\/sliding-scale-insulin\"><span data-contrast=\"none\">College of Nurses of Ontario. Sliding scale insulin, Ask Practice (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cno.org\/standards-learning\/practice-support\/practice-support-faqs\/can-a-ucp-or-psw-call-themselves-a-nurse\"><span data-contrast=\"none\">College of Nurses of Ontario. Can a UCP or PSW call themselves a nurse, practice support FAQ (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cno.org\/become-a-nurse\/examinations\/registered-practical-nurse-rpn-registration-examinations\/rex-pn-frequently-asked-questions\"><span data-contrast=\"none\">College of Nurses of Ontario. REx-PN frequently asked questions (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/registry.cno.org\/\"><span data-contrast=\"none\">College of Nurses of Ontario. Find a Nurse, public register (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/portal.collegept.org\/en-US\/public-register\/\"><span data-contrast=\"none\">College of Physiotherapists of Ontario. Public register (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.coto.org\/resources\/the-colleges-public-register\/\"><span data-contrast=\"none\">College of Occupational Therapists of Ontario. The College\u2019s public register (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ontario.ca\/page\/regulated-health-professions\"><span data-contrast=\"none\">Government of Ontario, Ministry of Health. Regulated health professions (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ontario.ca\/page\/home-community-care\"><span data-contrast=\"none\">Government of Ontario. Home and community care (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ontario.ca\/document\/guide-programs-and-services-seniors\/support-services-home-and-community\"><span data-contrast=\"none\">Government of Ontario. Guide to programs and services for seniors, support services at home and in the community (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ontario.ca\/page\/police-record-checks\"><span data-contrast=\"none\">Government of Ontario. Police record checks (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.ontario.ca\/page\/ontario-seniors-care-home-tax-credit\"><span data-contrast=\"none\">Government of Ontario. Ontario Seniors Care at Home Tax Credit (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.tcu.gov.on.ca\/pepg\/audiences\/pcc\/supportWorker.pdf\"><span data-contrast=\"none\">Ontario Ministry of Training, Colleges and Universities. Personal Support Worker Training Standard (2014).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/files.ontario.ca\/mcu-personal-support-worker-jan2022-41469-en-2022-03-31.pdf\"><span data-contrast=\"none\">Ontario Ministry of Colleges and Universities. Personal Support Worker Program Standard (2022).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/hscpoa.com\/public\/public-register\/\"><span data-contrast=\"none\">Health and Supportive Care Providers Oversight Authority. About the public register of PSWs (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/hscpoa.com\/faqs\/\"><span data-contrast=\"none\">Health and Supportive Care Providers Oversight Authority. Applicant frequently asked questions (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/hscpoa.com\/registrants\/annual-renewal-faqs\/\"><span data-contrast=\"none\">Health and Supportive Care Providers Oversight Authority. Annual renewal frequently asked questions (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/ontariohealthathome.ca\/home-care\/\"><span data-contrast=\"none\">Ontario Health atHome. Home care (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/ontariohealthathome.ca\/getting-started\/\"><span data-contrast=\"none\">Ontario Health atHome. Getting started (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/ontariohealthathome.ca\/community-care\/specialized-services\/wound-care\/\"><span data-contrast=\"none\">Ontario Health atHome. Wound care, specialized services (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/ontariohealthathome.ca\/region\/toronto-central\/\"><span data-contrast=\"none\">Ontario Health atHome. Toronto Central area (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cihi.ca\/en\/indicators\/caregiver-distress\"><span data-contrast=\"none\">Canadian Institute for Health Information. Caregiver distress, indicator (2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.cihi.ca\/en\/indicators\/hospital-stay-extended-until-home-care-services-or-supports-ready\"><span data-contrast=\"none\">Canadian Institute for Health Information. Hospital stay extended until home care services or supports ready, indicator (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.toronto.ca\/wp-content\/uploads\/2022\/04\/9654-City-Planning-2021-Census-Backgrounder-Age-Sex-Gender-DwellingType.pdf\"><span data-contrast=\"none\">City of Toronto, City Planning. 2021 Census backgrounder, age, sex at birth and gender, type of dwelling (2022).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/tax\/individuals\/topics\/about-your-tax-return\/tax-return\/completing-a-tax-return\/deductions-credits-expenses\/lines-33099-33199-eligible-medical-expenses-you-claim-on-your-tax-return.html\"><span data-contrast=\"none\">Canada Revenue Agency. Lines 33099 and 33199, eligible medical expenses you can claim on your tax return (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/forms-publications\/publications\/rc4065\/medical-expenses.html\"><span data-contrast=\"none\">Canada Revenue Agency. Guide RC4065, Medical Expenses, attendant care and care in a facility (2025).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.canada.ca\/en\/revenue-agency\/services\/tax\/businesses\/topics\/payroll\/payroll-deductions-contributions\/special-situations\/employing-a-caregiver-baby-sitter-domestic-worker.html\"><span data-contrast=\"none\">Canada Revenue Agency. Payments to caregivers, babysitters and domestic workers (accessed September 2026).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.wsib.ca\/en\/operational-policy-manual\/domestic-workers\"><span data-contrast=\"none\">Workplace Safety and Insurance Board Ontario. Domestic workers, operational policy manual 12-04-14 (2024).<\/span><\/a><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Frequently Asked Questions<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:380,&quot;335559739&quot;:160}\">\u00a0<\/span><\/h2>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Can a caregiver give my mother her insulin?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">It depends on her regimen, on the caregiver\u2019s training and assessed competence, and on the provider\u2019s policies. CNO uses this exact situation as its example. Where a client gets a regular, same-dose daily injection and their condition is predictable, that can qualify as a routine activity of living, and a support worker can be taught to give it. Where the dose changes in response to readings, sliding scale insulin needs formal delegation instead. The household exception is worded around members of the same household, which is not automatically the same as being a relative, and it is not a reason for anyone to give an injection without proper instruction.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">\u00a0Is a private nurse better than a caregiver?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">They are not two grades of the same thing. They hold different authority, different training and different roles. For most families most of the time the need is the everyday hours, and that is not a lesser version of nursing. It is a different job with its own skill. Which one a person needs depends on their assessed needs, and many people need both. A practical way in is to work out which specific tasks in a week require a nurse, and what kind of support the rest of the week needs.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">How do I find out how many different caregivers will come?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Ask about the mechanics rather than the philosophy. A typical number of caregivers in a month. Who decides the match, and what happens if it is wrong. Whether a replacement reads anything about the person before their first shift. Any provider should be able to answer those in concrete terms, ours included.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">What do I do if I think something has gone wrong?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Where you take it depends on who was involved. If it concerns a nurse, CNO handles complaints about its members, and past hearing results, cautions, charges and findings of guilt appear on <\/span><a href=\"https:\/\/registry.cno.org\/\"><span data-contrast=\"none\">Find a Nurse, the College&#8217;s public register<\/span><\/a><span data-contrast=\"none\">. If it concerns a personal support worker registered with HSCPOA, complaints and disciplinary actions are recorded on its <\/span><a href=\"https:\/\/hscpoa.com\/public\/public-register\/\"><span data-contrast=\"none\">public register of registered personal support workers<\/span><\/a><span data-contrast=\"none\">. If the person is not registered anywhere, the employer is the usual first route. Other channels may apply depending on what happened and where care was delivered.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"3\"><b><span data-contrast=\"none\">Can I use publicly funded home care and private care together?<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:260,&quot;335559739&quot;:120}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"none\">Yes. The two are not alternatives, and many families combine them. What the province covers is established through an assessment by a care coordinator, which also identifies what is available locally, and families arrange private services for what falls outside that. If support is needed now, arrange it now. Requesting an assessment does not prevent you from putting help in place in the meantime, and it does not have to come first.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:0,&quot;335551620&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:90}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Non-medical home care and private nursing are two different services. Home care supports everyday life at home: personal care, meals, mobility, companionship and safety. Private nursing is clinical care from a nurse registered with the College of Nurses of Ontario, for tasks Ontario law reserves for regulated professionals. Home care does not diagnose, prescribe or [&hellip;]<\/p>\n","protected":false},"author":86,"featured_media":68786,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-68780","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Home Care vs Private Nursing in Toronto: What to Know<\/title>\n<meta name=\"description\" content=\"Understand the difference between non-medical home care and private nursing in Toronto, what each can help with, and when families may use both.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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