Medical assistance in dying clinical protocols and forms.

What’s happening?

The Student Practice team would like to inform all students and faculty instructors about new Clinical Decision Support Tools (CDST), which may impact their practice:

Clinical Decision Support Tool


Practice Changes 

Impacted Programs,





Medical Assistance in Dying – Clinical Protocol

Medical Assistance in Dying: Care Record – Community – Form

Medical Assistance in Dying: Care Record – Acute and Long Term Care – Form

  • Supporting patient questions regarding medical assistance in dying.

  • Supporting patient journey from request to provision.

  • Roles and responsibilities.

  • Concentrations objection.

  • Eligibility and standards.









Not applicable

Physicians, Nurse Practitioners, Registered Nurses, Licensed Practical Nurses, Registered Psychiatric Nurses, Pharmacists, Social Workers, Spiritual Care Practitioners, Occupational Therapists, Physio-therapists, any care provider who supports end-of-life care

Ongoing in-person medical assistance in dying education sessions are posted on Learning Hub when available. Online education Medical Assistance in Dying for nurses is open to all employees. The Canadian Nurses Association’ Medical assistance in dying online learning modules are an excellent resource for nurses.

As part of the implementation of this clinical protocol, employees in all areas where medical assistance in dying will be requested are required to successfully complete the Practice Accountability Quiz.



Forms will be available in FormImprint in August 2018

Why is this important?

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, Clinical Decision Support Tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.

How will this impact students and faculty instructors?

Students and faculty instructors who are completing student placements in Fraser Health must consult with their clinical areas to determine what other practices may be necessary to comply with this protocol.

Students and faculty instructors are expected to apply any necessary changes in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access these CDSTs via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.


Please contact the Student Practice Team at

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