Primary Care Alberta Clinical Updates - September 25, 2025
Midwifery scope of practice update

Registered midwives now have the option to expand their scope of practice and perform advanced practice activities in AHS sites. This development enables midwives to deliver more timely and efficient care to their clients.

Primary Care Alberta’s (PCA) Provincial Midwifery Administrative Office (PMAO) worked closely with AHS site and medical leadership to identify activities appropriate for hospital settings. These currently include ordering of controlled substances within hospitals (narcotics, benzodiazepines), ordering uterotonics for induction or augmentation of labour, and performing point-of-care ultrasound.

Similar to physicians, midwives are granted appointments and clinical privileges to practice in AHS sites. Privileges define the scope of a midwife’s practice, including procedures they can perform and patient services they’re authorized to provide. The PMAO oversees this process, ensuring a midwife’s privileges reflect their skills, competence, site readiness and clinical need.

As midwives obtain authorization from the College of Midwives of Alberta and appropriate clinical privileges are granted, PMAO will work closely with individual sites to safely integrate advanced practice activities.

For more information about advanced practice activities, visit the College of Midwives of Alberta website.
 

 
Clinical Pharmacology and Toxicology pearl of the week: Hyperthermic Syndromes, Part 2

This week’s Clinical Pharmacology and Toxicology pearl from the University of Calgary’s Cumming School of Medicine continues the three-part series on toxicologic causes of hyperthermia.

Get details here.
See more CPT Pearls of the Week.



PCA Pathway on polycystic ovary syndrome

PCA’s Provincial Pathways team is excited to share that the  Provincial Polycystic Ovary Syndrome (PCOS) Primary Care Clinical Pathway has been updated and your feedback was instrumental in shaping these changes.

Thanks to your thoughtful input, this pathway is grounded in the  2023 International Evidence-Based Guidelines  for PCOS and is adapted to the realities of care in Alberta. The pathway now includes:

Enhanced guidance for adolescent patients
Expanded contraception guidance
Direct linkage to the updated Provincial Obstructive Sleep Apnea (OSA) pathway.
 

  
Lab bulletin: Change in Connect Care requisition printing

As of October 1, automatic printing of Connect Care laboratory requisitions for blood and urine specimen orders will be disabled to improve workflows and reduce paper use. Please let your patients know that the printed form is not required when they come to an APL site for blood or urine collection as the order has been placed electronically.

Read the full lab bulletin.



 Lab bulletin: Expanded testing at Cross Cancer Institute lab

To improve turnaround times, CRP, lactate and lipase tests will be added to the onsite test menu at the Cross Cancer Institute lab. There is no change in ordering through Connect Care, or in sample collection requirements.

Read the full lab bulletin.
  

 
New mobile mammography units

AHS Screen Test and the Alberta Cancer Foundation have announced the launch of two new mobile mammography units, made possible due to $3 million in funding from the Alberta Cancer Foundation and its donors. 

For more information visit screeningforlife.ca/breast.



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