(CSEP-CEP) - Scope of Practice - Provincial Fitness Unit

14. Use a heart rhythm tracing (single lead or multiple leads) to observe heart response at rest, during a
fitness assessment and a structured exercise session for the purposes of identifying but not diagnosing
irregularities.
15. Evaluate and treat both asymptomatic and symptomatic populations with medical conditions, functional
limitations and disabilities who have been cleared by the ePARmed-X+ and/or who have been cleared for
unrestricted or restricted activity by a licensed health care professional, for the purpose of improving health and
function.
16. Perform case management evaluations, prescribe conditioning exercise, and provide exercise
supervision, health education and outcome evaluation.
17. Work with apparently healthy asymptomatic and symptomatic populations such as older adults, children
and youth, and obstetric populations, in health enhancement and the prevention of impairment and disability.
18. Provide appropriate exercise therapy to clients including, but not limited to, those with musculoskeletal,
cardio-respiratory, and metabolic conditions.
19. To monitor acute and chronic responses and adaptations to exercise in healthy and clinical populations.
20. Accept referrals from licensed health care professionals who are trained and licensed to diagnose and
treat musculoskeletal conditions and/or medical conditions.
21. Draw finger prick blood samples provided they have documented proof of having undergone
appropriate phlebotomy training (provincial certification) and a physician has signed their Medical Delegation,
which is to be renewed annually as per the Controlled Acts that are governed by the Regulated Health
Professions Acts (RHPA, 1991). Those members who do NOT obtain the appropriate training, certification and
renewal will not be permitted to carry out this service, nor will they have any insurance coverage for this
service.
22. Conduct group physical activity sessions.
23. Offer specialty physical activity classes (eg: spinning, aqua fitness, Pilates, yoga, etc.) provided they
have proof of having received the proper training for that specialty. Those members who do NOT obtain the
appropriate training, certification and renewal will not be permitted to carry out this service, nor will they have
any insurance coverage for this service.
24. To terminate or suspend exercise testing or training in light of observed indications and
contraindications to exercise.
25. Conduct Functional Ability Evaluations (FAE) or Functional Assessments using specialized
systems/equipment, provided the CSEP-CEP has the training/certification to conduct these specialized
assessments. Those members who do NOT obtain the appropriate training, certification and renewal will not
be permitted to carry out this service, nor will they have any insurance coverage for this service.
26. Respond to emergency situations including the provision of cardiopulmonary resuscitation and
automated external defibrillation as appropriate.
A CSEP-CEP is not sanctioned by CSEP to:
1. Administer assessment protocols and prescribe exercise and/or therapy to acutely injured and diseased
individuals who are not within the boundaries of the above scope of practice.
2. Diagnose pathology based on any assessment performed.
3. Diagnose ECG abnormalities.