NP Diagnostic and Prescriptive Authority
This section provides information about the tests and medication that NPs are authorized to order.
Diagnostic Test List
NPs are authorized to order the following diagnostic tests:
- X-rays of the chest, ribs, arm (includes shoulder and elbow), wrist, hand, leg (includes hip and knee), ankle and foot, as well as mammography –– includes specific views (e.g., coned)
- Diagnostic ultrasound of the abdomen, pelvis and breast –– includes specific views (e.g., of a specific organ), techniques (e.g., transvaginal) or indications (e.g., pregnancy) within these anatomical regions
- Electrocardiograms in non-urgent, non-acute circumstances
Regulations under the Laboratory and Specimen Collection Centre Licensing Act allow NPs to order laboratory tests as appropriate for client care.
NPs are expected to apply the practice expectations for public protection set out in the Nurse Practitioner practice standard.
The Nursing Act, 1991 allows NPs to prescribe most medication as appropriate for client care. NPs are not authorized to prescribe controlled substances. (A controlled substance is one that is included in Schedule I, II, III, IV or V of the Controlled Drugs and Substances Act.)
When prescribing medication, NPs are expected to apply the practice expectations for public protection set out in the Nurse Practitioner practice standard.
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