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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, wrist, hand, leg, 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 within these anatomical regions
     
  • Electrocardiograms in non-urgent, non-acute circumstances 
     
  • Spirometry

 

Laboratory Tests

As of July 1, 2011, regulations under the Laboratory and Specimen Collection Centre Licensing Act no longer require laboratory tests to be listed in the regulation. NPs order tests as appropriate for client care and apply the practice expectations for public protection set out in the Nurse Practitioner practice standard.    

 

Medication

As of October 1, 2011, the Nursing Act, 1991 no longer requires medication to be listed in the regulation. With the exception of controlled substances, NPs have the authority to prescribe medication as appropriate for client care. (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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