Nurses can start 2017 Learning Plan
It’s time for nurses to get started on creating their annual Learning Plan for the College’s Quality Assurance (QA) Program. Involvement in QA is a continuous requirement throughout their career as a nurse.
For a complete list of resources nurses need to complete their Learning Plan, go to Quality Assurance (QA) Program.
Future change: NPs prescribing controlled substances
The College is currently consulting with stakeholders on proposed regulation changes that would allow NPs to prescribe controlled substances. You have until Tuesday, Feb. 14, 2017 to send us your feedback.
If Council and the government approve the regulation changes, the College will work with the Ministry of Health and Long-Term Care to implement them by the end of March 2017. We will inform all stakeholders once we know the exact implementation date.
Read more on the NPs and Prescribing Controlled Substances page.
Controlled substances education
In anticipation of the regulation changes being approved, NPs have been asked to complete a Council-approved course before they are allowed to prescribe controlled substances. NPs should complete one of two online courses by Friday, March 10, 2017. The course content builds on existing NP competencies and is broader than prescribing. For example, it includes an overview of federal laws, ethical considerations, misconceptions and client stigmatizations. Even if an NP is not prescribing controlled substances, learning the foundational competencies related to controlled substances is in the interest of clients.
NPs who do not complete a course will have a restriction on the Register the day the regulations take effect. Current employers will also be notified by mail of the restriction.
For more information on the education requirement, read Q&As: Controlled Substances Education Requirement. NPs can only prescribe controlled substances once the regulations take effect and once they complete the approved education.
New entry-level competencies for NPs
Starting January 2018, Nurse Practitioners (NPs) will have new competencies that will be defined in the Entry-Level Competencies for Nurse Practitioners document. The College released the document one year early to give stakeholders time to prepare for the new competencies. For example, universities can use the time to update their curricula.
In 2017, NPs and applicants will continue to be assessed by the Canadian Nurse Practitioner Core Competency Framework.
The Canadian Council of Registered Nurse Regulators developed the new NP competencies. They will be used in jurisdictions across Canada.
Learn more about the current and new NP competencies.
Q: As an RN, can I administer botulinum toxin (e.g. Botox)?
A: Yes, you may administer botulinum toxin if there is an appropriate order in place.
Administering botulinum toxin falls under the controlled act of administering a substance by injection. This is one of the controlled acts that RNs and RPNs are allowed to perform with an order from an authorized health care professional, such as a physician. The order can be a direct order or a directive.
Having the authority to perform a procedure does not necessarily mean it is appropriate to do so. For example, the Medication practice standard requires you to consider the client, the medication and the environment when assessing if it is appropriate to administer a drug.
Decisions About Procedures and Authority includes a decision tree to help you decide if you should perform a procedure. It asks questions such as:
- Are you the appropriate care provider to perform this procedure?
- Is there an order in place?
- Do you have the knowledge, skill and judgment to perform and manage all possible outcomes of performing the procedure?
In addition to using the College’s standards, you are accountable for having the knowledge, education and/or experience that is needed to safely perform any treatment or procedure.