Entry-Level Competencies Used to Measure Substantial Education Equivalence

Entry-Level Competencies Used to Measure Substantial Education Equivalence

Applicants will be evaluated for substantial education equivalence if they do not meet the required credentials for the nursing category to which they applied. The following competencies have been selected from the RN and RPN Entry Level Competencies to be utilized as a measure of substantial equivalence.

An applicant’s foundational education program, which must be approved or recognized in the jurisdiction where they studied, will be compared against the competencies outlined below.

Additionally, these competencies comprise the content that the Education Pathways must include to be approved by CNO and provide reflection points for applicants who choose to participate in the Competency Assessment Supplement. The competencies that inform the Transition to Practice (TTP) component of the Education Pathway are also noted.

RN Competency #: 1.1

RN Competency: Provides safe, ethical, competent, compassionate, client-centred and evidence-informed nursing care across the lifespan in response to client needs

RPN Competency #: 37

RPN Competency: Completes comprehensive health assessments of clients across the lifespan

Note:

RN Competency #: 1.2

RN Competency: Conducts a holistic nursing assessment to collect comprehensive information on client health status

RPN Competency #: 41

RPN Competency: Comprehends, responds to and reports assessment findings

Note:

RN Competency #: 1.3

RN Competency: Uses principles of trauma-informed care which places priority on trauma survivors’ safety, choice, and control

RPN Competency #: 51

RPN Competency: Applies principles of client safety

Note:

RN Competency #: 1.5

RN Competency: Develops plans of care using critical inquiry to support professional judgment and reasoned decision-making

RPN Competency #: 56

RPN Competency: Uses critical thinking, critical inquiry and clinical judgment for decision-making

Note: TTP

RN Competency #: 1.6

RN Competency: Evaluates effectiveness of plan of care and modifies accordingly

RPN Competency #: 53

RPN Competency: Evaluates the effectiveness of nursing interventions by comparing actual outcomes to expected outcomes

Note: TTP

RN Competency #: 1.9

RN Competency: Recognizes and responds immediately when client’s condition is deteriorating

RPN Competency #: 60

RPN Competency: Recognizes and responds immediately when a client’s condition is deteriorating

Note: TTP

RN Competency #: 1.11

RN Competency: Applies knowledge of pharmacology and principles of safe medication practice

RPN Competency #: 62

RPN Competency: Applies knowledge of pharmacology and principles of safe medication practice

Note:

RN Competency #: 1.12

RN Competency: Implements evidence-informed practices of pain prevention, manages client’s pain, and provides comfort through pharmacological and non-pharmacological interventions

RPN Competency #: 40

RPN Competency: Engages in evidence-informed practice by considering a variety of relevant sources of information

Note:

RN Competency #: 1.14

RN Competency: Provides nursing care to meet palliative and end-of-life care needs.

RPN Competency #: 8

RPN Competency: Adapts practice in response to the spiritual beliefs and cultural practices of clients

RPN Competency #: 9

RPN Competency: Practices according to legislation, practice standards, ethics and organizational policies

Note:

RN Competency #: 1.15

RN Competency: Incorporates knowledge about ethical, legal, and regulatory implications of medical assistance in dying (MAiD) when providing nursing care.

RPN Competency #: 8

RPN Competency: Adapts practice in response to the spiritual beliefs and cultural practices of clients

RPN Competency #: 9

RPN Competency: Practices according to legislation, practice standards, ethics and organizational policies

Note:

RN Competency #: 1.16

RN Competency: Incorporates principles of harm reduction with respect to substance use and misuse into plans of care

RPN Competency #: 44

RPN Competency: Develops the care plan with the client, health care team and others

Note:

RN Competency #: 1.18

RN Competency: Provides recovery-oriented nursing care in partnership with clients who experience a mental health condition and/or addiction

RPN Competency #: 45

RPN Competency: Implements nursing interventions based on assessment findings, client preferences and desired outcomes

Note:

RN Competency #: 1.19

RN Competency: Incorporates mental health promotion when providing nursing care.

RPN Competency #: 45

RPN Competency: Implements nursing interventions based on assessment findings, client preferences and desired outcomes

Note:

RN Competency #: 1.20

RN Competency: Incorporates suicide prevention approaches when providing nursing care

RPN Competency #: 45

RPN Competency: Implements nursing interventions based on assessment findings, client preferences and desired outcomes

Note:

RN Competency #: 1.23

RN Competency: Uses knowledge of the impact of evidence-informed registered nursing practice on client health outcomes

RPN Competency #: 11

RPN Competency: Integrates relevant evidence into practice

Note: TTP

RN Competency #: 1.24

RN Competency: Uses effective strategies to prevent, de-escalate, and manage disruptive, aggressive, or violent behaviour

RPN Competency #: 59

RPN Competency: Applies strategies to prevent, de-escalate and manage disruptive, aggressive or violent behaviour

Note:

RN Competency #: 1.25

RN Competency: Uses strategies to promote wellness, to prevent illness, and to minimize disease and injury in clients, self, and others

RPN Competency #: 58

RPN Competency: Recognizes high risk practices and integrates mitigation strategies that promote safe care

Note: TTP

RN Competency #: 2.1

RN Competency: Demonstrates accountability, accepts responsibility, and seeks assistance as necessary for decisions and actions within the legislated scope of practice

RPN Competency #: 1

RPN Competency: Demonstrates accountability and accepts responsibility for own decisions and actions

Note: TTP

RN Competency #: 2.2

RN Competency: Demonstrates a professional presence, and confidence, honesty, integrity, and respect in all interactions

RPN Competency #: 14

RPN Competency: Demonstrates a professional presence, honesty, integrity and respect in all interactions

Note: TTP

RN Competency #: 2.3

RN Competency: Exercises professional judgment when using agency policies and procedures, or when practising in their absence

RPN Competency #: 29

RPN Competency: Practices according to legislation, practice standards, ethics and organizational policies

Note: TTP

RN Competency #: 2.4

RN Competency: Maintains client privacy, confidentiality, and security by complying with legislation, practice standards, ethics, and organizational policies

RPN Competency #: 33

RPN Competency: Protects clients’ rights by maintaining confidentiality and privacy in all personal and professional contexts

Note:

RN Competency #: 2.5

RN Competency: Identifies the influence of personal values, beliefs, and positional power on clients and the health care team and acts to reduce bias and influences

RPN Competency #: 21

RPN Competency: Takes action to minimize the impact of personal values and assumptions on interactions and decisions

Note:

RN Competency #: 2.7

RN Competency: Identifies and addresses ethical (moral) issues using ethical reasoning, seeking support when necessary

RPN Competency #: 23

RPN Competency: Applies ethical frameworks and reasoning to identify and respond to situations involving moral and ethical conflict, dilemma or distress

Note:

RN Competency #: 2.9

RN Competency: Adheres to the self-regulatory requirements of jurisdictional legislation to protect the public by:

  • Assessing own practice and individual competence to identify learning needs
  • Developing a learning plan using a variety of sources
  • Seeking and using new knowledge that may enhance, support, or influence competence in practice
  • Implementing and evaluating the effectiveness of the learning plan and developing future learning plans to maintain and enhance competence as a registered nurse

RPN Competency #: 10

RPN Competency: Engages in self-reflection and continuous learning to maintain and enhance competence

RPN Competency #: 29

RPN Competency: Practices according to legislation, practice standards, ethics and organizational policies.

Note:

RN Competency #: 2.10

RN Competency: Demonstrates fitness to practice

RPN Competency #: 15

RPN Competency: Demonstrates fitness to practice

Note:

RN Competency #: 2.11

RN Competency: Adheres to the duty to report

RPN Competency #: 32

RPN Competency: Adheres to the duty to report

Note:

RN Competency #: 2.13

RN Competency: Recognizes, acts on, and reports, harmful incidences, near misses, and no harm incidences

RPN Competency #: 18

RPN Competency: Recognizes, responds and reports own and others near misses, errors and adverse events

Note: TTP

RN Competency #: 2.14

RN Competency: Recognizes, acts on, and reports actual and potential workplace and occupational safety risks

RPN Competency #: 72

RPN Competency: Participates in creating and maintaining a quality practice environment that is healthy, respectful and psychologically safe

Note:

RN Competency #: 3.2

RN Competency: Engages in active listening to understand and respond to the client’s experience, preferences, and health goals

RPN Competency #: 64

RPN Competency: Communicates collaboratively with the client and the health care team

Note: TTP

RN Competency #: 3.4

RN Competency: Uses conflict resolution strategies to promote healthy relationships and optimal client outcomes.

RPN Competency #: 67

RPN Competency: Uses conflict resolution strategies to promote healthy relationships and optimal client outcomes

Note: TTP

RN Competency #: 3.5

RN Competency: Incorporates the process of relational practice to adapt communication skills

RPN Competency #: 7

RPN Competency: Provides client care in a non-judgmental manner

Note: TTP

RN Competency #: 3.7

RN Competency: Communicates effectively in complex and rapidly changing situations

RPN Competency #: 64

RPN Competency: Communicates collaboratively with the client and the health care team

Note: TTP

RN Competency #: 3.8

RN Competency: Documents and reports clearly, concisely, accurately, and in a timely manner

RPN Competency #: 35

RPN Competency: Documents according to established legislation, practice standards, ethics and organizational policies

Note: TTP

RN Competency #: 4.2

RN Competency: Initiates collaboration to support care planning and safe, continuous transitions from one health care facility to another, or to residential, community or home and self-care

RPN Competency #: 79

RPN Competency: Prepares client and collaborates with health care team in transition and transfer of responsibility of care

Note:

RN Competency #: 4.3

RN Competency: Determines their own professional and interprofessional role within the team by considering the roles, responsibilities, and the scope of practice of others

RPN Competency #: 69

RPN Competency: Determines their own professional and interprofessional role within the team by considering the roles, responsibilities and the scope of practice of others

Note: TTP

RN Competency #: 5.1

RN Competency: Consults with clients and health care team members to make ongoing adjustments required by changes in the availability of services or client health status

RPN Competency #: 46

RPN Competency: Responds to clients’ conditions by organizing competing priorities into actions

Note: TTP

RN Competency #: 5.3

RN Competency: Organizes own workload, assigns nursing care, sets priorities, and demonstrates effective time management skills

RPN Competency #: 78

RPN Competency: Organizes workload, assigns/coordinates nursing care, sets priorities and demonstrates effective time-management skills

Note: TTP

RN Competency #: 5.4

RN Competency: Demonstrates knowledge of the delegation process

RPN Competency #: 71

RPN Competency: Demonstrates leadership, direction and supervision to unregulated health workers and others

Note:

RN Competency #: 5.5

RN Competency: Participates in decision-making to manage client transfers within health care facilities

RPN Competency #: 79

RPN Competency: Prepares client and collaborates with health care team in transition and transfer of responsibility of care

Note: TTP

RN Competency #: 5.7

RN Competency: Prepares clients for transitions in care

RPN Competency #: 79

RPN Competency: Prepares client and collaborates with health care team in transition and transfer of responsibility of care

Note:

RN Competency #: 5.8

RN Competency: Prepares clients for discharge

RPN Competency #: 79

RPN Competency: Prepares client and collaborates with health care team in transition and transfer of responsibility of care

Note:

RN Competency #: 6.1

RN Competency: Acquires knowledge of the Calls to Action of the Truth and Reconciliation Commission of Canada

RPN Competency #: 24

RPN Competency: Obtains knowledge of and responds to the Calls to Action of the Truth and Reconciliation Commission of Canada

Note: TTP

RN Competency #: 6.4

RN Competency: Participates in creating and maintaining a healthy, respectful, and psychologically safe workplace

RPN Competency #: 73

RPN Competency: Participates in creating and maintaining a quality practice environment that is healthy, respectful and psychologically safe

Note: TTP

RN Competency #: 6.5

RN Competency: Recognizes the impact of organizational culture and acts to enhance the quality of a professional and safe practice environment

RPN Competency #: 12

RPN Competency: Collaborates in the analysis, development, implementation and evaluation of practice and policy

RPN Competency #: 73

RPN Competency: Participates in creating and maintaining a quality practice environment that is healthy, respectful and psychologically safe

Note:

RN Competency #: 6.6

RN Competency: Demonstrates self-awareness through reflective practice and solicitation of feedback

RPN Competency #: 3

RPN Competency: Displays self-awareness and recognizes when to seek assistance and guidance

Note: TTP

RN Competency #: 6.7

RN Competency: Takes action to support culturally safe practice environments.

RPN Competency #: 22

RPN Competency: Demonstrates respect for the values, opinions, needs and beliefs of others

Note:

RN Competency #: 6.9

RN Competency: Provides constructive feedback to promote professional growth of other members of the health care team.

RPN Competency #: 75

RPN Competency: Initiates and fosters mentoring relationships

RPN Competency #: 76

RPN Competency: Applies the principles of team dynamics and group processes in interprofessional team collaboration

Note:

RN Competency #: 6.10

RN Competency: Demonstrates knowledge of the health care system and its impact on client care and professional practice

RPN Competency #: 54

RPN Competency: Reviews and revises the plan of care and communicates accordingly

Note: TTP

RN Competency #: 7.1

RN Competency: Recognizes and takes action in situations where client safety is actually or potentially compromised

RPN Competency #: 51

RPN Competency: Applies principles of client safety

Note: TTP

RN Competency #: 7.2

RN Competency: Resolves questions about unclear orders, decisions, actions, or treatment

RPN Competency #: 31

RPN Competency: Recognizes, responds and reports questionable orders, actions or decisions made by others

Note: TTP

RN Competency #: 7.3

RN Competency: Advocates for the use of Indigenous health knowledge and healing practices in collaboration with Indigenous healers and Elders consistent with the Calls to Action of the Truth and Reconciliation Commission of Canada

RPN Competency #: 70

RPN Competency: Advocates for the use of Indigenous health knowledge and healing

Note:

RN Competency #: 7.4

RN Competency: Advocates for health equity for all, particularly for vulnerable and/or diverse clients and populations

RPN Competency #: 26

RPN Competency: Advocates for equitable access, treatment and allocation of resources, particularly for vulnerable and/or diverse clients and populations

Note: TTP

RN Competency #: 7.6

RN Competency: Advocates for safe, competent, compassionate and ethical care for clients

RPN Competency #: 27

RPN Competency: Advocates for clients or their representatives especially when they are unable to advocate for themselves

Note:

RN Competency #: 7.7

RN Competency: Supports and empowers clients in making informed decisions about their health care, and respects their decision

RPN Competency #: 9

RPN Competency: Supports clients in making informed decisions about their health care and respects their decisions

Note: TTP

RN Competency #: 7.9

RN Competency: Assesses that clients have an understanding and ability to be an active participant in their own care, and facilitates appropriate strategies for clients who are unable to be fully involved

RPN Competency #: 63

RPN Competency: Engages clients in identifying their health needs, strengths, capacities and goals

Note: TTP

RN Competency #: 7.10

RN Competency: Advocates for client’s rights and ensures informed consent, guided by legislation, practice standards, and ethics

RPN Competency #: 36

RPN Competency: Obtains informed consent to support the client’s informed decision-making

Note:

RN Competency #: 7.11

RN Competency: Uses knowledge of population health, determinants of health, primary health care, and health promotion to achieve health equity

RPN Competency #: 26

RPN Competency: Advocates for equitable access, treatment and allocation of resources, particularly for vulnerable and/or diverse clients and populations

Note:

RN Competency #: 7.12

RN Competency: Assesses client’s understanding of informed consent, and implements actions when client is unable to provide informed consent

RPN Competency #: 36

RPN Competency: Obtains informed consent to support the client's informed decision-making

Note: TTP

RN Competency #: 7.13

RN Competency: Demonstrates knowledge of a substitute decision maker’s role in providing informed consent and decision-making for client care

RPN Competency #: 36

RPN Competency: Obtains informed consent to support the client’s informed decision-making

Note:

RN Competency #: 7.14

RN Competency: Uses knowledge of health disparities and inequities to optimize health outcomes for all clients

RPN Competency #: 26

RPN Competency: Advocates for equitable access, treatment and allocation of resources, particularly for vulnerable and/or diverse clients and populations

Note:

RN Competency #: 8.1

RN Competency: Develops an education plan with the client and team to address learning needs

RPN Competency #: 48

RPN Competency: Assesses, plans, implements and evaluates the teaching and learning process

Note:

RN Competency #: 8.2

RN Competency: Applies strategies to optimize client health literacy

RPN Competency #: 47

RPN Competency: Assesses clients’ health literacy, knowledge and readiness to learn

Note: TTP

RN Competency #: 8.3

RN Competency: Selects, develops, and uses relevant teaching and learning theories and strategies to address diverse clients and contexts, including lifespan, family, and cultural considerations

RPN Competency #: 48

RPN Competency: Assesses, plans, implements and evaluates the teaching and learning process

Note:

RN Competency #: 8.4

RN Competency: Evaluates effectiveness of health teaching and revises education plan if necessary

RPN Competency #: 50

RPN Competency: Evaluates the effectiveness of health education

Note:

RN Competency #: 9.1

RN Competency: Uses best evidence to make informed decisions

RPN Competency #: 11

RPN Competency: Integrates relevant evidence into practice

Note:

RN Competency #: 9.2

RN Competency: Translates knowledge from relevant sources into professional practice

RPN Competency #: 61

RPN Competency: Demonstrates knowledge of nursing theory, pharmacology, health sciences, humanities and ethics

Note:

RN Competency #: 9.3

RN Competency: Engages in self-reflection to interact from a place of cultural humility and create culturally safe environments where clients perceive respect for their unique health care practices, preferences, and decisions

RPN Competency #: 7

RPN Competency: Provides client care in a non-judgmental manner

RPN Competency #: 9

RPN Competency: Supports clients in making informed decisions about their health care and respects their decisions

Note:

RN Competency #: 9.8

RN Competency: Engages in practices that contribute to lifelong learning

RPN Competency #: 10

RPN Competency: Engages in self-reflection and continuous learning to maintain and enhance competence

Note: TTP