Terms, Conditions and Limitations
A Temporary Class membership includes the following conditions:
- A temporary member can practise nursing only within the facility identified on their Temporary Class registration form, and must practise only within her or his scope of employment within that facility.
- Temporary members must be monitored and directed by a member in the General or Extended Class.
- The member shall not perform a controlled or authorized act unless the act is ordered:
- pursuant to clause 5(1)(b) of the Nursing Act, 1991, or
- by a Registered Nurse in the General or Extended Class.
- Temporary members are not permitted to supervise, monitor or direct the practice of another member in any class.
- Temporary members cannot accept the delegation of a controlled or authorized act from another member or any other person.
- Temporary members cannot delegate a controlled or authorized act to another member or any other person.
- Temporary members must at all times identify themselves as such when providing care.
- Nurses with temporary registration use the designation “Registered Nurse (Temporary)” or “RN (Temp)” when holding a temporary certificate as an RN, or “Registered Practical Nurse (Temporary)” or “RPN (Temp)” when holding a temporary certificate as an RPN.
In addition, temporary members are subject to the following terms and limitations:
- A member’s temporary registration expires in the following situations:
- the six-month expiry date on the temporary registration has been reached
- the member successfully registers in the General Class or
- the College receives confirmation the member has failed the registration exam.
- The member must provide a copy of the Verification of Registration letter to all potential employers.
- The member must inform the College if her/his employment is terminated or suspended for any reason, or if the applicant chooses to leave her/his job.
- The temporary member authorizes the employment facility to provide any information to the College regarding her/his practice and, if applicable, reasons for termination or suspension.
Performing controlled acts
A member of the Temporary Class cannot perform a controlled act unless the act is ordered by a physician, dentist, midwife, chiropodist, Nurse Practitioner or RN in the General Class.
Nurses are authorized to do the following controlled acts:
- perform a prescribed procedure below the dermis or a mucous membrane
- administer a substance by injection or inhalation
- dispensing a drug
- put an instrument, hand or finger
- beyond the external ear canal
- beyond the point in the nasal passages where they normally narrow
- beyond the larynx
- beyond the opening of the urethra
- beyond the labia majora
- beyond the anal verge
- into an artificial opening in the body.
When performing any procedure, including a controlled act, the temporary member is accountable for her/his own competence (i.e., performing the procedure correctly). The temporary member is also accountable for determining the appropriateness of performing the procedure given the client’s circumstances.
Having the authority to perform a procedure does not automatically mean that it is appropriate to do so. There are a number of factors to consider in determining whether performing a procedure or activity is appropriate (see Decisions About Procedures and Authority, Revised 2006 for more information).
Supervising temporary members
Supervision of temporary members may be direct or indirect depending on:
- the temporary member’s needs in relation to the demands of the client population (e.g., the complexity of the clients)
- the nature of the required care
- the degree of competence of the temporary member.
The employer is responsible for having sufficient resources to provide direct or indirect monitoring, consultation and collaboration to the temporary member. The level of supervision required will vary according to the member’s expertise and familiarity with the practice setting.
A temporary member is responsible for:
- the care she/he provides
- identifying situations where she/he requires supervision
- identifying learning needs
- negotiating a plan to meet her/his learning needs.
Directing regulated health professionals and unregulated care providers (UCPs)
The temporary member cannot monitor or direct the practice of another nurse in any category or class. Therefore, it is not appropriate for a temporary member to be solely “in-charge” or act in a formal leadership role.
This does not prevent a temporary member from learning the elements of an “in-charge” role, as long as they are supported by a mentor/preceptor or a designated resource nurse. For example, a temporary member could supervise the care provided by UCPs as part of a collaborative practice model.