What is interjurisdictional nurse licensure?

Nurses must be registered in a Canadian jurisdiction (province or territory) to practice there. Interjurisdictional nurse licensure (INL) is a national initiative to help nurses maintain registration in more than one Canadian jurisdiction.

INL allows nurses to practice and support health care systems in multiple Canadian jurisdictions. INL makes the nursing profession more mobile by streamlining the regulatory requirements when nurses are registered to practice in multiple jurisdictions. It helps nurses to work across Canadian provincial and territorial borders, while maintaining the high standard of safe and competent nursing practice.

Nurses must be living physically in Canada to be considered an INL registrant.

How does INL work?

Under INL, you have an equivalent registration in two or more Canadian jurisdictions: your “home” and “host” jurisdictions.

Your home jurisdiction is the Canadian jurisdiction in which you physically reside (where you pay income tax) and in which you are registered to practice nursing in the category you want to use for INL. If you don’t have a home jurisdiction under this definition, your home jurisdiction is the Canadian jurisdiction in which you are registered to practice in the category you want to use for INL, and in which you practice most often.

A host jurisdiction is any Canadian jurisdiction where you are registered to practice in the category you want to use for INL in addition to your home jurisdiction.

Under INL, you can practice in both jurisdictions in the equivalent registration class or category. For example, if you are a practicing RN in your home jurisdiction, you can apply to practice as an RN in your host jurisdiction(s) under INL.

What are the benefits?

  • You need to complete the quality assurance (QA) requirements only in your home jurisdiction. (Learn about the exceptions to this in the FAQs section.) If you comply with your home jurisdiction’s QA requirements, CNO will consider you compliant with our QA requirements.
  • CNO will provide a 25% rebate on your annual fee when you initially register, renew or reinstate with CNO as your host jurisdiction.

How do I apply to CNO to be an INL registrant?

You must apply to CNO the same way as any other applicant. You start by creating an online application with CNO as a Registered Nurse (RN) or Registered Practical Nurse (RPN) in the General Class, or as a Registered Nurse (RN) in the Extended Class (for example, a Nurse Practitioner). Refer to our Registration Guide: Canada (registered outside Ontario) for detailed instructions on how complete your application.

Once you have met all the requirements and paid your application fee, you become eligible for registration and complete the final steps to register. At that point, CNO will review your application to confirm that you:

  • have an active and current equivalent nursing registration in another Canadian jurisdiction and
  • continue to reside in that same province/territory or elsewhere in Canada.

If you meet these criteria, you are automatically eligible as an INL registrant with CNO as your host jurisdiction. You don’t have to do anything else. You will be offered the 25% annual fee rebate when you pay to initially register with CNO.

Once you are registered with CNO, you will receive a message through the online portal explaining that you are an INL registrant. The message will also include information about your Quality Assurance requirements.

Are all Canadian jurisdictions involved in INL?

Yes, but implementation will look different for each jurisdiction, in accordance with law, policies and programs specific to each province or territory. Each regulator will implement INL when they are prepared and when it is reasonably practical for them.

FAQs 

By complying with the QA requirements in your home jurisdiction, CNO as the host jurisdiction will recognize that you have met your Ontario QA requirements. This recognition reduces duplication for nurses maintaining regulatory requirements in multiple Canadian jurisdictions.

All CNO INL registrants are exempt from participating in CNO’s QA program, except:

  • RNs, RPNs, and NPs with their home jurisdiction in Quebec
  • LPNs with their home jurisdiction in the Yukon

If you fall into one of these two categories, you need to complete QA requirements in both your home jurisdiction and with CNO as your host jurisdiction. QA programs in these two jurisdictions do not have a self-assessment component. As a result, you will need to complete the QA Every Day (Self-Assessment) component of CNO’s QA Program in Ontario, as well as the QA program in your home jurisdiction.

To register with CNO as your host jurisdiction, you are accountable for knowing and understanding the laws, practice standards and guidelines that govern the nursing profession in Ontario. One way to demonstrate this understanding is by successfully completing CNO’s Jurisprudence Examination. However, applicants who are registered in another Canadian jurisdiction are not required to complete the Jurisprudence Examination at this time. If you wish to access the exam and learn more about practicing nursing in Ontario, you will see the link available when you apply. CNO may require that you take this exam in the future. 

You can learn more about the exam on our Jurisprudence Examination webpage. Examination pass results are valid for five years.

Yes, you will receive a 25% rebate on your annual fee when you renew with CNO as your host jurisdiction. You can also get the 25% rebate when you initially register or reinstate with CNO as your host jurisdiction.

No, CNO will use the current General and Extended registration classes to register nurses when they apply to CNO as an INL registrant. 

You can prescribe in Ontario only if you successfully complete CNO Council-approved RN Prescribing education first. Regulatory approaches and the scope of practice for RN prescribing varies across Canada. Therefore, even if you are authorized to prescribe medication in another province or territory, you will need to complete additional RN prescribing education successfully to gain prescribing authority in Ontario. Learn more about RN prescribing in Ontario.

Yes, all nurses who register with CNO, whether Ontario is their home or host jurisdiction, must comply with CNO’s standards of practice and applicable laws when practicing or providing care to clients in Ontario.

We know that a nurse may live in a province or territory but not practice there. For example, a nurse might live in Quebec, but practice mostly in New Brunswick and sometimes provide virtual care to patients in British Columbia. In this scenario, the nurse’s home jurisdiction would be New Brunswick even though their home address is in Quebec.

No, you must physically reside in Canada to be an INL registrant.

If you have any questions about interjurisdictional nurse licensure, please contact Customer Service.