Review the Evidence of practice criteria to see if you are practicing or not. If you are still unclear, reflect on the following questions.
- Are you registered as a nurse in the jurisdiction in which you are practising as a nurse? For example, if you are practising in Quebec, are you registered with the OIIQ?
- Do you have a direct or indirect effect on a client’s care? For example, a bedside nurse has a direct impact on a client’s care; a nurse at the managerial level, in leading risk management, will have an indirect impact on a client’s care.
- Do you have a direct or indirect effect on health care systems? This means that while you aren’t directly providing client care, your role is impacting the health care environment, policy, resources or knowledge – all the factors contributing to a client’s care. For example, a nurse working in a risk management role in a health related organization will have an indirect impact on client care through their role informing decisions related to health care.
- Are you using your nursing knowledge, skill and judgment in your role? For example, a nurse who is professor in a nursing or health related program will draw on their nursing knowledge, skill and judgment when teaching students and supporting them in the provision of care.
- Are you conveying to the public that you are a nurse? For example, do you use the title nurse, RN or RPN as a way of demonstrating your credibility and knowledge to the public?
- Based on your role, title and how you present yourself, would the public expect you to use your nursing knowledge or skill in your interactions with them? For example, a nurse working for an insurance company assisting clients with health care claims. If the clients know a nurse is assisting them, they will expect the nurse to have and use relevant nursing knowledge, skill and judgment.
- What are your reasons for using the protected titles of Nurse, RPN, RN or NP? Is it because you wish people to know that you have that credibility, expertise, knowledge, skill or ability?
- Who are you telling that you are a nurse? And what do you expect them to do with this information?
If, after answering these questions, you decide you are practicing, you must:
- register or renew in the correct practising class
- uphold the College’s practice standards and guidelines
- complete your annual Quality Assurance requirements
- comply with the reporting requirements.
- hold Professional Liability Protection (PLP)
The Nursing Act, 1991 defines the practice of nursing as:
The promotion of health and the assessment of, the provision of care for and the treatment of health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function.
Nursing practice includes both clinical and non-clinical roles. You can be practising nursing while not providing direct client care. For example, when working in education, administration, policy or research roles. Nursing is notsolely defined as a bedside role and direct client care.
To practise as a nurse in Ontario, you must be registered with the College of Nurses of Ontario. For your work outside of Ontario to be considered nursing practice, you must be registered, if required, with the nursing regulatory body or authority in the jurisdiction where you were or are currently practicing. For example, if you are using nursing practice in the Philippines as your evidence of recent practice, you must either be, or have been, registered with the Professional Regulation Commission in the Philippines at the time.
If you are currently in the Non-Practicing Class, or if your General Class registration has lapsed, you must reinstate.