registered nurse canada

- The Nurse Practitioner -
Advanced Nursing Practice in Canada

A nurse practitioner(NP) is a registered nurse who is prepared with advanced education and clinical training to practice in an advanced nursing practice role.


This role includes practices that have traditionally been out of the nursing scope of practice for a registered nurse such as:

  • diagnosing and treating common acute illnesses

  • managing stable chronic illnesses

  • prescribing certain medications

  • ordering and interpreting specified lab tests and X-rays


What is the difference between a NP and a CNS (Clinical Nurse Specialist)?

Clinical Nurse Specialist - advanced registered nursing practice role that reflects advanced education and theory for specialized client problems. There is no identified set of competencies for a clinical nurse specialist and no entrance exam. The CNS must practice within the nursing scope of practice of a registered nurse.

Nurse Practitioner-advanced nursing practice role that requires advanced education and specific identified competencies. In many provinces there will be a defined nursing scope of practice for a NP or permission under the regulating statutes to engage in "controlled or reserved" acts such as ordering diagnostic tests, diagnosing health problems, and prescribing drugs.

In order to take education as a NP you must have already completed the nursing entrance test for Canada (CRNE) and had work experience as a nurse. Once the specific NP education is completed then you must write another licensing exam in order to practice.


The Ontario government has put a plan in place to establish primary health care clinics that use nurse practitioners, doctors, and other health care professionals in the specialities of pharmacy, social work, and nutrition. The first clinic in Sudbury is already in operation.

In this video the Ontario Premier Dalton McGuinty announces the plan to open three Nurse Practitioner-led (NP) clinics in Sault Ste. Marie, Thunder Bay and Belle River more to be established in the near future.

Ontario is moving ahead with expanding the NP role within the Canadian health care system, but the fact remains that this is very new in Canada and in the public interest a lot of regulatory issues are still being worked out.

Because the role is so new many health care providers may not understand exactly what a nurse practitioner does and how they can be best utilized within the Canadian health care system.

Hopefully Ontario's example will provide much needed real life experience that other provinces can learn from.



Current Nursing Shortage

Some provincial health authorities have decreased the number of nursing positions because of funding shortfalls. These are some of the political nuances of nursing in Canada.

The various career sections on health authority websites still show a wide variety of positions, but many of them are not entry level.

This is most likely a temporary situation and all predictions still forcast a nursing shortage for the future.

I will be monitoring this situation over the longer term.

A Canadian visitor says:

Bev:

I have read the pages on your site, and just thought you should know, that so far your website has been the most valuable information tool I have found. It is really hard to find the right information. I have just enrolled in a diploma program, RPN, and then I would like to follow through and get my degree.

Thank you again for your time, and for the great site, I am certainly going to pass it along.

Stephanie


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Copyright© 2009
This website is a private commercial enterprise and is owned and operated by Beverly Hansen OMalley.

It is not in any way affiliated with, endorsed by, or supported by the government of Canada or any nursing regulatory organization in Canada.

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