The proposed scope of practice for RN(EC)s involves permitting access to three new controlled acts: setting or casting a fracture of a bone or a dislocation of a joint; dispensing, selling or compounding a drug; and applying a form of energy prescribed in regulation; and removing restrictions on some of the controlled acts currently authorized to RN(EC)s: communicating a diagnosis; administering a substance by injection or inhalation; and prescribing.
If the legislative changes are enacted, RN(EC)s will continue to work within inter-professional teams. An enhanced scope of nursing practice will contribute to improved inter-professional health care delivery and timely access for the public.
Other existing legislation impedes the RN(EC)’s current authority to perform controlled acts. For example amendments to Regulation 965 under the Public Hospitals Act would enable RN(EC)s practicing in public hospitals with in-patients to practice autonomously to full scope rather than having to rely on the cumbersome process of medical directives and delegation.
These changes are intended to reflect current practice, education and competencies of RN(EC)s, increase client access to timely health care services, enable RN(EC)s to provide health services to hospitalized in-patients, increase efficiencies within the system and enhance cost effectiveness by decreasing duplication and clarify and enhance RN(EC) accountability and is consistent with self regulation.
Additional information is available on the CNO website .
If you are a Primary Health Care Nurse Practitioner (PHCNP), an Advance Practice Nurse (APN) who has practiced as an Acute Care Nurse Practitioner (ACNP), or a Registered Nurse who is interested in moving forward these recommendations, RNAO requests that you attend a public consultation to have your voice heard.
RNAO would also like to request that you encourage members of the public who have experienced access barriers and/or who have experienced the care of NPs, as well as other healthcare professionals including supportive physicians to attend these events.
All public consultations will be held from 5 to 9 pm at the following locations:
For more information and to register for one of these events please go to the HPRAC website .
If you are able to attend any of these events please confirm with Gail Beatty at firstname.lastname@example.org  and she will provide you with any support you need.