College of Registered Nurses of Manitoba General Regulation

College of Registered Nurses of Manitoba General Regulation, M.R. 114/2017 The Regulated Health Professions Act , C.C.S.M. c. R117 Regulation 114/2017 Registered August 31, 2017 bilingual version (HTML) Table of Contents Section PART 1 INTERPRETATION 1.1 Regulatory scheme 1.2 Definitions 1.3 Competent to practise PART 2 MEMBERSHIP 2.1 Overview 2.2 Register of regulated members 2.3 Register information 2.4 What information is available to the public? 2.5 Labour mobility 2.5.1 Application — labour mobility for registered nurses 2.6 Application contents 2.7 Registration requirements — registered nurse 2.8 Registration requirements — registered nurse (interim practice) 2.9 Conversion and cancellation 2.10 Registration requirements — registered nurse (temporary practice) 2.11 Registration requirements — graduate nurse 2.12 Appeal 2.13 Cancellation 2.14 Registration requirements — registered nurse (nurse practitioner) 2.15 Registration requirements — registered nurse (nurse practitioner — interim practice) 2.16 Conversion, cancellation 2.17 Registration requirements — registered nurse (nurse practitioner — temporary practice) 2.18 Registration requirements — registered nurse (graduate nurse practitioner) 2.19 Further renewal 2.20 Mentor requirements 2.21 Cancellation 2.22 Requirements for issuing certificate of practice 2.23 Registered nurse (authorized prescriber) 2.24 Prescribing devices 2.25 Renewal requirements 2.26 Continuing competency program 2.27 Records 2.28 Continuing competency committee 2.29 Review 2.30 Notifying the registrar 2.31 Report conduct to registrar 2.32 Professional liability protection or insurance 2.33 Conditions on certificate of practice 2.34 Change in information 2.35 Additional checks 2.36 Expiry of certificate 2.37 Conversion 2.38 Cancellation 2.39 Titles and abbreviations 2.40 Use of term "licensed" restricted to practising members 2.41 Registration or certificate of practice not required PART 3 RESERVED ACTS 3.1 Overview 3.2 Definitions 3.3 Performing reserved acts 3.4 Reserved acts — registered nurse 3.5 Reserved acts — registered nurse (interim practice) 3.6 Reserved acts — registered nurse (temporary practice) 3.7 Reserved acts — graduate nurse 3.8 Reserved acts — registered nurse (authorized prescriber) 3.9 Reserved acts — registered nurse (nurse practitioner) 3.10 Reserved acts — registered nurse (nurse practitioner — interim practice) 3.11 Reserved acts — registered nurse (nurse practitioner — temporary practice) 3.12 Reserved acts — graduate nurse practitioner 3.13 Practice setting policies 3.14 Delegating a reserved act 3.15 Supervising students PART 4 STANDARDS OF PRACTICE 4.1 Definitions 4.2 Client-centred practice 4.3 Collaborative care 4.4 Follow-up to diagnosis and test results 4.5 Practice environment 4.6 Client records 4.7 Application 4.8 Accepting clients in self-employed practice 4.9 Prohibited grounds for refusing clients 4.10 Ending client relationship 4.11 Notice of required payment 4.12 Client records retention 4.13 Closing, leaving or moving a self-employed practice 4.14 Storage and disposition of client records and supplies 4.15 Practice directions PART 5 MISCELLANEOUS 5.1 Restricted to certain membership classes 5.2 Health profession corporation permit 5.3 Permit renewal 5.4 Additional contents of record 5.5 Notice of changes 5.6 Error on record 5.7 Name of health profession corporation 5.8 Name removed from record 5.9 Professional misconduct fines 5.10 Chair may perform certain responsibilities of the investigation committee 5.11 Notice of suspension or conditions pending decision PART 6 COMING INTO FORCE 6.1 Coming into force Schedule PART 1 INTERPRETATION Regulatory scheme 1.1 Persons who practise registered nursing are regulated under The Regulated Health Professions Act , this regulation, the Practice of Registered Nursing Regulation , and the College of Registered Nurses of Manitoba's by-laws, code of ethics and practice directions. Definitions 1.2 The following definitions apply in this regulation. "Act" means The Regulated Health Professions Act . («  Loi  ») "adult abuse registry check" means an adult abuse registry check under The Adult Abuse Registry Act . (« relevé des mauvais traitements infligés aux adultes ») "approved" means approved by the council except when the approval is indicated to be given by the registrar. (« approuvé ») "child abuse registry check" means a child abuse registry check under The Child and Family Services Act . (« relevé des mauvais traitements ») "college" means the College of Registered Nurses of Manitoba. (« Ordre ») "continuing competency committee" means the continuing competency committee established under section 2.28. (« comité de la formation continue ») "continuing competency program" means the continuing competency program described in section 2.26. (« programme de formation continue ») "council" means the council of the college. (« conseil ») "course of instruction" means an approved remedial, bridging, re-entry or preparatory educational course or program and includes a course or program designed specifically for a person for the purpose of establishing or maintaining registration or a notation under the Act. (« cours de formation ») "criminal record check" means a record, including a vulnerable sector search, obtained from a law enforcement agency about a person stating (a) whether the person has any conviction or outstanding charge awaiting court disposition under any federal, provincial, or territorial enactment; and (b) the details of any conviction or charge. (« relevé des antécédents judiciaires ») "First Nation" means a band as defined in the Indian Act (Canada). (« Première nation ») "initial registration" means a person's registration as a member in his or her first membership class. (« inscription initiale ») "member" means a person registered as a member of the college. (« membre ») "mentor" means a person who meets the requirements in section 2.20. (« mentor ») "nurse practitioner education program" means an education program that is a prerequisite for registration in the registered nurse (nurse practitioner) membership class. (« programme de formation des infirmières praticiennes ») "nurse practitioner entry-to-practice examination" means an examination of the competencies required to engage in the practice of registered nursing as a nurse practitioner that is a prerequisite for registration in the registered nurse (nurse practitioner) membership class. (« examen d'admission pour les infirmières praticiennes ») "nursing education program" means an education program that is a prerequisite for registration in the registered nurse membership class. (« programme de formation en sciences infirmières ») "registered nurse (authorized prescriber)" means a registered nurse who holds a valid certificate of practice with the notation "(authorized prescriber)" issued under section 2.23. (« infirmière prescriptrice autorisée ») "registered nurse entry-to-practice examination" means an examination of the competencies required to engage in the practice of registered nursing that is a prerequisite for registration in the registered nurse membership class. (« examen d'admission pour les infirmières ») "satisfactory" means satisfactory to the registrar. (« satisfaisant ») "Schedule" means the schedule to this regulation. (« annexe ») M.R. 64/2022 ; 49/2024 Competent to practise 1.3 To be competent to engage in the practice of registered nursing, a member must have the requisite skill, knowledge and judgment to perform the act or service as part of that practice. PART 2 MEMBERSHIP Overview 2.1 This Part deals with membership in the College of Registered Nurses of Manitoba. It supplements Part 4 of the Act. A certificate of registration does not entitle a member to engage in the practice of registered nursing or to use a protected title. To do so, a member must hold a certificate of practice. This Part also supplements the requirements in the Act for the issuance, renewal, and cancellation of a certificate of practice. A member's professional liability protection or insurance requirements are also set out. REGISTRATION Register of regulated members 2.2(1) The register of regulated members is comprised of the following subregisters and membership classes: REGISTER OF REGULATED MEMBERS Subregister Membership class Registered Nurses registered nurse registered nurse (interim practice) registered nurse (temporary practice) Graduate Nurses graduate nurse Extended Practice registered nurse (nurse practitioner) registered nurse (nurse practitioner — interim practice) registered nurse (nurse practitioner — temporary practice) Graduate Extended Practice registered nurse (graduate nurse practitioner) 2.2(2) A member (other than a member registered in the graduate nurse membership class) may be registered on more than one subregister at the same time. Register information 2.3 The register of regulated members must contain the information set out in subsection 28(1) of the Act. The register must also contain the following information for each member: (a) the member's registration number; (b) the member's initial registration date; (c) if applicable, the date of each subsequent registration of the member in another membership class; (d) the name of the educational institution from which the member graduated, the nursing degree, diploma or certificate granted and the graduation or completion date; (e) if applicable, the course or courses of instruction that the member was required to complete and the completion date; (f) if applicable, an indication that the member holds a valid certificate of practice; (g) any cancellation of a member's certificate of practice; (h) any censure accepted by the member under section 102 of the Act and a description of the circumstances that led to the acceptance of the censure; (i) any undertaking from or agreement with a member, including an undertaking accepted under section 102 of the Act, that provides for one or more of the following: (i) an assessment of the member's capacity or fitness to practise registered nursing, (ii) counselling or treatment of the member, (iii) monitoring or supervision of the member's practice, (iv) completion by the member of a specified course of studies by way of remedial education, (v) the placement of one or more conditions on the member's ability to practise, which may include the conditions on reinstatement set out in section 106 of the Act; (j) any voluntary surrender of the member's certificate of practice accepted by the complaints investigation committee under section 102 of the Act and, if applicable, any direction given under section 105 of the Act to the member that he or she do one or more of the following to the satisfaction of a specified person or committee before the member's certificate of practice may be reinstated: (i) take counselling or receive treatment, (ii) complete a specified course of studies, (iii) obtain supervised experience under a certificate of practice issued with conditions for that purpose; (k) any suspension of the member's registration or certificate of practice as permitted by section 110 or subsection 127(3) of the Act; (l) the name of the facility or location at which the member primarily practises registered nursing. What information is available to the public? 2.4(1) The following information must be made available to the public during normal business hours: (a) the information described in clauses 2.3(a) to (d) and (f); (b) the information described in clause 2.3(g) if the member has not had his or her certificate of practice reinstated or been issued a new certificate of practice; (c) the information described in clause 2.3(h) if the censure was accepted by the member in the current calendar year or the 10 previous calendar years; (d) the information described in subclause 2.3(i)⁠(v) if the undertaking or agreement is in effect; (e) the information about a voluntary surrender described in clause 2.3(j) if the member has not had his or her certificate of practice reinstated or been issued a new certificate of practice; (f) the information described in clauses 2.3(k) and (l). This information is in addition to the information that must be made available to the public under subsections 28(3) and (4) of the Act. 2.4(2) For greater certainty, clauses (1)⁠(b) to (f) apply, with necessary changes, to all conditions imposed on or accepted by a member under The Registered Nurses Act that were in effect on the day before the coming into force of this regulation. Labour mobility 2.5 For greater certainty, subsection 32(3) of the Act applies to this Part. Application — labour mobility for registered nurses 2.5.1 Despite any other provision in this Part, an applicant for registration in the registered nurse membership class must not be required to complete a clinical competence assessment or any other similar type of examination or assessment to be registered, if the applicant is (a) registered as a registered nurse in good standing in another jurisdiction in Canada; and (b) authorized to practise as a registered nurse in that jurisdiction. M.R. 125/2022 Registration Requirements Application contents 2.6(1) An applicant for registration as a member must submit to the registrar the following: 1. A signed application in the approved form. 2. The fees provided for in the by-laws. 3. Satisfactory proof of identity and current legal name. 4. If applicable, evidence of good standing in each jurisdiction in Canada or elsewhere in which the applicant is or has been registered or licensed within the current practice year. 5. If applicable, evidence of good standing in each jurisdiction in Canada or elsewhere in which the applicant has been registered or licensed within the previous seven practice years to practise registered nursing or another health profession. 6. A satisfactory criminal record check, child abuse registry check and adult abuse registry check. 7. Evidence that the applicant meets the requirements for registration (a) set out in subsection 32(1) of the Act; and (b) for the applicable membership class as follows: (i) registered nurse membership in section 2.7, (ii) registered nurse (interim practice) membership in section 2.8, (iii) registered nurse (temporary practice) membership in section 2.10, (iv) graduate nurse membership in section 2.11, (v) registered nurse (nurse practitioner) membership in section 2.14, (vi) registered nurse (nurse practitioner — interim practice) membership in section 2.15, (vii) registered nurse (nurse practitioner — temporary practice) membership in section 2.17, (viii) registered nurse (graduate nurse practitioner) membership in section 2.18. 8. Information as to whether (a) the applicant is the subject of a current investigation or proceeding relating to the applicant's suitability to practise a health profession in Canada or elsewhere; (b) the applicant is or has been the subject of a finding of conduct unbecoming or professional misconduct or incompetence related to the practice of a health profession in Canada or elsewhere; (c) the applicant is or has been the subject of a finding of professional negligence or malpractice in Canada or elsewhere; (d) the applicant has current conditions or has had previous conditions placed on the applicant's ability to practise a health profession in Canada or elsewhere; (e) the applicant is or has been the subject of a denial of an application to practise a health profession in Canada or elsewhere; and (f) the applicant has a charge, conviction or a finding of guilt (including a conditional discharge, absolute discharge or suspended sentence) for any offence, including a criminal offence or an offence under any narcotic or controlled substances legislation, in any jurisdiction in Canada or elsewhere. 9. Any other information requested by the registrar, including information pertaining to the criminal record check, child abuse registry check or adult abuse registry check provided by the applicant. 2.6(2) As an exception to subsection (1), an applicant for membership in the registered nurse (temporary practice) or registered nurse (nurse practitioner — temporary practice) class is not required to submit the evidence referred to in item 5 of that subsection. 2.6(3) To apply for registration in another membership class on another subregister or to convert a membership to another class, a member must submit to the registrar the following: 1. A signed application in the approved form. 2. The fees provided for in the by-laws. 3. Evidence that the member meets the requirements for registration in the other membership class. 4. Any other information requested by the registrar. Registered Nurse Registration requirements 2.7(1) For the purpose of clause 32(1)⁠(g) of the Act, an applicant for registration in the registered nurse membership class must establish (a) that the applicant has successfully completed one of the following: (i) an approved nursing education program in Manitoba, (ii) a nursing education program in any other jurisdiction in Canada that the council considers to be comparable to a nursing education program in Manitoba, (iii) a nursing education program outside Canada that the council considers to be comparable to a nursing education program in Manitoba; (b) that the applicant meets the English language proficiency criteria established by the council; (c) that the applicant has passed the registered nurse entry-to-practice examination within the period established by the council; (d) that the applicant has done one of the following: (i) he or she has passed the registered nurse entry-to-practice examination within the four-year period immediately before the application date, (ii) he or she has engaged in the practice of registered nursing as a registered nurse in another jurisdiction for the minimum number of practice hours established in the practice directions, (iii) he or she has successfully completed a course of instruction; (e) that the applicant does not have a physical or mental condition or disorder, including an addiction, that may impair his or her ability to engage in the practice of registered nursing in a safe and effective manner and that makes it desirable in the public interest that he or she not engage in the practice of registered nursing; (f) that the applicant has not previously misrepresented the applicant's status with respect to registration and practice and that the applicant will engage in the practice of registered nursing in a manner that demonstrates competency, decency, integrity and honesty and in accordance with the law; and (g) that the applicant has completed the approved jurisprudence learning module. These requirements are in addition to the requirements in subsection 32(1) of the Act. 2.7(2) [Repealed] M.R. 49/2024 2.7(3) An applicant who establishes under subclause (1)⁠(a)⁠(iii) that he or she has successfully completed a nursing education program outside Canada that the council considers to be comparable to a nursing education program in Manitoba must also (a) establish that the applicant was registered in good standing in the jurisdiction in which he or she completed that nursing education program (unless the registrar determines that due to extenuating circumstances in that jurisdiction the applicant was unable to become registered or is unable to establish that he or she was registered); (b) establish that the applicant has successfully completed an approved prior learning assessment; and (c) if required by the registrar, establish that the applicant has successfully completed a course of instruction as a result of the assessment under clause (b). 2.7(4) As an exception to clause (1)⁠(c), an applicant for registration as a registered nurse is not required to meet the registered nurse entry-to-practice examination requirement if the registrar is satisfied that (a) the applicant will be employed as a full-time member of the faculty of nursing of a university or college in Manitoba; and (b) based on the applicant's prior learning assessment, the applicant is qualified to engage in the practice of registered nursing while carrying out his or her duties at the university or college. M.R. 49/2024 Registered Nurse (Interim Practice) Registration requirements 2.8(1) An applicant who is authorized to practise as a registered nurse in another jurisdiction in Canada and is in good standing in that jurisdiction may be registered in the registered nurse (interim practice) membership class if the applicant establishes that he or she (a) has requested and is waiting to obtain the evidence needed to satisfy the requirement in item 5 of subsection 2.6(1); and (b) meets each of the requirements for registration as a registered nurse under subsection 32(1) of the Act and subsection 2.7(1) of this regulation. 2.8(2) A person may be registered in the registered nurse (interim practice) membership class for four months. Conversion and cancellation 2.9(1) The registrar may convert a registered nurse (interim practice) membership to a registered nurse membership after the member meets the requirement in item 5 of subsection 2.6(1). 2.9(2) A registered nurse (interim practice) membership may be cancelled if the registrar determines based on the evidence obtained under item 5 of subsection 2.6(1) that the member does not meet the requirements for registration in the registered nurse membership class. Registered Nurse (Temporary Practice) Registration requirements 2.10(1) An applicant for registration in the registered nurse (temporary practice) membership class must (a) establish that he or she is authorized to practise registered nursing as a registered nurse in another jurisdiction in Canada and is in good standing in that jurisdiction; (b) establish that he or she meets the requirements for registration under subsection 32(1) of the Act and subsection 2.7(1) of this regulation other than clause (g); and (c) submit to the registrar a signed declaration that he or she will engage in the practice of registered nursing for no more than four months and only for one or more of the following purposes: (i) to conduct or participate in a training course or clinical presentation related to the practice of registered nursing, (ii) to conduct or engage in a research program related to the practice of registered nursing, (iii) to demonstrate equipment or techniques to be used in clinical care related to the practice of registered nursing, (iv) to engage in the practice of registered nursing for any other approved purpose. 2.10(2) A person may be registered in the registered nurse (temporary practice) membership class for four months. 2.10(3) Despite subsection (2), the registrar may, upon application, renew the membership of a registered nurse (temporary practice) for a second consecutive four-month period if the registered nurse (temporary practice) establishes that the extension is required to continue to engage in the practice of registered nursing as specified in the signed declaration. The registered nurse (temporary practice) must submit another signed declaration in respect of the extension. 2.10(4) The registrar must promptly give the registered nurse (temporary practice) written notice of a renewal decision under subsection (3) and, if denied or renewed with conditions, notice of the right to appeal that decision to the council. 2.10(5) After receiving the notice under subsection (4), the registered nurse (temporary practice) may appeal the registrar's decision not to renew the membership or to renew it subject to conditions to the council. Sections 38 and 39 of the Act apply, with necessary changes, to the appeal. 2.10(6) A registration in the registered nurse (temporary practice) membership class is cancelled when the membership period ends. 2.10(7) A registered nurse (temporary practice) membership may be cancelled if the registrar determines that the member engaged in the practice of registered nursing for a purpose other than the one specified in the registered nurse's signed declaration. Graduate Nurse Registration requirements 2.11(1) An applicant who meets the requirements for registration under subsection 32(1) of the Act and subsection 2.7(1) of this regulation except for clause (c) may be registered in the graduate nurse membership class if the applicant establishes that he or she (a) is scheduled to take the registered nurse entry-to-practice examination; or (b) has taken the registered nurse entry-to-practice examination but has not yet received notice of the examination results. 2.11(2) A person may be registered in the graduate nurse membership class for the period established by the council. 2.11(3) Despite subsection (2), the registrar may, upon application, renew a graduate nurse's membership for a second consecutive period established by the council if the graduate nurse establishes that he or she (a) has taken the registered nurse entry-to-practice examination for the first time but has not yet received notice of the first examination results; or (b) is scheduled to take the registered nurse entry-to-practice examination a second time. 2.11(4) A membership that is renewed under subsection (3) may be further renewed by the registrar, upon application, for a third consecutive period established by the council if the graduate nurse establishes that he or she has taken the registered nurse entry-to-practice examination for the second time but has not yet received notice of the examination results. 2.11(5) The registrar must promptly give the graduate nurse written notice of a renewal decision under subsection (3) or (4) and, if denied or renewed with conditions, notice of the right to appeal that decision to the council. Appeal 2.12 After receiving the notice under subsection 2.11(5), the graduate nurse may appeal the registrar's decision not to renew the membership or to renew it subject to conditions to the council. Sections 38 and 39 of the Act apply, with necessary changes, to the appeal. Cancellation 2.13(1) A registration in the graduate nurse membership class is cancelled (a) 30 days after the college receives notice of the member's registered nurse entry-to-practice examination results; or (b) when the membership period ends; whichever is earlier. 2.13(2) Despite subsection (1), a registration in the graduate nurse membership class is cancelled 24 hours after the college receives notice of the member's failure to pass the registered nurse entry-to-practice examination a second time. Registered Nurse (Nurse Practitioner) Registration requirements 2.14(1) An applicant for registration in the registered nurse (nurse practitioner) membership class must establish the following: (a) the applicant is registered as a registered nurse and holds a valid certificate of practice; (b) the applicant has successfully completed one of the following: (i) an approved nurse practitioner education program in Manitoba, (ii) a nurse practitioner education program in any other jurisdiction in Canada that the council considers to be comparable to a nurse practitioner education program in Manitoba, (iii) a nurse practitioner education program outside Canada that the council considers to be comparable to a nurse practitioner education program in Manitoba, (iv) a prior learning assessment that the registrar determines is necessary to establish that the applicant has the competencies to engage in the practice of registered nursing as a registered nurse (nurse practitioner); (c) the applicant has passed the nurse practitioner entry-to-practice examination within the period specified in the practice directions; (d) the applicant has done one of the following: (i) he or she has passed the nurse practitioner entry-to-practice examination within the three-year period immediately before the application date, (ii) he or she has practised as a nurse practitioner in another jurisdiction for the minimum number of practice hours set out in the practice directions, (iii) he or she has successfully completed a course of instruction; (e) the applicant has received approval from the registrar to engage in the practice of registered nursing as a registered nurse (nurse practitioner) with respect to one of the following patient populations: (i) family (all ages), (ii) pediatric (including neonatal), (iii) adult. These requirements are in addition to the requirements in subsection 32(1) of the Act. 2.14(2) If an applicant is unable to meet the requirement under clause (1)⁠(c) because the applicant has not written the nurse practitioner entry-to-practice examination within the period specified in the practice directions, the registrar may require the applicant to (a) establish that the applicant has successfully completed an approved prior learning assessment; and (b) establish that the applicant has successfully completed a course of instruction as a result of the assessment under clause (a). Registered Nurse (Nurse Practitioner — Interim Practice) Registration requirements 2.15(1) An applicant who is authorized to practise as a registered nurse (nurse practitioner) in another jurisdiction in Canada and is in good standing in that jurisdiction may be registered in the registered nurse (nurse practitioner — interim practice) membership class if (a) the applicant establishes that he or she meets the requirements for registration as registered nurse (nurse practitioner) under section 2.14; and (b) the applicant has requested and is waiting to obtain information about a change in the information provided since the applicant's initial registration in the registered nurse membership class. 2.15(2) A person may be registered in the registered nurse (nurse practitioner — interim practice) membership class for four months. Conversion, cancellation 2.16(1) The registrar may convert a registered nurse (nurse practitioner — interim practice) membership to a registered nurse (nurse practitioner) membership after the member has provided the information referred to in clause 2.15(1)⁠(b). 2.16(2) A registered nurse (nurse practitioner — interim practice) membership may be cancelled if the registrar determines based on the evidence obtained that the member does not meet the requirements for registration as a registered nurse (nurse practitioner). Registered Nurse (Nurse Practitioner — Temporary Practice) Registration requirements 2.17(1) An applicant for registration in the registered nurse (nurse practitioner — temporary practice) membership class must (a) establish that he or she is authorized to practise registered nursing as a registered nurse (nurse practitioner) in another jurisdiction in Canada and is in good standing in that jurisdiction; (b) establish that he or she meets the requirements for registration under subsection 32(1) of the Act, subsection 2.7(1) other than clause (g), and clauses 2.14(1)⁠(b) to (d) of this regulation; and (c) submit to the registrar a signed declaration that he or she will engage in the practice of registered nursing as a registered nurse (nurse practitioner) for no more than four months and only for one or more of the following purposes: (i) to conduct or participate in a training course or clinical presentation related to the practice of registered nursing, (ii) to conduct or engage in a research program related to the practice of registered nursing, (iii) to demonstrate equipment or techniques to be used in clinical care related to the practice of registered nursing, (iv) to engage in the practice of registered nursing for any other approved purpose. 2.17(2) A person may be registered in the registered nurse (nurse practitioner — temporary practice) membership class for four months. 2.17(3) Despite subsection (2), the registrar may, upon application, renew the membership of a registered nurse (nurse practitioner — temporary practice) for a second consecutive four-month period if the registered nurse (nurse practitioner — temporary practice) establishes that the extension is required to continue to engage in the practice of registered nursing as a registered nurse (nurse practitioner) as specified in the signed declaration. The registered nurse (nurse practitioner — temporary practice) must submit another signed declaration in respect of the extension. 2.17(4) The registrar must promptly give the registered nurse (nurse practitioner — temporary practice) written notice of a renewal decision under subsection (3) and, if denied or renewed with conditions, notice of the right to appeal that decision to the council. 2.17(5) After receiving the notice under subsection (4), the registered nurse (nurse practitioner — temporary practice) may appeal the registrar's decision not to renew the membership or to renew it subject to conditions to the council. Sections 38 and 39 of the Act apply, with necessary changes, to the appeal. 2.17(6) A registration in the registered nurse (nurse practitioner — temporary practice) membership class is cancelled when the membership period expires. 2.17(7) A registered nurse (nurse practitioner — temporary practice) membership may be cancelled if the registrar determines that the member engaged in the practice of nursing for a purpose other than the one specified in his or her signed declaration. Registered Nurse (Graduate Nurse Practitioner) Registration requirements 2.18(1) An applicant for registration in the registered nurse (graduate nurse practitioner) membership class must (a) establish that he or she meets the requirements under subsection 2.14(1) other than clause (c); (b) establish that (i) he or she is scheduled to take the nurse practitioner entry-to-practice examination, or (ii) he or she has taken the nurse practitioner entry-to-practice examination but has not yet received notice of the results; and (c) provide a signed copy of an agreement with a mentor in a satisfactory form. 2.18(2) A person may be registered in the registered nurse (graduate nurse practitioner) membership class for four months. 2.18(3) Despite subsection (2), the registrar may, upon application, renew the membership for a second consecutive four-month period if the member establishes that he or she (a) has taken the nurse practitioner entry-to-practice examination for the first time but has not yet received notice of the first examination results; or (b) is scheduled to take the nurse practitioner entry-to practice examination a second time. Further renewal 2.19(1) A membership that is renewed by the registrar under subsection 2.18(3) may be further renewed, upon application, for a third consecutive four-month period if the member has taken the nurse practitioner entry-to-practice examination a second time but has not yet received notice of the examination results. 2.19(2) The registrar must promptly give the member written notice of a renewal decision and, if denied or renewed with conditions, notice of the right to appeal the decision to the council. 2.19(3) After receiving the notice under subsection (2), the member may appeal the registrar's decision not to renew the membership or to renew it subject to conditions to the council. Sections 38 and 39 of the Act apply, with necessary changes, to the appeal. Mentor requirements 2.20 A person is eligible to act as a mentor if he or she meets both of the following requirements: (a) the person is a registered nurse (nurse practitioner) who holds a valid certificate of practice or a physician; (b) the person is approved by the registrar to act as a mentor. Cancellation 2.21(1) A registration in the registered nurse (graduate nurse practitioner) membership class is cancelled (a) 30 days after the college receives notice of the member's nurse practitioner entry-to-practice examination results; or (b) when the membership period ends; whichever is earlier. 2.21(2) Despite subsection (1), a registration in the registered nurse (graduate nurse practitioner) membership class is cancelled 24 hours after the college receives notice of the member's failure to pass the nurse practitioner entry-to-practice examination a second time. CERTIFICATE OF PRACTICE Issuing a Certificate of Practice Requirements for issuing certificate of practice 2.22(1) To engage in the practice of registered nursing, a member must submit an application in a satisfactory form to obtain a certificate of practice and must (a) meet the requirements set out in subsection 40(1) of the Act; (b) meet the requirements in subsection 32(1) of the Act and, depending on the applicant's membership class, the requirements for (i) registered nurse membership set out in section 2.7, (ii) registered nurse (interim practice) membership set out in section 2.8, (iii) registered nurse (temporary practice) membership set out in section 2.10, (iv) graduate nurse membership set out in section 2.11, (v) registered nurse (nurse practitioner) membership set out in section 2.14, (vi) registered nurse (nurse practitioner — interim practice) membership set out in section 2.15, (vii) registered nurse (nurse practitioner — temporary practice) membership set out in section 2.17, (viii) registered nurse (graduate nurse practitioner) membership set out in section 2.18; and (c) provide satisfactory evidence of the member's beneficiary status with the Canadian Nurses Protective Society. 2.22(2) The registrar may request additional information from the applicant for the purpose of issuing the certificate of practice. 2.22(3) This section is subject to the obligations of the college under subsection 3(1) of The Labour Mobility Act . 2.22(4) For greater certainty, a certificate of practice is issued subject to any conditions imposed on the member's certificate of registration. Registered Nurse (Authorized Prescriber) Additional requirements for registered nurse (authorized prescriber) 2.23(1) To obtain the notation "(authorized prescriber)" on a registered nurse's certificate of practice, the member must establish that he or she has (a) successfully completed (i) a course of instruction in the approved competencies for practice as a registered nurse (authorized prescriber), or (ii) an approved prior learning assessment and, if required by the results of the assessment, a course of instruction in the approved competencies for practice as a registered nurse (authorized prescriber); and (b) obtained approval from the registrar to practise as a registered nurse (authorized prescriber) for the patient populations that require registered nursing care in any of the following areas: (i) travel health, (ii) reproductive health, sexually transmitted infections and blood borne pathogens, (iii) diabetes health. 2.23(2) If the requirements in subsection (1) are met, the registrar must include the notation "(authorized prescriber)" and indicate the approved patient population on the member's certificate of practice. 2.23(3) A registered nurse (authorized prescriber) with an approved patient population for diabetes health may practise as such only in (a) collaboration with a physician or registered nurse (nurse practitioner); or (b) any of the following settings: (i) a hospital designated under The Health Services Insurance Act , (ii) a personal care home designated under The Health Services Insurance Act , (iii) a hospital or health care facility operated by the government, the government of Canada, a municipal government, a health authority or a First Nation, (iv) a setting other than a hospital or health care facility described in subclause (iii) if the registered nursing care provided at that setting is part of a program operated by the government, the government of Canada or a health authority, (v) a health care facility that is operated by a non-profit corporation and is funded by the government or a health authority. 2.23(4) A registered nurse (authorized prescriber) with an approved patient population for diabetes health may prescribe the following devices: (a) glucometers; (b) glucose test strips; (c) lancets; (d) lancing pen devices; (e) lancing pen needles; (f) insulin syringes; (g) urine ketone strips. 2.23(5) A registered nurse (authorized prescriber) with an approved patient population for reproductive health, sexually transmitted infections and blood borne pathogens may prescribe a diaphragm. M.R. 64/2022 ; 49/2024 Registered Nurse (Nurse Practitioner) Prescribing devices 2.24 A registered nurse (nurse practitioner) may prescribe any device for which a benefit may be paid under clause 8.2(1)⁠(a) of The Prescription Drugs Cost Assistance Act . M.R. 97/2021 Renewing a Certificate of Practice Renewal requirements 2.25(1) For the purpose of clause 46(1)⁠(c) of the Act, the requirements for renewal of a certificate of practice are as follows: (a) the member must meet the requirements under clause 40(1)⁠(a) and subsection 46(1) of the Act; (b) the member must meet the requirements in clause 32(1)⁠(c) to (e) of the Act and, depending on the membership class, the requirements for (i) registered nurse membership set out in clause 2.7(1)⁠(e) and (f), (ii) registered nurse (temporary practice) membership set out in section 2.10, (iii) graduate nurse membership set out in section 2.11, (iv) registered nurse (nurse practitioner) membership set out in clause 2.14(1)⁠(a), (v) registered nurse (nurse practitioner — temporary practice) membership set out in section 2.17, (vi) registered nurse (graduate nurse practitioner) set out in section 2.18; (c) the member (other than a member registered in a temporary practice membership class) must complete the continuing competency program; (d) the member must complete any other requirements established in the practice directions; (e) if the member is registered in the registered nurse membership class, the member must establish (i) that he or she has engaged in the practice of registered nursing as a registered nurse for the minimum number of practice hours established in the practice directions, or (ii) that he or she has (A) successfully completed a course of instruction, or (B) passed the registered nurse entry-to-practice examination, within the four-year period immediately before the year for which renewal is sought; (f) if the member is registered in the registered nurse (nurse practitioner) membership class, the member must establish (i) that he or she engaged in the practice of registered nursing as a registered nurse (nurse practitioner) for the minimum number of practice hours established in the practice directions, or (ii) that he or she has (A) successfully completed a course of instruction, or (B) passed the nurse practitioner entry-to-practice examination, within the three-year period immediately before the year for which renewal is sought; (g) the member must provide satisfactory evidence of the member's beneficiary status with the Canadian Nurses Protective Society; (h) the member must provide any other information requested by the registrar. 2.25(2) At the renewal interval established in the practice directions, a member must also provide the registrar with a satisfactory criminal record check, child abuse registry check and adult abuse registry check. The registrar may request additional information respecting the criminal record check, child abuse registry check or adult abuse registry check provided by the member. Continuing Competency Program Continuing competency program 2.26 The continuing competency program consists of (a) the completion of a jurisprudence learning module that includes an evaluation component; (b) the undertaking of a self-assessment process; and (c) the preparation and implementation of a self-development plan. Records 2.27(1) A member must make records in a satisfactory form that indicate he or she has complied with the continuing competency program. The records must be kept for the current year and each of the immediately four preceding practice years. 2.27(2) Upon the registrar's request, a member must submit his or her records. The registrar may request additional information or supporting documentation from the member about the member's continuing competency. Continuing competency committee 2.28 A continuing competency committee is established comprised of at least six individuals who meet the eligibility criteria established by the council. At least 1/3 of the individuals must be public representatives. Review 2.29(1) A member may be required by the continuing competency committee to undergo a continuing competency review in any of the following circumstances: (a) the member fails to meet the requirement under clause 2.26(b); (b) the member fails to make and keep the required records; (c) the member is randomly or specifically selected to participate in the review. 2.29(2) After completing the review, the continuing competency committee may (a) decide that no further action is required; (b) direct the member to take any action it considers necessary to address any issue identified in the review; or (c) refer the member to the registrar if the committee considers it necessary to address any issue identified in the review. 2.29(3) The member must report to the continuing competency committee about his or her progress with respect to any action directed under clause (2)⁠(b). M.R. 49/2024 Notifying the registrar 2.30(1) If the continuing competency committee is of the opinion that the member has not remedied the identified issue or issues under clause 2.29(2)⁠(b), the committee must notify the registrar and may make recommendations to the registrar. 2.30(2) Before making a recommendation to the registrar, the continuing competency committee must give the member (a) written notice of its intention to make the recommendation; (b) a copy of the documentation and information considered by the committee in making its recommendation; and (c) at least 15 days to make a written submission to the committee. Report conduct to registrar 2.31 The continuing competency committee may report to the registrar that the conduct of a member may constitute conduct about which a finding could be made under subsection 124(2) of the Act. If it makes such a report, the committee must take no further action in respect of the member's conduct. Professional Liability Protection or Insurance Professional liability protection or insurance 2.32(1) A member who holds a valid certificate of practice must obtain and maintain professional liability protection or liability insurance for a minimum of $5 million for each occurrence or claim with a minimum aggregate amount for each year of $5 million (a) as a beneficiary of the Canadian Nurses Protective Society; or (b) under a policy of professional liability insurance of an approved type if the Canadian Nurses Protective Society is unable to provide the protection or the member is ineligible for the Canadian Nurses Protective Society's professional liability protection. 2.32(2) The member must immediately notify the registrar if he or she is no longer eligible for the Canadian Nurses Protective Society's professional liability protection or covered by the liability insurance. 2.32(3) If the member is no longer eligible for the required liability protection or covered by the liability insurance, his or her certificate of practice is cancelled. At the time of notifying the registrar under subsection (2), the member must also promptly surrender the certificate of practice to the registrar.

Conditions and Obligations Conditions on certificate of practice 2.33(1) It is a condition of the certificate of practice for a member registered in the registered nurse (temporary practice) membership class or registered nurse (nurse practitioner — temporary practice) membership class that the member engage in the practice of nursing only in accordance with the purpose for which registration has been granted. 2.33(2) The following are conditions of the certificate of practice for a member registered in the graduate nurse membership class: (a) the member is not permitted to engage in the practice of registered nursing as the nurse in charge of a unit in a health care facility; (b) the member is not permitted to engage in the practice of registered nursing without a registered nurse being readily available for guidance and consultation. 2.33(3) It is a condition of the certificate of practice of a member registered in the registered nurse (graduate nurse practitioner) membership class that the member have a mentor. 2.33(4) If a member registered in the registered nurse (graduate nurse practitioner) membership class ceases to have a mentor, his or her certificate of practice is suspended until the member provides the registrar with a signed copy of an agreement with another mentor in a satisfactory form. 2.33(5) It is a condition of the certificate of practice of a member who is registered as a result of meeting the requirements under subsection 2.7(4) that the member (a) must not engage in the practice of registered nursing outside of his or her employment as a full-time faculty member; and (b) must not (i) provide direct clinical care to a client, (ii) supervise or guide the provision of direct clinical care to a client, or (iii) delegate a reserved act. 2.33(6) The conditions set out in this section are in addition to any other conditions imposed on a member's certificate of registration or certificate of practice. Change in information 2.34 A member who holds a valid certificate of practice must promptly submit any change in the information referred to in items 3 through 9 of subsection 2.6(1) to the registrar. Additional checks 2.35(1) If at any time the registrar receives information that causes the registrar to believe that a member may pose a risk to the public or may be unable to engage in the practice of registered nursing, the registrar may require the member to provide an additional satisfactory criminal record check, child abuse registry check or adult abuse registry check. 2.35(2) The registrar may request additional information respecting the criminal record check, child abuse registry check or adult abuse registry check provided by a member under subsection (1). Expiry, Conversion and Cancellation Expiry of certificate 2.36(1) Subject to subsection 46(3) of the Act, a certificate of practice is valid from the date it is issued or renewed until the expiry date specified on the certificate. 2.36(2) Despite subsection (1), a certificate of practice is no longer valid if the member ceases to be registered as a member. Conversion 2.37 A member's certificate of practice is converted when the member's registration is converted. Cancellation 2.38 A member's certificate of practice is cancelled when the member's registration is cancelled. TITLES Titles and abbreviations 2.39(1) While engaged in the practice of registered nursing, a member who is registered in the class listed in the first column of the following table and who holds a valid certificate of practice is entitled to use the title and abbreviation set out opposite in the second column: Membership class Title and abbreviation registered nurse Registered Nurse RN registered nurse who also meets the authorized prescriber requirements set out in subsection 2.23(1) Registered Nurse (authorized prescriber) RN (AP) registered nurse (interim practice) Registered Nurse (interim) RN (interim) registered nurse (temporary practice) Registered Nurse (temporary) RN (temporary) registered nurse (nurse practitioner) Registered Nurse (Nurse Practitioner) RN (NP) registered nurse (nurse practitioner — interim practice) Registered Nurse (Nurse Practitioner Interim) RN (NP interim) registered nurse (nurse practitioner — temporary practice) Registered Nurse (Nurse Practitioner Temporary) RN (NP temporary) registered nurse (graduate nurse practitioner) Registered Nurse (Graduate Nurse Practitioner) RN (GNP) graduate nurse Graduate Nurse GN 2.39(2) No person — other than a person who is registered in a membership class listed in the first column of the table in subsection (1) and who holds a valid certificate of practice — shall use any title or abbreviation listed in the second column of the table in subsection (1) or a variation of any of those titles and abbreviations alone or in combination with other words, in a manner that states or implies that the person is a member of that membership class. Use of term "licensed" restricted to practising members 2.40 Only a member who holds a valid certificate of practice is entitled to use the term "licensed" or a variation or abbreviation of it to describe the member's practice of registered nursing. Practising in Manitoba for No More than 72 Hours Registration or certificate of practice not required 2.41(1) A person who engages in the practice of registered nursing in a jurisdiction within Canada may practise in Manitoba without being registered under the Act or obtaining a certificate of practice if the following conditions are met: (a) the person holds a current authorization to practise registered nursing and is in good standing in that jurisdiction; (b) the person undertakes to engage in the practice of registered nursing in Manitoba for no more than 72 hours; (c) the person undertakes to engage in the practice of registered nursing in Manitoba only in approved circumstances. 2.41(2) Subsection 2.39(2) does not apply to a person who engages in the practice of registered nursing in Manitoba in accordance with this section. 2.41(3) Upon request, the registrar may permit the person to engage in the practice of registered nursing in Manitoba for a specified period that is more than 72 hours. PART 3 RESERVED ACTS Overview 3.1 This Part sets out which reserved acts may be performed by a member of a membership class and under what conditions. It also includes the rules for delegating the performance of reserved acts to others and the supervision of students. (The reserved acts that form part of the scope of practice of registered nursing are established by the Practice of Registered Nursing Regulation .) Definitions 3.2 The following definitions apply in this Part. "additional education" means a course, program of study, training or other structured process that meets the approved criteria and whose purpose is to provide a member with the competency to perform a reserved act. (« formation complémentaire ») "an order" means an instruction or authorization for a specific client that is given to a member to perform a reserved act by (a) a registered nurse (nurse practitioner); (b) a registered nurse (authorized prescriber); (c) a physician; or (d) any other person who engages in health care as a practising member of a health profession regulated under the Act or a profession-specific Act listed in Schedule 2 of the Act; who is legally permitted and competent to give the order. (« ordre ») "approved practice setting" means any of the following: (a) a hospital designated under The Health Services Insurance Act ; (b) a personal care home designated under The Health Services Insurance Act ; (c) a hospital or health care facility operated by the government, the government of Canada, a municipal government, a health authority or a First Nation; (d) a setting other than a hospital or health care facility described in clause (c) if the registered nursing care provided at that setting is part of a program operated by the government, the government of Canada or a health authority; (e) a health care facility that is operated by a non-profit corporation and is funded by the government or a health authority. (« environnement autorisé d'exercice de la profession ») "clinical assistant" means a person who is registered on the clinical assistant register of the College of Physicians and Surgeons of Manitoba. (« assistant médical ») "clinical decision tool" means a document whose purpose is to guide, based on evidence, the assessment, diagnosis or treatment of a client-specific clinical problem. (« outils de décision clinique ») "graduate nurse" means a person who is registered in the graduate nurse membership class and who holds a valid certificate of practice. (« infirmière diplômée ») "physician assistant" means a person who is registered on the physician assistant register of the College of Physicians and Surgeons of Manitoba. (« auxiliaire médical ») "registered nurse" means a person who is registered in the registered nurse membership class and who holds a valid certificate of practice. (« infirmière ») "registered nurse (graduate nurse practitioner)" means a person who is registered in the registered nurse (graduate nurse practitioner) membership class and who holds a valid certificate of practice. (« infirmière praticienne diplômée ») "registered nurse (interim practice)" means a person who is registered in the registered nurse (interim practice) membership class and who holds a valid certificate of practice. (« infirmière (exercice provisoire) ») "registered nurse (nurse practitioner)" means a person who is registered in the registered nurse (nurse practitioner) membership class and who holds a valid certificate of practice. (« infirmière praticienne ») "registered nurse (nurse practitioner — interim practice)" means a person who is registered in the registered nurse (nurse practitioner — interim practice) membership class and who holds a valid certificate of practice. (« infirmière praticienne (exercice provisoire) ») "registered nurse (nurse practitioner — temporary practice)" means a person who is registered in the registered nurse (nurse practitioner — interim practice) membership class and who holds a valid certificate of practice. (« infirmière praticienne (exercice temporaire) ») "registered nurse (temporary practice)" means a person who is registered in the registered nurse (temporary practice) membership class and who holds a valid certificate of practice. (« infirmière (exercice temporaire) ») M.R. 49/2024 Performing reserved acts 3.3 A member may perform a reserved act only if the member is legally permitted and competent to perform it and it is safe and appropriate for the procedure being performed. Reserved acts — registered nurse 3.4 A registered nurse may perform the following reserved acts: 1. reserved act 1: A registered nurse may make a diagnosis that is appropriate to the member's practice of registered nursing and communicate it to an individual or his or her personal representative in circumstances in which it is reasonably foreseeable that the individual or representative will rely on the diagnosis to make a decision about the individual's health care. 2. reserved act 2: A registered nurse may (a) order; or (b) receive; reports of screening or diagnostic tests for the purpose of assessing, diagnosing or resolving a health condition that is appropriate to the registered nurse's practice if the registered nurse practises in an approved practice setting and the registered nurse (c) uses a clinical decision tool in place at the approved practice setting; or (d) collaborates with (i) a registered nurse (nurse practitioner), (ii) a registered nurse (authorized prescriber), (iii) a physician, (iv) a physician assistant, (v) a clinical assistant, or (vi) a pharmacist; who is legally permitted and competent to order or receive those reports. 3. reserved act 3(a): Subject to item 4, a registered nurse may perform any procedure on tissue below the dermis. 4. reserved act 3(a): If a registered nurse has completed additional education, the registered nurse may perform a procedure on tissue below the dermis for the following purposes: (a) sharp wound debridement; (b) suturing; (c) intraosseous line placement; (d) umbilical venous and umbilical arterial line insertion; (e) arterial puncture and line insertion; (f) peripherally inserted central catheter insertion; (g) escharatomy; (h) needle thoracostomy for decompression; (i) cricothyroidotomy. 5. reserved act 3(b): A registered nurse may perform a procedure below the surface of a mucous membrane. 6. reserved act 3(c): If a registered nurse has completed additional education, the registered nurse may perform a procedure on the surface of the cornea. 7. reserved act 4(a): A registered nurse may insert or remove an instrument or a device, hand or finger into the external ear canal. 8. reserved act 4(b): A registered nurse may insert or remove an instrument or a device, hand or finger beyond the point in the nasal passages where they normally narrow. 9. reserved act 4(c): Subject to item 10, a registered nurse may insert or remove an instrument or a device, hand or finger beyond the pharynx. 10. reserved act 4(c): If a registered nurse has completed additional education, the registered nurse may insert or remove an instrument or a device, hand or finger beyond the pharynx for the purpose of establishing an advanced airway. 11. reserved act 4(d): A registered nurse may insert or remove an instrument or a device, hand or finger beyond the opening of the urethra. 12. reserved act 4(e): Subject to items 13 and 14, a registered nurse may insert or remove an instrument or a device, hand or finger beyond the labia majora. 13. reserved act 4(e): If a registered nurse has completed additional education, the registered nurse may insert or remove an instrument or a device, hand or finger beyond the labia majora for the purpose or purposes of intrauterine device insertion, cervical cancer screening or pelvic examination. 14. reserved act 4(e): If a registered nurse has completed additional education and there is an order, the registered nurse may insert or remove an instrument or a device, hand or finger beyond the labia majora for the purpose of intrauterine insemination. 15. reserved act 4(f): A registered nurse may insert or remove an instrument or a device, hand or finger beyond the anal verge. 16. reserved act 4(g): A registered nurse may insert or remove an instrument or a device, hand or finger into an artificial opening in the body. 17. reserved act 5(a): A registered nurse may administer a substance by injection. 18. reserved act 5(b): A registered nurse may administer a substance by inhalation. 19. reserved act 5(c): A registered nurse may administer a substance by mechanical ventilation. 20. reserved act 5(d): A registered nurse may administer a substance by irrigation. 21. reserved act 5(e): A registered nurse may administer a substance by enteral instillation. 22. reserved act 5(e): A registered nurse may administer normal saline by parenteral instillation. 23. reserved act 5(e): If there is an order, a registered nurse may administer a substance (other than normal saline) by parenteral instillation. 24. reserved act 5(f): If there is an order, a registered nurse may administer a substance by transfusion. 25. reserved act 5(g): If a registered nurse has completed additional education and there is an order, the registered nurse may administer a substance by using a hyperbaric chamber. 26. reserved act 9: If there is an order, a registered nurse may administer a drug by any method (other than by intravitreal injection). If the drug is a non-prescription drug, the registered nurse may administer it by any method without an order. 27. reserved act 9: If a registered nurse has completed additional education and there is an order, the registered nurse may administer a drug by intravitreal injection. 27.1. reserved act 9: A registered nurse may administer a drug by any method for the treatment of uncomplicated gonorrhoeae, chlamydia and syphilis if the registered nurse (a) provides communicable disease nursing care in a hospital or health care facility operated by a health authority, the government, the government of Canada or a First Nation or in another practice setting as part of a communicable disease response program funded by a health authority, the government, the government of Canada or a First Nation; (b) uses a clinical decision tool in place in the practice setting referred to in clause (a); and (c) administers the drug in accordance with a protocol for controlling communicable disease approved by the chief public health officer appointed under The Public Health Act . 28. reserved act 9: A registered nurse may administer a vaccine by any method in accordance with the provincial requirements in any of the following circumstances: (a) the vaccine is included in a publicly-funded provincial immunization program; (b) the vaccine is required as part of a communicable disease response; (c) there is an order for the vaccine to be administered. 29. reserved act 10(a): A registered nurse may apply ultrasound for any of the following purposes: (a) blood flow imaging; (b) bladder volume measurement; (c) fetal heart monitoring; (d) vascular access. 30. reserved act 10(a): If a registered nurse has completed additional education and there is an order, a registered nurse may apply ultrasound for fetal assessment. 31. reserved act 10(b)⁠(ii): A registered nurse may apply electricity for cardiac pacemaker therapy. 32. reserved act 10(b)⁠(iii): If a registered nurse has completed additional education and there is an order, the registered nurse may apply electricity for the purpose of cardioversion. 33. reserved act 10(b)⁠(iv): If a registered nurse has completed additional education, the registered nurse may apply electricity for the purpose of defibrillation. 34. reserved act 10(b)⁠(v): If a registered nurse has completed additional education and there is an order, the registered nurse may apply electricity for the purpose of electrocoagulation. 35. reserved act 10(b)⁠(vi): If a registered nurse has completed additional education and there is an order, the registered nurse may apply electricity for the purpose of electroconvulsive shock therapy. 36. reserved act 10(b)⁠(x): If a registered nurse has completed additional education and there is an order, the registered nurse may apply electricity for the purpose of transcutaneous cardiac pacing. 37. reserved act 10(d): If a registered nurse has completed additional education, the registered nurse may apply non-ionizing radiation in the form of a laser for the purpose of destroying tissue during a dermatological procedure. 38. reserved act 10(e): If a registered nurse has completed additional education, the registered nurse may apply X-rays for diagnostic or imaging purposes at a federal nursing station to the chest or a limb of an individual who is more than 24 months old. 39. reserved act 10(e): A registered nurse may order X-rays for the purpose of diagnosing a health condition or fracture, or for the purpose of imaging a line or tube placement, that is appropriate to the registered nurse's practice if the registered nurse practises in an approved practice setting and the registered nurse (a) uses a clinical decision tool in place at the approved practice setting; or (b) collaborates with (i) a registered nurse (nurse practitioner), (ii) a registered nurse (authorized prescriber), (iii) a physician, (iv) a physician assistant, or (v) a clinical assistant; who is legally permitted and competent to order X-rays. 40. reserved act 11: In relation to a therapeutic diet that is administered by parenteral instillation, a registered nurse may (a) select ingredients for the diet if the registered nurse has completed additional education; and (b) administer the diet. 41. reserved act 11(b): In relation to a therapeutic diet that is administered by enteral instillation, a registered nurse may compound or administer the diet. 42. reserved act 13: A registered nurse may put into the external ear canal, up to the eardrum, water that is under pressure equal to or less than the pressure created by the use of an ear bulb syringe or ear wash system. 43. reserved act 14: A registered nurse may manage labour or the delivery of a baby within a facility where labour and delivery services are provided. 44. reserved act 20: A registered nurse may perform a psycho-social intervention with an expectation of modifying a substantial disorder of thought, mood, perception, orientation or memory that grossly impairs judgment, behaviour, the capacity to recognize reality, or the ability to meet the ordinary demands of life if the registered nurse (a) has completed additional education; and (b) performs it in collaboration with a person who engages in health care as a practising member of a health profession regulated under the Act or a profession-specific Act listed in Schedule 2 of the Act and who is legally permitted and competent to perform it. 45. reserved act 21: In relation to allergies, a registered nurse may (a) perform challenge testing by any method if emergency protocols are in place; or (b) perform desensitizing treatment by any method if emergency protocols are in place. M.R. 49/2024 Reserved acts — registered nurse (interim practice) 3.5 A registered nurse (interim practice) may perform a reserved act as set out in section 3.4. Reserved acts — registered nurse (temporary practice) 3.6 A registered nurse (temporary practice) may perform a reserved act as set out in section 3.4 only if the act relates to the purpose for which the registered nurse has been granted registration in this membership class. Reserved acts — graduate nurse 3.7 A graduate nurse may perform a reserved act as set out in section 3.4 if the graduate nurse is supervised by a registered nurse or registered nurse (nurse practitioner) who is legally permitted and competent to perform the reserved act and is readily available and accessible for guidance and consultation, including by telephone. Reserved acts — registered nurse (authorized prescriber) 3.8(1) A registered nurse (authorized prescriber) may perform a reserved act as set out in section 3.4. 3.8(2) A registered nurse (authorized prescriber) may also perform the following reserved acts in respect of the registered nurse's approved patient population: 1. reserved act 1: A registered nurse (authorized prescriber) may make a diagnosis that is appropriate to the member's practice as a registered nurse (authorized prescriber) and communicate it to an individual or his or her personal representative in circumstances in which it is reasonably foreseeable that the individual or representative will rely on the diagnosis to make a decision about the individual's health care. 2. reserved act 2: A registered nurse (authorized prescriber) may order or receive reports of screening or diagnostic tests listed in the Schedule. 3. reserved act 6: A registered nurse (authorized prescriber) may (a) prescribe a drug or vaccine listed in the Schedule; or (b) prescribe a drug or vaccine belonging to a category listed in the Schedule. 4. reserved act 10(a): A registered nurse (authorized prescriber) may order the application of renal ultrasound for diagnostic or imaging purposes. M.R. 64/2022 Reserved acts — registered nurse (nurse practitioner) 3.9 A registered nurse (nurse practitioner) may perform the following reserved acts: 1. reserved act 1: A registered nurse (nurse practitioner) may make a diagnosis and communicate it to an individual or his or her personal representative in circumstances in which it is reasonably foreseeable that the individual or representative will rely on the diagnosis to make a decision about the individual's health care. 2. reserved act 2: A registered nurse (nurse practitioner) may order or receive reports of screening or diagnostic tests. 3. reserved act 3(a): A registered nurse (nurse practitioner) may perform a procedure on tissue below the dermis. 4. reserved act 3(b): A registered nurse (nurse practitioner) may perform a procedure below the surface of a mucous membrane. 5. reserved act 3(c): If a registered nurse (nurse practitioner) has completed additional education, the registered nurse (nurse practitioner) may perform a procedure on the surface of the cornea. 6. reserved act 4(a): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger into the external ear canal. 7. reserved act 4(b): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger beyond the point in the nasal passages where they normally narrow. 8. reserved act 4(c): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger beyond the pharynx. 9. reserved act 4(d): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger beyond the opening of the urethra. 10. reserved act 4(e): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger beyond the labia majora. 11. reserved act 4(f): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger beyond the anal verge. 12. reserved act 4(g): A registered nurse (nurse practitioner) may insert or remove an instrument or a device, hand or finger into an artificial opening in the body. 13. reserved act 5(a): A registered nurse (nurse practitioner) may administer a substance by injection. 14. reserved act 5(b): A registered nurse (nurse practitioner) may administer a substance by inhalation. 15. reserved act 5(c): A registered nurse (nurse practitioner) may administer a substance by mechanical ventilation. 16. reserved act 5(d): A registered nurse (nurse practitioner) may administer a substance by irrigation. 17. reserved act 5(e): A registered nurse (nurse practitioner) may administer a substance by enteral or parenteral instillation. 18. reserved act 5(f): A registered nurse (nurse practitioner) may administer a substance by transfusion. 19. reserved act 5(g): A registered nurse (nurse practitioner) may administer a substance by using a hyperbaric chamber. 20. reserved act 6: A registered nurse (nurse practitioner) may prescribe (a) a drug that is listed in Schedule 1 of the Manual for Canada's National Drug Scheduling System published by the National Association of Pharmacy Regulatory Authorities, as amended from time to time; (b) a drug other than a drug referred to in clause (a), if the registered nurse (nurse practitioner) is an employee of a health authority or health care facility who is permitted to do so by a written policy of the authority or facility; (c) any non-prescription drug in order to permit the individual to access a drug plan that covers non-prescription drugs. This item is subject to the restrictions set out in the Controlled Drugs and Substances Act (Canada) and the regulations under that Act. 21. reserved act 6: A registered nurse (nurse practitioner) may prescribe a vaccine. 22. reserved act 9: A registered nurse (nurse practitioner) may administer a drug or vaccine by any method. 23. reserved act 10(a): A registered nurse (nurse practitioner) may order the application of ultrasound for diagnostic or imaging purposes. 24. reserved act 10(a): If a registered nurse (nurse practitioner) has completed additional education, the registered nurse (nurse practitioner) may apply ultrasound for diagnostic or imaging purposes. 25. reserved act 10(b)⁠(ii): A registered nurse (nurse practitioner) may apply or order the application of electricity for cardiac pacemaker therapy. 26. reserved act 10(b)⁠(iii): A registered nurse (nurse practitioner) may apply or order the application of electricity for the purpose of cardioversion. 27. reserved act 10(b)⁠(iv): A registered nurse (nurse practitioner) may apply or order the application of electricity for the purpose of defibrillation. 28. reserved act 10(b)⁠(v): A registered nurse (nurse practitioner) may apply or order the application of electricity for electrocoagulation. 29. reserved act 10(b)⁠(vi): A registered nurse (nurse practitioner) may apply or order the application of electricity for electroconvulsive shock therapy. 30. reserved act 10(b)⁠(vii): A registered nurse (nurse practitioner) may order the application of electricity for electromyography. 31. reserved act 10(b)⁠(ix): A registered nurse (nurse practitioner) may order the application of electricity for nerve conduction studies. 32. reserved act 10(b)⁠(x): A registered nurse (nurse practitioner) may apply or order the application of electricity for transcutaneous cardiac pacing. 33. reserved act 10(c): A registered nurse (nurse practitioner) may order the application of electromagnetism for magnetic resonance imaging. 34. reserved act 10(d): A registered nurse (nurse practitioner) may apply non-ionizing radiation in the form of a laser for the purpose of destroying tissue during a dermatological procedure. 35. reserved act 10(d): A registered nurse (nurse practitioner) may order the application of non-ionizing radiation for the purpose of cutting or destroying tissue or medical imagery. 36. reserved act 10(e): If a registered nurse (nurse practitioner) has completed additional education, the registered nurse (nurse practitioner) may apply X-rays for diagnostic or imaging purposes at a federal nursing station to the chest or a limb of an individual who is more than 24 months old. 37. reserved act 10(e): A registered nurse (nurse practitioner) may order the application of X-rays for diagnostic or imaging purposes. 38. reserved act 10(e): A registered nurse (nurse practitioner) may order ionizing radiation for diagnostic or imaging purposes but only in the form of computerized axial tomography. 39. reserved act 11: In relation to a therapeutic diet that is administered by enteral instillation, a registered nurse (nurse practitioner) may (a) select ingredients for the diet; or (b) compound or administer the diet. 40. reserved act 11: In relation to a therapeutic diet that is administered by parenteral instillation, a registered nurse (nurse practitioner) may (a) select ingredients for the diet; or (b) administer the diet. 41. reserved act 12: A registered nurse (nurse practitioner) may set or cast a fracture of a bone or a dislocation of a joint. 42. reserved act 13(a): A registered nurse (nurse practitioner) may put into the external ear canal, up to the eardrum, a substance that is under pressure. 43. reserved act 14: A registered nurse (nurse practitioner) may manage labour or the delivery of a baby within a facility where labour and delivery services are provided. 44. reserved act 20: A registered nurse (nurse practitioner) may perform a psycho-social intervention with an expectation of modifying a substantial disorder of thought, mood, perception, orientation or memory that grossly impairs judgment, behaviour, the capacity to recognize reality, or the ability to meet the ordinary demands of life if the registered nurse (nurse practitioner) (a) has completed additional education; and (b) performs it in collaboration with a person who engages in health care as a practising member of a health profession regulated under the Act or a profession-specific Act listed in Schedule 2 of the Act and who is legally permitted and competent to perform it. 45. reserved act 21: In relation to allergies, a registered nurse (nurse practitioner) may (a) perform challenge testing by any method if emergency protocols are in place; or (b) perform desensitizing treatment by any method if emergency protocols are in place. M.R. 49/2024 Reserved acts — registered nurse (nurse practitioner — interim practice) 3.10 A registered nurse (nurse practitioner — interim practice) may perform a reserved act as set out in section 3.9. Reserved acts — registered nurse (nurse practitioner — temporary practice) 3.11 A registered nurse (nurse practitioner — temporary practice) may perform a reserved act as set out in section 3.9 only if the act relates to the purpose for which the registered nurse has been granted registration in the membership class. Reserved acts — graduate nurse practitioner 3.12(1) A registered nurse (graduate nurse practitioner) may perform a reserved act as set out in section 3.9 if he or she is supervised by (a) a registered nurse (nurse practitioner) who is legally permitted and competent to perform the reserved act; or (b) a physician who is legally permitted and competent to perform the reserved act. 3.12(2) For the purpose of subsection (1), the supervisor must be physically present and available to assist the performance of the reserved act by the registered nurse (graduate nurse practitioner). 3.12(3) Despite subsection (2), the supervisor does not need to be physically present if he or she determines that the registered nurse (graduate nurse practitioner) does not require that level of supervision. But the supervisor must be available for consultation while the person performs the reserved act. Practice setting policies 3.13 A member must comply with any policy respecting the performance of a reserved act that is in place in the practice setting where the member performs that act if (a) the member has been made aware of the policy; and (b) the policy is not inconsistent with the Act or the college's regulations, by-laws, practice directions or code of ethics. DELEGATION Delegating a reserved act 3.14(1) A member may delegate the performance of a reserved act listed in subsection (2) to a person referred to in clause 6(1)⁠(c) of the Act only if the member (a) is legally permitted and competent to perform the reserved act; (b) is satisfied on reasonable grounds that the person accepting the delegation is competent to perform the reserved act; (c) is satisfied on reasonable grounds that it is safe and appropriate for the person accepting the delegation to perform the reserved act; and (d) is readily available for consultation while the person accepting the delegation performs the reserved act. 3.14(2) For the purpose of subsection (1), the following reserved acts are listed: 1. reserved act 3(a): Performing a procedure on tissue below the dermis other than those procedures referred to in items 4 and 5 of section 3.4. 2. reserved act 3(b): Performing a procedure below the surface of a mucous membrane. 3. reserved act 4(a): Inserting or removing an instrument or device, hand or finger into the external ear canal. 4. reserved act 4(e): Inserting or removing an instrument or device, hand or finger beyond the labia majora other than for the purpose of intrauterine device insertion, cervical cancer screening, pelvic examination or intrauterine insemination. 5. reserved act 4(f): Inserting or removing an instrument or device, hand or finger beyond the anal verge. 6. reserved act 4(g): Inserting or removing an instrument or device, hand or finger into an artificial opening in the body. 7. reserved act 5(b): Administering a substance by inhalation. 8. reserved act 5(d): Administering a substance by irrigation. 9. reserved act 5(e): Administering a substance by enteral instillation. 10. reserved act 9: Administering a drug by a method specified in the practice directions. 11. reserved act 11: Compounding or administering a therapeutic diet that is administered by enteral instillation. 3.14(3) For the purpose of subsection (1), a person referred to in clause 6(1)⁠(c) of the Act is considered to be competent to perform a reserved act if he or she has the requisite skill, knowledge and judgment to perform the act. 3.14(4) A delegation to perform a reserved act may not be further delegated. SUPERVISION OF STUDENTS Supervising students 3.15(1) A member may supervise the performance of a reserved act by (a) a person who is enrolled in an approved nursing education program; (b) a person who is enrolled in an education program of another regulated health profession; or (c) a person who (i) is an applicant for registration in the registered nurse membership class, and (ii) is enrolled or plans to enroll in a course of instruction that the registrar requires the person to successfully complete in order to be registered in the registered nurse membership class; only if the member is legally permitted and competent to perform the reserved act. 3.15(2) The member must be physically present and available to assist while the person performs the reserved act. 3.15(3) Despite subsection (2), the member does not need to be physically present if he or she determines that the person does not require that level of supervision. But the member must be available for consultation while the person performs the reserved act. M.R. 170/2022 PART 4 STANDARDS OF PRACTICE Definitions 4.1 The following definitions apply in this Part. "client record" means a record containing the information described in section 4.6. (« dossier d'un client ») "health care professional" means a person who engages in health care as a practising member of a health profession regulated under the Act or a profession-specific Act listed in Schedule 2 of the Act. (« professionnel de la santé ») "nursing care" means the health care that a member provides in the course of his or her practice of registered nursing. (« soins infirmiers ») "representative" means a person referred to in section 60 of The Personal Health Information Act . (« représentant ») PRACTICE Client-centred practice 4.2(1) A member may engage in the practice of registered nursing only if the member is legally permitted, competent and fit to do so. A member must acknowledge his or her limitations in skill, knowledge and judgment and must ensure that he or she practises registered nursing within those limitations. 4.2(2) The practice of registered nursing encompasses a number of domains, such as clinical practice, education, administration and research. A client of a member may be an individual, a family, a group of people, a community, or a population. Depending on the member's domain or domains of practice, a client may be a patient, a nursing student, a research participant, another member or other health care provider. 4.2(3) When engaging in the practice of registered nursing, a member must apply, as a framework, the nursing process, which is the systematic approach to the practice that encompasses all steps taken by the member in planning for the needs of his or her client, including assessment, diagnosis or determination, planning, implementation and evaluation. 4.2(4) The principles of client-centred practice in a clinical practice setting also apply to the practice of registered nursing in the other domains, such as education, administration and research. 4.2(5) When engaging in the practice of registered nursing in a clinical practice setting, a member must provide nursing care that includes (a) an assessment to determine the needs and circumstances of the client; (b) a care or treatment plan with the client or his or her representative and any other person who the client wishes to involve, which takes into account the client's needs, circumstances, preferences, values, abilities and culture; (c) an evaluation of the outcomes of the care or treatment plan and the modification or discontinuance of the care or treatment plan as required and as discussed with the client or his or her representative; (d) sufficient and timely communication with the client or his or her representative that takes into account the client's needs, circumstances, understanding and use of health information and enables the client or his or her representative to make informed decisions about his or her health care; (e) a referral of the client to another member or health care professional when appropriate; and (f) support for the client in self-management of their health care by way of the provision of information, resources and referrals to enable informed decision making by the client or his or her representative. Collaborative care 4.3(1) When a member is involved in providing for the health care of a client, the member must (a) work collaboratively and cooperatively with clients, families and other health care providers in providing for the health care of the client and communicate effectively and appropriately with them; (b) ensure that he or she understands the member's role and the role of the other health care providers in providing for the health care of the client; (c) explain to the client or his or her representative the member's role and responsibility; (d) comply with any collaborative care decision tool in place at the practice setting where the member and other health care providers are providing for the health care of the client; (e) give his or her full name and designation of membership class to the client, his or her representative, and any other person involved in the client's health care; (f) treat other health care providers with respect; and (g) recognize the skill, knowledge, judgment, and roles of others involved in the client's care. 4.3(2) A member must document on the client's record the nursing care provided by the member with enough information for another member or health care professional to be sufficiently informed of the care provided. Follow-up to diagnosis and test results 4.4(1) A member who orders a diagnostic test or makes a referral must have a system in place to review the test results and the results of referrals and have reasonable arrangements in place to follow up with the client. 4.4(2) A member who orders a diagnostic test and directs a copy of the result to another member or health care professional remains responsible for any follow-up care required unless the member to whom the copy of the result is directed has agreed to accept responsibility for the client's follow-up care. Practice environment 4.5 In providing nursing care, a member must demonstrate procedures that safeguard the hygiene and sanitation of the practice environment and the hygiene and sanitation of the equipment used in that nursing care. Client records 4.6(1) A member must appropriately document the nursing care provided by the member in a record specific to each client. 4.6(2) A member must document the nursing care provided by the member in the client's record as the nursing care is provided or as soon as possible after the care is provided. SELF-EMPLOYED PRACTICE Application 4.7 Sections 4.8 to 4.14 apply only to a member who provides nursing care by way of self-employed practice. Accepting clients in self-employed practice 4.8(1) If a member restricts or selects clients for his or her practice or has a practice that is closed to new clients, the member must establish criteria for restricting or selecting the acceptance of clients. The criteria must be relevant to the member's competence in the restricted or selected area of practice, the nursing care to be provided by the member and the client's health care needs. 4.8(2) On request, the member must give a prospective client a written copy of the restrictions or selection criteria. 4.8(3) In special or exceptional circumstances, the member may accept as a client a person who does not meet the criteria or falls outside the restrictions for accepting clients established under subsection (1). 4.8(4) If a member meets with a prospective client and does not accept him or her as a client, the member must explain the reason to the person unless disclosure of the reason could, in the member's opinion, be reasonably expected to (a) threaten the person's mental or physical health or safety; (b) threaten another person's mental or physical health or safety; or (c) pose a threat to public safety. M.R. 49/2024 Prohibited grounds for refusing clients 4.9 A member must not refuse to accept a prospective client because (a) the nursing care required could or will be complex unless the care the client requires is beyond the competency of the member; (b) the nursing care will or is likely to require the member to complete more documentation than is required for other clients; or (c) the nursing care required will or may take the member more time than required for other clients. Ending client relationship 4.10(1) A member who ends a professional relationship with a client must give notice to the client or his or her representative, have reasonable grounds for doing so and must document those reasons on the client record. 4.10(2) A member must not end a professional relationship with a client because the nursing care required by the client (a) is or will be complex unless the care the client requires is beyond the competence of the member; (b) requires the member to complete documentation in addition to the client record; or (c) takes the member more time to provide than is required for the member's other clients. 4.10(3) Despite subsection (2), a member may immediately terminate a professional relationship with a client if (a) the client poses a safety risk to the office staff, other clients or the member; (b) the client is abusive to the office staff, other clients or the member; (c) the client does not respect professional boundaries or acts in an inappropriate manner; or (d) the member is leaving the practice of registered nursing because of personal illness or other urgent circumstances. The member must document on the client record the reason for terminating the relationship. Notice of required payment 4.11 Before providing nursing care, the member must notify the client of any fee or charge the client will be required to pay for that care. Client records retention 4.12(1) A client record must be retained by the member having last custody of the record for at least 10 years after the date of the last entry on the record and the client records of minors must be retained for at least 10 years after the date the minor becomes 18 years old. 4.12(2) If a client or his or her representative requests a member to transfer client records to another member, the requested member must ensure that the request is completed as promptly as required in the circumstances but not later than 30 days after the member receives the request. 4.12(3) The obligations under this section are in addition to any other requirements relating to client records under the Act, The Personal Health Information Act , and any other enactment, by-law, standard of practice, code of ethics, and practice direction with which a member must comply. Closing, leaving or moving a self-employed practice 4.13(1) A member must give to his or her clients or their representatives and the college written notice of the member's intention to close his or her practice, to take a leave of absence or to relocate his or her practice or otherwise cease to practise in Manitoba. 4.13(2) The notice must include information about where the client records are to be located and how the records can be transferred to another member or how copies of the records can be obtained. Storage and disposition of client records and supplies 4.14(1) A member who closes his or her professional practice or takes a leave of absence must (a) ensure the secure storage of any client records for the remainder of the retention period required and ensure the destruction of the information in accordance with The Personal Health Information Act ; and (b) give the college a copy of the notice sent to clients, information about to whom the notice was sent and the arrangements that have been made for the secure storage of client records.

4.14(2) A member who ceases to engage in the practice of registered nursing, temporarily or permanently, must safely dispose of medications, laboratory specimens, equipment and supplies. 4.14(3) The obligations under this section are in addition to any other requirements relating to client records under the Act, The Personal Health Information Act , and any other enactment, by-law, standard of practice, code of ethics and practice direction with which the member must comply. PRACTICE DIRECTIONS Practice directions 4.15 Nothing in this Part limits or restricts the council from issuing practice directions under section 85 of the Act to enhance, explain, add or guide members with respect to the subject matters described in this regulation or any other matter relevant to the practice of registered nursing. PART 5 MISCELLANEOUS HEALTH PROFESSION CORPORATIONS Restricted to certain membership classes 5.1 Only a member who is registered in the registered nurse membership class or registered nurse (nurse practitioner) membership class is permitted to establish a health profession corporation. Health profession corporation permit 5.2 Subsection 60(1) of the Act sets out the requirements for the issuance and renewal of a health profession corporation permit. For the purpose of clause 60(1)⁠(i) of the Act, a corporation must provide to the registrar (a) a copy of the articles of incorporation and any articles of amendment, continuance or amalgamation; and (b) a current certificate of status issued under The Corporations Act . Permit renewal 5.3 For renewal of its permit, a health profession corporation must provide to the registrar on or before the expiry of its current permit the following: (a) a copy of the most recent annual return filed under The Corporations Act ; (b) if applicable, information about any conviction of the corporation, its directors, officers, voting shareholders, or any person through whom the corporation carries on the practice of registered nursing for a criminal offence since the date the corporation last applied for registration or renewal of its permit. M.R. 49/2024 Additional contents of record 5.4 The record of health profession corporations must contain the information set out in subsection 73(3) of the Act. The record must also contain the following applicable information for each health profession corporation: (a) the corporation's address, telephone number, fax number and e-mail address; (b) the time period during which the corporation's permit is valid; (c) information about any suspension or cancellation of the corporation's permit or alternative action taken under section 66 of the Act, including any conditions placed on the permit. Notice of changes 5.5 In addition to the requirement under section 68 of the Act, a health profession corporation must notify the registrar, within the time period and in the form and manner determined under the college's by-laws, of any change in the particulars set out in the documents filed by the corporation under section 5.2. Error on record 5.6 The registrar may correct any error or remove any entry made in error on the record of health profession corporations. M.R. 49/2024 Name of health profession corporation 5.7 A health profession corporation may include an individual's name but only if that individual is a member who is permitted to establish a health profession corporation. Name removed from record 5.8 When a health profession corporation's permit is cancelled, the registrar must remove the corporation's name from the record of health profession corporations. OTHER PROVISIONS Professional misconduct fines 5.9 Column 3 of the table of professional misconduct fines in Schedule 1 of the Act is specified for the purposes of clause 127(1)⁠(b) of the Act. Chair may perform certain responsibilities of the investigation committee 5.10 For the purpose of subsection 96(4) of the Act, the chair of the complaints investigation committee or the registrar may perform the duties imposed and exercise the powers conferred on the committee under subsection 96(1) or 96(2) of the Act. Notice of suspension or conditions pending decision 5.11 For the purpose of subsection 110(2) of the Act, the registrar must, upon receiving a direction under subsection 110(1) of the Act, give written notice of the suspension or conditions of an investigated member's registration or certificate of practice and the committee or chair's reasons for the suspension or conditions to (a) a person who engages the member to practise registered nursing on a full-time or part-time basis including as a contractor, consultant or, if known to the college, a volunteer; (b) a health care facility if the member is a member of the health care facility's professional staff; (c) a health care facility or health authority that has granted privileges to the member; (d) any minister who administers the payment of fees for the nursing care provided by the member; (e) any other regulatory body governing the practice of a regulated health profession of which the investigated member is also a member; and (f) an external regulatory body in another jurisdiction inside or outside Canada. M.R. 49/2024 PART 6 COMING INTO FORCE Coming into force 6.1 This regulation comes into force on the same day that subsection 251(2) of The Regulated Health Professions Act , S.M. 2009, c. 15, comes into force. SCHEDULE (Subsection 3.8(2)) Ordering or receiving reports 1 For the purpose of performing reserved act 2, a registered nurse (authorized prescriber) may order or receive reports of the following screening or diagnostic tests for the registered nurse's approved patient population: Travel Health Malaria Hematology Glucose-6-Phosphate Dehydrogenase (G6PD) screening test Serology Hepatitis A virus Hepatitis A immunoglobulin G antibodies Hepatitis A immunoglobulin M antibodies Hepatitis B virus Hepatitis B surface antigen Hepatitis B surface antibodies Hepatitis B core antibodies Hepatitis C virus antibodies Human immunodeficiency virus (HIV) antibodies Measles immunoglobulin G antibodies Mumps immunoglobulin G antibodies Rubella immunoglobulin G antibodies Varicella immunoglobulin G antibodies Interferon Gamma Release Assay (IGRA) Rabies titre — serum of rabies neutralizing antibody Transfusion Medicine ABO blood typing Other Chest X-ray to assess for the presence of tuberculosis disease Nucleic acid, rapid antigen or antibody tests to assess for the presence of or immunity to respiratory viruses Reproductive Health, Sexually Transmitted Infections and Blood Borne Pathogens Chlamydia Clinical Microbiology Urine for Chlamydia trachomatis nucleic acid test Genital swab for Chlamydia trachomatis nucleic acid test Rectal, eye or throat swab for direct fluorescent antibody microscopy Gonorrhoeae Sexually Transmitted Infections (STI) Bacteriology Urine for Neisseria gonorrhoeae nucleic acid test Genital swab for Neisseria gonorrhoeae nucleic acid test Genital swab for Neisseria gonorrhoeae culture Rectal, eye or throat swab for Neisseria gonorrhoeae culture Syphilis Serology Blood or serum Trichomonas Clinical Microbiology Vaginal swab for fixed stain microscopy, culture Vaginal swab for Trichomonas vaginalis antigen Vaginal swab for Trichomonas vaginalis nucleic acid test Bacterial Vaginosis Clinical Microbiology Swab for microscopy Candida Clinical Microbiology Swab for culture and microscopy Herpes Simplex Virus (HSV) Virus Detection Swab for HSV nucleic acid testing Treatment of Genital Warts Human papillomavirus nucleic acid testing Hepatitis B Serology Hepatitis B virus Hepatitis B surface antigen Hepatitis B surface antibodies Hepatitis B core antibodies Other Diagnostics for Sexual and Reproductive Health Clinical Biochemistry and Genetics Pregnancy test (serum and urine) Serology Hepatitis A virus Hepatitis A immunoglobulin G antibodies Hepatitis A immunoglobulin M antibodies Hepatitis C virus antibodies Human Immunodeficiency Virus (HIV) HIV antibodies Cervical cancer screening/Pap testing Human papillomavirus nucleic acid testing Diabetes Health Biochemistry Glucose — (plasma) Glycosylated hemoglobin — A1C (blood) Glucose tolerance test, 2 hour — (plasma) Glucose tolerance test, 75 g — (plasma) Apolipoprotein B — (serum) Creatinine — (serum) Potassium — (serum) Sodium — (serum) Estimated glomerular filtration rate — (plasma) Cholesterol, total — (plasma) Cholesterol, high density lipoprotein — (plasma) Cholesterol, low density lipoprotein (calculated) — (plasma) Triglycerides — (plasma) Albumin-to-Creatinine Ratio (ACR) — (urine) Urinalysis, complete — (urine) M.R. 49/2024 Specified drugs and vaccines 2 For the purpose of performing reserved act 6, a registered nurse (authorized prescriber) may prescribe the following drugs or vaccines for the registered nurse's approved patient population: Travel Health Vaccines Bacille Calmette-Guerin (BCG) Cholera/Enterotoxigenic escherichia coli (ETEC) Diphtheria Enterotoxigenic escherichia coli (ETEC) Japanese encephalitis Haemophilus influenzae (Hib) Hepatitis A Hepatitis B Herpes zoster vaccine Human papillomavirus (HPV) Influenza Measles Meningococcal Mumps Pertussis Pneumococcal Polio Typhoid Rabies Rotavirus Rubella Severe acute respiratory syndrome coronavirus 2 (COVID-19) Tetanus Tick borne encephalitis Varicella Yellow fever Biologics Immune serum globulin (ISG) Tuberculin Reproductive Health, Sexually Transmitted Infections and Blood Borne Pathogens Drugs for Reproductive Health, Sexually Transmitted Infections and Blood Borne Pathogens Oral Combined Estrogen and Progestin Oral Progestin only pills Depo-Provera Medroxyprogesterone Acetate Transdermal Combined Estrogen and Progestin Monophasic patch Hepatitis A vaccine Human papillomavirus vaccine (HPV) Topical estrogen or estradiol cream Emergency Medications Injectable epinephrine Injectable diphenhydramine Hepatitis B Post-Exposure Management Hepatitis B vaccine Hepatitis immune globulin Treatment of Genital Warts Imiquimod Liquid nitrogen Trichloroacetic acid (TCA) Diabetes Health Combined formulations Metformin and Sitagliptin Metformin and Sitagliptin modified release Metformin and Linagliptin Metformin and Saxagliptin Metformin and Empagliflozin Metformin and Dapagliflozin M.R. 64/2022 ; 49/2024 Categories of drugs and vaccines 3 For the purpose of performing reserved act 6, a registered nurse (authorized prescriber) may prescribe a drug or vaccine belonging to the following categories for the registered nurse's approved patient population: Diabetes Health Antihyperglycemic Agents Thiazolidinediones (TZD) Biguanides Incretin agents GLP-1 receptor agonists SGLT2 inhibitors Insulin secretagogues Alpha-glucosidase inhibitors (AGI) Cardiac/Renal Angiotensin-converting enzyme (ACE) inhibitors Angiotensin II receptor blockers (ARB) Statins Fibrates Insulin Bolus (prandial) insulins Basal insulins Premixed insulins Other Glucagon kit Glucose tablets Reproductive Health, Sexually Transmitted Infections and Blood Borne Pathogens Bacterial Vaginosis Nitroimidazoles Lincomycins Lincosamides Chlamydia Trachomatis Macrolides Tetracyclines Cephalosporins Beta Lactam Drugs for Reproductive Health Antifungals Intrauterine devices Intrauterine systems Vaginal rings Emergency hormonal contraception Herpes Simplex Virus (HSV) Antivirals Human Immunodeficiency Virus (HIV) Exposure Management Antiretrovirals Neisseria Gonorrhea Cephalosporins Macrolides Tetracycline Syphilis Beta Lactams Tetracyclines Trichomoniasis Nitroimidazoles Lincomycins Lincosamides Travel Health Altitude Sickness Prophylaxis Carbonic anhydrase inhibitors Glucocorticoids Emergency Medication for Anaphylaxis Management Alpha-adrenergic agonists Antihistamines Beta-agonists Vasopressors Malaria Chemoprophylaxis Antimalarials M.R. 64/2022 ; 49/2024