regulation of nurse practitioners in british columbia canada l.
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Regulation of Nurse Practitioners in British Columbia Canada Context in British Columbia RN scope of practice is quite broad CNS and NP roles are both advanced practice roles NPs have additional scope of practice Regulatory Framework for Nurse Practitioners

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context in british columbia
Context in British Columbia
  • RN scope of practice is quite broad
  • CNS and NP roles are both advanced practice roles
  • NPs have additional scope of practice
regulatory framework for nurse practitioners
Regulatory Framework for Nurse Practitioners
  • Competencies and Recognition of Educational Programs
  • Initial Registration of Nurse Practitioners
  • Regulatory Oversight of Nurse Practitioners
forms of np practice
Forms of NP Practice
  • Partnership with government – agreed on common principles
  • Regulate all forms of nurse practitioner practice
  • Extensive consultation with educators, regulators, nurse practitioners and others
the framework must encompass all forms of np practice
The framework must encompass all forms of NP practice
  • USA registers many separate specialities
  • Other jurisdictions were also registering separate specialties
2 the np role is built on rn strengths
2. The NP role is built on RN strengths
  • NPs are not physician substitutes
  • NP practice should be grounded on a holistic nursing perspective
  • Age-based population groupings
a rigorous np competencies verification system is needed
A rigorous NP competencies verification system is needed
  • Safety - verification is crucial to the regulatory bodies ability to assure safety
  • Practicality - rigorous verification requires the specialties be limited
a broad educational base for practice is important
A broad educational base forpractice is important
  • Safe NP practice requires a broad base
  • Reasonableness
    • Be consistent, where possible, with other jurisdictions
    • NP is not an entry-level profession
    • Cost is an issue
the professional practice model works well
The professional practicemodel works well
  • Apply the model used for RN practice
  • Standards require RNs to practise within their own level of competence
  • Standards require RNs to assume primary responsibility to maintain competence and acquire evidence-based knowledge and skills for professional practice
streams of nurse practitioner practice
Streams of Nurse Practitioner Practice
  • Nurse practitioner (Family) — infants to older adults
  • Nurse practitioner (Adult) — adults and older adults
  • Nurse practitioner (Pediatric) — infants to adolescents
focus in nurse practitioner practice
Focus in Nurse Practitioner Practice
  • Nurse practitioners will develop a number of areas of clinical focus as do registered nurses
  • Each area of focus will build on the broad base of one of the three registration categories
focus in nurse practitioner practice cont
Focus in Nurse Practitioner Practice (cont.)
  • CRNBC will not verify competencies or register nurse practitioners in areas of focus
  • CRNBC will provide regulatory oversight
implementing b c s approach
Implementing B.C.’s Approach
  • Core Competencies were applied to the three streams of practice
implementing b c s approach cont
Implementing B.C.’s Approach (cont.)
  • Schools of nursing were recognized as preparing students to meet the required competencies - so far, family and adult programs
implementing b c s approach cont16
Implementing B.C.’s Approach (cont.)
  • Standards, Limits and Conditions (as required under the Regulation) are completed and on the website for the three streams
implementing b c s approach cont17
Implementing B.C.’s Approach (cont.)
  • We individually assess those applicants who do not graduate from a B.C. program
  • We have held the first set of examinations - both written and OSCE for the nurse practitioner family
implementing b c s approach cont18
Implementing B.C.’s Approach (cont.)
  • In 2006 hold examinations both written and OSCE for the adult and pediatric nurse practitioner
  • Implement the quality assurance processes