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Frequently Asked Questions

I am not currently working as a NP/I am on parental leave. How will I meet the onsite peer review requirement?

All registered, practising NPs are required to participate in an onsite peer review in the second year after NP registration. However, there are some exceptions for which the QA Committee would consider a request for a deferral. These situations include:

  • You are not working as a NP
  • You have not practised for a full year (e.g. you registered more than a year ago but only recently obtained NP employment)
  • You have been on extended leave of absence (e.g. parental or medical leave, sabbatical)

If any of these apply to you, please contact CRNBC.

Does the onsite peer review include an observation of client encounters or patient care?
No. The onsite peer review is a review of your documentation using a standardized tool. The assessor will discuss the chart review results with you, including professional development opportunities.
What criteria will the assessor use to review my practice?

The assessor reviews your charts using a standardized review tool, based on the indicators related to CRNBC Standards of Practice, the NP Scope of Practice and Entry-level competencies for NPs in Canada. As the tool is competency and standards-based, it can be applied to all streams of NP practice and in all practice settings. This is not a review of specialty practice.

What happens if areas for improvement are identified?

The results of your onsite peer review, including your strengths and areas for improvement, can be used to inform your ongoing professional development. If specific areas for improvement are identified, the assessor will share these with you, and you’ll then have the opportunity to discuss strategies to enhance your practice in these areas.

The QA Committee may also provide recommendations for professional development, and in some cases may recommend a follow-up review.

Who will know my results?

QA Program information is protected under the Health Professions Act. Your assessment results are confidential and only available to you, the QA Committee and authorized CRNBC Quality Assurance staff and QA assessors. All CRNBC personnel involved in the QA Program must comply with QA Program applicable legislation, bylaws and policy. As such, we will not provide your results to your employer: your results are for your use, to help your professional development.

My assessor is from the U.S. Will she be familiar with the CRNBC Standards of Practice?

CRNBC assessors are experienced nurse practitioners familiar with CRNBC Standards of Practice. Assessors are expected to be aware of and conduct the onsite review in accordance with the B.C. standards for NP practice.

All NP assessors must meet specific qualifications to be appointed by the QA Committee. The majority are B.C.-based.

Where does CRNBC get its legal authority to perform an onsite review?

The Health Professions Act and CRNBC Bylaws authorize the onsite peer review component of the quality assurance program for nurse practitioners.

The QA Committee and NP assessors carry out the onsite review in accordance with the Health Professions Act, CRNBC's bylaws, and CRNBC Quality Assurance Program policy.

If you require further information please contact us.

How will I know if I have a conflict of interest with my assessor?

When an NP has an onsite review, it's very important that the assessor is objective. We ask both the NP being reviewed, and the assessor to declare any actual, perceived or potential conflict of interest before scheduling an onsite review. If a conflict of interest exists, a new assessor will be assigned.

There are some specific things to consider when deciding whether a conflict of interest exists such as work relationships or personal knowledge. Specific examples of conflict of interest situations can be found in the CRNBC Conflict of Interest Practice Standard.

Conflict of interest is not limited to these considerations, and if you need further guidance or assistance please contact CRNBC Quality Assurance staff.

Where can I get more information?
You can email np-review@crnbc.ca, or call 604.736.7331 ext. 352. Your query will then be directed to the appropriate staff member.

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