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Role of the Quality Assurance (QA)​ Committee

CRNBC’s Quality Assurance (QA) Program supports CRNBC’s mandate to regulate in the public interest. The QA Program incorporates CRNBC’s regulatory philosophy, is proactive, and supports nurses to meet high practice standards for the provision of safe, competent and ethical care.


The QA Committee is responsible for administering and maintaining the QA Program including overseeing the intervals and results of nurses’ periodic assessments obtained through methods such as the NP onsite peer review, prescription review, and multisource feedback.

The primary focus of an assessment is on the registrant’s compliance with CRNBC standards of practice. An assessment may also focus on promoting best practices, which may exceed minimum standards.

Registrant assessments may be completed by assessors appointed by the QA Committee. Assessors have authority to look at a registrant’s client records, and make observations, gather information and report to the QA Committee.

The authority of the QA Committee and its assessors is derived from the Health Professions Act and CRNBC bylaws. ​


The QA Committee’s functions include:

  • QA policy development and implementation
  • Assessor appointment and evaluation
  • Review of individual nurses’ QA information to determine whether high practice standards are being achieved, and that CRNBC Standards of Practice are being met

In keeping with section 26.1 of the HPA and Part 5 of the CRNBC bylaws, the QA Committee meets in private and maintains its activities and all records of its activities in confidence, subject to applicable law.

Information collected under the QA Program is used for monitoring nurses’ compliance with CRNBC Standards of Practice, continuing competence and quality assurance requirements and evaluating and improving the effectiveness of the QA Program.


Confidentiality of the QA information collected in the program is protected under the HPA, the Freedom of Information and Protection of Privacy Act and CRNBC’s bylaws, subject only to any disclosure which may be authorized or required in very limited circumstances under the HPA or other applicable law.

There are a few exceptional circumstances, set out in the HPA, which may result in information being used outside the QA Program:

  • when disclosure is necessary to show that a registrant knowingly gave false information; and,
  • when the QA committee determines that a report to CRNBC’s Inquiry Committee is necessary to protect the public as a result of there being reasonable grounds to believe that a registrant has committed an act of professional misconduct, has demonstrated incompetence, suffers from an addiction or other impairment, or otherwise poses a threat to the public because of a failure to comply with QA Committee recommendations.

If the Inquiry Committee is notified by the QA Committee, the Inquiry Committee may be required to conduct its own investigation of the matter, independent of the QA Program.


​QA Committee decisions are always made in the public interest, to sustain public confidence in nurses’ self-regulation, and to support nurses to meet high practice standards so that the public experiences nurses to be safe, competent and ethical practitioners. When assessing nurses’ QA information the QA Committee applies

In most cases, the QA Committee finds that standards are being met or exceeded by the nurse. When QA Committee believes that the nurse could take steps to enhance their practice, it may make specific recommendations and/or require follow-up from a CRNBC assessor or QA Program staff to support the nurse to raise the quality of their practice.

QA Program methods and resources are designed to guide nurses’ reflective practice and continuous professional development.


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