In September 2011, the CRNBC Board approved changes to the Bylaws to accommodate requirements under the Labour Mobility Act (LMA) requiring all B.C. regulators to comply with any and all labour mobility and/or trade agreements. As such, the Objective Structured Clinical Examination (OSCE) for nurse practitioners was removed as a registration requirement and instead became a requirement connected to the standards, limits and conditions for nurse practitioner practice.
On May 1, 2012, the B.C. government introduced changes to both the Health Professions Act (HPA) and LMA, effectively exempting the nurse practitioner profession from LMA requirements. This change thereby provides for the College to return to its pre-September 2011 regulatory framework for nurse practitioners. The OSCE is now a registration requirement for nurse practitioners once again.
Individuals registered as nurse practitioners between September 30, 2011 and July 24, 2012, and who have not completed the American Nurses Credentialing Centre (ANCC) Examination or equivalent and the OSCE, are assigned to the “grandparented nurse practitioner” class.
Grandparented nurse practitioners use the title “grandparented nurse practitioner”, “registered nurse”, or “nurse”, or the abbreviations “GNP”, “RN”, or “RN-GNP”.
Grandparented nurse practitioners practice according the Standards of Practice, including the Scope of Practice for Nurse Practitioners: Standards Limits and Conditions, with the additional condition that they may only perform NP restricted activities (e.g. diagnose a disease or disorder; prescribe medications etc.) under the supervision of a Nurse Practitioner or Physician.
Grandparented nurse practitioners must maintain their registration from year-to-year through regular and timely renewals. Any grandparented nurse practitioner who fails to renew will not be entitled to reinstate as a grandparented nurse practitioner. Grandparented nurse practitioners must meet the same
registration renewal requirements as nurse practitioners (including personal practice review and practice hours requirements).
All individuals must successfully complete the ANCC examination (or equivalent) and OSCE to qualify for nurse practitioner registration. Grandparented nurse practitioners may be eligible to complete the ANCC examination and OSCE. Contact CRNBC for more information.
Nurses (Registered) and Nurse Practitioner Regulation
Health Professions Act (HPA)