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December 2010


College of Registered Nurses of British Columbia

A summary of decisions made by the CRNBC Board on December 3, 2010.

CRNBC Board Highlights

Budget and Fee Changes for 2011-2012

Standards of Practice Updates

  • Consent Practice Standard
  • Nurse Practitioners Scope of Practice

Proposed Bylaw Amendments

  • AGM Resolutions
  • Certified Practice (eligibility, nurse practitioners, continuing competence)
  • Student Registration
  • Fees
  • Removal of an Elected Board Member

Board Policies 

  • Removal of Board Chair/Vice-chair
  • CRNBC Spokespersons
  • Recognition Awards
  • Review of Standards of Practice
  • Investment Manager
  • Asset Protection/Financial Authority
  • Professional Practice Group Accounting
  • Accounting Practices and Standards
  • Registration

Strategic Plan

Education Programs Recognized


2011 Call for Board Nominations
Click Here

2011-12 Budget

The Board approved a budget for the fiscal year 2011-2012 of approximately $17.9 million. To fulfill its obligation to protect the public, CRNBC carries out foundational work related to registration and renewal, standards of practice, supporting registrants to meet standards and governance. To support this work, we are upgrading our entire electronic communications platform, data management processes, and document records management and registration systems. These extensive projects are being developed in phases and will help us to be more efficient and cost-effective in meeting our regulatory obligations.

These changes are being driven in part by legal requirements associated with the Health Professions Review Board. In addition to the vast amount of information needed to maintain registrant data, applicant data and the College’s business systems, we are required to provide extremely detailed information for any review of a College decision that the Health Professions Review Board is undertaking.

Other significant cost drivers for 2011-12 include:

  • establishment of a Quality Assurance Program for Registrants, which will soon be required under the Health Professions Act;
  • increase in the number of nurse practitioner applicants, resulting in higher costs for administering nurse practitioner registration examinations and the Quality Assurance Program for nurse practitioners;
  • reviewing and updating decision support tools for certified practice (previously covered under a government grant);
  • higher fees charged by credit card companies each time a credit card is used by a registrant to a pay CRNBC fee;
  • increase in CNA fees for 2011.

Learn more about the work of CRNBC or review the CRNBC Annual Report.

Fee Changes

The Board approved a registration fee for 2011-12 of $423 per practising RN registrant. Fees for other categories of registration are increased pro rata, except for student registration fees which will change to $100. The Board also approved changes to assessment fees, application fees, examination fees and reinstatement fees. The Finance and Audit Committee and the Board deliberated at length before concluding that these fee changes were necessary. View the 2011-12 fees and backgrounder.

Standards of Practice

Consent Practice Standard
The Board approved revisions to the Consent Practice Standard, which includes registrants' legal and ethical obligations regarding consent. The revised practice standard:

  • uses action-oriented behavioural statements in the principles,
  • includes information about consent from recent research,
  • incorporates changes in legislation or its interpretation, and
  • provides further clarity to some complex concepts.

Nurse Practitioners Scope of Practice
The Board approved the following change to the CRNBC Scope of Practice for Nurse Practitioners (Family, Adult, Pediatric):

  • Changing the prescribing authority for HIV Anti-retrovirals from "0" (cannot prescribe)to "C" (continuation prescribing only) with limits and conditions.
  • Expanding the authority for nurse practitioners to have the same level of access for ordering MSP laboratory services as that of family physicians. CRNBC limits and conditions on Miscellaneous Diagnostic Services and Diagnostic Imaging Services remain unchanged.

Proposed Bylaw Amendments

Bylaw amendments proposed by the CRNBC Board require government approval. Proposed amendments are posted on the CRNBC website.

AGM Resolutions
Proposed amendment clarifies that resolutions passed or defeated at a general meeting are not binding on the Board and College.

Certified Practice
Proposed amendments:

  • ensure that only "eligible" registrants may be CRNBC-certified,
  • provide for nurse practitioners to be on the CRNBC-certified practice register, and
  • clarify that registrants with CRNBC-certified practice include at least one learning activity in their annual personal practice review requirements in order to renew registration with CRNBC-certified practice designation.

Student Registration
Proposed amendments remove registration for students who are learners and provide for grandparented student registration as a class of registrant. Only students who were registrants of CRNBC immediately prior to March 1, 2011 will be eligible to hold grandparented registration with CRNBC until they graduate. The amendments also establish employed student registration as a class of registrants. Any student who wishes to work as an employed student nurse is required to be a registrant of CRNBC and follow CRNBC's Employed Student Nurse policy. In making these amendments, the Board rescinded a 2009 decision directing staff to submit a bylaw amendment to strike the student registrant class from the CRNBC Bylaws by March 2010. For rationale and background in this topic, see the June 2009 issue of Board Highlights.

Proposed amendment replaces Schedule D: Examination and Registration Fees in the CRNBC Bylaws with a revised Schedule D which has new fees (See Fee Changes above).

Removal of an Elected Board Member
The Board has directed staff to draft a amendment to Section 1.09(2) of the CRNBC Bylaws to enable the Board to remove an elected board member from office by "at least a two-thirds vote of the Board." The current Bylaws require a special resolution to remove an elected board member from office. The power of registrants to remove an elected board member at an annual or special general meeting will still require a special resolution (three-quarters vote of those persons present and eligible to vote).

Board Policies

Removal of Board Chair and/or Vice-chair
In October 2010, the Board approved a new policy governing the removal of the board chair and/or vice-chair from office. The Board directed CRNBC staff to conduct further research to clarify if the vote required to remove the board chair and/or vice-chair should be a majority vote or a two-thirds vote. Staff was also directed to clarify if the vice-chair should have the ability to vote on the removal of the board chair.

In December 2010, following a review of the staff's report, the Board passed motions to:

  • maintain the provisions set out in the CRNBC Bylaws whereby the board chair and vice-chair are elected by a majority vote of the Board and may be removed by a majority vote of the Board, and
  • adopt as policy that the vice-chair is entitled to vote on removal of the board chair, but has the right to abstain.

CRNBC Spokespersons
CRNBC's Spokesperson's Policy provides for the board chair to be the spokesperson and representative for CRNBC on governance matters and ceremonial occasions, and for the registrar/chief executive officer to be the spokesperson and representative for the College on policy and operational matters.
The policy has been revised to address requests for board members to speak to registrant groups affiliated with CRNBC (e.g., professional support program representatives, interagency gatherings).

Recognition Awards
CRNBC's recognition award policies have been revised by deleting the Honorary Registrant Award. CRNBC's Bylaws do not provide for an honorary registrant registration category. Only CRNBC registrants are eligible for a CRNBC recognition award.

Review of Standards of Practice
The Review of Standards of Practice Policy sets out the Board’s direction related to keeping the CRNBC Standards of Practice current. Standards of Practice are approved by the Board. Revisions to the policy include housekeeping changes and a change to enable CRNBC staff to make editorial changes at the discretion of the Registrar/CEO. Editorial changes to the Standards of Practice are sometimes required when, for example, there has been a change in the name of legislation referred to in the standard.


Investment Manager
This policy provides direction regarding the investment manager, who is appointed by the Board, for the College's investment portfolio. This policy has been revised to provide direction for evaluating the performance of the investment manager.

Asset Protection/Financial Authority
The Asset and Protection Policy provides for the protection and preservation of the College's assets. The Financial Authority Policy outlines the financial authority of the Board and staff, which includes disposal of fixed assets. Sections of the Asset Protection Policy pertaining to disposal of used computer equipment and fixed assets have been moved to the Financial Authority Policy. Minor changes to improve clarity were also made to the Financial Authority Policy.

The Board has requested the Finance and Audit Committee to:

  • consider if additional policies and procedures are necessary for protecting key assets of the College;
  • review the policy pertaining to the sale of real estate or assets not fully depreciated where the value of the asset exceeds $10,000 and determine if the $10,000 threshold for board approval should be changed.

Professional Practice Group Accounting
This policy outlines the accounting practices for CRNBC Professional Practice Groups. It has been revised to reflect the change in B.C. from the GST to the HST.

Accounting Practices and Standards
The Board has requested the Finance and Audit Committee to review the criteria pertaining to reporting on program budget variances in the College's quarterly financial statement. Current criteria for reporting require a variance of +/- $10,000 and +/- 5% of the program budget. As some program budgets are substantial, a $10,000 variance in a particular reporting period would not be that unusual, so the committee is being asked to consider if the $10,000 threshold should be raised.


The CRNBC Registration Committee has the authority under the Health Professions Act to establish registration policies. The Board reviews policy decisions made by the Registration Committee and provides feedback on the committee's decisions. In December, the Board reviewed the following:

  • Registration Renewal. Registrants who do not meet the continuing competence requirements for renewing registration will be granted provisional registration with conditions.
  • Certified Practice Registration. The policy for granting CRNBC-certification to out-of-province registered nurses with remote practice experience based on an employer assessment has been extended to B.C. nurses with remote practice experience. The Board provided feedback to clarify language about the manner in which nurse practitioners who meet the requirements for full practising nurse practitioner (family) registration can have certified practice. 

Strategic Plan

Included in CRNBC's 2011-2013 strategic plan under the goal Regulatory approaches are appropriate, effective and support competent and ethical nursing practice is the objective for a regulatory philosophy and framework that are defined giving consideration to reduction and management of risk and prevention of harm across all practice domains." CRNBC is undertaking a project to develop a regulatory philosophy and framework that includes consultation with stakeholders and others. In December, board members provided input regarding the project to date. Strategic Plan

A "dashboard" provides an "at-a-glance" perspective on the current status of an organization in relation to predetermined metrics, such as cost, time, requirements, risks and customer satisfaction. The Board is developing a dashboard to facilitate an at-a-glance assessment of compliance with legislative and board requirements as well as areas of risk and success. In December, the key performance indicators for the Board's dashboard were approved. Key performance indicators will also be developed for use in evaluating progress towards the goals of the College's strategic plan.

Education Programs Recognized

  • Northern Collaborative Baccalaureate Nursing Program offered by the University of Northern British Columbia, the College of New Caledonia and Northwest Community College
  • Baccalaureate Registered Nurse Program offered by the University of the Fraser Valley


  • Education Program Review Committee: Shelagh Brennan
  • Audit and Finance Committee: Donna Saltman (Vice-chair), Eleanor Elston

© CRNBC 2010

Board Highlights is published by the College of Registered Nurses of British Columbia and distributed to select CRNBC registrants and stakeholders following each board meeting and posted on the CRNBC website for all registrants and the public. Publication of information in this newsletter is one of CRNBC's official methods of notification to registrants.


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