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July 2010


JULY 2010


College of Registered Nurses of British Columbia

Board Highlights

A summary of decisions made at the June 2010 board meeting. In issue:

  • Board Committed to Withdrawal from CNA

  • Standards of Practice

  • Nurse Practitioner Streams of Practice

  • Certified Practice

  • Finance

  • Proposed Bylaw Amendments

  • Board policies

  • Strategic Plan for 2011-2013

  • Captive Insurance Corporation

  • Education Programs Recognized

  • Appointments

  • 2010 Annual General Meeting

View CRNBC's interactive 2009-2010 Annual Report. Watch the video The Evolution of Nursing Regulation in B.C.

Board Committed to Withdrawal from CNA

The CRNBC Board has advised the Canadian Nurses Association that CRNBC remains committed to withdrawing its membership from CNA and hopes this can be achieved through a consensual process. The decision to seek a consensual withdrawal was made by the Board after a resolution authorizing the College to submit a written resignation to the CNA was defeated at the CRNBC Annual General Meeting in June by a vote of 40 to 29. Read More

Pam Ratner, Board Vice-chair, will continue as CRNBC’s representative to the CNA until the end of CNA's October 2010 board of directors meeting. A decision will be made at the September 2010 CRNBC board meeting, following the appointment of the board chair and vice-chair, about who should continue in that role beyond the October CNA meeting.

Standards of Practice

New Medication Inventory Management Practice Standard

The Board approved a new Medication Inventory Management Practice Standard, which outlines requirements for CRNBC registrants who manage a medication inventory. Although pharmacists and pharmacy technicians are usually responsible for managing medication inventory, in some circumstances registered nurses and nurse practitioners may be required to carry out this function.

A document entitled Nurse-Managed Medication Inventory: Information for Employers has also been published to provide employers with information they need to enable registered nurses and nurse practitioners to meet the College's standards for dispensing and for managing a medication inventory.

Medication Administration Practice Standard Revised
The Board approved revisions to the Medications Practice Standard including renaming it Medication Administration. The revised Practice Standard outlines the requirements for nursing practice related solely to medication administration. Requirements outlined in the previous version related to compounding and dispensing are included in the Dispensing Medications Practice Standard, which was first published in 2009.

Self-employed Nurse Practice Standard Withdrawn
CRNBC's Board approved the deletion of the Self-employed Nurse Practice Standard as requirements for registrants are set out in existing Standards of Practice, Bylaws and other CRNBC documents. CRNBC's Guide to Self-Employed Registered Nurse Practice: Checklist provides information for self-employed registrants to understand their obligations.

Nurse Practitioner Scope of Practice Revised
The Board approved the following changes to the CRNBC Scope of Practice for Nurse Practitioners (Family, Adult, Pediatric) Standards, Limits and Conditions:

  • Removal of all limits and conditions on nurse practitioner physician referral.
  • Changing the prescribing authority for Category 3 -- Anti-Neoplastic Agents from "0" (cannot prescribe) to "C" (continuation prescribing only) with limits and conditions.
  • Adding Hb F, Hb HPLC (high performance liquid chromatography) and Blood Film Review (formerly RBC Morphology) to the list of diagnostic services that nurse practitioners can order.

View the NP Scope of Practice documents

Nurse Practitioner Streams of Practice

The Board approved revised descriptions for the three streams of nurse practitioner practice (family, adult pediatric) and a definition of "primary care provider." These changes provide more clarity for employers, nurse practitioners and other regulatory bodies. View the NP Streams of Practice

CRNBC-certified Practice

The Board approved revisions to the competencies for the CRNBC-certified Practice of RN First Call to specify that lower urinary tract infections may only be diagnosed and treated in adult women. The online version of RN First Call Competencies is being updated and will be posted on the CRNBC website


Capital Fund
The Board approved a revised approach to funding the College's capital fund to make it more transparent. Each year, as part of the budget process, $100,000 will be allocated to a restricted capital project fund for future capital projects. Until now, any year-end surplus in budget was usually transferred from the operating fund to the capital fund for this purpose. A capital budget to meet more immediate needs, including funds to be used for contingency purposes, will be approved by the Board on an annual basis.

In the anticipation of a dividend being paid to CRNBC by the CRNBC Captive Insurance Corporation, the Board agreed that the funds from the dividend will be deposited to the College’s capital fund.

Operating Fund Balance
Although CRNBC is in a sound financial position, the Board has acknowledged that the College is not presently in compliance with its policy that the operating fund surplus be maintained at a level equivalent to not less than two months of the current year’s operating budget. The operating fund balance is less than required by the Board’s policy because the Board has approved transfers of funds from the operating fund to the capital fund for capital projects planned or underway this fiscal year. The Board agreed that, rather than cancelling any of the projects, they should proceed as they are necessary for the College to effectively and efficiently continue carrying out its foundational work.

Proposed Bylaw Amendments

The Board approved amendments to the College Bylaws. The amendments require government approval. View the proposed amendments

Board Policies

Selection of Board Chair and Vice-Chair
As of April 1, 2010, CRNBC's Bylaws provide for the board chair and vice-chair to be elected by the CRNBC Board from among its appointed and elected members. The Board has approved selection criteria and competencies for board member nominees for these positions and has directed staff to develop a policy for the Board's consideration regarding election by the Board of the board chair. Candidates for board chair shall have at least one year of CRNBC board experience, either current or past (i.e., a newly elected or appointed board member who previously served on the Board). The candidate receiving the second most votes shall be appointed vice-chair.

Selection of Committee Chairs and Vice-chairs
The Board approved a policy governing the appointment of chairs and vice-chairs of statutory and special committees of the Board. Preference will be given to individuals who have the preferred competencies outlined in the policy, such as previous committee experience and understanding of the College's mandate as well as group and meeting skills.

Investment Manager
The Board approved an Investment Manager Policy that outlines the process for appointing and monitoring the investment manager for the College’s investment portfolio as well as the duties of the investment manager.

CRNBC Spokesperson Policy
Housekeeping changes have been made to reflect changes in governance approved by the Board.

CRNBC-certified Practice
Policies related to certified practice registration, the approval of new competencies for certified practice and the approval of new decision support tools have been revised to remove references to the transition period for certified practices as this period ended March 31, 2010. Housekeeping changes have also been made to the latter two policies to make them clearer.

The Board approved two new policies related to the approval of revised competencies for certified practice and the approval of revised decision support tools.

Student Professional Award
This award recognizes one student in each graduating class. The policy has been amended to include students enrolled in a nurse practitioner program. Learn More

Stragegic Plan for 2011-2013

The Board has approved a new three-year strategic plan for CRNBC. It includes a new purpose, vision and principles, which are now in effect.

Starting in March 2011, the College will carry out work related to the four strategic goals outlined in the strategic plan:

  • Regulatory approaches are appropriate, effective and support competent and ethical nursing practice
  • CRNBC's work is integral to the competent and ethical practice of registered nurses and nurse practitioners
  • Interprofessional collaboration is advanced at individual and organizational levels
  • CRNBC is a high-performing organization

View the 2011-2013 Strategic Plan

Captive Insurance Corporation

CRNBC practising registrants and student registrant are provided with liability insurance through the CRNBC Captive Insurance Corporation (CIC), a wholly owned subsidiary of CRNBC. The CRNBC Board received the annual report of CIC, which details the risk management activities, claim activity and audited financial statements. As CRNBC is the sole shareholder of CIC, the Board:

  • Appointed CRNBC Registrar/CEO Laurel Brunke to act as the College's representative to carry out the CIC's annual business.
  • Elected to the CIC Board of Directors: Stephanie Buckingham, Lorraine Grant and Christina Hutchinson.
  • Authorized amendments to the CIC's Company Articles to make them consistent with the current CRNBC Bylaws.

Education Programs Recognized


  • Education Program Review Committee: Landa Terblanche (Chair), Elizabeth Elliot (Vice-chair), Marion Briggs, Diana Campbell, Claudette Kelly, Sandra Kioke, Cheryl Segaric
  • Nurse Practitioner Quality Assurance Program - Peer Assessor: Anne Hedger

2010 Annual General Meeting

The Annual General Meeting of CRNBC was held June 25, 2010 at the Fairmont Hotel Vancouver. A total of 101 registrants registered to attend the AGM either in person or by audio webcast.

A resolution submitted by the CRNBC Board to provide written notice of CRNBC's intent to withdraw from the Canadian Nurses Association was defeated with 40 votes against the resolution and 29 votes for the resolution. See Backgrounder

A late resolution calling for CRNBC to suspend its participation in the National Council of State Boards of Nursing and the newly formed Canadian Council of Registered Nurse Regulators was defeated.

copyright 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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