The following proposed amendments were approved by government.
On September 23, 2011, the Board of the College of Registered Nurses of British Columbia (CRNBC) met to approve amendments to the CRNBC Bylaws.
In anticipation of the expiration of the Nurse Practitioners Exemption Regulation, the CRNBC Board has removed the CRNBC Nurse Practitioner (NP) Objective Structured Clinical Examination (OSCE) as a registration requirement for B.C. graduates and applicants already holding unrestricted registration as a nurse practitioner in another Canadian jurisdiction. At the same time, on the recommendation of CRNBC’s Nurse Practitioner Standards Committee (NPSC), the Board has decided to preserve a requirement to successfully complete the OSCE as a condition under section 9(3) of the Nurses (Registered) and Nurse Practitioners Regulation for any NP to be entitled to independently perform any of the NP restricted activities listed in section 9(1) of the Regulation (other than under the supervision of an authorized NP or medical practitioner). The Ministry of Health is fully supportive of the Board's decision to preserve this requirement. View the
Scope of Practice for Nurse Practitioners: Standards, Limits and Conditions
The decision brings CRNBC’s registration requirements into compliance with AIT requirements, and provides for consistent treatment of graduates of B.C.-recognized education programs and applicants with unrestricted NP registration in other Canadian jurisdictions. Following this decision, the CRNBC NP OSCE will generally cease to be a registration requirement, except for internationally-educated first time applicants.
The Bylaw amendments, drafted in consultation with CRNBC’s legal counsel and staff in the Ministry of Health also preserve the Nurse Practitioner Examination Committee and its responsibilities related to the OSCE as a measurement tool for determining if NP registrants have met the standards established by the Nurse Practitioner Standards Committee for independent, unsupervised NP practice.
The Bylaw amendments also preserve the requirement for initial (first time) NP registrants (e.g., B.C. graduates) to have completed an approved written examination before achieving registration. This registration requirement, successful completion of the required written examinations, is standard across Canada. Under the amended Bylaws, CRNBC will also grant registration to NP applicants holding unrestricted registration in other Canadian jurisdictions who have passed written examinations not currently recognized by CRNBC (e.g., the Canadian Nurse Practitioner Examination); however, on the recommendation of the Nurse Practitioner Standards Committee, the Board has decided to preserve a requirement to successfully complete the American Nurses Credentialing Center (ANCC) examination (or an alternative written examination recognized by CRNBC) as a further condition under section 9(3) of the Regulation for any NP to be entitled to independently perform any of the NP restricted activities listed in section 9(1) of the Regulation (other than under the supervision of an authorized NP or medical practitioner).
The Board directed the Registrar and Chief Executive Officer to provide notice as required under the provisions of the Health Professions Act, of proposed changes to the CRNBC Bylaws. The Board also directed the Registrar and Chief Executive Officer to request that government consider reducing the three-month notification period (prescribed for all health regulatory bylaw or regulation changes) to two weeks.
The proposed amendments to the CRNBC Bylaws have been distributed to B.C. health professions colleges and will be posted on the CRNBC website to ensure that the public and other interested stakeholders may view the proposed changes in a timely manner.