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O. Reg. 275/94: GENERAL
under Nursing Act, 1991, S.O. 1991, c. 32
Skip to contentNursing Act, 1991
Loi de 1991 sur les infirmières et infirmiers
ONTARIO REGULATION 275/94
Amended to O. Reg. 406/04
GENERAL
Historical version for the period December 16, 2004 to December 19, 2004.
This Regulation is made in English only.
CONTENTS
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DEFINITIONS |
0.1 | |
REGISTRATION |
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1-5 | ||
6-8 | ||
9 | ||
10 | ||
11 | ||
11.1 | ||
12 | ||
12.1 | ||
13 | ||
CONTROLLED ACTS |
14-20 | |
QUALITY ASSURANCE |
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21-23 | ||
24 | ||
25 | ||
26-27 | ||
28 | ||
29 | ||
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PART I
DEFINITIONS
0.1 In this Regulation,
“registered nurse in the extended class” means a member who holds an extended certificate of registration as a registered nurse;
“registered nurse in the general class” means a member who holds a general certificate of registration as a registered nurse. O. Reg. 115/96, s. 1; O. Reg. 39/98, s. 1 (2).
1. (1) The following are prescribed as classes of certificates of registration for registered nurses:
1. General.
2. Temporary.
3. Special Assignment.
4. Provisional.
5. Extended.
6. Retired. O. Reg. 275/94, s. 1 (1); O. Reg. 39/98, s. 2; O. Reg. 212/00, s. 1.
(2) A registered nurse may not hold more than one class of certificate of registration as a registered nurse at one time. O. Reg. 275/94, s. 1 (2).
2. (1) The following are prescribed as classes of certificates of registration for registered practical nurses:
1. General.
2. Temporary.
3. Special Assignment.
4. Provisional.
5. Retired. O. Reg. 275/94, s. 2 (1); O. Reg. 212/00, s. 2.
(2) A registered practical nurse may not hold more than one class of certificate of registration as a registered practical nurse at one time. O. Reg. 275/94, s. 2 (2).
3. (1) A person may apply for a certificate of registration in any class other than the extended class by completing an application form supplied by the Executive Director and submitting it along with the required application fee. O. Reg. 39/98, s. 3; O. Reg. 158/00, s. 1 (1).
(2) A person may apply for a certificate of registration for the extended class in the category of registered nurse by completing an application form supplied by the Executive Director and submitting it along with the required application fees. O. Reg. 39/98, s. 3; O. Reg. 158/00, s. 1 (2).
(3) Upon receipt of the required registration fee, the Executive Director shall issue a certificate of registration to a person,
(a) if the Executive Director proposes to register the person under clause 15 (1) (a) of the Health Professions Procedural Code; or
(b) if authorized or directed by a panel of the Registration Committee to issue the certificate to the person. O. Reg. 39/98, s. 3; O. Reg. 158/00, s. 1 (3).
4. (1) A member may resign any class of certificate of registration by giving written notice of intention to resign.
(2) A member who resigns shall pay any fee outstanding at the date of resignation. O. Reg. 275/94, s. 4.
5. (1) The following are the registration requirements for a certificate of registration of any class other than a retired class:
1. The applicant must not have been found guilty of a criminal offence or an offence under the Narcotic Control Act (Canada) or the Food and Drugs Act (Canada).
2. The applicant must not have been the subject of a finding of professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession.
3. The applicant must not currently be the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession.
4. The applicant must not suffer from a physical or mental condition or disorder that makes it desirable in the public interest that he or she not practise nursing. O. Reg. 275/94, s. 5 (1); O. Reg. 115/96, s. 3 (1); O. Reg. 212/00, s. 3 (1).
(2) An applicant or member shall be deemed not to have satisfied the requirements for a certificate of registration of any class if the applicant or member knowingly made a false or misleading statement or representation in his or her application. O. Reg. 275/94, s. 5 (2); O. Reg. 212/00, s. 3 (2).
(3) It is a condition of a certificate of registration of any class that the member provide the College with details of any of the following that relate to the member and that occur or arise after the initial registration of the member:
1. A finding of guilt for a criminal offence or an offence under the Narcotic Control Act (Canada) or the Food and Drugs Act (Canada).
2. A finding of professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession.
3. A proceeding for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction and whether in relation to the nursing profession or another health profession. O. Reg. 275/94, s. 5 (3); O. Reg. 115/96, s. 3 (2).
General Certificates of Registration
6. (1) Prior to January 1, 2005, the following are non-exemptible registration requirements for a general certificate of registration as a registered nurse:
1. The applicant,
i. must have graduated from a nursing program in Ontario that was, at the time the applicant graduated,
A. approved by the Minister of Education and Training, in the case of a program offered by a college of applied arts and technology, or
B. approved by the Approval Committee of the Council of Ontario University Programs in Nursing and approved by the Senate or Governing Council of the university that offered the program, in the case of a program offered by a university,
ii. must have graduated from a nursing program in another province or territory in Canada that was, at the time the applicant graduated, accepted by the regulatory body for nursing in that province or territory,
iii. must have graduated from a nursing program outside Canada that the Registration Committee determines was, at the time the applicant graduated, equivalent to a nursing program in Ontario that is currently approved in accordance with sub-subparagraph A or B of subparagraph i, or
iv. must have graduated from a nursing program outside Canada and, if the Registration Committee does not make the determination referred to in subparagraph iii with respect to the program, must also satisfy the Registration Committee that he or she has obtained additional nursing education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the education provided by a nursing program in Ontario that is currently approved in accordance with sub-subparagraph A or B of subparagraph i.
2. At the time of successfully completing all other requirements for registration as a registered nurse in the general class or at the time of application, whichever is later, the applicant must satisfy the Registration Committee,
i. that he or she graduated from a program described in subparagraph i, ii or iii of paragraph 1 within the past five years,
ii. that he or she has no need for additional education or experience based on evidence of safe nursing practice during the past five years, or
iii. that he or she has successfully completed the additional education or obtained the additional experience that the Registration Committee determines is necessary to enable him or her to practise safely as a registered nurse in the general class in the future.
3. The applicant must have passed the examination for registration as a nurse set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee. O. Reg. 275/94, s. 6 (1); O. Reg. 115/96, s. 4 (2); O. Reg. 212/00, s. 4 (1).
(1.1) After December 31, 2004, the following are non-exemptible registration requirements for a general certificate of registration as a registered nurse:
1. The applicant,
i. must have received a baccalaureate degree in nursing granted by a university in Ontario whose program was, at the time the applicant graduated, approved by a body or bodies designated by the Council or by the Council itself,
ii. must have received a baccalaureate degree in nursing granted by a university in another province or territory in Canada that, at the time the applicant graduated, was, in the opinion of the Registration Committee, equivalent to the degree described in subparagraph i,
iii. must have graduated prior to January 1, 2005 from a nursing program in another province or territory in Canada that was, at the time the applicant graduated, accepted by the regulatory body for nursing in that province or territory and been registered with that regulatory body or another regulatory body for nursing in a province or territory in Canada in an equivalent class prior to January 1, 2005,
iv. must have graduated from a nursing program outside Canada that the Registration Committee determines was, at the time the applicant graduated, equivalent to a nursing program in Ontario that is currently approved in accordance with subparagraph i, or
v. must have graduated from a nursing program other than one referred to in subparagraph i, ii, iii or iv and must also satisfy the Registration Committee that he or she has obtained additional nursing education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the education provided by a nursing program in Ontario that is currently approved in accordance with subparagraph i.
2. At the time of successfully completing all other requirements for registration as a registered nurse in the general class or at the time of application, whichever is later, the applicant must satisfy the Registration Committee,
i. that he or she graduated from a program described in subparagraph 1 i, ii, iii or iv within the past five years,
ii. that he or she has no need for additional education or experience based on evidence of safe nursing practice during the past five years, or
iii. that he or she has successfully completed the additional education or obtained the additional experience that the Registration Committee determines is necessary to enable him or her to practise safely as a registered nurse in the general class in the future.
3. The applicant must have passed the examination for registration as a nurse set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee.
(1.2) Subparagraph 1 i of subsection (1.1) shall not be interpreted to prevent a college of applied arts and technology from collaborating with a university in delivering a nursing program graduation from which is recognized by the granting by the university of a baccalaureate degree.
(1.3) Subsection (1.1) applies to any application for a general certificate of registration as a registered nurse unless the applicant has met all of the requirements for the issuance of the certificate prior to January 1, 2005.
(1.4) Subsection (1.1) shall not be interpreted to affect in any way,
(a) the right of a member who, on December 31, 2004, holds a general or extended certificate of registration as a registered nurse to continue to be a member in that class; or
(b) the right of a former member who held a general or extended certificate of registration as a registered nurse to have his or her certificate of registration reinstated. O. Reg. 212/00, s. 4 (2).
(2) Prior to January 1, 2005, the following are non-exemptible registration requirements for a general certificate of registration as a registered practical nurse:
1. The applicant,
i. must have graduated from a practical nurse or nursing assistant program in Ontario that was, at the time the applicant graduated,
A. approved by the Minister of Education and Training, in the case of a program offered by a college of applied arts and technology or a secondary school, or
B. approved by the Ministry of Health,
ii. must have graduated from a practical nurse or nursing assistant program in another province or territory in Canada that was, at the time the applicant graduated, accepted by the regulatory body for practical nurses or nursing assistants in that province or territory,
iii. must have graduated from a practical nurse or nursing assistant program outside Canada that the Registration Committee determines was, at the time the applicant graduated, equivalent to a practical nurse or nursing assistant program in Ontario that is currently approved in accordance with sub-subparagraph A or B of subparagraph i,
iv. must have graduated from a practical nurse or nursing assistant program outside Canada and, if the Registration Committee does not make the determination referred to in subparagraph iii with respect to the program, must also satisfy the Registration Committee that he or she has obtained additional practical nurse or nursing assistant education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the education provided by a practical nurse or nursing assistant program in Ontario that is currently approved in accordance with sub-subparagraph A or B of subparagraph i, or
v. must have graduated from one of the nursing programs referred to in paragraph 1 of subsection (1) or paragraph 1 of subsection (1.1) and must also satisfy the Registration Committee that he or she has obtained additional practical nurse or nursing assistant education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the preparation provided by a practical nurse or nursing assistant program in Ontario that is currently approved in accordance with sub-subparagraph A or B of subparagraph i.
2. At the time of successfully completing all other requirements for registration as a registered practical nurse in the general class or at the time of application, whichever is later, the applicant must satisfy the Registration Committee,
i. that he or she graduated from a program described in subparagraph i, ii or iii of paragraph 1 within the past five years,
ii. that he or she has no need for additional education or experience based on evidence of safe practice as a practical nurse or nursing assistant during the past five years, or
iii. that he or she has successfully completed the additional education or obtained the additional experience that the Registration Committee determines is necessary to enable him or her to practise safely as a practical nurse or nursing assistant in the future.
3. The applicant must have passed the examination for registration as a practical nurse or nursing assistant set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee. O. Reg. 275/94, s. 6 (2); O. Reg. 115/96, s. 4 (3); O. Reg. 212/00, s. 4 (3); O. Reg. 376/04, s. 1 (1).
(2.1) After December 31, 2004, the following are non-exemptible registration requirements for a general certificate of registration as a registered practical nurse:
1. The applicant,
i. must have received a diploma in practical nursing granted by a College of Applied Arts and Technology in Ontario whose program was, at the time the applicant graduated, approved by a body or bodies designated by the Council or by the Council itself,
ii. must have received a diploma in practical nursing granted in another province or territory in Canada that, at the time the applicant graduated, was, in the opinion of the Registration Committee, equivalent to the diploma described in subparagraph i,
iii. must have graduated prior to January 1, 2005 from a practical nursing program in another province or territory in Canada that was, at the time the applicant graduated, accepted by the regulatory body for practical nursing in that province or territory and been registered with that regulatory body or another regulatory body for practical nursing in a province or territory in Canada in an equivalent class prior to January 1, 2005,
iv. must have graduated from a practical nursing program outside Canada that the Registration Committee determines was, at the time the applicant graduated, equivalent to a practical nursing program in Ontario that is currently approved in accordance with subparagraph i,
v. must have graduated from a practical nursing program other than one referred to in subparagraph i, ii, iii or iv and must also satisfy the Registration Committee that he or she has obtained additional practical nursing education or experience that, together with the education provided by the practical nursing program from which he or she graduated, is equivalent to the education provided by a practical nursing program in Ontario that is currently approved in accordance with subparagraph i, or
vi. must have graduated from one of the nursing programs referred to in paragraph 1 of subsection (1) or paragraph 1 of subsection (1.1) and must also satisfy the Registration Committee that he or she has obtained additional practical nursing education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the preparation provided by a practical nursing program in Ontario that is currently approved in accordance with subparagraph i.
2. At the time of successfully completing all other requirements for registration as a registered practical nurse in the general class or at the time of application, whichever is later, the applicant must satisfy the Registration Committee,
i. that he or she graduated from a program described in subparagraph 1 i, ii, iii or iv within the past five years,
ii. that he or she has no need for additional education or experience based on evidence of safe practice as a practical nurse or nursing assistant during the past five years, or
iii. that he or she has successfully completed the additional education or obtained the additional experience that the Registration Committee determines is necessary to enable him or her to practise safely as a registered practical nurse in the general class in the future.
3. The applicant must have passed the examination for registration as a practical nurse set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee. O. Reg. 376/04, s. 1 (2).
(2.2) Subsection (2.1) applies to any application for a general certificate of registration as a registered practical nurse unless the applicant has met all of the requirements for the issuance of the certificate prior to January 1, 2005, in which case subsection (2) applies. O. Reg. 376/04, s. 1 (2).
(2.3) Subsection (2.1) shall not be interpreted to affect in any way,
(a) the right of a member who, on December 31, 2004, holds a general certificate of registration as a registered practical nurse to continue to be a member in that class; or
(b) the right of a former member who held a general certificate of registration as a registered practical nurse to have his or her certificate of registration reinstated. O. Reg. 376/04, s. 1 (2).
(3) The following are registration requirements for a general certificate of registration as a registered nurse or a registered practical nurse:
1. The applicant is able to demonstrate the ability to speak and write either English or French with reasonable fluency.
2. The applicant is a Canadian citizen or a permanent resident of Canada or authorized under the Immigration and Refugee Protection Act (Canada) to engage in the practice of nursing.
3. An applicant who graduated from a program referred to in subparagraph 1 ii, iii or iv of subsection (1) or (2) or a program referred to in subparagraph 1 ii, iv or v of subsection (1.1) or (2.1) must show,
i. in the case of an applicant for a certificate of registration as a registered nurse, proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the nursing program was located, or
ii. in the case of an applicant for a certificate of registration as a registered practical nurse, proof of registration or eligibility for registration as a registered practical nurse in the jurisdiction in which the practical nurse or nursing assistant program was located.
4. A registered practical nurse applicant who graduated from a nursing program referred to in subparagraph 1 v of subsection (2) or subparagraph 1 vi of subsection (2.1) must show proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the nursing program was located.
5. The applicant must not have been refused registration in the nursing profession in another jurisdiction. O. Reg. 275/94, s. 6 (3); O. Reg. 115/96, s. 4 (4, 5); O. Reg. 212/00, s. 4 (4); O. Reg. 376/04, s. 1 (3-5).
7. (1) A member holding a temporary certificate of registration for a particular membership class is entitled to a general certificate of registration of the same class if the member,
(a) passes the applicable examination for registration set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee; and
(b) meets the requirements of subsection 5 (1) and paragraph 2 of subsection 6 (3).
(2) A member holding a provisional certificate of registration for a particular membership class is entitled to a general certificate of registration of the same class if the member,
(a) passes the applicable examination for registration set by the Canadian Nurses Association or an examination approved as equivalent by the Registration Committee;
(b) applies for the general certificate of registration in accordance with subsection 3 (1);
(c) meets the requirements of subsection 5 (1) and paragraph 2 of subsection 6 (3); and
(d) satisfies the Registration Committee that he or she meets the requirements of,
(i) one of subparagraph i, ii or iii of paragraph 2 of subsection 6 (1) in the case of an applicant for a certificate of registration as a registered nurse, or
(ii) one of subparagraph i, ii or iii of paragraph 2 of subsection 6 (2) in the case of an applicant for a certificate of registration as a registered practical nurse. O. Reg. 275/94, s. 7.
8. A person who held a certificate of a particular membership class under Part IV of the Health Disciplines Act shall be deemed to meet the requirements set out in section 6 and shall be issued a general certificate of registration of the same membership class under the Act upon submission of the appropriate completed application form and payment of the required fee if,
(a) the person would have been entitled to renewal of the certificate under Part IV of the Health Disciplines Act on the day before proclamation of the Act; and
(b) on or before the day the person ceased to be a member under the Health Disciplines Act, the person was not the subject of any disciplinary or incapacity proceeding. O. Reg. 275/94, s. 8; O. Reg. 158/00, s. 2.
Temporary Certificates of Registration
9. (1) An application for a temporary certificate of registration consists of a completed application for a general certificate of registration as a registered nurse or a registered practical nurse, as appropriate. O. Reg. 275/94, s. 9 (1).
(2) The following are non-exemptible registration requirements for a temporary certificate of registration:
1. The applicant must not have previously held,
i. a temporary or provisional certificate of registration as a registered nurse, in the case of a registered nurse applicant, or
ii. a temporary or provisional certificate of registration as a registered practical nurse, in the case of a registered practical nurse applicant.
2. The applicant must meet the educational requirements for a general certificate of registration which are set out in,
i. paragraph 1 of subsection 6 (1), in the case of a registered nurse applicant who applies and satisfies all of the other requirements for a temporary certificate of registration prior to January 1, 2005 or paragraph 1 of subsection 6 (1.1) in the case of any other registered nurse applicant, or
ii. paragraph 1 of subsection 6 (2), in the case of a registered practical nurse applicant who applies and satisfies all of the other requirements for a temporary certificate of registration prior to January 1, 2005 or paragraph 1 of subsection 6 (2.1) in the case of any other registered practical nurse applicant.
3. The applicant must have a written offer of employment with an Ontario facility described in Schedule 1 or approved by the Registration Committee,
i. as a registered nurse in the case of an applicant for a certificate of registration as a registered nurse, or
ii. as a registered practical nurse in the case of an applicant for a certificate of registration as a registered practical nurse.
4. The applicant must sign an undertaking with the College in which the applicant agrees to observe any term, condition or limitation imposed by the Registration Committee. O. Reg. 275/94, s. 9 (2); O. Reg. 39/98, s. 4; O. Reg. 212/00, s. 5 (1); O. Reg. 376/04, s. 2 (1).
(3) The following are registration requirements for a temporary certificate of registration:
1. The applicant is able to demonstrate the ability to speak and write either English or French with reasonable fluency.
2. The applicant is a Canadian citizen or a permanent resident of Canada or authorized under the Immigration and Refugee Protection Act (Canada) to engage in the practice of nursing.
3. An applicant who graduated from a program referred to in subparagraph 1 ii, iii or iv of subsection 6 (1) or (2) or a program referred to in subparagraph 1 ii, iv or v of subsection 6 (1.1) or (2.1) must show,
i. in the case of an applicant for a certificate of registration as a registered nurse, proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the nursing program was located, or
ii. in the case of an applicant for a certificate of registration as a registered practical nurse, proof of registration or eligibility for registration as a registered practical nurse in the jurisdiction in which the practical nurse or nursing assistant program was located.
4. A registered practical nurse applicant who graduated from a nursing program referred to in subparagraph 1 v of subsection 6 (2) or subparagraph 1 vi of subsection 6 (2.1) must show proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the nursing program was located.
5. The applicant must not have been refused registration in the nursing profession in another jurisdiction.
6. An applicant for a certificate of registration as a registered nurse must satisfy the Registration Committee that within the year immediately preceding the date of his or her application, he or she,
i. graduated from a program described in subparagraph 1 i, ii or iii of subsection 6 (1) or a program described in subparagraph 1 i, ii, iii or iv of subsection 6 (1.1), or
ii. practised safely in nursing.
7. An applicant for a certificate of registration as a registered practical nurse must satisfy the Registration Committee that within the year immediately preceding the date of his or her application, he or she,
i. graduated from a program described in subparagraph 1 i, ii, iii or v of subsection 6 (2) or a program described in subparagraph 1 i, ii, iii, iv or vi of subsection 6 (2.1), or
ii. practised safely as a practical nurse, nursing assistant or nurse. O. Reg. 275/94, s. 9 (3); O. Reg. 115/96, s. 5 (2-4); O. Reg. 212/00, s. 5 (2, 3); O. Reg. 376/04, s. 2 (2-5).
(4) An applicant must meet all the applicable requirements for a temporary certificate within one year following the date of his or her application.
(5) The following are conditions of a temporary certificate of registration:
1. The member shall practise the profession only within the scope of his or her employment with the facility named in the certificate and in accordance with the terms, conditions and limitations set out in his or her certificate.
2. The member must be supervised by a member who holds a general certificate of registration.
3. The member shall not initiate or delegate controlled or authorized acts.
4. The member shall not perform a delegated controlled act.
5. The member shall not supervise another member in any class.
(6) Subject to any term, condition or limitation on his or her certificate of registration, a member may hold a temporary certificate of registration until the member receives a general certificate of registration, but not longer than one year from the day the member was notified that he or she qualified for a temporary certificate.
(7) If a member who holds a temporary certificate of registration does not receive a general certificate of registration before the end of the year following notification that he or she qualified for a temporary certificate, the member shall be deemed to have resigned at the end of the last day the temporary certificate is held by the member.
(8) The temporary certificate shall be suspended if the member’s employment in the facility named in the certificate is terminated.
(9) A suspension under subsection (8) may be lifted upon the applicant receiving a written offer of employment in accordance with paragraph 3 of subsection (2). O. Reg. 275/94, s. 9 (4-9).
Special Assignment Certificates of Registration
10. (1) The following are non-exemptible registration requirements for a special assignment certificate of registration as a registered nurse:
1. The applicant must satisfy the Registration Committee that he or she,
i. has successfully completed a nursing program that was recognized or approved in the jurisdiction in which the program was offered as qualifying the applicant to practise in that jurisdiction,
ii. has practised safely in nursing within the five years immediately preceding the date of application,
iii. has not previously been registered with the College as a registered nurse except as the holder of a special assignment certificate,
iv. has not previously held a special assignment certificate for the same assignment or appointment approved by the Registration Committee,
v. has an appointment or special assignment as a registered nurse with an Ontario facility described in Schedule 1 or another assignment approved by the Registration Committee.
2. The applicant must sign an undertaking with the College in which the applicant agrees to observe any term, condition or limitation imposed by the Registration Committee. O. Reg. 275/94, s. 10 (1); O. Reg. 115/96, s. 6 (2); O. Reg. 39/98, s. 5 (1).
(2) The following are non-exemptible registration requirements for a special assignment certificate of registration as a registered practical nurse:
1. The applicant must satisfy the Registration Committee that he or she,
i. has successfully completed a practical nurse or nursing assistant program that was recognized or approved in the jurisdiction in which the program was offered as qualifying the applicant to practise in that jurisdiction,
ii. has practised safely as a practical nurse or nursing assistant within the five years immediately preceding the date of application,
iii. has not previously been registered with the College as a registered practical nurse or registered nursing assistant except as the holder of a special assignment certificate,
iv. has not previously held a special assignment certificate for the same assignment or appointment approved by the Registration Committee,
v. has an appointment or special assignment as a registered practical nurse with an Ontario facility described in Schedule 1 or another assignment approved by the Registration Committee.
2. The applicant must sign an undertaking with the College in which the applicant agrees to observe any term, condition or limitation imposed by the Registration Committee. O. Reg. 275/94, s. 10 (2); O. Reg. 115/96, s. 6 (3); O. Reg. 39/98, s. 5 (2).
(3) The following are registration requirements for a special assignment certificate of registration:
1. The applicant is able to demonstrate the ability to speak and write either English or French with reasonable fluency.
2. An applicant who graduated from a program referred to in subparagraph i of paragraph 1 of subsection (1) or (2) must show,
i. in the case of an applicant for a certificate of registration as a registered nurse, proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the nursing program was located, or
ii. in the case of an applicant for a certificate of registration as a registered practical nurse, proof of registration or eligibility for registration as a registered practical nurse in the jurisdiction in which the practical nurse or nursing assistant program was located.
3. The applicant must not have been refused registration in the nursing profession in another jurisdiction. O. Reg. 275/94, s. 10 (3); O. Reg. 115/96, s. 6 (4).
(4) It is a condition of a special assignment certificate of registration that the member practise the profession only within the scope of his or her appointment or special assignment with the facility named in the certificate and within the terms, conditions and limitations set out in his or her certificate.
(5) A special assignment certificate expires on the earliest of the following:
1. The date specified in the certificate.
2. The last day of the appointment or special assignment.
3. The day that is one year after the day the member was notified that he or she qualified for a special assignment certificate.
(6) If a member who holds a special assignment certificate of registration does not receive a certificate of another class before the expiry of the certificate, he or she shall be deemed to have resigned at the end of the last day the certificate is valid. O. Reg. 275/94, s. 10 (4-6).
Provisional Certificates of Registration
11. (1) The following are non-exemptible registration requirements for a provisional certificate of registration as a registered nurse:
1. The applicant must satisfy the Registration Committee that,
i. the applicant has successfully completed a nursing program that was recognized or approved in the jurisdiction in which the program was offered as qualifying the applicant to practise in that jurisdiction,
ii. the applicant has been continuously employed in nursing in Ontario and has practised safely in a graduate nurse capacity for at least five years immediately preceding May 15, 1993.
2. The applicant must not have previously been registered with the College.
3. The applicant must have applied for a provisional certificate of registration as a registered nurse on or before January 31, 1994.
4. The applicant must sign an undertaking with the College in which the applicant agrees to observe any term, condition or limitation imposed by the Registration Committee.
(2) The following are registration requirements for a provisional certificate of registration as a registered nurse:
1. The applicant is employed in nursing in a graduate nurse capacity in Ontario on the date the application is submitted.
2. The applicant is a Canadian citizen or a permanent resident of Canada or authorized under the Immigration Act (Canada) to engage in the practice of nursing.
(3) The following are non-exemptible registration requirements for a provisional certificate of registration as a registered practical nurse:
1. The applicant must satisfy the Registration Committee that,
i. the applicant has successfully completed a practical nurse or nursing assistant program that was recognized or approved in the jurisdiction in which the program was offered as qualifying the applicant to practise in that jurisdiction,
ii. the applicant has been continuously employed in nursing in Ontario and has practised safely in a graduate nursing assistant capacity for at least five years immediately preceding May 15, 1993.
2. The applicant must not have previously been registered with the College.
3. The applicant must have applied for a provisional certificate of registration as a registered practical nurse on or before January 31, 1994.
4. The applicant must sign an undertaking with the College in which the applicant agrees to observe any term, condition or limitation imposed by the Registration Committee.
(4) The following are registration requirements for a provisional certificate of registration as a registered practical nurse:
1. The applicant is employed in nursing in a graduate nursing assistant capacity in Ontario on the date the application is submitted.
2. The applicant is a Canadian citizen or a permanent resident of Canada or authorized under the Immigration Act (Canada) to engage in the practice of nursing.
(5) The following are conditions of a provisional certificate of registration:
1. The member shall practise the profession only in accordance with the terms, conditions and limitations set out in the certificate.
2. A member shall not initiate or delegate controlled or authorized acts.
3. A member shall not perform a delegated controlled act.
(6) A provisional certificate of registration expires on the earliest of the following:
1. The day that is three years after the day it was issued.
2. The day that is three years after the day the member was notified of the contents of the undertaking referred to in paragraph 4 of subsection (1) or (3).
3. The day on which the member is issued a general certificate of registration in accordance with subsection 7 (2).
(7) If a member who holds a provisional certificate of registration does not receive a general certificate of registration before the expiry of the provisional certificate, he or she shall be deemed to have resigned at the end of the last day the provisional certificate is valid. O. Reg. 275/94, s. 11.
Extended Certificates of Registration
11.1 (1) The following are non-exemptible registration requirements for an extended certificate of registration as a registered nurse:
1. The applicant,
i. must hold or have held a general certificate of registration as a registered nurse, issued by the College, or
ii. must satisfy the Registration Committee,
A. that he or she meets the registration requirements for a general certificate of registration as a registered nurse as set out in paragraphs 1 and 3 of subsection 6 (1) or (1.1), or
B. that the applicant graduated from a program of nursing prior to January 1, 2005 and that, had the applicant applied prior to January 1, 2005, he or she would have met the registration requirements for a general certificate of registration as a registered nurse.
2. The applicant,
i. must have graduated from an Ontario university program for preparing registered nurses in the extended class that was, at the time the applicant graduated, approved by the Council of Ontario University Programs in Nursing and by the Senate or Governing Council of the university that offered the program,
ii. must have graduated from a nursing program that the Registration Committee determines was, at the time the applicant graduated, equivalent to an Ontario university program for preparing registered nurses in the extended class that is currently approved by the Council of Ontario University Programs in Nursing and by the Senate or Governing Council of the university offering the program, or
iii. must have graduated from a nursing program and, if the Registration Committee does not make the determination mentioned in paragraph ii with respect to the program, must also satisfy the Registration Committee that he or she has obtained additional nursing education or experience that, together with the education provided by the nursing program from which he or she graduated, is equivalent to the education provided by an Ontario university program for preparing registered nurses in the extended class that is currently approved by the Council of Ontario University Programs in Nursing and by the Senate or Governing Council of the university offering the program.
3. At the time of successfully completing all other requirements for registration as a registered nurse in the extended class or at the time of application, whichever is later, the applicant must,
i. undergo an assessment of the applicant’s competence in a form provided by the Registration Committee,
ii. successfully complete an examination and evaluation set by the Registration Committee, and
iii. satisfy the Registration Committee that, during the past five years,
A. he or she has practised nursing for at least two years,
B. his or her nursing practice was performed safely, and
C. for at least one of those years, he or she practised in a nursing role that required him or her to use advanced knowledge and decision-making skills in assessment, diagnosis and health care management. O. Reg. 39/98, s. 6; O. Reg. 212/00, s. 6 (1).
(2) The following are registration requirements for an extended certificate of registration as a registered nurse:
1. The applicant is able to demonstrate the ability to speak and write either English or French with reasonable fluency.
2. The applicant is a Canadian citizen or a permanent resident of Canada or authorized under the Immigration Act (Canada) to engage in the practice of nursing.
3. An applicant who graduated from a program referred to in subparagraph ii, iii or iv of paragraph 1 of subsection 6 (1) or a program referred to in subparagraph 1 ii, iv or v of subsection 6 (1.1) must show proof of registration or eligibility for registration as a registered nurse in the jurisdiction in which the program was located.
4. An applicant who graduated from a program referred to in subparagraph ii or iii of paragraph 2 of subsection (1) must, if the program was located outside Ontario, show proof of registration, or eligibility for registration, as the equivalent of a registered nurse in the extended class, in the jurisdiction in which the program was located.
5. The applicant must not have been refused registration in the nursing profession in another jurisdiction. O. Reg. 39/98, s. 6; O. Reg. 212/00, s. 6 (2).
(3) If an applicant for a certificate of registration in the extended class fails to successfully complete the examination and evaluation referred to in subparagraph ii of paragraph 3 of subsection (1), the applicant must, as an additional registration requirement, successfully complete such additional education and obtain such additional training and experience as the Registration Committee determines is necessary to enable the applicant to practise safely as a registered nurse in the extended class, before resubmitting to the examination and evaluation referred to in subparagraph ii of paragraph 3 of subsection (1). O. Reg. 39/98, s. 6.
12. (1) The College shall ensure that the examination that is a requirement for a general certificate of registration in each of the membership classes is held in Ontario at least once a year. O. Reg. 406/04, s. 1.
(2) A person who meets the following requirements is entitled to take the examination that is a requirement for a general certificate of registration as a registered nurse:
1. The person must file a completed examination application form with the College at least 90 days before the day of the examination.
2. The person must pay the required examination fee to the College at least 90 days before the day of the examination.
3. The person must have successfully completed a registered nursing program that is acceptable to the College.
4. The person must not be ineligible to take the examination as a result of subsection (4). O. Reg. 406/04, s. 1.
(3) A person who meets the following requirements is entitled to take the examination that is a requirement for a general certificate of registration as a registered practical nurse:
1. The person must file a complete examination application form with the College at least 90 days before the day of the examination.
2. The person must pay the required examination fee to the College at least 90 days before the day of the examination.
3. The person must have successfully completed a registered nursing program, registered practical nursing program or registered nursing assistant program that is acceptable to the College.
4. The person must not be ineligible to take the examination as a result of subsection (4). O. Reg. 406/04, s. 1.
(4) A person is ineligible to take the examination if any of the following applies:
1. The person has already successfully completed an examination, the successful completion of which fulfils the examination requirement for a general certificate of registration in that membership class.
2. In the case of a person who, before the coming into force of Ontario Regulation 406/04, had applied for registration and had been provided with a decision of the Registration Committee respecting his or her eligibility to take an examination that is the requirement for a general certificate of registration in that membership class, if he or she is no longer eligible under the terms of that decision.
3. In the case of a person other than a person to whom paragraph 2 applies, if the person has failed, on three or more previous occasions, an examination which, if successfully completed, would have met the requirement for a general certificate of registration in that membership class. O. Reg. 406/04, s. 1.
(5) A decision of the Registration Committee mentioned in paragraph 2 of subsection (4), or an examination mentioned in paragraph 1 or 3 of subsection (4), shall not be considered for the purposes of subsection (4) if the decision was made or the examination taken before successful completion of a program mentioned in paragraph 3 of subsection (2), in the case of a person applying for a general certificate as a registered nurse, or a program mentioned in paragraph 3 of subsection (3), in the case of a person applying for a general certificate as a registered practical nurse. O. Reg. 406/04, s. 1.
12.1 (1) The following are registration requirements for a retired certificate of registration as a registered nurse:
1. The applicant must,
i. be 65 years of age or older,
ii. be a member of the College holding a general or extended class certificate of registration as a registered nurse or have previously been a member of the College holding a general or extended class certificate of registration as a registered nurse,
iii. not have been found guilty of a criminal offence or offence under the Controlled Drugs and Substances Act (Canada) or the Food and Drugs Act (Canada),
iv. in the case of an applicant who was not a member at the time of the application, not have resigned or otherwise ceased to be a member of the College at a time when,
A. the member was in default of payment of fees,
B. the member was the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction whether in relation to the nursing profession or another health profession,
C. the member was the subject of an outstanding order of a Committee, a panel of a Committee or a board of inquiry of the College,
D. the member was in breach of an order of a Committee, a panel of a Committee or a board of inquiry of the College,
E. the member was in violation of a decision of a panel of the Complaints Committee requiring the member to attend to be cautioned,
F. the member was the subject of an ongoing inquiry or investigation by the Registrar, a Committee, a panel of a Committee or a board of inquiry of the College, and
v. in the case of an applicant who, at the time of the application, is a member,
A. not be in default of payment of fees,
B. not be the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction whether in relation to the nursing profession or another health profession,
C. not be the subject of an outstanding order of a Committee, a panel of a Committee or a board of inquiry of the College,
D. not be in breach of an order of a Committee, a panel of a Committee or a board of inquiry of the College,
E. not be in violation of a decision of a panel of the Complaints Committee requiring the member to attend to be cautioned,
F. not be the subject of an ongoing inquiry or investigation by the Registrar, a Committee, a panel of a Committee or a board of inquiry of the College.
(2) The following are registration requirements for a retired certificate of registration as a registered practical nurse:
1. The applicant must,
i. be 65 years of age or older,
ii. be a member of the College holding a general class certificate of registration as a registered practical nurse or have previously been a member of the College holding a general class certificate of registration as a registered practical nurse,
iii. not have been found guilty of a criminal offence or offence under the Controlled Drugs and Substances Act (Canada) or the Food and Drugs Act (Canada),
iv. in the case of an applicant who was not a member at the time of the application, not have resigned or otherwise ceased to be a member of the College at a time when,
A. the member was in default of payment of fees,
B. the member was the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction whether in relation to the nursing profession or another health profession,
C. the member was the subject of an outstanding order of a Committee, a panel of a Committee or a board of inquiry of the College,
D. the member was in breach of an order of a Committee, a panel of a Committee or a board of inquiry of the College,
E. the member was in violation of a decision of a panel of the Complaints Committee requiring the member to attend to be cautioned,
F. the member was the subject of an ongoing inquiry or investigation by the Registrar, a Committee, a panel of a Committee or a board of inquiry of the College, and
v. in the case of an applicant who, at the time of the application, is a member,
A. not be in default of payment of fees,
B. not be the subject of proceedings for professional misconduct, incompetence or incapacity, whether in Ontario or in another jurisdiction whether in relation to the nursing profession or another health profession,
C. not be the subject of an outstanding order of a Committee, a panel of a Committee or a board of inquiry of the College,
D. not be in breach of an order of a Committee, a panel of a Committee or a board of inquiry of the College,
E. not be in violation of a decision of a panel of the Complaints Committee requiring the member to attend to be cautioned,
F. not be the subject of an ongoing inquiry or investigation by the Registrar, a Committee, a panel of a Committee or a board of inquiry of the College.
(3) The registration requirement in subparagraphs 1 i and ii of subsection (1) and subparagraphs 1 i and ii of subsection (2) are non-exemptible.
(4) The following are conditions of a retired certificate of registration as a registered nurse or as a registered practical nurse:
1. The member shall not practise the profession of nursing.
2. Except as permitted by subsection 29 (1) of the Regulated Health Professions Act, 1991, the member shall not perform a controlled act, including one which is delegated.
3. The member shall not hold himself or herself out as a person qualified to practise in Ontario as a nurse, registered nurse, practical nurse, registered practical nurse or in any speciality of nursing.
4. The member shall be restricted to the use of the following title:
i. in the case of a holder of a retired certificate of registration as a registered nurse, “Registered Nurse, Retired”, “RN Retired” or an equivalent in another language, or
ii. in the case of a holder of a retired certificate of registration as a registered practical nurse, “Registered Practical Nurse, Retired”, “RPN Retired” or an equivalent in another language.
5. If no annual fee is payable by the member, the member shall confirm when requested by the College that he or she wishes to continue to be the holder of a retired certificate of registration.
(5) Any certificate of registration held by the member shall automatically be revoked immediately upon the issuance of a retired certificate of registration.
(6) A member holding a retired certificate of registration as a registered nurse or as a registered practical nurse shall be entitled to the reinstatement of the general or extended class certificate which the member previously held upon the approval of and subject to any terms, conditions and limitations which the Registration Committee considers appropriate. O. Reg. 212/00, s. 8.
13. (1) If the Executive Director suspends a member’s certificate of registration for failure to pay the annual fee, the Executive Director shall lift the suspension upon the payment of,
(a) if the suspension is to be lifted in the year in which the suspension occurred,
(i) the prescribed or required penalty for failure to pay the fee,
(ii) the annual fee, and
(iii) the required reinstatement fee; or
(b) if the suspension is to be lifted in a year after the year in which the suspension occurred,
(i) the annual fee for the year in which the suspension is lifted, and
(ii) the required reinstatement fee. O. Reg. 275/94, s. 13 (1); O. Reg. 158/00, s. 4 (1-3).
(2) A member whose certificate of registration was suspended for reasons other than non-payment and who has satisfied the conditions for removing the suspension shall be reinstated upon payment of,
(a) the annual fee for the year of reinstatement; and
(b) the required reinstatement fee. O. Reg. 275/94, s. 13 (2); O. Reg. 158/00, s. 4 (4).
(3) A member who applies for a certificate of registration after having had his or her certificate revoked for cause shall be reinstated upon payment of,
(a) the annual fee for the year of reinstatement; and
(b) the required reinstatement fee. O. Reg. 275/94, s. 13 (3); O. Reg. 158/00, s. 4 (5).
14. All procedures on tissue below the dermis or below the surface of a mucous membrane are prescribed for the purpose of paragraph 1 of section 4 of the Act. O. Reg. 115/96, s. 10.
15. (1) For the purpose of clause 5 (1) (a) of the Act, a registered nurse in the general class may perform a procedure set out in subsection (4) if he or she meets all of the conditions set out in subsection (5). O. Reg. 115/96, s. 10.
(2) For the purpose of clause 5 (1) (a) of the Act, any member may perform a procedure set out in subsection (4) if the procedure is ordered by a registered nurse in the general class or a registered nurse in the extended class.
(3) No registered nurse in the general class and no registered nurse in the extended class shall order a procedure set out in subsection (4) unless he or she meets all of the conditions set out in subsection (5). O. Reg. 39/98, s. 9.
(4) The following are the procedures referred to in subsections (1), (2) and (3):
1. With respect to the care of a wound below the dermis or below a mucous membrane, any of the following procedures:
i. cleansing,
ii. soaking,
iii. irrigating,
iv. probing,
v. debriding,
vi. packing,
vii. dressing.
2. Venipuncture to establish peripheral intravenous access and maintain patency, using a solution of normal saline (0.9 per cent), in circumstances in which,
i. the individual requires medical attention, and
ii. delaying venipuncture is likely to be harmful to the individual.
3. A procedure that, for the purpose of assisting an individual with health management activities, requires putting an instrument,
i. beyond the point in the individual’s nasal passages where they normally narrow,
ii. beyond the individual’s larynx, or
iii. beyond the opening of the individual’s urethra.
4. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument or finger,
i. beyond the individual’s anal verge, or
ii. into an artificial opening into the individual’s body.
5. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument, hand or finger beyond the individual’s labia majora.
(5) The following are the conditions referred to in subsections (1) and (3):
1. The registered nurse has the knowledge, skill and judgment to perform the procedure safely, effectively and ethically.
2. The registered nurse has the knowledge, skill and judgment to determine whether the individual’s condition warrants performance of the procedure.
3. The registered nurse determines that the individual’s condition warrants performance of the procedure, having considered,
i. the known risks and benefits to the individual of performing the procedure,
ii. the predictability of the outcome of performing the procedure,
iii. the safeguards and resources available in the circumstances to safely manage the outcome of performing the procedure, and
iv. other relevant factors specific to the situation.
4. The registered nurse accepts sole accountability for determining that the individual’s condition warrants performance of the procedure. O. Reg. 115/96, s. 10.
16. Sections 14 and 15 do not authorize a member to prescribe a drug as defined in subsection 117 (1) of the Drug and Pharmacies Regulation Act. O. Reg. 115/96, s. 10.
17. For the purpose of clause 5 (1) (a) of the Act, a registered nurse in the extended class may perform any of the following procedures if he or she meets all of the conditions set out in subsection 15 (5):
1. With respect to the care of a wound below the dermis or below the surface of a mucous membrane, any of the following procedures:
i. cleansing,
ii. soaking,
iii. irrigating,
iv. probing,
v. debriding,
vi. packing,
vii. dressing,
viii. suturing, except below the fascia and except in cases in which there may be underlying damage.
2. Venipuncture to establish peripheral intravenous access.
3. Venipuncture to obtain a blood sample for a test set out in Appendix C of Regulation 682 of the Revised Regulations of Ontario, 1990 (Laboratories) made under the Laboratory and Specimen Collection Centre Licensing Act.
4. A procedure that, for the purpose of assessing or treating an individual or assisting an individual with health management activities, requires putting an instrument,
i. beyond the point in the individual’s nasal passages where they normally narrow,
ii. beyond the individual’s larynx, or
iii. beyond the opening of the individual’s urethra.
5. A procedure that, for the purpose of assessing or treating an individual, assisting an individual with health management activities or making a diagnosis with respect to an individual, requires putting an instrument or finger,
i. beyond the individual’s anal verge, or
ii. into an artificial opening into the individual’s body.
6. A procedure that, for the purpose of assessing or treating an individual, assisting an individual with health management activities or making a diagnosis with respect to an individual, requires putting an instrument, hand or finger beyond the individual’s labia majora. O. Reg. 39/98, s. 10.
18. For the purposes of paragraph 2 of subsection 5.1 (1) of the Act, the application of sound-waves for diagnostic ultrasound of the abdomen, pelvis and breast may be ordered by a registered nurse in the extended class. O. Reg. 39/98, s. 10.
19. (1) For the purposes of paragraph 3 of subsection 5.1 (1) of the Act, the following drugs are designated:
1. An immunizing agent set out in Schedule 2.
2. A drug set out in Schedule 3.
3. Any drug that may lawfully be purchased or acquired without a prescription.
(2) If circumstances are set out opposite a drug set out in Schedule 3, a registered nurse in the extended class shall only prescribe the drug under paragraph 2 of subsection (1) in those circumstances. O. Reg. 39/98, s. 10.
20. For the purposes of subsection 5.1 (2) of the Act, the prescribed standards of practice respecting consultation with members of other health professions shall be those set out in the publication of the College entitled “Standards of Practice for Registered Nurses who hold an extended class certificate of registration”, as that publication exists and is amended from time to time by the College. O. Reg. 39/98, s. 10.
21. (1) In this Part,
“assessor” means an assessor appointed under section 81 of the Health Professions Procedural Code;
“Committee” means the Quality Assurance Committee of the College. O. Reg. 39/98, s. 11.
(2) This Part does not apply to members holding a certificate of registration in a retired class. O. Reg. 212/00, s. 9.
22. The quality assurance program shall be administered by the Committee and shall consist of,
(a) reflective practice requirements;
(b) maintenance of records;
(c) the assessment of members’ competence to practise;
(d) remediation; and
(e) the monitoring of members’ participation in, and compliance with, the program. O. Reg. 39/98, s. 11.
23. (1) Any of the powers of the Committee under this Part may be exercised by a panel of the Committee appointed under this section.
(2) The chair of the Committee may select a panel of at least three members among the members of the Committee.
(3) A panel shall include,
(a) at least one member who is both a member of the Council and a member of the College; and
(b) at least one person who is a member of the Council appointed to the Council by the Lieutenant Governor in Council. O. Reg. 39/98, s. 11.
Reflective Practice Requirements
24. (1) As part of the quality assurance program, every member shall on an annual basis complete the following reflective practice requirements:
1. Complete a personal assessment of the member’s practice.
2. Obtain feedback with respect to the member’s practice from a peer of his or her choice.
3. Evaluate the results of the implementation of the previous year’s learning plan.
4. Develop a learning plan for the current year, based on the information obtained from the personal assessment and the peer feedback and on the evaluation referred to in paragraph 3.
5. Implement the learning plan.
(2) A member shall complete the reflective practice requirements in accordance with the standards of practice published by the College and provided to each member. O. Reg. 39/98, s. 11.
25. (1) Every member shall,
(a) maintain records relating to the member’s ongoing education, practice, professional development and reflective practice, in accordance with the standards of practice published by the College and provided to each member;
(b) make the reflective practice records available to the Committee or to an assessor on request; and
(c) provide to the Committee or to an assessor such additional information respecting the ongoing education, practice and professional development as the Committee or the assessor may require.
(2) Every member shall complete and submit to the College, at the time of the payment of the annual fee and at such other times as may be required by the Committee, a declaration that he or she has maintained his or her records as required under clause (1) (a).
(3) The Committee may request that a member submit the records referred to in clause (1) (a) to the Committee for its review.
(4) A member who receives a request under subsection (3) shall submit the records within a reasonable time.
(5) If a member’s reflective practice records are requested by the Committee, the records shall not be provided to or available to the Complaints Committee or Executive Committee and shall not be used against the member in a proceeding before the Discipline Committee or the Fitness to Practise Committee.
(6) If, after having reviewed a member’s records and any submission made under section 28, the Committee finds that a member has not prepared his or her records in accordance with this section, the Committee may,
(a) give the member an opportunity to complete the records; or
(b) direct the member to complete the records.
(7) A member who is directed by the Committee to complete records shall do so within a reasonable time. O. Reg. 39/98, s. 11.
Competence Assessments and Remediation
26. (1) The Committee may require a member to undergo an assessment of his or her knowledge, skills and judgment if,
(a) the Committee or panel has reasonable grounds to believe that the member’s knowledge, skills or judgment may be unsatisfactory; or
(b) the member is selected for an assessment in accordance with the Committee’s practice of random selections for assessment.
(2) If a member undergoes an assessment as required under subsection (1), the assessor shall submit to the Committee a written report of the assessment.
(3) In a report under subsection (2), the assessor shall advise as to whether remediation could correct any inadequacies in the member’s knowledge, skills or judgment and shall make recommendations as to the appropriate remedial measures for the member.
(4) Upon receiving a report under subsection (2), the Committee shall give the member who is the subject of the report,
(a) a copy of the report; and
(b) notice of his or her right to give the Committee a written response with respect to the assessor’s report within 14 days of the receipt of the notice.
(5) A member who receives a copy of an assessor’s report under subsection (4) may submit a written response to the report to the Committee within 14 days of the receipt of the notice.
(6) A Committee may, after having considered an assessor’s report and any response from the member,
(a) give the member an opportunity to address the recommendations made in the report;
(b) recommend that the member undertake a specified remedial measure;
(c) direct the member to take a specified remedial measure;
(d) if the Committee is satisfied that the member’s skills, knowledge and judgment are unsatisfactory, direct the Executive Director to impose terms, conditions or limitations on the member’s certificate of registration for a specified period not exceeding six months.
(7) The remedial measures that an assessor or the Committee may recommend or that the Committee may require under this section may include,
(a) the completion by the member of specified learning activities such as education programs, refresher programs, continuing education programs, workshops, counselling or review of journal literature, in collaboration with a colleague or mentor;
(b) that the member practice only in settings that provide regular opportunities for a mentor or a peer to observe the member and provide advice to the member; and
(c) the submission of a report by the member and, if applicable, by the peer or mentor to the assessor attesting to the outcome of the learning or remediation measures.
(8) If a member fails to undergo an assessment as required under subsection (1) or fails to undertake or to successfully complete the specified remedial measure required by the Committee under clause (6) (c), the Committee may direct the Executive Director to impose terms, conditions or limitations on the member’s certificate of registration for a specified period not exceeding six months.
(9) The Committee may direct the Executive Director to remove a term, condition or limitation imposed on a member’s certificate of registration under subsection (8) before the end of the specified period if the Committee is satisfied that the term, condition or limitation is no longer required. O. Reg. 39/98, s. 11.
27. (1) Every member who is issued a certificate of registration in the extended class shall, at the end of his or her first three years or first 1800 hours of practice as a registered nurse in the extended class, whichever occurs first, undergo an assessment of his or her knowledge, skills and judgment to ensure that the member is competent to practise as a registered nurse in the extended class.
(2) Subsections 26 (2) to (9) apply with necessary modifications to an assessment carried out under this section.
(3) In carrying out an assessment under this section, the assessor shall,
(a) ensure that the member has established an appropriate network for consultation with members of other health professions;
(b) ensure that the member has complied with the consultation indicators required in the standards of practice published by the College and provided to the members; and
(c) review the evaluation prepared by the member, in the form provided by the College, of his or her first 1800 hours of practice or first three years of practice, as the case may be. O. Reg. 39/98, s. 11.
28. (1) The Committee shall give a member notice in writing of its intention,
(a) to review the members records under section 25;
(b) to require a member to undergo a competence assessment under subsection 26 (1); and
(c) to direct the Executive Director to impose a term, condition or limitation on the member’s certificate of registration under clause 26 (6) (d) or subsection 26 (8).
(2) A notice given under subsection (1) shall inform the member of his or her right to make a written submission to the Committee within 14 days of receiving the notice.
(3) A member who receives a notice under this section may give the Committee a written submission with respect to the Committee’s intended action within 14 days of receiving the notice.
(4) The Committee may permit a member to appear before the Committee and make an oral submission if,
(a) the member has received notice that the Committee intends to direct the Executive Director to impose a term, condition or limitation on the member’s certificate of registration; and
(b) the submission is likely to be of assistance to the Committee. O. Reg. 39/98, s. 11.
Monitoring Members’ Compliance
29. The Committee shall ensure that members participate in the quality assurance program in accordance with this regulation and comply with the requirements of the various components of the program. O. Reg. 39/98, s. 11.
Approved Charitable Homes for the Aged under the Charitable Institutions Act
Boards under the Education Act
Boards of Health under the Health Protection and Promotion Act
Homes for the Aged under the Homes for the Aged and Rest Homes Act
Independent Health Facilities under the Independent Health Facilities Act
Psychiatric Facilities under the Mental Health Act
Designated Institutions under the Mental Hospitals Act
Nursing Homes under the Nursing Homes Act
Public Hospitals under the Public Hospitals Act
Agencies, Boards and Commissions as defined by the Government of Ontario
Institutions funded by the Minister of Health as Community Health Centres (CHCs), Health Services Organizations (HSOs) or Comprehensive Health Organizations (CHOs)
Post Secondary Educational Institutions
O. Reg. 275/94, Sched.; O. Reg. 39/98, s. 12.
Diphtheria and tetanus toxoids (DT)
Diphtheria and tetanus toxoids and pertussis vaccine (DPT)
Diphtheria and tetanus toxoids and polio vaccine (DT — polio)
Diphtheria and tetanus toxoids and pertussis and polio vaccines (DPT — polio)
Diphtheria and tetanus toxoids and pertussis and haemophilus b vaccines (DPT — Hib)
Diphtheria and tetanus toxoids and pertussis, polio and haemophilus b vaccines (DPT — polio + Hib)
Haemophilus b vaccine (Hib)
Hepatitis A vaccine (inactivated)
Hepatitis B immune globulin
Hepatitis B vaccine
Inactivated polio vaccine
Influenza vaccine
Measles, mumps and rubella vaccine (MMR)
Measles vaccine
Meningococcal vaccine
Mumps vaccine
Pertussis vaccine
Pneumococcal vaccine
Rh (D) immune globulin
Rubella vaccine
Tetanus toxoid
Tetanus and diphtheria toxoids (Td)
Tetanus and diphtheria toxoids and polio vaccine (Td — polio)
Tetanus Immune Globulin
Varicella virus vaccine
O. Reg. 39/98, s. 13; O. Reg. 472/01, s. 1.
Acarbose — for renewal only
Acetic acid/benzethonium chloride/hydrocortisone compound
Acyclovir (oral)
Acyclovir (topical preparation)
Alendronate sodium — for renewal only
Amantadine hydrochloride
Amlodipine besylate — for renewal only
Amoxicillin
Amoxicillin and clavulanate
Aqueous procaine penicillin G — for the purpose of treating sexually transmitted diseases
Atenolol — for renewal only
Azithromycin
Beclomethasone dipropionate (inhalation) — for renewal only
Benzathine penicillin G — for the purpose of treating sexually transmitted diseases
Benzoyl peroxide
Betamethasone sodium phosphate and gentamicin sulfate otic solution
Betamethasone valerate
Budesonide — for renewal only
Cefixime — for the purpose of treating sexually transmitted diseases
Cefprozil
Ceftriaxone sodium — for the purpose of treating sexually transmitted diseases
Cefuroxime axetil (oral)
Celecoxib — for renewal only
Cephalexin
Ciprofloxacin HCI
Ciprofloxacin HC (otic)
Clarithromycin (oral)
Clindamycin (oral)
Clindamycin (topical preparation)
Clindamycin phosphate (vaginal cream)
Cloxacillin (oral preparation)
Collagenase
Condylline
Conjugated Estrogens
Conjugated Estrogens and medroxyprogesterone acetate
Cyanocobalamin (Vitamin B12)
Desogesterol and ethinyl estradiol
Dextrose 50 per cent (injectable preparation) — in an emergency
Diazepam (injectable preparation) — in an emergency
Diclofenac sodium and misoprostol
Dienestrol
Diltiazem — for renewal only
Diphenhydramine hydrochloride (injectable preparation) — in an emergency
Doxycycline hyclate
Doxylamine succinate and pyridoxine hydrochloride
Econazole
Enalapril maleate — for renewal only
Epinephrine
Epinephrine hydrochloride (injectable preparation) — in an emergency
Erythromycin and benzoyl peroxide
Erythromycin and tretinoin
Erythromycin base
Erythromycin estolate
Erythromycin ethylsuccinate
Erythromycin ethylsuccinate/sulfisoxazole acetyl
Erythromycin stearate
Erythromycin with ethyl alcohol lotion
Estradiol-17 beta (micronized)
Estradiol-17 beta (transdermal)
Estradiol-17 beta (Silastic ring)
Estropipate (piperazine estrone sulfate)
Estradiol-17 beta hemihydrate
Estradiol-17 beta norethindrone acetate
Estrone (cone or cream)
Ethinyl estradiol and cyproterone acetate
Ethinyl estradiol and ethynodiol diacetate
Ethinyl estradiol and levonorgestrel
Ethinyl estradiol and norethindrone
Ethinyl estradiol and norethindrone acetate
Ethinyl estradiol and norgestimate
Ethinyl estradiol and norgestrel
Etidronate disodium/calcium carbonate — for renewal only
Famciclovir
Fluconazole (oral) — for renewal only
Flunisolide
Fluocinolone acetonide
Flumethasone pivalate/clioquinol compound
Fluticasone propionate (inhalation) — for renewal only
Fluticasone propionate (nasal)
Folic acid
Formoterol fumarate dihydrate — for renewal only
Framycetin sulphate
Framycetin sulphate/gramicidin/dexamethasone compound otic solution
Furosemide — for renewal only
Fusidic acid (topical preparation)
Gentamicin sulphate (otic, ophthalmic and topical)
Gliclazide — for renewal only
Glyburide — for renewal only
Haloperidol — for chronic nausea in palliation
Hydrochlorothiazide — for renewal only
Hydrocortisone (topical preparation)
Hydrocortisone-17-valerate
Hydroxyzine hydrochloride (oral preparation)
Ibuprofen
Imiquimod
Ipatropium bromide — for renewal only
Ipratropium bromide (inhaler or nebulizer solution) — in an emergency
Ipatropium bromide/salbutamol sulfate — for renewal only
Ketoconazole (topical)
Ketoprofen
Lidocaine hydrochloride 1 per cent and 2 per cent, with or without epinephrine (local anaesthetic)
Levocabastine HCl
Levonorgestrel
Levonorgestrel releasing intrauterine system
Levothyroxine sodium — for renewal only
Lorazepam (injectable preparation and oral) — in an emergency
Mebendazole
Medroxyprogesterone acetate (injectable preparation and oral)
Mefenamic acid
Meloxicam — for renewal only
Mestranol and norethindrone
Metformin hydrochloride — for renewal only
Metronidazole (oral and topical preparations)
Minocycline hydrochloride
Misoprostol
Mometasone furoate monohydrate
Mupirocin
Naproxen
Nicotine patch
Nifedipine — for renewal only
Nitrofurantoin
Nitroglycerin SL or spray — in an emergency
Norethindrone
Norethindrone acetate/ethinyl estradiol
Nystatin (oral)
Oseltamavir phosphate
Penicillin V
Phenazopyridine HCl
Pivampicillin
Podophyllum resin
PPD-B (Mantoux)
Progesterone
Raloxifene HCL — for renewal only
Ramipril — for renewal only
Ranitidine HCL (oral)
Risedronate sodium hemi-pentahydrate — for renewal only
Rofecoxib — for renewal only
Salbutamol (inhaler or nebulizer solution) — in an emergency or for renewal
Salmeterol xinafoate — for renewal only
Salmeterol xinafoate/fluticasone propionate — for renewal only
Silver sulfadiazine
Sodium cromoglycate (ophthalmic and nasal preparations)
Sulfacetamide sodium
Terbutaline sulfate — for renewal only
Terconazole
Terbinafine (topical preparation)
Tetracycline hydrochloride (oral preparation)
Tretinoin (topical)
Triamcinolone acetonide
Trichloracetic acid 50-80%, Bichloracetic acid 50-80%
Trimethoprim
Trimethoprim and sulfamethoxazole (oral preparation)
Valacyclovir hydrachloride
Zanamivir
O. Reg. 39/98, s. 13; O. Reg. 472/01, s. 2; O. Reg. 264/04, s. 1.