June 20, 2023

News and Notes

News and Notes is CNO’s regular roundup of nursing news you can use.

RPN controlled act update

The Ontario government has approved regulations granting RPNs the authority to independently initiate certain controlled acts without needing an order from an authorized health care professional in some practice settings. The regulations take effect Saturday, July 1, 2023. They are available to view on e-laws, which provides online access to Ontario’s statutes and regulations.

RPNs have always had the authority to perform these controlled acts, but with an order. The difference is that RPNs with the relevant competence can now initiate these procedures without an order. These changes are intended to increase access to timely health care services and reduce barriers to care.

“CNO’s role is to protect the public and ensure any changes within nursing scope of practice are implemented safely for all,” said Carol Timmings, Chief Quality Officer and Deputy Registrar. “Recognizing that many RPNs have the expertise to initiate these controlled acts, this helps increase access to health care.”

This change only applies in certain practice settings. For example, RPNs who practice in hospitals always will need an order. This is a requirement under the Public Hospitals Act.

Chief Nursing Officer of Canada visits CNO

The College of Nurses of Ontario (CNO) welcomed Chief Nursing Officer of Canada Dr. Leigh Chapman to its offices on June 15.

The Chief Nursing Officer of Canada has a unique mandate to support and connect the nursing profession from coast to coast to coast – as a leader in healthcare regulation, CNO recognizes the power of collaboration on shared goals.

“Working together, we have a shared opportunity to further strengthen the health care system, nursing regulation and public safety,” added Crawford.

Chapman’s visit focused on areas of shared interest, including a tour of CNO and a national and provincial priorities presentation and meeting with CNO’s directors' group.

Bill 60 passes

In May, the government passed Bill 60, Your Health Act, 2023.  

The bill allows the Minister of Health authority under the Nursing Act, 1991 to make regulations related to exemptions on who can use the title nurse and who is qualified to practice in Ontario as a nurse. Those exemptions could be made through future regulatory amendments made by the minister. The government previously indicated that one such exemption could be to allow nursing registrants in other Canadian provinces or territories to practice in Ontario without first registering with CNO.

As leaders in public safety and the promotion of safe nursing practice, CNO is eager to continue working with the government to reduce potential barriers to labour mobility and facilitate the timely registration of Canadian out-of-province registered health professionals.

QA Assessment is coming

Quality Assurance (QA) is an accountability that assures the public of nurses’ commitment to continuing competence by improving their nursing practice on an ongoing basis. Part of this program is QA Assessment, where CNO randomly selects practicing nurses from the General and Extended classes to complete assessment activities. Notification emails will be released in the coming weeks.

To determine if you have been selected for QA Assessment, please check your email. If you have any questions about the QA Assessment process, please contact the QA Program team at QAassessment@cnomail.org, 416-963-3922, or 1-800-387-5526 (ext. 3922).

Incoming NCSBN CEO

The National Council of State Boards of Nursing (NCSBN) in the U.S. will have a new CEO this fall.

Philip Dickison, the NCSBN’s current COO, will succeed retiring CEO David Benton as of Sunday, October 1, 2023.

The NCSBN is a non-profit where nursing regulatory organizations, like CNO, share expertise and best practices about patient safety. CNO’s Chief Quality Officer and Deputy Registrar Carol Timmings has a leadership role with the NCSBN as an elected member of its board of directors.

About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

For the latest information, please see our Nursing Statistics page.

Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

To ensure procedural fairness for both the patient (or client) and the nurse, the Regulated Health Professions Act requires that information gathered during an investigation remain confidential until the matter is referred to the Discipline Committee or Fitness to Practise Committee. CNO will not disclose any information that could identify patients (or clients) or compromise an investigation. See Investigations: A Process Guide for more information.

Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

For detailed information see the Sexual Abuse Prevention section.

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