Provincial Alignment on Practical Nursing Practice Autonomy
The College of Nurses of Ontario (CNO) and the British Columbia College of Nurses and Midwives (BCCNM) have released harmonized scope-of-practice regulations expanding the procedural autonomy of Registered Practical Nurses (RPNs in Ontario) and Licensed Practical Nurses (LPNs in BC).
Practical nurses who have completed certified pharmacology and IV therapy credentials can now initiate peripheral venous access, administer approved blood products, and manage continuous subcutaneous infusions in long-term care without requiring a direct co-signature from an attending RN.