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Limits and conditions on administering naloxone removed for RPNs and LPNs


Jun 4, 2026

The BCCNM board on June 4, 2026, approved revisions to the LPN and RPN Acting within Autonomous Scope of Practice standards to remove the limits and conditions on administering naloxone. This change takes effect immediately.

Review the revised standards:

Context​​

In 2017, naloxone became available without prescription in British Columbia to support timely response to opioid overdose. Current limits and conditions related to naloxone for LPNs and RPNs were established by legacy colleges prior to naloxone becoming an “unscheduled" drug.

The practice standards have been updated to reflect current regulatory and practice contexts and eliminate confusion regarding naloxone practice for LPNs and RPNs, who might have viewed naloxone administration as outside their scope of practice in an overdose emergency.

Que​stions

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Inuit​ and Métis peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​