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NP regulation framework project


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The Canadian Council of Registered Nurse Regulators provides regular updates through a project newsletter​. We encourage you to read previous issues on their website and subscribe to the newsletter to get updates delivered to your inbox.​​​​​

The Nurse Practitioner Regulation Framework Implementation Plan Project​ (NPR-FIPP) is a multi-year, multi-faceted initiative commissioned by the Canadian Council of Registered Nurse Regulators​ (CCRNR) to enhance labour mobility, increase consistency, and enable to right level of regulation of NPs nationally in the public interest.

The NPR-FIPP will implement the recommendations endorsed by CCRNR regarding the following six basic elements of a Model for Nurse Practitioner Regulation in Canada​:

  1. Entry-level education programs: Formal graduate level programs in nursing that prepares RNs to meet NP entry-level competencies across the life span and diverse practice settings.
  2. Entry-level examination: One national entry-level examination for all NPs across the country.
  3. Standards of Practice: Common NP standards of practice.
  4. Continuing competence: Common principles.
  5. Registration/renewal: One NP registration category based on entry-level competencies.
  6. Re-entry to practice: Common principles.​

Current/upcoming project activities

Entry-level Competencies consultation: NP Entry-level Competencies (ELCs) are used by regulators, educators and others for many purposes including guiding education program curriculum, clarifying expectations of entry-level NP practice, and conducting competence assessments. The ELCs, which were developed in 2015, are being refreshed as part of the NPR-FIPP project. Read CCRNR's Frequently Asked Questions about the ELCs. ​

  • ​BCCNM will be consulting on the revised Entry-level Competencies with BC NPs, educators, employers, and others.  
  • On behalf of CCRNR, BCCNM will be sending all B.C NPs a survey on June 20, 2022 to provide feedback on the draft Entry-level Competencies.  

Project news and announcements 

​2022 news archive
2021-2020 news archive​

Frequently asked questions

A few key questions for B.C. NPs are answered below. A detailed frequently asked questions document about the NPR-FIPP is available on the CCRNR website​. 
How will NP regulation be different in the future? 
  • There will be one NP registration category based on NP entry level competencies
  • There will be one national entry-level exam for all NP applicants across Canada
  • There will be greater consistency in how NPs are regulated across jurisdictions
  • ​NP specialty practice will not be regulated by nursing regulatory colleges​
I'm currently registered as an NP in a specialized category. Will I have to retrain/re-register?
No. The registration or licensure status of nurses who are already licensed or registered as nurse practitioners will not be affected. Mechanisms to transition existing NPs to the new regulatory model have not yet been identified.
Will the OSCE still be required for entrance to practice in B.C.?
One of the drivers for the NPR-FIPP is to reduce unnecessary barriers and advance labour mobility across the country. A project outcome to enable this is one entry-level exam for all NP applicants across the country. BCCNM is reviewing the OSCE requirement in light of this work and will provide more information as it becomes available. The planning for the new NP exam is in the initial stages and developing a new exam is an extensive process. The OSCE will continue to be required for NP registration in B.C. until the transition to the new national exam takes place. ​