Skip to main content


Regulatory supervision is the process that NPs follow to authorize nurse practitioner students to perform restricted activities. Restricted activities NPs are authorized to carry out are listed in Section 9(1) of the Nurses (Registered) and Nurse Practitioners Regulation and include activities such as diagnosing diseases and disorders, ordering diagnostic tests and prescribing.

The regulatory supervision process consists of four components:

  • knowing the NP student's competence
  • authorizing the activities the NP student may perform
  • setting the conditions for the student to perform the activities
  • managing risks to the client



Nurse practitioners providing regulatory supervision for a nurse practitioner student performing a restricted activity listed in Section 9(1) of the Nurses (Registered) and Nurse Practitioners Regulation follow this process:



Determine that the student has the competence to perform the restricted activity.



Make a decision to authorize the restricted activity, considering at a minimum:




the student’s stream of practice and level of experience




the client’s health condition, needs and consent




the restricted activity to be performed (task factors)




the practice setting (changing circumstances, institutional/employer policy) 



Establish with the student, the conditions under which the restricted activity may be performed, including:




reviewing the student’s assessments of clients’ health, differential diagnoses and/or diagnosis




reviewing/discussing recommendations and treatments/interventions made or to be made




signing all prescriptions and diagnostic tests




being on site or readily available to consult and/or collaborate to protect the interests of the client



Act to manage risks to the client. Anticipate and manage potential and actual risks which originate from the activities of the nurse practitioner student being supervised. This includes, but is not limited to, reviewing and revising supervision decisions to ensure client interests are protected.


Nurse practitioners only agree to supervise the performance of those restricted activities that are within their own individual competence.

» Next: Consultation and Referral

« Previous: Part 2 sections

900 – 200 Granville St
Vancouver, BC  V6C 1S4

​Toll-free 1.866.880.7101 (within Canada only) ​

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, Métis, and Inuit 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.​