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Certified Practice

BCCNM certified practices are restricted activities that RNs can't carry out until they've been certified by BCCNM

What is BCCNM-Certified Practice?

Registered nurses who are certified by BCCNM are allowed to perform certain restricted activities within their autonomous scope of practice. Decision support tools (DSTs) set out the activities that are included in the certified practice.

Certified practices are outlined in Section 8 of the Nurses (Registered) and Nurse Practitione​rs Regulation and set out within the DSTs. Certified practices are carried out autonomously and the registered nurse is solely accountable for the diagnosis and treatment of the client. Certification allows registered nurses to:

  • Diagnose some diseases and disorders (as set out in decision support tools)
  • Carry out some restricted activities autonomously (as set out in decision support tools) that would otherwise require an order, e.g., administering, comp​ounding or dispensing Schedule I medications​

The DSTs and competencies for each area are maintained by the Nurses and Nurse Practitioners of BC (NNPBC).

Certified Practice ar​​eas

Reproductive Health (Contraceptive Management and Sexually Transmitted Infections)

Contraceptive Management

Registered nurses who complete BCCNM certification in Contraceptive Management (CM) are permitted within their autonomous scope of practice to dispense and/or administer hormonal contraception to eligible clients as set out in CM decision support tools (DSTs).

Sexually Transmitted Infections

Registered Nurses who complete BCCNM certification in Reproductive Health: Sexually Transmitted Infections may diagnose and treat some sexually transmitted syndromes and infections in clients 14 years of age and older unless otherwise specified within an individual decision support tool (DST).

Consultation or referral to a physician or nurse practitioner is required for all pregnant or breastfeeding clients.

Remote Nursing

Remote Nursing Certified Practice frequently (but not necessarily) occurs in communities where there is no resident physician or nurse practitioner, but where physicians or nurse practitioners visit the community periodically and are available to provide consultation to the registered nurse.

Remote Nursing Practice includes Sexually Transmitted Infections and Contraceptive Management.

RN First Call

RN First Call frequently (but not necessarily) occurs in small acute care hospitals, diagnostic and treatment centres and other settings where there is physician or nurse practitioner service available in the community.

Registered nurses who complete BCCNM certification in RN First Call diagnose and treat minor acute illness (including administering, compounding or dispensing Schedule I medications without an order) as set out in the Decision Support Tools (DSTs).

Additional inf​ormation about Certified Practice

Medical Service Plan ​​(M​​SP​)​​

​​RNs with ce​rtified practice can refer eligible patients/clients for select laboratory tests in accordance with the RN(C)’s scope of practice.

More i​nformation


Contact the Medical Services Plan

  • 604.456.6950
  • toll-free 1.866.456.6950​​​​​​