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St. John's, Newfoundland and Labrador, Canada

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Newfoundland and Labrador
Regulation 2005



Nurse Practitioner Regulations (Amendment)
under the
Registered Nurses Act

(Filed September 2, 2005)

Under the authority of section 22.2 of the Registered Nurses Act, the Council of the Association of Registered Nurses of Newfoundland and Labrador with the approval of the Minister of Health and Community Services makes the following regulations.

Dated at St. John’s, August 26, 2005.

Sandra MacDonald
President of the Council of the
Association of Registered Nurses
Newfoundland and Labrador

John Ottenheimer
Minister of Health
and Community Services



        1.   S.2 Amdt.

        2.   S.21 Added
Nurse practitioner speciality

NLR 65/98
as amended

        1. (1) Paragraph 2(a) of the Nurse Practitioner Regulations is repealed and the following substituted

             (a)  "Act" means the Registered Nurses Act;

          (a.1)  "acute illness or injury" means illness or injury with gradual or sudden onset that requires intervention;

             (2)  Section 2 of the regulations is amended by adding immediately after paragraph (c) the following

          (c.1)  "committee" means the consultative and approvals committee appointed under section 22.1 of the Act;


        2. The regulations are amended by adding immediately after section 20 the following

Nurse practitioner speciality

      21. (1) A nurse practitioner who wishes to practise as a nurse practitioner-specialist shall apply to the committee for approval of a practice protocol that will apply to him or her.

             (2)  A practice protocol submitted to the committee under subsection (1) shall be developed in the manner required by the committee and shall include

             (a)  a description of the location and work environment where the nurse practitioner-speciality service will be practised;

             (b)  a description of responsibilities and reporting requirements of the nurse practitioner-specialist including the

                      (i)  laboratory and other tests that may be ordered,

                     (ii)  forms of energy that may be ordered or prescribed,

                    (iii)  classes of drugs that may be ordered or prescribed,

                    (iv)  collaborative process for communicating diagnosis information to the patient,

                     (v)  non pharmaceutical intervention that may be ordered and applied,

                    (vi)  consultations that may be made when clinically indicated to manage patient care outside the scope of practice of the nurse practitioner-specialist, and

                   (vii)  policies, procedures and protocols, if any, related to the activities referred to in subparagraphs (i) to (vi); and

             (c)  other information that the committee may require.

             (3)  The committee shall, within 2 months of receiving an application under subsection (1)

             (a)  approve the submitted practice protocol;

             (b)  approve the submitted practice protocol with conditions;

             (c)  request further information from the nurse practitioner –specialist applicant and reconsider the application; or

             (d)  reject the application for the approval of the practice protocol.

             (4)  A person nominated by the Association of Registered Nurses of Newfoundland and Labrador for the purpose shall, in writing, notify the nurse practitioner-specialist applicant of a decision made under subsection (3) and shall provide reasons where conditions are placed upon the practice protocol, further information is required or where an application is rejected.

             (5)  A decision of the committee is final.

             (6)  The committee may, with the written consent of the committee and of the

             (a)  employer of the nurse practitioner-specialist; and

             (b)  nurse practitioner-specialist,

to whom a practice protocol applies amend or modify a practice protocol approved under this section in order to incorporate new practice procedures into that protocol.