Practice Guideline

  • Nurse Practitioners Closing or Leaving Practice

    Nurse Practitioners Closing or Leaving Practice – Temporarily or Permanently Nurse Practitioners (NPs) have a professional obligation to provide safe, competent, and ethical care for clients and to establish therapeutic nurse client relationships (TNCRs) that are culturally safe and equitable.…

  • Nurse Practitioners Authorizing Cannabis for Medical Purposes

    On February 21, 2019, ARNNL Council approved that NPs in Newfoundland and Labrador (NL) who have the individual competence (necessary knowledge, skills, and judgment) could authorize the use of cannabis for medical purposes. This regulatory direction outlines the legislative and…

  • Medication Management

    This document provides direction for nurses in relation to the professional expectations for safe, competent, compassionate, and ethical medication management in all practice settings, and in all employment and volunteer relationships (e.g., employed or self-employed; camp nurse). The principles and…

  • Medical Assistance in Dying (MAiD)

    On February 22, 2024, the Newfoundland and Labrador College of Nurses’ Board approved an edit to the current College MAID document as a result of the release of the new Federal Model Practice Standard for MAID in Spring 2023 and…

  • Ending the Therapeutic Nurse Practitioner Client Relationship

    Nurse Practitioners (NPs) have a professional obligation to provide safe, competent, and ethical care for clients and to establish therapeutic nurse client relationships (TNCRs) that are culturally safe and equitable. TNCRs are foundational to the practice of an NP, however,…

  • Employers Adding New Emerging Competency

    As knowledge and technology advance and health care environments change, nursing practice continually evolves. Increasingly, RNs, NPs, and RPNs face decisions about performing procedures, competencies, or activities that are new, or were previously the responsibility of other health care professionals.…

  • Dispensing in the Provincial Health Authority

    The Newfoundland and Labrador College of Nurses is the regulatory body for all nurses in the province. The mandate of the College is to protect the public through regulation of the nursing profession in accordance with the Nurses Act. This…

  • Continuing Competency Program Guide

    Introduction Welcome to the College’s Continuing Competency Program (CCP). This guide will assist you in navigating the new CCP and provides step by step instructions and detailed suggestions and tips on how to complete each step of the new program.…

  • Care Directives Pre-Printed Orders

    The purpose of this document is to outline the practice expectations for nurses implementing care (medical) directives or preprinted orders to carry out specific competencies that are within the scope of the nurse, but would otherwise require a client-specific, direct…

  • Considerations for Determining Assignment of Care

    The Newfoundland and Labrador College of Nurses has the legislated authority to set the scope of practice for nurses in the province of NL. Nurses are accountable to practice independently and in collaboration with the health care team while understanding…