GENERAL

CONTENTS Sections PART I INTERPRETATION 0.1-0.2 PART II REGISTRATION Certificates of Registration 1-1.2 Application for Certificate of Registration 1.3 Requirements for Issuance of Certificate of Registration, Any Class 1.4 Terms, etc., of Every Certificate 1.5 General Certificates of Registration — Registered Nurse 2 Mobility Within Canada 2.1 Titles — Registered Nurse 2.2 General Certificates Of Registration — Registered Practical Nurse 3 Mobility Within Canada 3.1 Titles — Registered Practical Nurses 3.2 Extended Certificates of Registration 4 Mobility Within Canada 4.1 Titles 4.2 Temporary Certificates of Registration 5-5.1 Mobility Within Canada 5.2 Special Assignment Certificates of Registration 6 Labour Mobility — Special Assignment Class 6.1-6.2 Emergency Certificates of Registration 7 Non-Practising Certificates of Registration 8 Examinations 8.1 Examinations — General Class 9 Examinations — Extended Class 9.1 Resignation 10 Suspension for Failure to Provide Information 10.1 Suspension for Failure to Provide Evidence of Professional Liability Protection 10.2 Lifting of Certain Suspensions 10.3 Revocation 10.4 Reinstatement, on Application 10.5 Reinstatement, Non-Practising 10.6 Reinstatement, Extended Class 10.7 Extensions 10.7.1 Reinstatement, Pursuant to Order 10.8 Terms, etc. 10.9 Declaration 11 Transition 12-12.2 PART III CONTROLLED ACTS Interpretation 13.2 Procedures 14-15.1 Prescribing, Dispensing, Selling and Compounding a Drug 16 Prescribing 16.1-17 Dispensing 18 Compounding 19 Selling 19.1 Administration of a Substance by Injection or Inhalation 20 PART IV QUALITY ASSURANCE General 21-23 Member Assessment 24-26 Practice Assessment and Remediation 27-31 PART V DELEGATION 32-42 Schedule 1 Facilities Schedule 2 Drugs that may be prescribed by registered nurses in the general class PART I interpretation 0.1 In this Regulation, “nurse practitioner” means a registered nurse in the extended class; (“infirmière praticienne ou infirmier praticien”) “registered nurse in the extended class” means a member who holds an extended certificate of registration as a registered nurse; (“infirmière autorisée ou infirmier autorisé de la catégorie supérieure”) “registered nurse in the General class” means a member who holds a General certificate of registration as a registered nurse; (“infirmière autorisée ou infirmier autorisé de la catégorie générale”) “registered practical nurse in the General class” means a member who holds a General certificate of registration as a registered practical nurse. (“infirmière auxiliaire autorisée ou infirmier auxiliaire autorisé de la catégorie générale”) O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 1, 19. 0.2 Where the provisions of this Regulation are inconsistent with the provisions of the Emergency Management and Civil Protection Act, the provisions of that Act shall prevail and the provisions of this Regulation, to the extent that they are inconsistent with that Act, shall not apply. O. Reg. 175/12, s. 1. PART II REGISTRATION Certificates of Registration 1. (1) The following are prescribed as classes of certificates of registration for registered nurses: 1. General. 2. Extended. 3. Temporary. 4. Special Assignment. 5. Emergency. 6. Non-Practising. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 1. (2) A registered nurse may not hold more than one class of certificate of registration as a registered nurse at one time. O. Reg. 175/12, s. 1. 1.1 (1) The following are prescribed as classes of certificates of registration for registered practical nurses: 1. General. 2. Temporary. 3. Special Assignment. 4. Emergency. 5. Non-Practising. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 2. (2) A registered practical nurse may not hold more than one class of certificate of registration as a registered practical nurse at one time. O. Reg. 175/12, s. 1. 1.2 Revoked: O. Reg. 271/25, s. 2. Application for Certificate of Registration 1.3 (1) A person may apply for a certificate of registration in any class by completing an application in the form provided by the Executive Director and submitting it along with any supporting documentation requested by the Executive Director and the applicable fees. O. Reg. 175/12, s. 1. (2) Revoked: O. Reg. 271/25, s. 3. (3) A person who files an application for a certificate of registration may not make another application for the same class of certificate until the outstanding application has been finally disposed of. O. Reg. 175/12, s. 1. Requirements for Issuance of Certificate of Registration, Any Class 1.4 (1) The following are registration requirements for the issuance of a certificate of registration for any class: 1. The applicant must provide details to the Executive Director of any of the following that relate to the applicant at the time that the applicant submits the application, and of any of the following that come to relate to the applicant after the application is submitted and before a certificate of registration is issued: i. A finding of guilt for any criminal offence, any offence relating to the use, possession or sale of drugs, any offence under the Controlled Drugs and Substances Act (Canada), or any other offence in relation to the practice of nursing or another profession in any jurisdiction. ii. A finding of professional misconduct, incompetence, incapacity, professional negligence, malpractice or any similar finding against the applicant in relation to the practice of nursing or another profession in any jurisdiction. iii. A current investigation, inquiry or proceeding for professional misconduct, incompetence or incapacity or any similar investigation or proceeding in relation to the practice of nursing or another profession in any jurisdiction. iv. A current proceeding in respect of any offence in any jurisdiction. v. A refusal to register the applicant to practise as a nurse or in another profession in any jurisdiction. 2. The applicant’s past and present conduct, in the opinion of the Executive Director or a panel of the Registration Committee, must afford reasonable grounds for the belief that the applicant, i. does not suffer from any physical or mental condition or disorder that could affect the applicant’s ability to practise nursing in a safe manner, ii. will practise nursing with decency, honesty and integrity and in accordance with the law, iii. has sufficient knowledge, skill and judgment to competently engage in the practice of nursing authorized by the certificate of registration, and iv. will display an appropriately professional attitude. 3. The applicant must have paid any fees required under the by-laws for the issuance of the certificate of registration. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 3 (1). (2) It is a registration requirement for the issuance of a certificate of registration for any class, other than the Emergency and Non-Practising classes, that the applicant must be a Canadian citizen or permanent resident of Canada or must hold the appropriate authorization under the Immigration and Refugee Protection Act (Canada) to permit the applicant to engage in the practice of nursing in Ontario. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 3. (3) The requirements under subsection (1) are non-exemptible. O. Reg. 175/12, s. 1. (4) An applicant must meet all of the requirements for registration within two years from the day that the applicant filed their application, but this does not prevent an applicant from filing a new application. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 3 (2). (5) An applicant shall be deemed not to have satisfied the requirements for the issuance of a certificate of registration of any class if the applicant makes a false or misleading statement or representation in their application or supporting documentation. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 3 (3). Terms, etc., of Every Certificate 1.5 (1) Every certificate of registration is subject to the following terms, conditions and limitations: 1. The member shall provide to the Executive Director the details of any of the following that relate to the member and occur or arise on or after the day that the member was issued a certificate of registration: i. A finding of guilt arising in any jurisdiction relating to any offence. ii. A charge arising in any jurisdiction relating to any offence. iii. A finding of professional misconduct, incompetence or incapacity or any similar finding, in relation to the practice of nursing or another profession in any jurisdiction. iv. A current investigation, inquiry or proceeding for professional misconduct, incompetence or incapacity or any similar investigation or proceeding in relation to the practice of nursing or another profession in any jurisdiction. 2. The member shall, at the request of the Executive Director, provide information that is required pursuant to the Act, the Regulated Health Professions Act, 1991, regulations under those Acts or the by-laws in the form and manner requested by the Executive Director. O. Reg. 175/12, s. 1. (2) Every certificate of registration, other than an Emergency or Non-Practising certificate of registration, is subject to the following terms, conditions and limitations: 1. The member shall not engage in the practice of nursing unless the member is a Canadian citizen or permanent resident of Canada or has authorization under the Immigration and Refugee Protection Act (Canada) permitting the member to engage in the practice of nursing in Ontario. 2. The member shall immediately advise the Executive Director in writing in the event that the member ceases to be a Canadian citizen or permanent resident of Canada or to have authorization under the Immigration and Refugee Protection Act (Canada) permitting the member to engage in the practice of nursing in Ontario. 3. If a member to whom paragraph 2 applies subsequently obtains Canadian citizenship, becomes a permanent resident of Canada or attains authorization under the Immigration and Refugee Protection Act (Canada) permitting the member to engage in the practice of nursing in Ontario, the member shall immediately advise the Executive Director in writing of that fact. 4. The member shall maintain professional liability protection in accordance with the requirements, if any, set out in the by-laws. 5. The member shall, at the request of the Executive Director, provide evidence satisfactory to the Executive Director that the member meets the condition required in paragraph 4, in the form and manner requested by the Executive Director. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 4 (1); O. Reg. 429/24, s. 4, O. Reg. 271/25, s. 19. (3) Every Emergency certificate of registration is subject, in addition to the terms, conditions and limitations set out in subsection (1), to the following terms, conditions and limitations: 1. The member shall maintain professional liability protection in accordance with the requirements, if any, set out in the by-laws. 2. The member shall, at the request of the Executive Director, provide evidence satisfactory to the Executive Director that the member meets the condition required in paragraph 1, in the form and manner requested by the Executive Director. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 4 (2); O. Reg. 271/25, s. 19. General Certificates of Registration — Registered Nurse 2. (1) The following are additional requirements for the issuance of a certificate of registration as a registered nurse in the General class: 1. The applicant, i. must have a minimum of a baccalaureate degree in nursing evidencing the successful completion of a program specifically designed to educate and train persons to be practising registered nurses, A. awarded by a university in Canada as a result of successful completion of a program that was approved by Council or that was approved by a body approved by Council for that purpose, B. awarded by a university as a result of successful completion of a program that was approved by Council or that was approved by a body approved by Council for that purpose, or C. awarded by a college of applied arts and technology in Ontario as a result of successful completion of a program that was approved by Council or a body approved by Council for that purpose, ii. must have a minimum of a baccalaureate degree in nursing evidencing the successful completion of a program specifically designed to educate and train persons to be practising registered nurses, other than a program mentioned in subparagraph i, that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse in that jurisdiction, or iii. must have successfully completed a program in nursing specifically designed to educate and train persons to be practising registered nurses, other than a program mentioned in subparagraph i or ii, that was, at the time the applicant completed the program, recognized or approved, in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse in that jurisdiction, and, A. the program is one that the Registration Committee determines has provided the applicant with knowledge, skill and judgment that is substantially equivalent to those of current graduates of a program mentioned in subparagraph i, or B. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee and satisfied the Executive Director or a panel of the Registration Committee that the applicant has successfully completed further education or training or a combination of education and training approved by t he Registration Committee that was identified in the evaluation as necessary to evidence that the applicant possesses knowledge, skill and judgment that is substantially equivalent to those of current graduates of a program mentioned in subparagraph i. 2. The applicant must have successfully completed an examination for registration as a registered nurse at a time when that examination was approved by Council and at a time when the applicant was eligible under section 9 to take that examination, or must have successfully completed an examination approved by Council for that purpose. 3. The applicant, i. must have completed the applicable requirements in paragraph 1 no more than three years before the day that the applicant met all other requirements for the issuance of the certificate of registration, ii. Revoked: O. Reg. 429/24, s. 5 (3). iii. must demonstrate evidence of practice as a registered nurse no more than three years before the day on which the applicant met all other requirements for the issuance of the certificate of registration, or iv. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee at a time when the evaluation was approved by the Registration Committee and met requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee within the period of time specified by the panel. 4. The applicant must, within five years before the day that the applicant is issued the certificate of registration, have successfully completed the examination in nursing jurisprudence that is approved by Council for applicants for the issuance of a certificate of registration as a registered nurse. 5. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French at a date no more than two years before the day that the applicant is issued the certificate of registration, or such longer period of time as specified by a panel of the Registration Committee, unless, i. the applicant, on the day the applicant submits the application, holds a certificate of registration as a registered nurse, other than a certificate in the Emergency or Non-Practising class, or ii. the applicant previously held a certificate of registration as a registered nurse, other than a certificate in the Emergency, retired or Non-Practising class and since the date that the applicant last held that certificate no more than two years or such longer period of time as specified by a panel of the Registration Committee has elapsed. 6. The applicant must, within five years before the day that the applicant is issued the certificate of registration, have successfully completed a program or course regarding successful integration to the health care system in Canada that is approved by the Council for applicants for the issuance of a certificate of registration as a registered nurse. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 1; O. Reg. 741/20, s. 1; O. Reg. 291/23, s. 5; O. Reg. 429/24, s. 5 (1-5); O. Reg. 271/25, s. 19. (2) Revoked: O. Reg. 429/24, s. 5 (6). (3) The requirements in paragraphs 1 and 2 of subsection (1) do not apply to an applicant who previously held a certificate as a registered nurse in the General or extended class. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (4) An applicant is exempt from the requirements in paragraphs 1, 2, 5 and 6 of subsection (1) if the applicant holds a certificate of registration in the extended class at the time that the applicant applies for the issuance of a certificate of registration as a registered nurse in the General class. O. Reg. 429/24, s. 5 (7); O. Reg. 271/25, s. 19. (5) An applicant is deemed to have satisfied the requirement in paragraph 6 of subsection (1) if the applicant completed a recognized or approved registered nurse program in Canada within the last three years, practised nursing in Canada within the last three years or satisfies a panel of the Registration Committee that the applicant has successfully completed education or training or a combination of education and training that is substantially equivalent to the requirement in paragraph 6 of subsection (1). O. Reg. 429/24, s. 5 (7). (6) Subject to subsections (3), (4) and (5) and section 2.1, the requirements in subsection (1) of this section are non-exemptible. O. Reg. 429/24, s. 5 (7). Mobility Within Canada 2.1 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a certificate of registration as a registered nurse in the General class, the requirements of paragraphs 1, 2, 3 and 6 of subsection 2 (1) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 6 (1); O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in that jurisdiction. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant is in compliance with the continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province certificate as a registered nurse. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 2. (4) An applicant referred to in subsection (1) is deemed to have met the requirements of paragraph 5 of subsection 2 (1) where the requirements for the issuance of the applicant’s out-of-province certificate of registration included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraph 1, 2, 3 or 6 of subsection 2 (1) will continue to apply to an applicant where that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 6 (2). (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by a General certificate of registration as a registered nurse at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Titles — Registered Nurse 2.2 (1) Subject to subsection (2), a registered nurse in the General class shall only use the title “Registered Nurse” or the abbreviation “RN” when practising as a nurse. O. Reg. 175/12, s. 1. (2) If a member is a registered nurse in the General class and a registered practical nurse in the General class, the member shall only use the title “Registered Practical Nurse” or the abbreviation “RPN” when practising the profession as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 7. General Certificates Of Registration — Registered Practical Nurse 3. (1) The following are additional requirements for the issuance of a certificate of registration as a registered practical nurse in the General class: 1. The applicant, i. must have a diploma in practical nursing evidencing the successful completion of a program specifically designed to educate and train persons to be practising registered practical nurses, A. awarded by a College of Applied Arts and Technology in Ontario whose program was approved by Council or by a body approved by Council for that purpose, or B. awarded as a result of successful completion of a program that was approved by Council or by a body approved by Council for that purpose, ii. must have a minimum of a diploma in practical nursing evidencing the successful completion of a program specifically designed to educate and train persons to be practising registered practical nurses, other than a program mentioned in subparagraph i, that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered practical nurse in that jurisdiction, iii. must have successfully completed a program in practical nursing specifically designed to educate and train persons to be practising registered practical nurses, other than a program mentioned in subparagraph i or ii, that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered practical nurse in that jurisdiction, and, A. the program is one that the Registration Committee determines has provided the applicant with knowledge, skill and judgment that is substantially equivalent to those of current graduates of a program mentioned in subparagraph i, or B. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee and satisfied the Executive Director or a panel of the Registration Committee that the applicant has successfully completed further education or training or a combination of education and training approved by the Registration Committee that was identified in the evaluation as necessary to evidence that the applicant possesses knowledge, skill and judgment that is substantially equivalent to those of current graduates of a program mentioned in subparagraph i. iv. must have satisfied the requirements of paragraph 1 of subsection 2 (1), or v. must, if the applicant has not satisfied the requirements of paragraph 1 of subsection 2 (1), have successfully completed a program in nursing specifically designed to educate and train persons to be practising registered nurses, that was recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse, must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee and satisfied the Executive Director or a panel of the Registration Committee that the applicant has successfully completed further education or training or a combination of education and training approved by the Registration Committee that was identified in the evaluation as necessary to evidence that the applicant possesses knowledge, skill and judgment that is substantially equivalent to those of current graduates of a program mentioned in subparagraph i. 2. The applicant must have successfully completed an examination for registration as a registered practical nurse at a time when that examination was approved by Council and at a time when the applicant was eligible under section 9 to take that examination, or must have successfully completed an examination approved by Council for that purpose. 3. The applicant, i. must have completed the applicable requirements in paragraph 1 no more than three years before the day that the applicant met all other requirements for the issuance of the certificate of registration, ii. Revoked: O. Reg. 429/24, s. 8 (4). iii. must demonstrate evidence of practice as a registered practical nurse no more than three years before the day on which the applicant met all other requirements for the issuance of the certificate of registration, or iv. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee at a time when the evaluation was approved by the Registration Committee and met requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee within the period of time specified by the panel. 4. The applicant must, within five years before the day that the applicant is issued the certificate of registration, have successfully completed the examination in nursing jurisprudence that is approved by Council for applicants for the issuance of a certificate as a registered practical nurse. 5. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French at a date no more than two years before the day that the applicant is issued a certificate in the General class, or such longer period of time as specified by a panel of the Registration Committee, unless, i. the applicant, on the day the applicant submits the application, holds a certificate of registration as a registered practical nurse, other than a certificate in the Emergency or Non-Practising class, or ii. the applicant previously held a certificate of registration as a registered practical nurse, other than a certificate in the Emergency, retired or Non-Practising class and since the last date that the applicant held that certificate no more than two years or such longer period of time as specified by a panel of the Registration Committee has elapsed. 6. The applicant must, within five years before the day that the applicant is issued the certificate of registration, have successfully completed a program or course regarding successful integration to the health care system in Canada that is approved by the Council for applicants for the issuance of a certificate of registration as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 3 (1); O. Reg. 291/23, s. 6; O. Reg. 429/24, s. 8 (1-7); O. Reg. 271/25, s. 19. (2) Revoked: O. Reg. 429/24, s. 8 (8). (3) The requirements in paragraphs 1 and 2 of subsection (1) do not apply to an applicant who previously held a certificate as a registered practical nurse in the General class. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (4) An applicant is deemed to have satisfied the requirement in paragraph 6 of subsection (1) if the applicant completed a recognized or approved registered practical nurse program or registered nurse program in Canada within the last three years, practised nursing in Canada within the last three years or satisfies a panel of the Registration Committee that the applicant has successfully completed education or training or a combination of education and training that is substantially equivalent to the requirement in paragraph 6 of subsection (1). O. Reg. 429/24, s. 8 (9). (5) Subject to subsections (3) and (4) and section 3.1, the requirements in subsection (1) of this section are non-exemptible. O. Reg. 429/24, s. 8 (9). Mobility Within Canada 3.1 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a certificate of registration as a registered practical nurse in the General class, the requirements of paragraphs 1, 2, 3 and 6 of subsection 3 (1) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 9 (1); O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in that jurisdiction. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant is in compliance with the continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province certificate as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 4. (4) An applicant referred to in subsection (1) is deemed to have met the requirements of paragraph 5 of subsection 3 (1) where the requirements for the issuance of the applicant’s out-of-province certificate of registration included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraph 1, 2, 3 or 6 of subsection 3 (1) will apply to an applicant if that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 9 (2). (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by a General certificate of registration as a registered practical nurse at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Titles — Registered Practical Nurse 3.2 (1) Subject to subsections (2) and (3), a registered practical nurse in the General class shall use only the title “Registered Practical Nurse” or the abbreviation “RPN” when practising as a nurse. O. Reg. 175/12, s. 1. (2) If a member is a registered practical nurse in the General class and a registered nurse in the General class, the member shall use only the title “Registered Nurse” or the abbreviation “RN” when practising the profession as a registered nurse. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 10. (3) If a member is a registered practical nurse in the General class and a registered nurse in the extended class, the member shall use only the title “Registered Nurse Extended Class” or “Nurse Practitioner” and the abbreviation “RN(EC)” or “NP” when practising the profession as a registered nurse in the extended class. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 10. Extended Certificates of Registration — Nurse Practitioner 4. (1) The following are additional requirements for the issuance of a certificate of registration as a registered nurse in the extended class: 1. The applicant, i. must be or have been registered as a registered nurse in the General class by the College, ii. must meet the registration requirements as a registered nurse in the General class set out in paragraphs 1 and 2 of subsection 2 (1), or iii. must be or have been registered as a registered nurse by the health regulatory authority in a province or territory of Canada, in one of the states of the United States of America or in another jurisdiction approved by Council. 2. The applicant, i. must have graduated from an Ontario university nursing program specifically designed to educate and train persons to be practising registered nurses in the extended class and which program was approved by Council or a body approved by Council for that purpose, ii. must have graduated from a university nursing program specifically designed to educate and train persons to be practising registered nurses in the extended class and which program was approved by Council or a body approved by Council for that purpose, iii. must have graduated from a university nursing program specifically designed to educate and train persons to be practising registered nurses in the extended class, other than a program mentioned in subparagraph i or ii, which program was approved by the Registration Committee as one whose graduates should possess knowledge, skill and judgment at least equivalent to those of current graduates of a program mentioned in subparagraph i, iv. must have graduated from a program in nursing specifically designed to educate and train persons to be practising registered nurses in the extended class other than a program mentioned in subparagraph i, ii or iii, and, A. must have successfully completed a program approved by Council as one whose graduates should possess knowledge, skill and judgment at least equivalent to current graduates of a program mentioned in subparagraph i, or B. must have paid any fees required under the by-laws, have undergone an evaluation approved by Council and satisfied the Executive Director or a panel of the Registration Committee that the applicant has successfully completed any further education or training or combination of education and training approved by the Registration Committee that was identified by the evaluation as necessary to evidence that the applicant possesses knowledge, skill and judgment at least equivalent to those of current graduates of a program mentioned in subparagraph i, or v. must have graduated from a program in nursing specifically designed to educate and train persons to be practising registered nurses in the extended class that does not educate and train across all domains of practice covered by a program mentioned in subparagraph i, and, A. must have paid any fees required under the by-laws and have undergone an evaluation approved by the Registration Committee that satisfied a panel of the Registration Committee that the applicant has successfully completed a program whose graduates should possess knowledge, skill and judgment that is substantially equivalent to current graduates of a program mentioned in subparagraph i, except for the domains of practice that are not covered by the program the applicant completed, and B. must have agreed to the imposition of terms, conditions and limitations on their certificate of registration, as proposed by a panel of the Registration Committee, which limit their practice consistent with the evaluation mentioned in sub-subparagraph A. 3. The applicant must have successfully completed an examination for registration as a registered nurse in the extended class at a time when that examination was approved by Council and at a time when they were eligible under section 9.1 to take that examination, or must have successfully completed an examination approved by Council for that purpose. 4. The applicant, i. must have graduated from a university nursing program referred to in subparagraph 2 i, ii or iii no more than three years before the day that the applicant met all other requirements for the issuance of a certificate as a registered nurse in the extended class, ii. must have successfully completed all the requirements of one of sub-subparagraph 2 iv A or B or both of the requirements of subparagraphs 2 v A and B no more than three years before the day that the applicant met all other requirements for the issuance of a certificate as a registered nurse in the extended class, iii. must demonstrate evidence of practice as a registered nurse in the extended class no more than three years before the day on which the applicant met all other requirements for the issuance of a certificate as a registered nurse in the extended class, and in such a case the practice must include, A. clinical practice in the extended class, and B. a nursing role that required the applicant to use, in the treatment of patients, advanced knowledge and decision-making skill in assessment, diagnosis and therapeutics, or iv. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee at a time when that evaluation was approved by the Registration Committee and met requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee within the period of time specified by the panel. 5. The applicant must, within five years before the day that the applicant is issued a certificate as a registered nurse in the extended class, have successfully completed the examination in nursing jurisprudence that is approved by Council for applicants for the issuance of a certificate as a registered nurse in the extended class. 6. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French at a date no more than two years before the day that the applicant is issued a certificate in the extended class, or such longer period of time as specified by a panel of the Registration Committee, unless, i. the applicant, on the day that they submit the application, holds a certificate of registration issued by the College, other than an Emergency or Non-Practising class, or ii. the applicant previously held a certificate of registration, other than an Emergency, retired or Non-Practising class, and no more than two years has elapsed since the date that the applicant last held that certificate or such longer period of time as specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 5 (1); O. Reg. 291/23, s. 7; O. Reg. 429/24, s. 11 (1-7); O. Reg. 271/25, s. 6 (1), 19. (2) The requirements of subparagraph 2 iii, iv or v of subsection (1) shall be deemed not to have been met where the nursing program which the applicant relies on to meet that requirement was not recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse or a registered nurse in the extended class in that jurisdiction. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 6 (2). (3) An applicant is deemed to have met the requirements of subparagraph 2 i of subsection (1) if the applicant, (a) was enrolled before December 31, 2011, in an Ontario university program designed to educate and train registered nurses to practise the specialty for which the applicant applied in the extended class that was approved by the Council of Ontario University Programs in Nursing and the Senate or Governing Council of the Ontario university that offered the program; and (b) graduated after December 31, 2011 from the program referred to in clause (a). O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 5 (2); O. Reg. 429/24, s. 11 (8); O. Reg. 271/25, s. 19. (3.1) An applicant is deemed to have met the requirements of subparagraph 2 i of subsection (1) if they, (a) were enrolled before August 31, 2024 in an Ontario university nursing program specifically designed to educate and train registered nurses to practise in a specialty in the extended class that was, at the time they first enrolled in the program, approved by Council or a body approved by Council for that purpose; and (b) graduated after July 1, 2026 from the program referred to in clause (a). O. Reg. 271/25, s. 6 (3). (4) The requirements in paragraphs 1, 2 and 3 of subsection (1) do not apply with respect to an applicant who previously held an extended class certificate of registration as a registered nurse. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (5) Subject to subsections (3), (3.1) and (4) and section 4.1, the requirements of subsection (1) are non-exemptible. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 6 (4). Mobility Within Canada 4.1 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a certificate of registration as a registered nurse in the extended class, the requirements of paragraphs 1, 2, 3 and 4 of subsection 4 (1) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in that jurisdiction. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant is in compliance with the continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province certificate as a registered nurse in the extended class. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 6. (4) An applicant referred to in subsection (1) is deemed to have met the requirement of paragraph 6 of subsection 4 (1) where the requirements for the issuance of the applicant’s out-of-province certificate of registration included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraph 1, 2, 3 or 4 of subsection 4 (1) will continue to apply to an applicant where that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1. (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by an extended class certificate of registration at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Titles — Nurse Practitioner 4.2 (1) Subject to subsection 3.2 (3), a registered nurse in the extended class shall use the title “Nurse Practitioner” or the abbreviation “NP” or the title “Registered Nurse Extended Class” or the abbreviation “RN(EC)” when practising as a nurse. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 8 (1). (2)-(5) Revoked: O. Reg. 271/25, s. 8 (2). (6) Except as permitted by the Act or this Regulation, no other title, designation, variation, abbreviation or an equivalent in another language shall be used by a registered nurse in the extended class. O. Reg. 175/12, s. 1. (7) No member shall use the title “Nurse Practitioner” or any variation or abbreviation thereof, or the designation “Registered Nurse Extended Class” or any variation or abbreviation thereof, unless the member holds an extended class certificate of registration. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (8) Revoked: O. Reg. 271/25, s. 8 (2). Temporary Certificates of Registration 5. (1) The following are additional requirements for the issuance of a certificate of registration in the Temporary class: 1. The applicant must not have previously held, i. a Temporary certificate of registration as a registered nurse, in the case of a registered nurse applicant, or ii. a Temporary certificate of registration as a registered practical nurse, in the case of a registered practical nurse applicant. 2. Revoked: O. Reg. 509/22, s. 1 (1). 3. The applicant must not have twice failed, i. an examination mentioned in paragraph 2 of subsection 2 (1), in the case of a registered nurse applicant, or ii. an examination mentioned in paragraph 2 of subsection 3 (1), in the case of a registered practical nurse applicant. 4. The applicant must have a written offer of employment with an Ontario facility described in Schedule 1, or approved by a panel of the Registration Committee, i. as a registered nurse, in the case of a registered nurse applicant, or ii. as a registered practical nurse, in the case of a registered practical nurse applicant. 5. The applicant, within five years before the day that they are issued a Temporary certificate, must have successfully completed the examination in nursing jurisprudence approved by Council for, i. a registered nurse, in the case of a registered nurse applicant, or ii. a registered practical nurse, in the case of a registered practical nurse applicant. 6. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French within two years before the issuance of the certificate or such longer period of time as approved by a panel of the Registration Committee. 7. The applicant must have successfully completed a nursing program that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant, i. to practise as a registered nurse in that jurisdiction, in the case of an applicant for a Temporary certificate of registration as a registered nurse, or ii. to practise as a registered practical nurse in that jurisdiction, in the case of an applicant for a Temporary certificate of registration as a registered practical nurse. 8. The applicant must have successfully completed the educational requirements set out in paragraph 7 of this subsection or in paragraph 1 of subsection 2 (1) or paragraph 1 of subsection 3 (1), as applicable, within three years before the day on which the applicant met all other requirements for the issuance of a Temporary certificate unless, i. the applicant demonstrates evidence of practice as a registered nurse or registered practical nurse, as applicable, no more than three years before the day on which the applicant met all other requirements for the issuance of a Temporary certificate, or ii.

the applicant pays any fees required under the by-laws, undergoes an evaluation approved by the Registration Committee at a time when that evaluation was approved by the Registration Committee, and meets requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee, within three years before the day on which the applicant met all other requirements for the issuance of a Temporary certificate. O. Reg. 175/12, s. 1; O. Reg. 509/22, s. 1 (1-3); O. Reg. 429/24, s. 13; O. Reg. 271/25, s. 19. (2), (3) Revoked: O. Reg. 509/22, s. 1 (4). (4) Subject to subsection (5) and section 5.2, the requirements of subsection (1) are non-exemptible. O. Reg. 291/23, s. 8. (5) A member who holds an Emergency certificate of registration who is practising at the time of applying for a Temporary certificate of registration is not required to meet the requirements of paragraphs 5, 6 and 7 of subsection (1) within the time-periods provided for in those paragraphs and in paragraph 8 of that subsection and, in addition, is not required to pay the application fee required under the by-laws, 1. as a registered nurse, if the member holds an Emergency certificate of registration as a registered nurse, or 2. as a registered practical nurse, if the member holds an Emergency certificate of registration as a registered practical nurse. O. Reg. 291/23, s. 8; O. Reg. 271/25, s. 19. 5.1 (1) The following are terms, conditions and limitations of a Temporary certificate of registration: 1. The member shall practise the profession only within the facility mentioned in paragraph 4 of subsection 5 (1) and only within the scope of the member’s employment with that facility. 2. The member’s practice must be monitored and directed by a member of the College holding a General or extended class certificate of registration. 3. The member shall not perform a controlled or authorized act, unless the act is ordered, i. pursuant to clause 5 (1) (b) of the Act, or ii. by a registered nurse in the General class. 4. The member shall not supervise, monitor or direct the performance of a controlled or authorized act or the practice of another member in any class. 5. The member shall not accept the delegation of a controlled or authorized act from another member or any other person. 6. The member shall not delegate to another member or any other person the authority to perform a controlled or authorized act. 7. The member shall at all times when providing nursing services identify themselves as a Temporary member. 8. The member shall be restricted to the use of the following title: i. in the case of the holder of a Temporary certificate of registration as a registered nurse, “Registered Nurse (Temporary)” or “RN (Temp)”, or ii. in the case of the holder of a Temporary certificate of registration as a registered practical nurse, “Registered Practical Nurse (Temporary)” or “RPN (Temp)”. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 14; O. Reg. 271/25, s. 19. (2) A member’s Temporary certificate of registration is automatically revoked on the occurrence of one of the following events, whichever occurs first: 1. Unless extended under subsection (2.1), i. where the Temporary certificate of registration was issued on or after October 31, 2022, receipt of notification from the Executive Director of the expiry of a period of time from the date the certificate was issued that was determined, prior to the issuance of the certificate by the Executive Director, to be reasonably sufficient to allow the applicant to meet all of the educational and examination requirements to obtain a General class certificate, as long as the date determined by the Executive Director is not less than six months or more than 24 months from the date of issuance of the certificate, or ii. where the Temporary certificate of registration was issued before October 31, 2022, receipt of notification from the Executive Director of the expiry of the certificate, which notification shall not be provided less than six months or more than 24 months from the date of issuance of the certificate. 2. The issuance of a General class certificate of registration, i. as a registered nurse, in the case of a member holding a Temporary certificate of registration as a registered nurse, or ii. as a registered practical nurse, in the case of a member holding a Temporary certificate of registration as a registered practical nurse. 3. Receipt of notification of the failure for the second time of an examination referred to in, i. paragraph 2 of subsection 2 (1), in the case of a member holding a Temporary certificate of registration as a registered nurse, or ii. paragraph 2 of subsection 3 (1), in the case of a member holding a Temporary certificate of registration as a registered practical nurse. 4. The expiry of 30 days after receipt of notification from the College that the member has met all of the educational and examination requirements for the issuance of a General class certificate of registration, i. as a registered nurse, in the case of a member holding a Temporary certificate of registration as a registered nurse, or ii. as a registered practical nurse, in the case of a member holding a Temporary certificate of registration as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 8; O. Reg. 509/22, s. 2 (1-3); O. Reg. 271/25, s. 19. (2.1) The Executive Director may extend the expiry date of a Temporary certificate of registration on no more than two occasions, with each extension not to exceed six months, if the Executive Director is satisfied that the member has made reasonable efforts to meet all of the educational and examination requirements to obtain a General certificate. O. Reg. 509/22, s. 2 (4); O. Reg. 271/25, s. 19. (3) Where a member holding a Temporary certificate of registration obtains alternate or additional employment as a nurse in the same class for which the Temporary certificate of registration was issued, the member may only practise the profession under that employment if, (a) the employment is with an Ontario facility that is described in Schedule 1 or approved by a panel of the Registration Committee; and (b) the member has first filed with the College a written offer of employment from that facility. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Mobility Within Canada 5.2 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a certificate of registration in the Temporary class, the requirements of paragraph 7 of subsection 5 (1) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 15 (1); O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in every jurisdiction where the applicant holds an out-of-province certificate. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or any proceeding or ongoing investigation or any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant is in compliance with the continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province certificate as a registered nurse in the case of an application for a Temporary certificate as a registered nurse, or as a registered practical nurse in the case of an application for a Temporary certificate as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (4) An applicant referred to in subsection (1) is deemed to have met the requirements of paragraph 6 of subsection 5 (1) where the requirements for the issuance of the applicant’s out-of-province certificate included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraph 7 of subsection 5 (1) will continue to apply to an applicant where that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 15 (2). (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by a Temporary certificate of registration at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 9; O. Reg. 271/25, s. 19. Special Assignment Certificates of Registration 6. (1) The following are additional requirements for the issuance of a certificate of registration as a registered nurse in the Special Assignment class: 1. The applicant must have successfully completed the examination in nursing jurisprudence approved by Council for applicants for a General class certificate of registration as a registered nurse within five years before the day that the applicant is issued a certificate as a registered nurse in the Special Assignment class. 2. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French within two years before the issuance of the certificate or such longer time as may be specified by a panel of the Registration Committee. 3. The applicant must have successfully completed a nursing program that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse in that jurisdiction. 4. The applicant, i. must have met the program requirement mentioned in paragraph 3 within three years before the day on which the applicant met all other requirements for the issuance of a Special Assignment class certificate as a registered nurse, ii. must demonstrate evidence of practice as a registered nurse no more than three years before the day on which the applicant met all other requirements for the issuance of a Special Assignment class certificate of registration as a registered nurse, or iii. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee when that evaluation was approved by the Registration Committee and met requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee within three years before the day on which the applicant met all other requirements for the issuance of a Special Assignment class of certificate of registration as a registered nurse. 5. The applicant must not have been previously registered with the College as a registered nurse except as the holder of a Special Assignment or Emergency class certificate. 6. The applicant must have an appointment or special assignment as a registered nurse with an Ontario facility described in Schedule 1 or another assignment approved by a panel of the Registration Committee. 7. The applicant must not have previously held a Special Assignment certificate for the same assignment or appointment. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 9 (1); O. Reg. 429/24, s. 16 (1); O. Reg. 271/25, s. 19. (2) Subject to section 6.1, the requirements of subsection (1) are non-exemptible. O. Reg. 175/12, s. 1. (3) The following are additional registration requirements for the issuance of a certificate as a registered practical nurse in the Special Assignment class: 1. The applicant must have successfully completed the examination in nursing jurisprudence approved by Council for applicants for a General class certificate of registration as a registered practical nurse within five years before the day that the applicant is issued a certificate as a registered practical nurse in the Special Assignment class. 2. The applicant must have demonstrated language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French at a date no more than two years before the day that the applicant is issued the certificate or such longer time as may be specified by a panel of the Registration Committee. 3. The applicant must have successfully completed a nursing program that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered practical nurse in that jurisdiction. 4. The applicant, i. must have met the program requirement mentioned in paragraph 3 within three years before the day on which the applicant met all other requirements for the issuance of a certificate as a registered practical nurse in the Special Assignment class, ii. must demonstrate evidence of practice as a registered practical nurse no more than three years before the day on which the applicant met all other requirements for the issuance of a certificate as a registered practical nurse in the Special Assignment class, or iii. must have paid any fees required under the by-laws, undergone an evaluation approved by the Registration Committee at a time when that evaluation was approved by the Registration Committee and met requirements regarding additional training, experience, examinations or assessments specified by a panel of the Registration Committee within three years before the day on which the applicant met all other requirements for the issuance of the certificate of registration. 5. The applicant must not have been previously registered with the College as a registered practical nurse except as the holder of a Special Assignment or Emergency class certificate. 6. The applicant must have an appointment or special assignment as a registered practical nurse with an Ontario facility described in Schedule 1 or another assignment approved by a panel of the Registration Committee. 7. The applicant must not have previously held a Special Assignment certificate for the same assignment or appointment. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 9 (2); O. Reg. 429/24, s. 16 (2, 3); O. Reg. 271/25, s. 19. (4) Subject to section 6.2, the requirements of subsection (3) are non-exemptible. O. Reg. 175/12, s. 1. (5) The following are terms, conditions and limitations of a Special Assignment certificate of registration: 1. The member shall practise the profession only within the scope of the member’s appointment or special assignment and only within the facility named in the certificate. 2. The member’s practice must be monitored and directed by a member of the College holding a General or extended class certificate of registration. 3. The member shall not perform a controlled or authorized act, including one which is delegated to the member, unless the act is ordered, i. pursuant to clause 5 (1) (b) of the Act, or ii. by a registered nurse in the General class. 4. The member shall not supervise, monitor or direct the performance of a controlled or authorized act or the practice of another member in any class. 5. The member shall not delegate to another member or any other person the authority to perform a controlled or authorized act. 6. The member shall at all times when providing nursing services identify themselves as a Special Assignment member. 7. The member shall be restricted to the use of the following title: i. in the case of the holder of a Special Assignment certificate of registration as a registered nurse, “Registered Nurse (Special Assignment)” or “RN (Spec. Assign.)”, or ii. in the case of a holder of a Special Assignment certificate of registration as a registered practical nurse, “Registered Practical Nurse (Special Assignment)” or “RPN (Spec. Assign.)”. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 16 (4-6); O. Reg. 271/25, s. 19. (6) A Special Assignment certificate of registration is automatically revoked on the occurrence of one of the following events, whichever occurs first: 1. The date specified in the certificate or, if no date is specified, the day that is one year from the date the member was issued the certificate. 2. The last day of the appointment or Special Assignment. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (7) If a member who holds a Special Assignment certificate of registration does not receive a certificate of another class before the revocation of the Special Assignment certificate, the member shall be deemed to have resigned as a member at the end of the last day the Special Assignment certificate is valid. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 16 (7); O. Reg. 271/25, s. 19. Labour Mobility — Special Assignment Class 6.1 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Special Assignment certificate of registration as a registered nurse, the requirements of paragraphs 3 and 4 of subsection 6 (1) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in that jurisdiction. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant has complied with continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province Special Assignment certificate as a registered nurse. O. Reg. 175/12, s. 1. (4) An applicant referred to in subsection (1) is deemed to have met the requirement of paragraph 2 of subsection 6 (1) where the requirements for the issuance of the applicant’s out-of-province certificate of registration included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraphs 3 and 4 of subsection 6 (1) will apply to an applicant if that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1. (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by a Special Assignment certificate of registration as a registered nurse at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. 6.2 (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Special Assignment certificate of registration as a registered practical nurse, the requirements of paragraphs 3 and 4 of subsection 6 (3) of this Regulation are deemed to be met by the applicant. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) Despite subsection (1), it is a non-exemptible requirement that an applicant referred to in subsection (1) provide, for each jurisdiction where the applicant holds an out-of-province certificate, a certificate, letter or other evidence satisfactory to the Executive Director or a panel of the Registration Committee confirming that the applicant is in good standing as a nurse in that jurisdiction. O. Reg. 175/12, s. 1. (3) Without in any way limiting the generality of subsection (2), “good standing” shall include the fact that, (a) the applicant is not the subject of any discipline or fitness to practise order or of any proceeding or ongoing investigation or of any interim order or agreement as a result of a complaint, investigation or proceeding; and (b) the applicant is in compliance with the continuing competency and quality assurance requirements of the regulatory authority that issued the applicant the out-of-province Special Assignment certificate as a registered practical nurse. O. Reg. 175/12, s. 1. (4) An applicant referred to in subsection (1) is deemed to have met the requirement of paragraph 2 of subsection 6 (3) where the requirements for the issuance of the applicant’s out-of-province certificate of registration included language proficiency requirements equivalent to those required by that paragraph. O. Reg. 175/12, s. 1. (5) Despite subsection (1), a requirement set out in paragraphs 3 and 4 of subsection 6 (3) will apply to an applicant if that requirement is a requirement described in subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 175/12, s. 1. (6) If an applicant to whom subsection (1) applies is unable to satisfy the Executive Director or a panel of the Registration Committee that the applicant practised the profession of nursing to the extent that would be permitted by a Special Assignment certificate of registration as a registered practical nurse at any time in the three years immediately before the date of that applicant’s application, the applicant must meet any further requirement to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be specified by a panel of the Registration Committee. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Emergency Certificates of Registration 7. (1) The following are additional requirements for the issuance of a certificate as a registered nurse in the Emergency class: 1. The Minister must have requested that the College initiate registrations under this class based on the Minister’s opinion that emergency circumstances call for it or the Council must have determined, after taking into account all of the relevant circumstances that impact the ability of applicants to meet the ordinary registration requirements, that there are emergency circumstances, and that it is in the public interest that the College issue emergency certificates. 2. The applicant must satisfy the Executive Director that the applicant has language proficiency, in either English or French, to be able to communicate and comprehend effectively, both orally and in writing. 3. The applicant must have successfully completed a nursing program that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered nurse in that jurisdiction. 4. The applicant must satisfy the Executive Director that the applicant practised as a registered nurse within three years before the day on which the applicant met all other requirements for the issuance of the certificate of registration. 5. The applicant must have successfully completed the examination in nursing jurisprudence approved by Council for a registered nurse, within five years before the day the applicant is issued an Emergency certificate. 6. If the applicant has attempted the examination mentioned in paragraph 2 of subsection 2 (1), the applicant must not have twice failed that examination. O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. (2) The requirements of subsection (1) are non-exemptible. O. Reg. 291/23, s. 10. (3) The following are additional requirements for the issuance of a certificate of registration as a registered practical nurse in the Emergency class: 1. The Minister must have requested that the College initiate registrations under this class based on the Minister’s opinion that emergency circumstances call for it or the Council must have determined, after taking into account all of the relevant circumstances that impact the ability of applicants to meet the ordinary registration requirements, that there are emergency circumstances, and that it is in the public interest that the College issue emergency certificates. 2. The applicant must satisfy the Executive Director that the applicant has language proficiency, in either English or French, to be able to communicate and comprehend effectively, both orally and in writing. 3. The applicant must have successfully completed a nursing program that was, at the time the applicant completed the program, recognized or approved in the jurisdiction in which the program was taken as qualifying the applicant to practise as a registered practical nurse in that jurisdiction. 4. The applicant must satisfy the Executive Director that the applicant practised as a registered practical nurse within three years before the day on which the applicant met all other requirements for the issuance of the certificate of registration. 5. The applicant must have successfully completed the examination in nursing jurisprudence approved by Council for a registered practical nurse, within five years before the day the applicant is issued an Emergency certificate. 6. If the applicant has attempted the examination mentioned in paragraph 2 of subsection 3 (1) the applicant must not have twice failed that examination. O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. (4) The requirements of subsection (3) are non-exemptible. O. Reg. 291/23, s. 10. (5) Every certificate of registration in the Emergency class is subject to the following terms, conditions and limitations: 1. The member’s practice must be monitored and directed by a member of the College holding a General or extended class certificate of registration. 2. The member shall at all times when providing nursing services identify themselves as an Emergency member. 3. The member shall be restricted to the use of the following titles: i. In the case of a member holding an Emergency certificate of registration as a registered nurse, “Registered Nurse (Emergency)”. ii. In the case of a member holding an Emergency certificate of registration as a registered practical nurse, “Registered Practical Nurse (Emergency)”. 4. The member shall not perform a controlled or authorized act, unless the act is ordered, i. pursuant to clause 5 (1) (b) of the Act, or ii. by a registered nurse in the General class. 5. The member shall not supervise, monitor or direct the performance of a controlled or authorized act or the practice of another member in any class. 6. The member shall not accept the delegation of a controlled or authorized act from another member or any other person. 7. The member shall not delegate to another member or any other person the authority to perform a controlled or authorized act. O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. (6) An Emergency certificate of registration is automatically revoked on the occurrence of the earliest of the following events: 1. Thirty days after receipt of notice of the Council’s determination that the emergency circumstances have ended. 2. The expiry of 60 days from the date the certificate was issued, unless the Executive Director extends the certificate for one or more extensions under subsection (7). 3. The date to which the Executive Director extended the certificate under subsection (7). 4. The issuance of a General, Extended, Temporary or Special Assignment class certificate of registration as a registered nurse or a General, Temporary or Special Assignment certificate of registration as a registered practical nurse. 5. Receipt of notification of the failure for the second time of an examination referred to in, i. paragraph 2 of subsection 2 (1), in the case of a member holding an Emergency certificate of registration as a registered nurse, or ii. paragraph 2 of subsection 3 (1), in the case of a member holding an Emergency certificate of registration as a registered practical nurse. 6. The date on which the Executive Director revokes the certificate under subsection (8). O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. (7) The Executive Director may extend an Emergency certificate of registration for one or more periods, each of which is not to exceed 60 days, if, in the opinion of the Executive Director, it is advisable or necessary to do so, if the Council has not determined the emergency circumstances have ended. O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. (8) The Executive Director may revoke an Emergency certificate of registration if, in the opinion of the Executive Director, it is in the public interest to do so. O. Reg. 291/23, s. 10; O. Reg. 271/25, s. 19. Non-Practising Certificates of Registration 8. (1) The following are additional requirements for the issuance of a certificate of registration as a registered nurse in the Non-Practising class: 1. The applicant must be a member of the College holding a General or extended class certificate of registration as a registered nurse or have previously been a member of the College holding a General or extended class certificate of registration as a registered nurse. 2. The applicant must not be in default of payment of fees, penalties or any other amount owing to the College on the date of the issuance of the certificate. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) The requirements of subsection (1) are non-exemptible. O. Reg. 175/12, s. 1. (3) The following are additional requirements for the issuance of a certificate of registration as a registered practical nurse in the Non-Practising class: 1. The applicant must be a member of the College holding a General class certificate of registration as a registered practical nurse or have previously been a member of the College holding a General class certificate of registration as a registered practical nurse. 2. The applicant must not be in default of payment fees, penalties or any other amount owing to the College on the date of the issuance of the certificate. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (4) The requirements of subsection (3) are non-exemptible. O. Reg. 175/12, s. 1. (5) Subject to subsection (6), every Non-Practising class certificate of registration is subject to the following terms, conditions and limitations: 1. The member shall not engage in the practice of nursing in Ontario. 2. The member shall not hold themselves out as a person qualified to practise in Ontario as a nurse, nurse practitioner, registered nurse in the extended class, registered nurse, practical nurse or registered practical nurse. 3. The member shall be restricted to the use of the following title: i. in the case of a holder of a Non-Practising class certificate of registration as a registered nurse, “Registered Nurse, Non-Practising”, or “RN Non-Practising”, or ii. in the case of a holder of a Non-Practising class certificate of registration as a registered practical nurse, “Registered Practical Nurse, Non-Practising” or “RPN Non-Practising”. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 10; O. Reg. 429/24, s. 17 (1); O. Reg. 271/25, s. 9. (6) A member holding a Non-Practising class certificate of registration shall not be considered to be in breach of paragraph 1 of subsection (5) if, (a) the member is engaged in continuing education or remediation directed by a committee or a panel of a committee of the College, approved by the Executive Director or as required to obtain the reinstatement of a General or extended class certificate of registration which the member formerly held; and (b) the member maintains professional liability protection in accordance with the requirements, if any, set out in the by-laws for a member holding the class of certificate for which the member is seeking reinstatement. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 17 (2); O. Reg. 271/25, s. 19. (7) All certificates of registration held by the member shall be revoked automatically at the time that the member is issued a certificate of registration as a registered nurse or registered practical nurse in the Non-Practising class. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. Examinations 8.1 (1) Where Council approves an examination for the purpose of paragraph 2 of subsection 2 (1) or 3 (1) or paragraph 3 of subsection 4 (1), Council shall determine whether the examination is one for which applicants shall be permitted an unlimited number of attempts to successfully complete that examination or whether the examination is one for which there shall be a limited number of attempts to successfully complete that examination. O. Reg. 462/16, s. 11. (2) Subject to subsection (3), where Council determines that an examination is one for which there shall be a limited number of attempts, Council shall determine the maximum number of attempts which an applicant shall be permitted to successfully complete that examination. O. Reg. 462/16, s. 11. (3) Where Council makes a determination under subsection (2), it shall provide for at least three attempts to successfully complete that examination. O. Reg. 462/16, s. 11. (4) Where Council approved an examination before December 16, 2016, Council shall make a determination as to whether the examination is one for which applicants shall be permitted an unlimited number of attempts to successfully complete that examination or whether the examination is one for which there shall be a limited number of attempts to successfully complete that examination. O. Reg. 462/16, s. 11. (5) If Council fails to determine the maximum number of attempts applicable to an examination under subsection (2) or (4), Council shall be deemed to have determined that an applicant shall be permitted a maximum of three attempts to successfully complete that examination. O. Reg. 462/16, s. 11. (6) Nothing in this section shall prevent Council from subsequently determining the maximum number of attempts applicable to an examination under subsection (2). O. Reg. 462/16, s. 11. Examinations — General Class 9. (1) The College shall ensure that an examination that is a requirement for a General class certificate of registration for a registered nurse in the General class or a registered practical nurse in the General class is held at least once every six months. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) An applicant who meets the following requirements is eligible to attempt an examination referred to in paragraph 2 of subsection 2 (1) for a General certificate of registration as a registered nurse: 1. The person must file a completed examination application form. 2. The person must pay the required examination fee. 3. The person must meet the requirement of paragraph 1 of subsection 2 (1). 4. In respect of an examination for which Council has determined there shall be a limited number of attempts, the person must not have exhausted, after having met the requirement of paragraph 1 of subsection 2 (1), all of the attempts which Council determined were allowable for the applicant to successfully complete that examination. O. Reg. 462/16, s. 12; O. Reg. 271/25, s. 19. (3) An applicant who meets the following requirements is eligible to attempt an examination referred to in paragraph 2 of subsection 3 (1) for a General certificate of registration as a registered practical nurse: 1. The person must file a completed examination application form. 2. The person must pay the required examination fee. 3. The person must meet the requirement of paragraph 1 of subsection 3 (1). 4. In respect of an examination for which Council has determined there shall be a limited number of attempts, the person must not have exhausted, after having met the requirement of paragraph 1 of subsection 3 (1), all of the attempts which Council determined were allowable for the applicant to successfully complete that examination. O. Reg. 462/16, s. 12; O. Reg. 271/25, s. 19. (4)-(7) Revoked: O. Reg. 462/16, s. 12. Examinations — Extended Class 9.1 (1) The College shall ensure that an examination that is a requirement for an extended class certificate of registration is available at least once every year. O. Reg. 271/25, s. 10 (1). (2) An applicant who meets the following requirements is eligible to attempt an examination referred to in paragraph 3 of subsection 4 (1) for an extended certificate of registration as a registered nurse: 1. The person must file a completed examination application form. 2. The person must pay the required examination fee. 3. The person must meet the requirements of paragraph 1 of subsection 4 (1). 4. The person must meet the requirements of paragraph 2 of subsection 4 (1). 5. In respect of an examination for which Council has determined there shall be a limited number of attempts, the person must not have exhausted, after having met the requirements of paragraphs 1 and 2 of subsection 4 (1), all of the attempts which Council determined were allowable for the applicant to successfully complete that examination. O. Reg. 462/16, s. 13; O. Reg. 271/25, s. 10 (2), 19. (3), (4) Revoked: O. Reg. 462/16, s. 13. Resignation 10. (1) A member may resign as a member of the College by giving written notice to the College. O. Reg. 175/12, s. 1. (2) A resignation under this section is effective on the date set out in the resignation or on the date it is received by the College, whichever is later. O. Reg. 175/12, s. 1. (3) A resignation under subsection (1) automatically revokes the certificate or certificates of registration at the time the resignation becomes effective. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 11. Suspension for Failure to Provide Information 10.1 (1) If a member fails to provide to the College information about the member in the manner and form required under the by-laws, the Executive Director shall give the member notice of intention to suspend the member and may suspend one or more of the member’s certificates of registration for failure to provide the information where at least 30 days have passed after notice is given. O. Reg. 175/12, s. 1. (2) Where the Executive Director suspends a member’s certificate of registration under subsection (1), the Executive Director shall lift the suspension upon being satisfied that the required information has been filed with the College and that any fees required under the by-laws for the lifting of that suspension have been paid. O. Reg. 175/12, s. 1. Suspension for Failure to Provide Evidence of Professional Liability Protection 10.2 (1) If the Executive Director requests evidence that the member holds professional liability protection in accordance with the requirements, if any, set out in the by-laws and the member fails to provide that evidence within 14 days of having been requested to do so or such longer period as is specified by the Executive Director, the Executive Director shall give the member notice of intention to suspend the member and may suspend the member’s certificate of registration for failure to provide the evidence where at least 30 days have passed after notice is given. O. Reg. 175/12, s. 1. (2) If a member holds more than one certificate of registration, a suspension mentioned in subsection (1) applies only to the certificate or certificates in respect of which notice was given. O. Reg. 175/12, s. 1. (3) Where the Executive Director suspends the member’s certificate of registration under subsection (1), the Executive Director shall lift that suspension upon being satisfied that the member holds professional liability protection in accordance with the requirements, if any, set out in the by-laws and that any fees required under the by-laws for the lifting of that suspension have been paid. O. Reg. 175/12, s. 1. Lifting of Certain Suspensions 10.3 Where the Executive Director suspended a certificate of registration pursuant to section 24 of the Health Professions Procedural Code, the Executive Director shall lift the suspension upon being satisfied that, (a) all amounts owing to the College at the time of the suspension have been paid; and (b) any fees required under the by-laws for the lifting of the suspension have been paid. O. Reg. 175/12, s. 1. Revocation 10.4 (1) The Executive Director shall revoke the certificate of registration of a member where, (a) the member’s certificate of registration was suspended pursuant to section 24 of the Health Professions Procedural Code and that suspension continued for at least 30 days; or (b) the member’s certificate of registration was suspended pursuant to subsection 10.1 (1) or 10.2 (1) of this Regulation and the suspension continued for at least 30 days. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 18 (1). (2) The Executive Director may revoke a certificate of registration of a member if the member has more than one certificate of registration and gives written notice to the College asking that one of the member’s certificates of registration be revoked. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 18 (1). (3), (4) Revoked: O. Reg. 271/25, s. 12. Reinstatement, on Application 10.5 (1) A former member who held a General certificate of registration as a registered nurse or registered practical nurse or an extended certificate of registration as a registered nurse, and who resigned pursuant to section 10 or whose certificate was revoked pursuant to section 10.4 or a predecessor to one of those provisions may apply for the reinstatement of the former member’s certificate of registration by submitting a completed application to the Executive Director in the form provided by the Executive Director. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 19 (2); O. Reg. 271/25, s. 19. (2) If a former member who applies for reinstatement of a certificate of registration as a registered nurse in the extended class under subsection (1) held one or more specialty certificates, as they existed at the time, no specialty certificates shall be reinstated. O. Reg. 271/25, s. 13 (1). (3) Subject to subsection (4), the Executive Director may reinstate the former member’s certificate of registration if, (a) the Executive Director is satisfied that the former member has corrected the deficiency or deficiencies that provided the grounds for the revocation of the former member’s certificate pursuant to section 10.4, if applicable; (b) the application for reinstatement was submitted to the Executive Director within three years of the date on which the former member’s certificate of registration was revoked; (c) the former member has paid, (i) the reinstatement fees required under the by-laws, (ii) any other applicable fees required under the by-laws, (iii) any other money otherwise owed by the former member to the College at the date the application for reinstatement is submitted, including, without limitation, any costs or expenses ordered to be paid under section 53.1 of the Health Professions Procedural Code, any costs awarded to the College by a court and any amount owing to the College under a by-law or former regulation made under the Act; and (d) the former member, (i) satisfies the Executive Director that the former member completed all education, experience and training requirements for the issuance of the certificate of registration that is the subject of the application for reinstatement within the three years immediately preceding the date on which the applicant satisfied all other requirements for reinstatement, or (ii) demonstrates evidence of practice within the three years immediately preceding the date on which the applicant satisfied all other requirements for reinstatement, (A) as a registered nurse, if the former member is applying for reinstatement of a General certificate of registration as a registered nurse, (B) as a registered practical nurse, if the former member is applying for reinstatement of a General certificate of registration as a registered practical nurse, or (C) as a registered nurse in the extended class, if the former member is applying for reinstatement of an extended certificate of registration as a registered nurse and in such a case the practice must include, (1) clinical practice in the extended class, and (2) a nursing role that required the former member to use, in the treatment of patients, advanced knowledge and decision-making skill in assessment, diagnosis and therapeutics. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 19 (1, 3); O. Reg. 271/25, s. 13 (2), 19. (4) A former member is ineligible for reinstatement under subsection (3) if the former member, (a) was, after the former member ceased to be a member, found guilty of any criminal offence in any jurisdiction or of any offence involving the use, possession or sale of drugs in any jurisdiction; (b) was, after the former member ceased to be a member, found guilty of any offence in any jurisdiction relating to the practice of nursing or any other profession; (c) has been the subject of an inquiry or investigation by the Executive Director that was not completed on its merits prior to the time that the applicant ceased being a member or that resulted in the member’s resignation; (d) was, at the time the former member ceased to be a member, the subject of an outstanding order of a Committee or of a panel of a Committee or a Board of Inquiry of the College; (e) was, at the time the former member ceased to be a member, in breach of an order of a Committee or of a panel of a Committee or a Board of Inquiry of the College; (f) was, prior to the time the former member ceased to be a member, selected or directed to undergo an assessment or reassessment under the College’s Quality Assurance Program unless the assessment or reassessment was completed and any continuing education or remedial program required by a panel of the Quality Assurance Committee was completed before the time the former member ceased to be a member; (g) was, at the time the former member ceased to be a member, in breach of any written agreement with or undertaking provided to the College; (h) was, after the former member ceased to be a member, refused registration in any jurisdiction either in nursing or any other profession; or (i) was, after the former member ceased to be a member, the subject of a finding of professional negligence or malpractice in any jurisdiction in relation to nursing or any other profession. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 19 (1). Reinstatement, Non-Practising 10.6 (1) A member holding a Non-Practising certificate of registration may apply for reinstatement of the General certificate of registration as a registered nurse or registered practical nurse or the extended certificate of registration as a registered nurse that the member previously held by submitting a completed application to the Executive Director in the form provided by the Executive Director. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 20 (1); O. Reg. 271/25, s. 19. (2) If a member who applies for reinstatement of a certificate of registration as a registered nurse in the extended class under subsection (1) held one or more specialty certificates, as they existed at the time, no specialty certificates shall be reinstated. O. Reg. 271/25, s. 14 (1).

(3) Subject to subsection (4), the Executive Director may reinstate the member’s certificate of registration if, (a) the member has paid, (i) the reinstatement fees required under the by-laws, and (ii) any other applicable fees required under the by-laws; (b) the member demonstrates evidence of practice within the three years immediately preceding the date on which the applicant satisfies all other requirements for reinstatement, (i) as a registered nurse, if the member is applying for reinstatement of a General certificate of registration as a registered nurse, (ii) as a registered practical nurse, if the member is applying for reinstatement of a General certificate of registration as a registered practical nurse, or (iii) as a registered nurse in the extended class if the member is applying for reinstatement of an extended certificate of registration as a registered nurse, and in such a case the practice must have included, (A) clinical practice in the extended class, and (B) a nursing role that required the member to use, in the treatment of patients, advanced knowledge and decision-making skill in assessment, diagnosis and therapeutics; (c) the member demonstrates language proficiency and the ability to communicate and comprehend effectively, both orally and in writing, in either English or French, unless the member held a certificate of registration, other than an Emergency, retired or Non-Practising certificate of registration, less than two years before applying for reinstatement or within such longer period as specified by the Executive Director; and (d) the member successfully completed the examination in nursing jurisprudence approved by Council for applicants for the issuance of the class of certificate for which the member is seeking reinstatement within five years before the date on which the member met all of the other requirements for reinstatement, unless the member held a certificate of registration, other than an Emergency, retired or Non-Practising certificate of registration, less than five years before applying for reinstatement. O. Reg. 175/12, s. 1; O. Reg. 291/23, s. 11; O. Reg. 429/24, s. 20; O. Reg. 271/25, s. 14 (2), 19. (4) A member is ineligible for reinstatement under subsection (3) if any of the provisions set out in clauses 10.5 (4) (a) to (i), with necessary modifications, apply to the member. O. Reg. 175/12, s. 1. Reinstatement, Extended Class 10.7 (1) A member who holds a General certificate of registration as a registered nurse and who formerly held an extended certificate of registration as a registered nurse may apply for the reinstatement of the member’s extended certificate of registration by submitting a completed application to the Executive Director in the form provided by the Executive Director. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 21 (1); O. Reg. 271/25, s. 19. (2) If a member who applies for reinstatement of a certificate of registration as a registered nurse in the extended class under subsection (1) held one or more specialty certificates, as they existed at the time, no specialty certificates shall be reinstated. O. Reg. 271/25, s. 15 (1). (3) The Executive Director may reinstate the member’s extended certificate of registration previously held by the member if, (a) the member has paid, (i) the reinstatement fees required under the by-laws, and (ii) any other applicable fees required under the by-laws; (b) the member demonstrates evidence of practice as a registered nurse in the extended class within the three years immediately preceding the date on which the applicant satisfied all other requirements for reinstatement, and in such a case the practice must have included, (i) clinical practice in the extended class, and (ii) a nursing role that required the member to use, in the treatment of patients, advanced knowledge and decision-making skill in assessment, diagnosis and therapeutics; and (c) the member successfully completed the examination in nursing jurisprudence approved by Council for applicants for the issuance of an extended certificate of registration within five years before the date on which the member met all of the other requirements for reinstatement, unless the member held an extended class certificate of registration as a registered nurse less than five years before applying for reinstatement. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 14; O. Reg. 429/24, s. 21 (3); O. Reg. 271/25, s. 15 (2, 3), 19. Extensions 10.7.1 The Executive Director may extend the three-year period referred to in clause 10.5 (3) (b), subclause 10.5 (3) (d) (ii), clause 10.6 (3) (b) or clause 10.7 (3) (b) if the member or former member satisfies the Executive Director that the member or former member is safe and competent to engage in the practice of nursing. O. Reg. 509/22, s. 3. Reinstatement, Pursuant to Order 10.8 (1) If a former member’s certificate of registration is ordered to be reinstated by a panel of the Discipline Committee or of the Fitness to Practise Committee, the Executive Director shall reinstate the certificate of registration upon payment of, (a) the reinstatement fee required under the by-laws; and (b) any other applicable fees required under the by-laws. O. Reg. 175/12, s. 1. (2) If a former member whose extended class certificate of registration is reinstated under subsection (1) held one or more specialty certificates, as they existed at the time, no specialty certificates shall be reinstated. O. Reg. 271/25, s. 16. Terms, etc. 10.9 (1) The Executive Director may impose on a member’s certificate of registration that is reinstated under this Regulation any terms, conditions or limitations that were imposed on the member’s previously held certificate of registration. O. Reg. 175/12, s. 1. (2) Nothing in sections 10.5, 10.6 or 10.7 prevents a member or former member from making an application for a new certificate of registration. O. Reg. 175/12, s. 1. (3) An applicant for reinstatement under sections 10.5, 10.6 or 10.7 must meet all the requirements for reinstatement within two years of the date of filing the completed application to the Executive Director, but this does not prevent the member or former member from filing a new application for reinstatement. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 23 (1). (4) An applicant for reinstatement under sections 10.5, 10.6 or 10.7 shall be deemed not to have satisfied the requirements for reinstatement if the applicant makes a false or misleading statement or representation in the application or supporting documents. O. Reg. 175/12, s. 1; O. Reg. 429/24, s. 23 (2). Declaration 11. (1) Every member holding a General or extended certificate of registration shall make a declaration, at the request of the Executive Director or at the time the member pays the annual membership fee required under the by-laws, about whether the member has engaged in the practice of nursing during the previous three years, (a) as a registered nurse in the General class, if the member holds that certificate; (b) as a registered practical nurse in the General class, if the member holds that certificate; or (c) as a registered nurse in the extended class, if the member holds that certificate, and such a member must also declare whether that practice included, (i) clinical practice in the extended class, and (ii) a nursing role that required the member to use, in the treatment of patients, advanced knowledge and decision-making skill in assessment, diagnosis and therapeutics. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1, 2); O. Reg. 271/25, s. 17 (1), 19. (2) If a member mentioned in clause (1) (a), (b) or (c) declares that the member has not engaged in the practice of nursing during the previous three years, all of the member’s certificates of registration shall be revoked. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1). (3) If a member mentioned in clause (1) (c) declares that the member has engaged in the practice of nursing during the previous three years but has not practised as a registered nurse in the extended class, (a) the member is deemed to have met all the requirements for the issuance of a certificate of registration as a registered nurse in the General class and the Executive Director shall issue that certificate to the member; and (b) the extended class certificate of registration that the member previously held shall be revoked. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1); O. Reg. 271/25, s. 17 (2, 3), 19. (4) If a member who is a registered nurse in the General class and a registered practical nurse in the General class declares that the member has not practised as a registered nurse during the previous three years, but has practised as a registered practical nurse, the member’s General certificate of registration as a registered nurse shall be revoked. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1); O. Reg. 271/25, s. 19. (5) If a member who is a registered nurse in the General class and a registered practical nurse in the General class declares that the member has not practised as a registered practical nurse during the previous three years, the member’s General certificate of registration as a registered practical nurse shall be revoked. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1); O. Reg. 271/25, s. 19. (6) If a member who is a registered nurse in the extended class and a registered practical nurse in the General class declares that the member has not practised as a registered practical nurse during the previous three years, the member’s General certificate of registration as a registered practical nurse shall be revoked. O. Reg. 175/12, s. 1; O. Reg. 462/16, s. 16; O. Reg. 429/24, s. 24 (1); O. Reg. 271/25, s. 19. (7) If a member who is a registered nurse in the extended class and a registered practical nurse in the General class declares that the member has not practised as a registered nurse in the extended class during the previous three years, the member’s extended certificate of registration shall be revoked. O. Reg. 271/25, s. 17 (4). (8) Revoked: O. Reg. 271/25, s. 17 (5). (9) At the request of the Executive Director, a member who makes a declaration under subsection (1) shall provide evidence that, in the opinion of the Executive Director, is satisfactory to support the declaration, within 14 days, or such longer period as approved by the Executive Director. O. Reg. 175/12, s. 1. Transition 12. (1) A member holding a retired certificate of registration as a registered nurse immediately before January 1, 2013 shall be deemed to be the holder of a Non-Practising certificate of registration as a registered nurse. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. (2) A member holding a retired certificate of registration as a registered practical nurse immediately before January 1, 2013 shall be deemed to be the holder of a Non-Practising certificate of registration as a registered practical nurse. O. Reg. 175/12, s. 1; O. Reg. 271/25, s. 19. 12.1 Subject to section 12, every certificate of registration that was in existence immediately before January 1, 2013 is continued as the equivalent certificate of registration under this Regulation and is subject to any terms, conditions and limitations imposed on the certificate of registration. O. Reg. 175/12, s. 1. 12.2 If a certificate of registration of a former member was suspended for failure to pay a fee required under the by-laws or any previous legislation before January 1, 2013 and that suspension was in effect immediately before January 1, 2013, that certificate shall be deemed to be revoked 30 days after January 1, 2013. O. Reg. 175/12, s. 1. 12.3 (1) A member holding an extended certificate of registration in the primary health care specialty immediately before July 1, 2026 shall be deemed to be a holder of an extended certificate of registration. O. Reg. 271/25, s. 18. (2) A member holding an extended certificate of registration in the adult specialty immediately before July 1, 2026 shall be deemed to be a holder of an extended certificate of registration. O. Reg. 271/25, s. 18. (3) A member holding an extended certificate of registration in the paediatrics specialty immediately before July 1, 2026 shall be deemed to be a holder of an extended certificate of registration. O. Reg. 271/25, s. 18. 12.4 Subject to section 12.3, every certificate of registration that was in existence immediately before July 1, 2026 is continued as the equivalent certificate of registration under this Regulation and is subject to any terms, conditions and limitations imposed on the certificate of registration. O. Reg. 271/25, s. 18. 12.5 If a certificate of registration of a former member was suspended for failure to pay a fee required under the by-laws or any previous legislation before July 1, 2026 and that suspension was in effect immediately before July 1, 2026, that certificate shall be deemed to be revoked 30 days after July 1, 2026. O. Reg. 271/25, s. 18. PART III CONTROLLED ACTS Interpretation 13.2 In this Part, “controlled substance” means a controlled substance within the meaning of the Controlled Drugs and Substances Act (Canada); (“substance désignée”) “electronic signature” means electronic information that a person creates or adopts in order to sign a document and that is in, attached to or associated with the document; (“signature électronique”) “signature” includes an electronic signature. (“signature”) O. Reg. 387/11, s. 1. Procedures 14. All procedures on tissue below the dermis or below the surface of a mucous membrane are prescribed for the purposes of paragraph 1 of section 4 of the Act. O. Reg. 387/11, s. 1. 15. (1) For the purposes of clause 5 (1) (a) of the Act, a registered nurse in the general class may perform a procedure set out in subsection (4) if the registered nurse meets all of the conditions set out in subsection (5). O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 25. (2) For the purposes of clause 5 (1) (a) of the Act, any member may perform a procedure set out in subsection (4) if the procedure is ordered by a registered nurse in the general class. O. Reg. 387/11, s. 1. (3) No registered nurse in the general class shall order a procedure set out in subsection (4) unless the registered nurse meets all of the conditions set out in subsection (5). O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 25. (4) The following are the procedures referred to in subsections (1), (2) and (3): 1. With respect to the care of a wound below the dermis or below a mucous membrane, any of the following procedures: i. cleansing, ii. soaking, iii. irrigating, iv. probing, v. debriding, vi. packing, vii. dressing. 2. Venipuncture to establish peripheral intravenous access and maintain patency, using a solution of normal saline (0.9 per cent), in circumstances in which, i. the individual requires medical attention, and ii. delaying venipuncture is likely to be harmful to the individual. 3. A procedure that, for the purpose of assisting an individual with health management activities, requires putting an instrument, i. beyond the point in the individual’s nasal passages where they normally narrow, ii. beyond the individual’s larynx, or iii. beyond the opening of the individual’s urethra. 4. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument or finger, i. beyond the individual’s anal verge, or ii. into an artificial opening into the individual’s body. 5. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument, hand or finger beyond the individual’s labia majora. 6. Treating, by means of psychotherapy technique, delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgment, insight, behaviour, communication or social functioning. O. Reg. 387/11, s. 1; O. Reg. 473/19, s. 1. (5) The following are the conditions referred to in subsections (1) and (3): 1. The registered nurse has the knowledge, skill and judgment to perform the procedure safely, effectively and ethically. 2. The registered nurse has the knowledge, skill and judgment to determine whether the individual’s condition warrants performance of the procedure. 3. The registered nurse determines that the individual’s condition warrants performance of the procedure, having considered, i. the known risks and benefits to the individual of performing the procedure, ii. the predictability of the outcome of performing the procedure, iii. the safeguards and resources available in the circumstances to safely manage the outcome of performing the procedure, and iv. other relevant factors specific to the situation. 4. The registered nurse accepts accountability for determining that the individual’s condition warrants performance of the procedure. O. Reg. 387/11, s. 1. 15.1 (1) For the purposes of clause 5 (1) (a) of the Act, a registered practical nurse in the general class may perform a procedure set out in subsection (2) if the registered practical nurse meets all of the conditions set out in subsection (3). O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 26. (2) The following are the procedures referred to in subsection (1): 1. With respect to the care of a wound below the dermis or below a mucous membrane, any of the following procedures: i. Cleansing. ii. Soaking. iii. Irrigating. iv. Probing. v. Debriding. vi. Packing. vii. Dressing. 1.1 Venipuncture to establish peripheral intravenous access and maintain patency, using a solution of normal saline (0.9 per cent), in circumstances in which, i. the individual requires medical attention, and ii. delaying venipuncture is likely to be harmful to the individual. 2. A procedure that, for the purpose of assisting an individual with health management activities, requires putting an instrument, i. beyond the point in the individual’s nasal passages where they normally narrow, ii. beyond the individual’s larynx, or iii. beyond the opening of the individual’s urethra. 3. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument or finger, i. beyond the individual’s anal verge, or ii. into an artificial opening into the individual’s body. 4. A procedure that, for the purpose of assessing an individual or assisting an individual with health management activities, requires putting an instrument, hand or finger beyond the individual’s labia majora. 5. Treating, by means of psychotherapy technique, delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgment, insight, behaviour, communication or social functioning. O. Reg. 387/11, s. 1; O. Reg. 473/19, s. 2; O. Reg. 96/23, s. 1. (3) The following are the conditions referred to in subsection (1): 1. The registered practical nurse has the knowledge, skill and judgment to perform the procedure safely, effectively and ethically. 2. The registered practical nurse has the knowledge, skill and judgment to determine whether the individual’s condition warrants performance of the procedure. 3. The registered practical nurse determines that the individual’s condition warrants performance of the procedure, having considered, i. the known risks and benefits to the individual of performing the procedure, ii. the predictability of the outcome of performing the procedure, iii. the safeguards and resources available in the circumstances to safely manage the outcome of performing the procedure, and iv. other relevant factors specific to the situation. 4. The registered practical nurse accepts accountability for determining that the individual’s condition warrants performance of the procedure. O. Reg. 387/11, s. 1. Prescribing, Dispensing, Selling and Compounding a Drug 16. (1) A member shall not engage in conduct that results, directly or indirectly, in a personal or financial benefit that conflicts with their professional or ethical duty to a patient as a result of prescribing, dispensing, selling or compounding a drug. O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 27. (2) A member who prescribes, dispenses, sells or compounds a drug shall comply with all applicable federal and provincial law related to prescribing, dispensing, selling or compounding a drug. O. Reg. 387/11, s. 1. (3) Revoked: O. Reg. 336/23, s. 1. (4) A member who is authorized to prescribe, sell or compound a drug shall not prescribe, sell or compound a controlled substance except where authorized by subsection 17 (2). O. Reg. 387/11, s. 1; O. Reg. 111/17, s. 1. Prescribing 16.1 (1) A member who is a registered nurse in the General class is only authorized to prescribe a drug described in Schedule 2 if the member satisfies the requirements in subsections (2) to (5). O. Reg. 336/23, s. 2. (2) A member who is a registered nurse in the General class may only prescribe a drug described in Schedule 2 if all of the following conditions are met: 1. The member must have a nurse-patient relationship with the patient for whom the drug is prescribed. 2. The member must prescribe the drug for therapeutic purposes only. 3. The member must ensure that the following information is recorded on the prescription: i. The name and address of the person for whom the drug is prescribed. ii. The name, strength (where applicable) and quantity of the drug that is prescribed. iii. The directions for use. iv. The member’s name, address, telephone number, title and registration number issued by the College. v. The member’s signature. vi. The date on which the drug is prescribed. vii. The number of refills, if applicable. 4. The member must retain a copy of the information recorded on the prescription required under paragraph 3 as part of the patient’s health record. O. Reg. 336/23, s. 2. (3) Where a route of administration or other specification is indicated with respect to a drug described in Schedule 2, a member who is a registered nurse in the General class and who is authorized to prescribe such a drug shall only prescribe the drug in compliance with the specification and in accordance with the route of administration. O. Reg. 336/23, s. 2. (4) A member who is a registered nurse in the General class shall not prescribe a drug described in Schedule 2 unless the member, (a) has successfully completed education approved by the Council that was specifically designed to educate registered nurses to safely, effectively and ethically prescribe drugs and communicating diagnoses to a patient or their representative where the purpose of that communication is for prescribing a drug; or (b) is taking part in the education mentioned in clause (a) and prescribes the drug under the supervision of a person who is authorized to prescribe the drug under a health profession Act as defined in the Regulated Health Professions Act, 1991. O. Reg. 336/23, s. 2. (5) A member who is a registered nurse in the General class shall not perform the controlled act of communicating to a patient or their representative a diagnosis made by the member where the purpose of that communication is for prescribing a drug, unless that member, (a) has successfully completed the education mentioned in clause (4) (a); or (b) is taking part in the education mentioned in clause (4) (a) and communicates the diagnosis under the supervision of a person who is authorized to prescribe the drug and communicate a diagnosis under a health profession Act as defined in the Regulated Health Professions Act, 1991. O. Reg. 336/23, s. 2. 17. (1) A member who is a registered nurse in the extended class may only prescribe a drug if all of the following conditions are met: 1. The member must have a nurse-patient relationship with the patient for whom the drug is prescribed. 2. The member must prescribe the drug for therapeutic purposes only. 3. The member must ensure that the following information is recorded on the prescription: i. the name and address of the person for whom the drug is prescribed, ii. the name, strength (where applicable) and quantity of the drug that is prescribed, iii. the directions for use, iv. the member’s name, address, telephone number, title and registration number issued by the College, v. the member’s signature, vi. the date on which the drug is prescribed, and vii. the number of refills, if applicable. 4. The member must retain a copy of the information recorded on the prescription required under paragraph 3 as part of the patient’s health record. O. Reg. 387/11, s. 1; O. Reg. 336/23, s. 3 (1). (2) A member who is a registered nurse in the extended class and who meets the conditions set out in subsection (1) of this section is authorized to prescribe a controlled substance if the member satisfies the Executive Director that the member has, within any time period set by Council, successfully completed education approved by Council that was specifically designed to educate registered nurses in the extended class to safely, effectively and ethically prescribe controlled substances. O. Reg. 111/17, s. 2; O. Reg. 336/23, s. 3 (2). (3) The education mentioned in subsection (2) may be education that is either independent of or part of the education and training required to become a registered nurse in the extended class. O. Reg. 111/17, s. 2. Dispensing 18. (1) A member who is a registered nurse in the extended class may only dispense a drug if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 4. (2) A member who is a registered nurse in the General class may only dispense a drug described in Schedule 2 that the member prescribed if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 4. (3) A member who is a registered nurse or a registered practical nurse may dispense a drug prescribed under section 16.1 if the dispensing is ordered by the member who prescribed the drug under that section and all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 4. (4) When dispensing a drug under clause 5 (1) (b) of the Act, a member who is a registered nurse or a registered practical nurse shall only dispense the drug if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 4. (5) For the purposes of subsections (1) to (4), the following conditions must be met: 1. The member must have a nurse-patient relationship with the patient for whom the drug is dispensed. 2. The member must provide the drug directly to the patient or the patient’s representative. 3. The member must dispense the drug for therapeutic purposes only. 4. The member must have reasonable grounds to believe that the drug has been obtained and stored in accordance with any applicable legislation. 5. The member must be satisfied that the drug has not expired and will not expire before the date on which the patient is expected to take the last of the drug. 6. The member must ensure that the container in which the drug is dispensed is marked with, i. an identification number, if applicable, ii. the member’s name and title along with the name and title of the prescriber if the member is not the prescriber, iii. the name, address and telephone number of the place from which the drug is dispensed, iv. the identification of the drug as to its name, its strength (where applicable) and, if available, its manufacturer, v. the quantity of the drug dispensed, vi. the date the drug is dispensed, vii. the expiry date of the drug, if applicable, viii. the name of the patient for whom the drug is dispensed, and ix. the directions for use. 7. The member must retain a copy of the information set out under paragraph 6 on the container in which the drug was dispensed in the patient’s health record. O. Reg. 336/23, s. 4. Compounding 19. For the purposes of paragraph 8 of subsection 5.1 (1) of the Act, a member may only compound a drug if all of the following conditions are met: 1. The member must only compound two or more non-sterile creams or ointments to produce a compounded cream or ointment. 2. The member must ensure that the compounded cream or ointment is for topical use only and for therapeutic purposes. 3. The member must have a nurse-patient relationship with the patient for whom the cream or ointment is compounded. 4. The member must dispense the compounded cream or ointment to the patient or the patient’s representative or apply it directly to the patient. 5. The member must have made reasonable inquiries and be satisfied that, i. the patient does not have reasonable or timely access to a pharmacy, ii. the patient would not otherwise receive the compounded cream or ointment, or iii. the patient does not have the financial resources to obtain the compounded cream or ointment if it is not compounded by the member. 6. The member must have reasonable grounds to believe that the creams or ointments used in the compounding have been obtained and stored in accordance with any applicable legislation. 7. The member must be satisfied that the creams or ointments used in the compounding have not expired and will not expire before the date on which the patient is expected to apply the last of the compounded cream or ointment. 8. The member must ensure that the container holding the compounded cream or ointment is marked with, i. an identification number, if applicable, ii. the name and title of the member, iii. the name, address and telephone number of the place in which the compounded cream or ointment was compounded, iv. the identification of the substances used in the compounded cream and ointment, their names, strength and manufacturer, v. the percentage of each of the creams or ointments used to make the compounded cream or ointment and the quantity placed in the container, vi. the date the compounded cream or ointment was compounded and the date the compounded cream or ointment was dispensed, if different from the former date, vii. the expiry date of the compounded cream or ointment, viii. the name of the patient for whom the cream or ointment was compounded, and ix. the directions for use. 9. The member must retain a copy of the information set out under paragraph 8 in the patient’s health record, along with the information provided by the patient in response to the inquiries under paragraph 5. O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 28. Selling 19.1 (1) For the purposes of paragraph 8 of subsection 5.1 (1) of the Act, a member may only sell a drug if all of the following conditions are met: 1. The member must have a nurse-patient relationship with the patient to whom the drug is sold. 2. The member must sell the drug for therapeutic purposes only and only if the member dispenses the drug directly to the patient or the patient’s representative or the drug is administered to the patient. 3. The member must have made reasonable inquiries and be satisfied that, i. the patient does not have reasonable or timely access to a pharmacy, ii. the patient would not otherwise buy the drug, iii. the patient does not have the financial resources to obtain the drug if it is not sold by the member, or iv. the drug is sold in conjunction with a health promotion initiative. 4. The member must have reasonable grounds to believe that the drug has been obtained and stored in accordance with any applicable federal or provincial legislation. 5. The member must be satisfied that the drug has not expired and will not expire before the date on which the patient is expected to take the last of the drug. 6. The member must not sell a drug if the selling provides a profit to the member or a direct or indirect personal or financial benefit, other than the actual cost of the drug. 7. The member must retain in the patient’s health record a record that the drug was sold to the patient, the price charged and the information provided by the patient in response to the inquiries under paragraph 3. O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 29 (1, 2). (2) A registered nurse in the extended class shall not describe themselves orally or in writing as a person who is authorized to sell a drug unless the registered nurse in the extended class sets out in writing or orally the inquiries that must be made by the member before selling a drug to a patient under paragraph 3 of subsection (1). O. Reg. 387/11, s. 1; O. Reg. 429/24, s. 29 (3). Administration of a Substance by Injection or Inhalation 20. (1) A member who is a registered nurse in the extended class may only administer a substance by injection or inhalation if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 5. (2) A member who is a registered nurse in the General class may only administer by injection or inhalation a substance described in Schedule 2 that the member prescribed, where that substance may be administered by injection or inhalation, if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 5. (3) A member who is a registered nurse or a registered practical nurse may administer by injection or inhalation a substance prescribed under section 16.1, where that substance may be administered by injection or inhalation, if the administering is ordered by the member who prescribed the substance and all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 5. (4) It is a standard of practice of the profession that, when administering a substance by injection or inhalation under clause 5 (1) (b) of the Act, a member who is a registered nurse or a registered practical nurse shall only administer the substance if all of the conditions set out in subsection (5) are met. O. Reg. 336/23, s. 5. (5) For the purposes of subsections (1) to (4), the following conditions must be met: (a) the member has a nurse-patient relationship with the patient for whom the administration of a substance by injection or inhalation is performed; and (b) the procedure is performed only for therapeutic purposes. O. Reg. 336/23, s. 5. Part IV Quality Assurance General 21. (1) In this Part, “assessor” means an assessor appointed under section 81 of the Health Professions Procedural Code; (“évaluateur”) “Committee” means the Quality Assurance Committee of the College. (“comité”) O. Reg. 311/10, s. 1. (2) Unless otherwise specified, this Part only applies to members holding a general or extended class certificate of registration. O. Reg. 311/10, s. 1; O. Reg. 174/12, s. 11; O. Reg. 271/25, s. 19. 22. (1) The Committee shall administer the quality assurance program of the College. O. Reg. 311/10, s. 1. (2) Any of the powers of the Committee under this Part may be exercised by a panel of the Committee appointed under this section. O. Reg. 311/10, s. 1. (3) The chair of the Committee may select a panel of at least three members from the members of the Committee. O. Reg. 311/10, s. 1. (4) A panel shall include, (a) at least one member who is both a member of the Council and a member of the College; and (b) at least one person who is a member of the Council appointed to the Council by the Lieutenant Governor in Council. O. Reg. 311/10, s. 1. (5) Three members of a panel shall constitute a quorum. O. Reg. 311/10, s. 1. 23. The quality assurance program shall include the following components: 1. Member assessment. 2. Practice assessment. 3. Remediation. O. Reg. 311/10, s. 1. Member Assessment 24. (1) The purpose of the member assessment shall be to assist each member to promote continuing competence and continuing quality improvement of the member’s practice by assisting the member in, (a) identifying the extent to which the member’s practice meets current standards of practice of the profession; (b) identifying changes in entry to practice competencies, practice environments and technology and the relevance of those changes to the member’s practice; and (c) identifying actions which the member should take to maintain continuing competence and to continue quality improvement of the member’s practice. O. Reg. 311/10, s. 1; O. Reg. 429/24, s. 30 (1). (2) Each member to whom this Part applies shall participate in a member assessment in accordance with a program approved by Council. O. Reg. 311/10, s. 1. (3) A member assessment shall include, (a) a self assessment; (b) a written learning plan; and (c) if requested by the Committee or an assessor, the completion of, (i) one or more written questionnaires, and (ii) any other materials that, in the opinion of the Committee or an assessor, are relevant to the assessment. O. Reg. 311/10, s. 1. (4) In order to promote continuing competence and continuing quality improvement of the member’s practice, each member shall prepare and update the member’s learning plan at least once every 12 months and shall include in the learning plan a record of, (a) the specific programs or activities that the member plans to undertake; and (b) the specific programs or activities in which the member has participated. O. Reg. 311/10, s. 1; O. Reg. 429/24, s. 30 (2). 25. (1) The member shall retain the learning plan as well as any written materials required to be completed as part of the member assessment for at least two years. O. Reg. 311/10, s. 1. (2) The member shall, upon written request of the Committee, submit the learning plan and any written materials required to be completed as part of the member assessment within 30 days of receipt of that request. O. Reg. 311/10, s. 1. (3) Each member shall at the time of payment of their annual fee, if requested, confirm whether or not the member has completed the member assessment and prepared a learning plan in accordance with this Part in the previous 12 months. O. Reg. 311/10, s. 1; O. Reg. 429/24, s. 31. 26. (1) The Committee may require a member who fails to comply with subsection 24 (2), (3) or (4) or section 25, to undergo a practice assessment within the time specified by the Committee. O. Reg. 311/10, s. 1. (2) The Committee shall give notice to the member described in subsection (1) that the member may be required to participate in a practice assessment. O. Reg. 311/10, s. 1; O. Reg. 429/24, s. 32. (3) If the Committee determines that the member should undergo a practice assessment, it will give notice of its determination to the member and the member shall be allowed at least 14 days to make submissions to the Committee. O. Reg. 311/10, s. 1. (4) The Committee shall consider all information that is relevant, including the member’s submissions, and determine whether or not the member shall be required to undergo a practice assessment. O. Reg. 311/10, s. 1. Practice Assessment and Remediation 27. The purpose of the practice assessment is to assess the knowledge, skill and judgment of the member and shall include peer assessment. O. Reg. 311/10, s. 1. 28. (1) The practice assessment shall include one or more of the following activities: 1. Requiring the member to complete one or more questionnaires. 2. Assessing the records required to be maintained by the member relating to the member assessment. 3. Requiring the member to answer questions relating to the standards of practice of the profession. 4. Requiring the member to demonstrate the application of standards of practice in clinical simulations. 5. Inspecting the member’s records, including without limitation, records relating to the care of patients. 6. Inspecting the member’s clinical practice in accordance with section 82 of the Health Professions Procedural Code. 7. Inspecting the premises where the member practises. 8. Requiring the member to participate in any other reasonable activity approved by the Committee to assess whether the member has satisfactory knowledge, skill and judgment. O. Reg. 311/10, s. 1. (2) The Committee may require a member to undertake the same or different practice assessment activities as another member holding the same class of certificate of registration. O. Reg. 311/10, s. 1. (3) The Committee may require a member to undertake one or more additional practice assessment activities if, in the opinion of the Committee, additional information is required to determine whether the member’s knowledge, skill and judgment are satisfactory. O. Reg. 311/10, s. 1. 29. (1) A member shall undergo a practice assessment, (a) if required to do so by the Committee under section 26; or (b) if the member’s name is selected in accordance with a process approved by Council. O. Reg. 311/10, s. 1. (2) The Council may approve different processes for selection under clause (1) (b) for members holding different classes of certificate of registration. O. Reg. 311/10, s. 1; O. Reg. 271/25, s. 20. 30. (1) A member who is required to undergo a practice assessment shall co-operate fully with the Committee and any assessor. O. Reg. 311/10, s. 1. (2) Subject to subsection (3), after a member who is required to undergo a practice assessment has completed it, an assessor shall submit a written report to the Committee respecting the assessment which shall state whether, in the assessor’s opinion, the member’s knowledge, skill and judgment are satisfactory. O. Reg. 311/10, s. 1. (3) If, after a practice assessment the assessor believes that the assessor has insufficient information to form an opinion about whether the member’s knowledge, skill and judgment are satisfactory, the assessor shall submit a written report to the Committee with recommendations about how to obtain sufficient information to enable the assessor to form the opinion. O. Reg. 311/10, s. 1; O. Reg. 429/24, s. 33. (4) If, after a practice assessment has been completed, it is the opinion of the assessor that the member’s knowledge, skill and judgment are unsatisfactory, the assessor shall submit a written report to the Committee which shall include the basis for that opinion and recommendations about appropriate specified continuing education programs or remedial measures that may assist in enhancing the member’s knowledge, skill and judgment. O. Reg. 311/10, s. 1. (5) The Committee shall provide to the member, (a) a copy of any report made under subsection (2), (3) or (4) along with any other material received by the Committee that is relevant to the member’s assessment; and (b) where the report was made under subsection (3) or (4), notice of the member’s right to give the Committee a written submission with respect to the assessor’s report within at least 14 days of receipt of a copy of the assessor’s report. O. Reg. 311/10, s. 1. (6) After receiving an assessor’s report under subsection (3), the Committee shall decide what steps are needed to obtain sufficient information to complete the member’s practice assessment, including one or more of the following: 1. Appointing a new assessor. 2. Requiring the member to engage in the same or different practice assessment activities to complete the practice assessment. 3. Such steps that, in the Committee’s opinion, are appropriate to complete the member’s practice assessment. O. Reg. 311/10, s. 1. (7) After considering all reports made by an assessor relating to the practice assessment and any other materials received by the Committee relevant to the assessment, including any written submissions made by the member, the Committee shall decide whether the member’s knowledge, skill and judgment are satisfactory. O. Reg. 311/10, s. 1. (8) Where the Committee requires a member to participate in specified continuing education or remediation programs under section 80.2 of the Health Professions Procedural Code, it shall also specify the time period within which the requirement must be met. O. Reg. 311/10, s. 1. (9) Where the Committee requires a member to participate in specified continuing education or remediation programs under section 80.2 of the Health Professions Procedural Code, it may also require the member to do one or both of the following: 1. Provide evidence satisfactory to the Committee that the member has complied with the requirement. 2. Undergo a practice reassessment. O. Reg. 311/10, s. 1. (10) The Committee may appoint an assessor to assess or reassess a member, even if the assessor has conducted a previous assessment or reassessment respecting that member. O. Reg. 311/10, s. 1. (11) An assessor who conducts a practice reassessment may review any and all assessment reports previously made respecting the member as well as any other material that is relevant to the assessment or reassessment of the member. O. Reg. 311/10, s. 1. 31. The provisions of sections 28 and 30 apply with necessary modifications to a practice reassessment provided that the Committee shall not require the member to undergo more than two practice reassessments without the member’s written consent. O. Reg. 311/10, s. 1. Part v Delegation 32. In this Part, “controlled act” means a controlled act set out in subsection 27 (2) of the Regulated Health Professions Act, 1991; (“acte autorisé”) “delegatee” means a person to whom a controlled act is delegated; (“délégataire”) “delegator” means a person who delegates a controlled act. (“délégant”) O. Reg. 268/13, s. 1. 33. A member shall not, except in accordance with this Regulation, delegate a controlled act or perform a controlled act that was delegated to the member. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 34. 34. (1) A member who delegates a controlled act is responsible for the decision to delegate the controlled act. O. Reg. 268/13, s. 1. (2) A member who performs a controlled act that is delegated to the member is responsible for the decision to carry out the controlled act and for its performance. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 35. 35. (1) Subject to this Part, and to the terms, conditions and limitations placed on their certificate of registration, a registered nurse in the General class or a registered practical nurse in the General class who is authorized to perform a controlled act set out in section 4 or 4.1 of the Act may delegate that controlled act. O. Reg. 291/23, s. 12; O. Reg. 336/23, s. 6 (1). (2) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled act of treating, by means of psychotherapy technique delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgment, insight, behaviour, communication or social functioning. O. Reg. 268/13, s. 2 (1). (3) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled act of dispensing a drug. O. Reg. 268/13, s. 2 (2). (4) Despite subsection (1), a member who is a registered nurse in the General class may not delegate the controlled acts of prescribing a drug or communicating to a patient or to their representative a diagnosis made by the member where the purpose of that communication is for prescribing a drug as authorized under paragraph 5 of section 4.1 of the Act. O. Reg. 336/23, s. 6 (2). 36. (1) Subject to this Part, and to the terms, conditions and limitations placed on their certificate of registration, a registered nurse in the extended class who is authorized to perform a controlled act set out in section 5.1 of the Act may delegate that controlled act. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 36. (2) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled acts of prescribing, dispensing, compounding or selling a drug. O. Reg. 268/13, s. 1. (3) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled act of ordering the application of a form of energy prescribed by the regulations under the Regulated Health Professions Act, 1991. O. Reg. 268/13, s.

1. (4) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled act of setting a fracture of a bone or dislocation of a joint. O. Reg. 268/13, s. 1. (5) Despite subsection (1), a member mentioned in that subsection may not delegate the controlled act of treating, by means of psychotherapy technique delivered through a therapeutic relationship, an individual’s serious disorder of thought, cognition, mood, emotional regulation, perception or memory that may seriously impair the individual’s judgment, insight, behaviour, communication or social functioning. O. Reg. 268/13, s. 3. 37. (1) A member shall ensure, before delegating any controlled act, that the member, (a) has the authority under the Act and its regulations to perform the controlled act themselves; (b) has the knowledge, skill and judgment to perform the controlled act safely and ethically; (c) has a nurse-patient relationship with the patient for whom the controlled act will be performed; (d) has considered whether delegation of the controlled act is appropriate, bearing in mind the best interests and needs of the patient; (e) after taking reasonable steps, is satisfied that sufficient safeguards and resources are available to the delegatee so that the controlled act may be performed safely and ethically; (f) has considered whether delegation of the controlled act should be subject to any conditions to ensure that it is performed safely and ethically and has made the delegation subject to conditions, if applicable; (g) after taking reasonable steps, is satisfied that the delegatee is a person who is permitted to accept the delegation; (h) after taking reasonable steps, is satisfied that the delegatee is, (i) a member of the College who has a nurse-patient relationship with the patient, (ii) a health care provider who has a professional relationship with the patient, (iii) a person in the patient’s household, or (iv) a person who routinely provides assistance or treatment for the patient; and (i) after taking reasonable steps, is satisfied, (i) that the delegatee has the knowledge, skill and judgment to perform the controlled act safely and ethically, where the delegatee is a member of the College or member of a health profession other than the profession of nursing, or (ii) that the delegation is appropriate for the patient and that the delegatee has the knowledge, skill and judgment to perform the controlled act safely and ethically, where the delegatee is not a member of the College or a member of another health profession. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 37 (1, 2). (2) A member shall not delegate a controlled act that was delegated to the member to perform. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 37 (3). (3) A member who delegated a controlled act but has reasonable grounds to believe that the delegatee no longer has the ability to perform the controlled act safely and ethically shall immediately cease to delegate the controlled act to that delegatee. O. Reg. 268/13, s. 1. 38. The delegation of a controlled act may be made orally or in writing. O. Reg. 268/13, s. 1. 39. A member who delegates a controlled act shall, (a) ensure that a written record of the particulars of the delegation is available in the place where the controlled act is to be performed before it is performed; (b) ensure that a written record of the particulars of the delegation, or a copy of the record, is placed in the patient record at the time the delegation takes place or within a reasonable period of time afterwards; or (c) record particulars of the delegation in the patient record either at the time the delegation takes place or within a reasonable period of time afterwards. O. Reg. 268/13, s. 1. 40. Subject to this Part, and to the terms, conditions and limitations placed on their certificate of registration, the following members may, in the course of engaging in the practice of nursing, perform controlled acts that are delegated to them: 1. A registered nurse in the General class or registered practical nurse in the General class. 2. A registered nurse in the extended class. 3. A registered nurse in the Special Assignment class or a registered practical nurse in the Special Assignment class. O. Reg. 268/13, s. 1; O. Reg. 291/23, s. 13. 41. (1) A member shall not accept the delegation of a controlled act unless the person delegating the controlled act was, at the time of the delegation, a member of the College or a member of another College authorized to perform that controlled act by a health profession Act governing the person’s profession. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 38 (1). (2) A member shall not perform a controlled act that was delegated to the member by a person to whom the controlled act was delegated. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 38 (2). (3) A member shall only perform a controlled act delegated to the member if, before performing the controlled act, the member ensures that the member, (a) has the knowledge, skill and judgment to perform the controlled act safely and ethically; (b) has a nurse-patient relationship with the patient for whom the controlled act is to be performed; (c) has considered whether performing the controlled act is appropriate, bearing in mind the best interests and needs of the patient; (d) after taking reasonable steps, is satisfied that there are sufficient safeguards and resources available to ensure that the controlled act can be performed safely and ethically; (e) has no reason to believe that the delegator is not permitted to delegate that controlled act; and (f) if the delegation is subject to any conditions, has ensured that any conditions have been met. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 38 (3). (4) A member who performs a controlled act that was delegated to the member shall record particulars of the delegation in the patient record, unless, (a) a written record of the particulars of the delegation is available in the place where the controlled act is to be performed; (b) a written record of the particulars of the delegation, or a copy of the record, is present in the patient record; or (c) the particulars of the delegation have already been recorded in the patient record. O. Reg. 268/13, s. 1; O. Reg. 429/24, s. 38 (4). 42. Any record of the particulars of a delegation must include, (a) the date of the delegation; (b) the delegator’s name, if the controlled act was delegated to the member; (c) the delegatee’s name, if the controlled act was delegated by the member; and (d) the conditions, if any, applicable to the delegation. O. Reg. 268/13, s. 1. Schedule 1 Facilities Boards under the Education Act Boards of Health under the Health Protection and Promotion Act Integrated Community Health Services Centres under the Integrated Community Health Services Centres Act, 2023 Long-Term Care Homes under the Fixing Long-Term Care Act, 2021 Psychiatric Facilities under the Mental Health Act Hospitals under the Public Hospitals Act Agencies, Boards and Commissions as defined by the Government of Ontario Institutions funded by the Minister of Health as Community Health Centres (CHCs), Nurse Practitioner-Led Clinics (NPLCs) or Family Health Teams, and physicians funded by Ministry of Health primary care alternate payment plan agreements Post Secondary Educational Institutions O. Reg. 175/12, s. 2; O. Reg. 308/22, s. 1; O. Reg. 336/23, s. 7; O. Reg. 429/24, s. 39. Schedule 2 Drugs that may be prescribed by Registered Nurses in the General Class Immunization Any vaccines for the prevention of bacterial and viral disease Contraception (excludes intra-uterine devices/contraceptives and contraceptive implants) Any hormonal contraceptives for systemic use (oral and injectable) Any intravaginal contraceptives Travel Health For the purpose of malaria prevention, any of the following drugs: A. Aminoquinolines B. Biguanides C. Methanolquinolines D. Doxycycline For the prevention and/or treatment of traveller’s diarrhea, any of the following drugs: A. Norfloxacin B. Ciprofloxacin C. Levofloxacin D. Azithromycin E. Rifaximin Topical Wound Care For cracked nipple care, a combination of all three of the following: A. Betamethasone 0.1% B. Mupirocin 2% ointment C. Miconazole powder to a final concentration of 2% For symptom management of odorous wounds, the following drug: A. Metronidazole for topical use Any antibiotics for topical use Smoking Cessation For the purpose of smoking cessation, any of the following drugs: A. Bupropion hydrochloride B. Varenicline tartrate Anaesthetics For the purpose of pain relief related to immunization and/or topical wound care, the following drugs: A. Any anaesthetics used topically. Allergic Reaction For the purpose of treating anaphylaxis, the following drug: A. Epinephrine Over-the-counter Medication Any drug or substance that may lawfully be purchased or acquired without a prescription and is available for self-selection in a pharmacy. O. Reg. 336/23, s. 8. Schedule 3 Revoked: O. Reg. 387/11, s. 2.