Introduction
Core NP functions across all provinces include: comprehensive health assessment, diagnosis of acute and chronic conditions, ordering and interpreting diagnostic tests, prescribi...
Core NP functions across all provinces include: comprehensive health assessment, diagnosis of acute and chronic conditions, ordering and interpreting diagnostic tests, prescribing medications (including Schedule I and II controlled substances in most provinces with CDSA exemption), performing procedures within NP scope, and leading interprofessional care. Provincial variation in scope: - Ontario: NPs function with high autonomy; CNO grants Extended Class registration; hospital privileges are facility-specific - BC: Full prescriptive authority including controlled substances; independent practice recognized - Alberta: NP certificate from CARNA; full prescriptive authority; hospital privileges with credentialing - Quebec: IPS (infirmière praticienne spécialisée) by specialty area; more restricted scope than other provinces Prescriptive authority: - Most provinces: NPs prescribe Schedule I (non-controlled) and Schedule II (controlled) drugs under CDSA exemption - Opioids/narcotics: NPs in most provinces can prescribe opioids; federal CDSA exemption required - Methadone for OAT: requires additional certification (not routine NP scope) - Medical cannabis: separate Health Canada authorization process — not a standard prescription Conscientious objection and MAID: - NPs are authorized MAID assessors and providers since Bill C-14 (2016) and expanded under C-7 (2021)...
