Practice directions set out requirements related to specific aspects of registered psychiatric nursing practice and provide more detailed information related to the Act, the Regulations, other relevant legislation, the Standards of Psychiatric Nursing Practice and the CRPNM Code of Ethics.
Scope of practice refers to the full range of activities that Registered Psychiatric Nurses are both educated and authorized to perform. The legal authority for Manitoba RPN scope of practice resides in the regulations under the Regulated Health Professions Act. The RPN profession’s scope of practice outlines boundaries of practice for the RPN profession.
See the practice direction here.
The intent of this practice direction is to define the expectations for Registered Psychiatric Nurses (RPNs) as they relate to the Regulated Health Professions Act of Manitoba (RHPA), 2009 Reserved Act #20 — performing a “psycho-social intervention with an expectation of modifying a substantial disorder of thought, mood, perception, orientation or memory that grossly impairs judgment, behaviour, the capacity to recognize reality, or the ability to meet the ordinary demands of life.”
See the practice direction here.
The focus of the additional education is to support safe, competent, client-centered practice. This practice direction communicates the criteria required of the additional education. This practice direction also focuses on the criteria for the reserved acts requiring additional education and provides a more standardized education process for RPNs performing the reserved acts identified in the practice direction.
See the practice direction here.
A Clinical Decision Tool (or CDT) is a document whose purpose is to guide the assessment, diagnosis or treatment of a client specific clinical problem. Clinical Decision Tools are developed in collaboration with other authorized health care providers who have the authority to order laboratory or diagnostic screening tests and to prescribe medications or treatments.
The intent of this practice direction is to define the expectations for Registered Psychiatric Nurses (RPNs) who are providing telepractice services to clients in other locations outside their own practice setting. Telepractice is the use of telecommunications technology to deliver health care services at a distance that are located outside of the setting in which they practice.
The purpose of this tri-nursing college document is to help nurses and their employers understand nurses’ professional and legal responsibilities related to the duty to provide care. This document is also intended to describe factors that contribute to, and impact on a nurse’s ability to meet their duty to provide care.
Professional nursing practice standards, practice directions, and codes of ethics, all of which establish practice expectations for each of the three nursing professions in Manitoba, underpin the guidance provided within this document.
We recognize the importance and necessity of interprofessional collaboration to support safe client care in situations where supplying medications is necessary. When these expectations cannot be met, all health-care professionals are responsible for resolving the practice issue as a team.
The College of Registered Psychiatric Nurses of Manitoba (CRPNM) is pleased to release an updated practice direction titled Assignment and Delegation to Unregulated Care Providers. This Practice Direction was created in collaboration with the College of Licensed Practical Nurses of Manitoba (CLPNM) and the College of Registered Nurses of Manitoba (CRNM). The practice expectations outlined in this practice direction are consistent with the practice directions of the same title published by the other two nursing Colleges.
The core of psychiatric nursing practice is the therapeutic relationship between the client and the RPN. Establishing and maintaining this professional relationship is the responsibility of the RPN, not of the client, and every act or behaviour of the RPN must benefit the client (CRPNM, 1999).
The intent of this practice direction is to set standards for RPNs regarding documentation principles in the context of current theory, practices and best available evidence. This document is intended to complement the Code of Ethics and the Standards of Psychiatric Nursing Practice and any legislation and other resources that help to guide professional practice.
Collaborative care in health care occurs when multiple providers from different professions provide comprehensive services by working with clients , their support networks, care providers and communities to deliver the highest quality of care across all settings. This practice direction was developed by ten regulatory health colleges to ensure the partnership between a client and a team of health care providers is a participatory, collaborative and coordinated approach to shared decision-making around health and social issues.
Practice guidelines are intended to complement the Code of Ethics and Standards of Psychiatric Nursing Practice and any legislation or other resources that guide professional practice. These allow RPNs to understand their responsibilities and how to make safe and ethical decisions in their practice based on sound, professional judgment.
The Manitoba Government announced the role for the undergraduate nurse employee (UNE) in Manitoba. Click here for the announcement. The UNE initiative provides senior nursing students the opportunity to work in their chosen career prior to their graduation, under the guidance and supervision of a registered nurse (RN) or registered psychiatric nurse (RPN).
The Colleges of Registered Nurses of Manitoba (CRNM) and Registered Psychiatric Nurses of Manitoba (CRPNM) developed a practice direction to assist RNs and RPNs to understand the practice expectations when supervising students in these roles.
See the practice direction here
Amendments to the Personal Health Information Act (PHIA) came into force on January 1, 2022.
View the Questions and Answers document developed by Manitoba Health and Seniors Care here The Personal Health Information Act Amendments – Questions and Answers
The Department has also developed Guidance documents respecting new privacy breach notification requirements, and the new limited authority to disregard an access request and to determine that an access request has been abandoned.
While these amendments will be of particular interest to RPNs in independent practice, all RPNs should familiarize themselves with these changes.
Did you know that Manitoba Health and Seniors Care offers a free PHIA online training program?
Learn more here: https://trainingtodo.com/mbhealth/secure/index.asp
The Federal Government has made some changes to the regulations that allow nurses to administer controlled substances. The three nursing Colleges, along with the Colleges of Pharmacists and Physicians and Surgeons have collaborated to provide ongoing updates with respect to the recently implemented federal exemptions. All RPNs are encouraged to examine how this might impact their practice.
If you are self-employed, or are exploring self-employment/independent practice, you must familiarize yourself with the Guidelines for Registered Psychiatric Nurses in Independent Practice. The 2017 Guidelines for Registered Psychiatric Nurses in Independent Practice replaces all previous versions of this document.
Please contact the CRPNM if you wish to discuss the contents of this document and how the guidelines might apply to your self-employed situation.
Registered Psychiatric Nurses who are in independent practice must be familiar with the Guidelines for Independent Practice and the requirements for documentation and record keeping. RPNs in independent practice who are planning on relocating, closing or taking a leave practice from their practice must ensure a plan to notify their clients and for the storage and/or disposal of health records.
The College of Licensed Practical Nurses of Manitoba (CLPNM), the College of Registered Nurses of Manitoba (CRNM) and the College of Registered Psychiatric Nurses of Manitoba (CRPNM) are pleased to update the guidelines for LPNs, RNs and RPNs for nursing care related to Medical Assistance in Dying (MAID). With the expert guidance of the Medical Assistance in Dying Nursing Advisory Committee, these comprehensive guidelines are set to replace the older documents released by the three nursing colleges on Medical Assistance in Dying.
The medical assistance in dying nursing advisory group is made up of members from all three nursing colleges in Manitoba: the College of Registered Nurses of Manitoba (CRNM), the College of Licensed Practical Nurses of Manitoba (CLPNM) and the College of Registered Psychiatric Nurses of Manitoba (CRPNM). This group works together to inform and develop education supports for nursing practice related to medical assistance in dying.
The Colleges of Licensed Practical Nurses of Manitoba (CLPNM), Registered Nurses of Manitoba (CRNM) and Registered Psychiatric Nurses of Manitoba (CRPNM) are pleased to release guidelines to help Manitoba nurses understand their professional and legal responsibilities in the administration of medical cannabis.
This document contains information that is known and available at the time of publication. As more information becomes known, the nursing regulators will communicate additional guidance to Manitoba nurses.
This document has been updated to to include directions for those working in Personal Care Homes.