Helicobacter Pylori: Adult: RN(AAP) CDT Revised

The Helicobacter pylori (H. pylori) Clinical Decision Tool (CDT) for RNs with Additional Authorized Practice [RN(AAP)s] has been revised to reflect current evidence-informed practice. The previous H. pylori CDT is no longer in effect. All RN(AAP)s are highly encouraged to review the updated CDT.

The CRNS CDTs are specific evidence-informed documents that guide RN(AAP)s in the assessment, diagnosis, and treatment of limited common medical disorders encountered in primary care settings in Saskatchewan. 

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

Graduate Nurse Practice Guideline 2025

The Graduate Nurse (GN) Practice Guideline has been reviewed on the five year cycle incorporating both internal and external recommendations, to provide updated direction to employers and registrants in the following areas:

  • Bylaw references.
  • Language referencing professional conduct.
  • Clarification on when a complaint regarding GN practice can be made.
  • Content focused on supporting GNs to deliver safe care. 

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

Registered Nurse Specialty Practice (RNSP) Guideline: Revised

The Registered Nurse Specialty Practice (RNSP) Guideline has been revised to provide further clarity in the following areas:

  • Roles and responsibilities for employer, authorizer and registrants engaged in self-employed practice; 
  • Graphic depicting the RNSP model;
  • Enhanced description of the four essential components: client at the centre, supporting evidence, authorizing mechanism and RN competency requirements; and,
  • An updated RN Clinical Protocol Checklist that can be utilized during the development, implementation and evaluation of the RNSP. 

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

Subsection 56(1) Class Exemption for Nurse Practitioners to Prescribe Anabolic Steroids for Therapeutic Use

The CRNS has confirmed the Health Canada Subsection 56(1) Class Exemption for Nurse Practitioners to Prescribe Anabolic Steroids for Therapeutic Use applies to Saskatchewan Nurse Practitioners (NP) who have the knowledge, skill and judgment to care for clients experiencing the common medical disorder applicable to the exemption. 

NPs who incorporate this exemption into their practice are encouraged to monitor for updates from Health Canada as the exemption could be revoked or replaced by another exemption at any time. The CRNS Prescribing Controlled Drugs and Substances for NPs resource has been updated to reflect the applicability of the exemption in Saskatchewan.

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at 

PRP@crns.ca.

Opioid Use Disorder (OUD) and/or Methadone for Pain Application Process Now Online!

Nurse Practitioners (NP) interested in prescribing for Opioid Use Disorder (OUD) or Methadone for Pain Management are required to complete a CRNS application to be approved as a prescriber. While the requirement remains the same, we are pleased to inform registrants that the application process is now available online in Alinity. 

We encourage NPs interested in becoming a prescriber to submit their application prior to completing the practicum requirement. For more information and instructions, please visit Nursing Practice > Prescribing.  

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at OUD@crns.ca.

Myeloma Resources

The Saskatchewan Cancer Agency (SCA) has requested that Myeloma resources be shared with NPs. Attached is the Think Myeloma card, a quick reference guide to help primary care providers recognize key Myeloma signs and symptoms, order essential tests and access the Monoclonal Gammopathies (MG) Clinic Referral Form and Pathway. The card can be printed for quick reference on a wall or desk or used digitally.

Also attached is a note from the project lead, Dr. Julie Stakiw (Hematologist at SCA). It includes a letter with links to Myeloma resources, including the Think Myeloma card, the MG Clinic Referral Form and Pathway, as well as other relevant materials.

The Recognition of Practice (ROP) process has changed to Confirming Nursing Practice (CNP)

This revised process focuses on evolving and innovative RN and NP roles and settings, relying on the nurse as expert, and incorporating principles of right touch regulation.

Confirming Nursing Practice (CNP) is a regulatory process whereby the registrant confirms the activity or service they provide meets all the legislative requirements and definition of RN or NP practice. 

To complete the CNP Process:

CNP is meant for registrants who are or who will be working in non-traditional roles or settings, who are self-employed, engaged in independent practice, or who are in a role that does not specifically require the knowledge and competency of an RN or NP.

Visit the CRNS Confirming Nursing Practice (CNP) webpage for up-to-date information and to access instructions.

Contact a CRNS Practice and Education Nursing Advisor by email at practiceadvice@crns.ca or by phone at 1.800.667.9945.

Pharmacist Dispensing Authority under the CDSA during Drug Shortages

In light of ongoing and persistent drug shortages, Health Canada has issued clarification regarding pharmacist dispensing authority under the Controlled Drugs and Substances Act and its regulations. Please access the communication provided from the Saskatchewan College of Pharmacy Professionals here.

CRNS Practice and Education Nursing Advisors are available to answer your questions by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

Ethical Practice Expectations

With the recent release of the Canadian Nurses Association (CNA) Code of Ethics for Nurses 2025, we want to clarify which version applies to CRNS registrants.

For clarity, CRNS registrants will be held to the expectations within the CNA Code of Ethics for Registered Nurses, 2017, as it is the version approved by CRNS Council and the Ministry of Health and is referenced in CRNS Bylaw XV (p. 47).

While the newly released 2025 version may be used as a current, evidence-informed resource for ethical guidance, it is not the standard to which registrants are currently held, but rather aspirational.

As part of our commitment to align ethical expectations nationally, the CRNS is working towards implementing its own Code of Conduct. We appreciate your patience during this period of transition; more details will be shared as progress continues over the coming months.

CRNS Practice and Education Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

ELC Survey

The Canadian Council of Practical Nurse Regulators (CCPNR) and the Canadian Council of Registered Nurse Regulators (CCRNR) are working together to update their respective entry-level competencies for Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) across Canada. This collaboration will result in two documents: the updated entry-level competencies for Licensed Practical Nurses and the updated entry-level competencies for Registered Nurses. 

Entry-level competencies reflect the knowledge, skills, critical thinking and judgement expected of an entry-level licensed/registered practical nurse and registered nurse to provide safe, competent and ethical care. 

We invite you to share your insights by completing a short survey that will inform the update of the entry-level competencies for Licensed /Registered Practical Nurses and for Registered Nurses in Canada. Your responses will guide the steering committees in identifying what’s working well, where gaps exist, and what changes are needed to reflect current and emerging realities in nursing and health care.

Survey Details:

  • Takes approximately 15 minutes to complete.
  • Includes a save and continue option.
  • Can be completed in English or French.
  • Responses are confidential and reported only in aggregate form.

To complete the survey, visit: 

https://survey.alchemer-ca.com/s3/50381613/CCPNR-CCRNR-Registrant-Survey

Deadline to participate is August 15, 2025 at 5:00pm EST

Questions can be directed to Mariam Kilyana at mariam.kilyana@sensenous.ca.

Thank you for your valuable contribution to this important initiative for the CCPNR and CCRNR.

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