Given the nature of the work/services provided by Registered Nurses (RN) and Nurse Practitioners (NP) in independent practice, there is potential for increased risk to the public. Effective March 9, 2026, registrants who operate in an independent practice must register the practice with the CRNS.
RNs and NPs in independent practice are self-employed and provide professional nursing services in a variety of ways:
- as an individual;
- in association with other self-employed health professionals; and/or,
- as an employer of other health professionals.
These nursing services are provided independent of an employer or health care agency. As they do not operate under the direct control of another health professional, employer or health care institution, RNs and NPs are legally accountable for the professional services they provide as well as the business matters related to the independent practice.
RNs and NPs may also be subject to various laws and regulations regarding the organization of the services provided (i.e., the business) in addition to those that regulate the practice of nursing (CNPS, 2021). Examples of independent practice may include but are not limited to health promotion services (smoking cessation, prenatal classes); or curative/restorative/palliative care (foot care, home care, aesthetics).
Registering an independent practice is a separate process from Confirming Nursing Practice. The confirmation process may also be required.
To register your independent practice:
- Sign into your CRNS profile.
- On the left side of the screen, click “Add independ. practice” to complete a two-step registration process.
- There is no associated fee.
A separate register will be housed on our website at CRNS.ca where the public can look up a registrant and their independent practice.
CRNS Registration Nursing Advisors are available to answer your questions by email at regulation@crns.ca.