LPN Restricted Activities are under review and changes are proposed to:
- LPN specializations (immunization, foot care, renal dialysis)
- Bladder scanning
- Fetal heart monitoring
- Administering blood and blood products
- Administering parenteral nutrition
- and many more…
A first look is now available at the College of Licensed Practical Nurses of Alberta’s (CLPNA) proposed changes to the Licensed Practical Nurses Profession Regulation (LPN Regulation) and Standards of Practice for LPNs on the Performance of Restricted Activities (Standards of Practice), along with an opportunity to provide feedback.
In the thirteen years since the LPN Regulation was proclaimed, LPN education, practice and roles in Alberta’s health system have evolved considerably. Due to the restrictive wording in the LPN Regulation, there have been interpretation issues within the existing restricted activities for LPNs. This has resulted in the need to amend the LPN restricted activities provisions in the LPN Regulation.
These amendments are required to utilize LPNs to the fullest of their education and competence, to maximize the contribution LPNs make in health care, to support a sustainable health system, and to minimize the risk of error that currently exists in care transitions when the LPN must hand off care they are fully competent, but not currently authorized to perform.
Stakeholders such as employers, managers, educators, and members of other health professions may submit feedback using the survey below. The CLPNA is gathering Licensed Practical Nurse feedback separately through a member survey.
Next steps include: CLPNA drafting new wording in the LPN Regulation with Alberta Health; CLPNA Council approval of the final draft; and Alberta Health submitting the revised Regulation and the Standards to the Lieutenant Governor for government approval.
The proposed LPN Regulation amendments outlines current and proposed restricted activities that, once approved by government, LPNs would be able to perform once they have met the parameters outlined in the Standards of Practice for LPNs on the Performance of Restricted Activities.
What are Restricted Activities?
Restricted activities are regulated health services that by law can only be performed by individuals who are authorized to perform them.
Restricted activities are listed in Schedule 7.1 of the Government Organization Act. Restricted Activities include procedures such as, but not limited to, surgery, assisting in childbirth, performing injections, prescribing medication, entering into one or more body cavities, and setting fractures.
Professions do not own or have exclusive rights to perform restricted activities. Practitioners must be authorized by statute or regulation. (Health Professions Act Employer’s Handbook, p7)
Proposed addition of four restricted activities that LPNs would be able to perform:
- dispense, compound, provide for selling or sell a Schedule 1 drug or Schedule 2 drug (preparing ‘to go’ and ‘bridge medications)’;
- apply non-ionizing radiation in the form of ultrasound imaging, including any application of ultrasound to a fetus (bladder scanning, fetal heart monitoring);
- administer parenteral nutrition; and
- administer blood or blood products.
Proposed changes to current practice limitations:
- Supervision requirements to be removed from inserting liquid into the ear canal, administering imaging contrast agents, administering nitrous oxide.
Proposed changes to specializations:
- Two LPN specialties will be maintained: Perioperative and Orthopaedic practical nursing. These two specialties will continue to require completion of a Council-approved education program and approval by the Registrar will be noted on the practice permit.
- Renal Dialysis, Immunization and Advanced Foot Care will be self-managed by the LPN by completing advanced education.
Proposed new Standards of Practice for LPN Performance of Restricted Activities
- New standards for 13 restricted activities that set practice requirements.
Proposed Amended Documents
Use the links below to download the full documents:
(These draft documents are no longer current.)
DOWNLOAD Proposed Amendments to LPN Regulation DOWNLOAD Draft Standards of Practice
LPN Feedback Survey
LPNs, please check your email for a link to the CLPNA member feedback survey to complete on these amendments.
Didn’t receive an email on June 29? Contact CLPNA at firstname.lastname@example.org, 780-484-8886 or 1-800-661-5877 (toll free in Alberta) to receive the link.
Stakeholder Feedback Survey
Stakeholders (employers, managers, educators, and non-LPN health professionals) with a comment regarding any part of the proposed amendments may submit feedback using the survey.
STAKEHOLDER (non-LPN) FEEDBACK
The Survey will close on July 31, 2016.
The CLPNA will consider all feedback while working with Alberta Health to finalize these policy changes.
Comments are reviewed by a moderator before publication.