Restricted Activities and Advanced Authorizations
(Prior to February 1, 2020, Advanced Authorizations were called ‘LPN Specializations’. The change is due to an update in Alberta’s Licensed Practical Nurses Profession Regulation.)
In order for Licensed Practical Nurses in Alberta to practice a restricted activity or in an area requiring advanced authorization, the LPN must have completed any required post entry-level training or education, and have authorization from the CLPNA’s Registrar (detailed below).
LPNs practicing outside of the LPN Profession Regulation or the Standards of Practice on Restricted Activities and Advanced Practice could result in unprofessional conduct, discipline, fines, and may not be covered by malpractice insurance.
Authorized Restricted Activities
According to Alberta’s Government Organization Act, restricted activities and areas requiring advanced authorization are considered high-risk nursing practices that require additional education, skills, and, often, supervision requirements.
For a current list of restricted activities and areas of requiring advanced authorization, see the Standards of Practice on Restricted Activities and Advanced Practice.
The Policy on Practice and Education Requirements for Restricted Activities and Advanced Practice outlines the requirements for LPNs performing restricted activities and in areas of advanced practice.
All CLPNA members are required to take the CLPNA’s Understanding Restricted Activities module by June 30, 2022.
Changes to the LPN Regulation that came into effect on February 1, 2020, clarified the LPN Scope of Practice related to restricted activities. The Standards of Practice on Restricted Activities and Advanced Practice state that prior to performing any restricted activity or area of advanced practice LPNs must pass the CLPNA module ‘Understanding Restricted Activities’.
The CLPNA has developed this module to help LPNs understand the requirements of performing authorized restricted activities. After June 30, 2022, all new Alberta practical nurse program graduates will have this content provided in their entry-level education.
LPNs can login to their myCLPNA account to access the module:
LPNs who graduated from a practical nurse diploma program in Alberta before June 2022 or received their education in another jurisdiction may require additional training or education to perform Authorized Restricted Activities. This education may be obtained through an employer, on-the-job training, or through the CLPNA’s education modules. LPNs who graduate in Alberta after June 2022 will have this education as a part of their diploma program. CLPNA members can login to their myCLPNA account to access available education modules:
Approved Education for Advanced Authorizations
The following restricted activities and LPN advanced practice areas require advanced training approved by either the CLPNA’s Registrar or Council.
IMPORTANT: Before performing the restricted activity or practicing in these areas of advanced practice, LPNs must complete the advanced training or education that is required and have authorization from the CLPNA’s Registrar noted on their practice permit. LPNs practicing outside of the LPN Profession Regulation or the Standards of Practice on Restricted Activities and Advanced Practice could result in unprofessional conduct, discipline, fines, and may not be covered by malpractice insurance.
ADVANCED TRAINING FOR PERFORMING RESTRICTED ACTIVITIES
- Medication administration via a central line (CVC, PICC, or IVAD) (Registrar Approved Feb. 1, 2020)
- Mandatory Education available by logging into MyCLPNA.com.
- Administering parenteral nutrition (Registrar Approved Feb. 1, 2020)
- Mandatory Education available by logging into MyCLPNA.com.
- Hemodialysis (through Alberta Health Services on-the-job training, submit certificate to the CLPNA to receive authorization). (Registrar Approved Feb. 1, 2020)
ADVANCED TRAINING FOR PERFORMING IN AREAS OF ADVANCED PRACTICE
For information on approved programs that offer training to practice in areas of Advanced Practice of Advanced Practice Foot Care, Advanced Practice Perioperative Nursing, and Advanced Practice Orthopedic Nursing.
- Advanced Practice Foot Care Programs
- Advanced Practice Perioperative Nursing Programs
- Advanced Practice Orthopedic Nursing Programs
For information about requirements for advanced authorization, see the CLPNA’s Policy on Practice and Education Requirements for Restricted Activities and Advanced Practice.
Change to Immunization Specialization
LPNs are authorized to administer vaccines only to clients 5 years of age or older.
As of February 1, 2020, immunization is no longer a specialty practice requiring additional authorization.
LPNs who already have an Immunization Specialty noted on their CLPNA practice permit before Feb 1, 2020 are not required to complete further education.
LPNs who did not have a previous Immunization Specialty on their practice permit are required to take additional training or education prior to administering immunizations to clients 5 years or older.
A free Immunization Module is available through myCLPNA.com.
Applying for CLPNA Authorization
Certain restricted activities require advanced training or education and authorization by the Registrar prior to the LPN performing them.
The advanced practice application is the process by which an LPN may obtain authorization to perform these restricted activities or areas of advanced practice.
Once an LPN completes approved education, they MUST complete the following steps prior to practicing the restricted activity or an area of advanced practice.
AUTOMATIC AUTHORIZATION FOR CENTRAL LINES AND PARENTERAL NUTRITION
Administration of medication via a central venous line and administration of parenteral nutrition do not require submission of an advanced practice application form. Advanced authorization for these two restricted activities will be listed on the LPN’s practice permit after completion of the modules.
FOR ALL OTHER AUTHORIZATIONS:
- Complete and submit the Advanced Practice Application, and
- Send a copy of the certificate of completion to CLPNA (photograph and email to firstname.lastname@example.org, or scan and fax to 780-484-9069).
LPNs are not fully authorized and not covered by LPN insurance for any advanced authorization until it is approved by CLPNA. Once approved, the advanced authorization will be listed on the LPN’s Practice Permit and the Public Registry of LPNs.
For more information, please contact:
Ask CLPNA or call 1-800-661-5877 (toll-free in Alberta), or 780-484-8886.