UVic School of Nursing Frequently asked Questions about Nurse Practitioners What is a Nurse Practitioner? Nurse Practitioners (NP) are registered nurses with advanced education who provide health care services using a holistic approach. NPs diagnose and treat a variety of acute and chronic health conditions. They have additional education in health assessment, diagnosis and management of illnesses and injuries, including prescribing drugs and ordering tests. Where do Nurse Practitioners work? NPs work in a variety of diverse health care settings, from community clinics and health care centres, to hospitals, medical practices, nursing homes, and home care. They provide a range of health services to individuals of all ages, families, communities, and groups. NPs work collaboratively with other health professionals such as family physicians, registered nurses, therapists, nutritionists, social workers, and pharmacists. What is the scope of practice for Nurse Practitioners? NPs in BC are licensed in one of three areas: Family, Adult, or Pediatric. Family NPs provide health care to people of all ages, from newborn through to the end of life. Adult NPs provide health care to older adolescents and adults. Pediatric NPs provide care to children from newborns to late adolescence. All NPs share similar competencies and authority to prescribe medication and order diagnostic tests. The full scope of practice for all NPs is available from the CRNBC website at www.crnbc.ca. How are NPs educated at UVic? Experienced registered nurses complete a two year master’s program in the School of Nursing at the University of Victoria. The program combines theory with evidenced-based practice in advanced level nursing courses in ethics, research, pharmacology, pathophysiology, physical assessment, diagnostic reasoning, and content directed at meeting the competencies for practice. Students complete 800 hours of practice with an NP or MD preceptor. Upon completion of the program they receive a Master of Nursing degree. Who can preceptor a NP student? Preceptors are registered NPs or Physicians who agree to mentor and supervise a student in the practice setting as the student learns to assess, diagnose, and treat patients. How are Nurse Practitioners registered and regulated? Nurse Practitioners must pass two registration examinations (a written examination and an objective structured clinical examination or OSCE). Their practice is regulated by the College of Registered Nurses of British Columbia under the authority of the Health Professions Act. Can a Nurse Practitioner write prescriptions? Once registered, NPs may prescribe medications and order diagnostic tests that are within their scope of practice. What if a patient has a condition that is not included in the scope of practice for a Nurse Practitioner? NPs usually work with a team of health providers. When a situation or condition is beyond their scope of practice, NPs collaborate with other practitioners or refer the patient to the appropriate health care provider. For example, NPs discuss nutrition with many of their patients, but may refer someone with complex nutritional needs to a dietician or nutritionist. NPs collaborate with and refer to physicians, physiotherapists, occupational therapists, counselors, pharmacists, etc. To learn more about Nurse Practitioners contact: • University of Victoria School of Nursing www.nursing.uvic.ca or 250.721.6315 • College of Registered Nurses of British Columbia www.crnbc.ca or 1.800.565.6505 • British Columbia Nurse Practitioner Association www.bcnpa.org Revised Feb 2009