Nurse Practitioners (NPs) and Registered Nurses (RNs) now will serve Ontario patients’ needs better, following an expansion in scope of practice. The changes, announced by the Minister of Health on Nov. 28 in Toronto, will allow qualified nurses to provide more direct care, addressing patient needs more effectively.
“These changes to scope of practice can increase access to quality care,” said Silvie Crawford, RN and Registrar/Executive Director and CEO of CNO. “We look forward to supporting these changes by sharing educational resources with Ontario nurses to inform safe practice.”
The scope of practice changes, effective as of Tuesday, July 1, 2025, follow a Ministry of Health consultation with nurses, the public and system partners. Key changes will
- authorize NPs to order and perform more procedures, such as defibrillation and electrocoagulation
- remove conditions that currently limit an NP’s authority to complete and sign a Medical Certificate of Death, permitting them to do so in any circumstance
- authorize RNs to complete and sign a Medical Certificate of Death in specified circumstances when death is expected
CNO is committed to supporting nurses and system partners to make sure these scope of practice changes are carried out safely. During the coming months, CNO will distribute additional information about these scope changes on our website, social media and in The Standard.