November 28, 2024

Scope changes coming for NPs and RNs

The changes will be effective as of Tuesday, July 1, 2025

An NP completing paperwork.

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.

About CNO

The College of Nurses of Ontario (CNO) is the regulator of the nursing profession in Ontario. It is not a school or a nursing association. CNO acts in the public interest by:

  • assessing qualifications and registering individuals who want to practice nursing in Ontario.
  • setting the practice standards of the profession that nurses in Ontario are expected to meet.
  • promoting nurses' continuing competence through a quality assurance program.
  • holding nurses accountable to those standards by addressing complaints or reports about nursing care.

The College was founded in 1963. By establishing the College, the Ontario government was acknowledging that the nursing profession had the ability to govern itself and put the public's well-being ahead of professional interests.

For the latest information, please see our Nursing Statistics page.

Anyone who wants to use a nursing-related title — Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP) must become a member of CNO.

Frequently Asked Questions

Go to the public Register, Find a Nurse, to conduct a search for the nurse. Contact us if you can't find the person you are looking for.

All public information available about nurses is posted in the public Register, Find a Nurse, which contains profiles of every nurse in Ontario. Publicly available information about nurses include their registration history, business address, and information related to pending disciplinary hearings or past findings.

Unregistered practitioners are people who are seeking employment in nursing or holding themselves out as being able to practice nursing in Ontario, but who are not qualified to do so. They are not registered members of CNO. Only people registered with CNO can use nursing-related titles or perform certain procedures that could cause harm if carried out by a non-registered health professional. CNO takes the issue of unregistered practitioners seriously. See Unregistered Practitioners for more information.

To ensure procedural fairness for both the patient (or client) and the nurse, the Regulated Health Professions Act requires that information gathered during an investigation remain confidential until the matter is referred to the Discipline Committee or Fitness to Practise Committee. CNO will not disclose any information that could identify patients (or clients) or compromise an investigation. See Investigations: A Process Guide for more information.

Information obtained during an investigation will become public if the matter is referred to a disciplinary hearing. If a complaint is not referred to a hearing, no information will be available publicly.

See CNO's hearings schedule, which is updated as hearing dates are confirmed. Hearings at CNO are open to the public and the media. For details on how to attend a hearing, contact the Hearings Administration Team.

A summary of allegations and the disciplinary panel outcomes can be found on the public Register, Find a Nurse. Full decisions and reasons are also available.

Where a disciplinary panel makes a finding of professional misconduct, they have the authority to reprimand a nurse, and suspend or revoke a nurse's registration. Terms, conditions and limitations can also be imposed on a nurse's registration, which restricts their practice for a set period. Nurses can also be required to complete remedial activities, such as reviewing CNO documents and meeting with an expert, before returning to practice.

For detailed information see the Sexual Abuse Prevention section.

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