I-8, r. 8 - Regulation respecting the classes of specialization of specialized nurse practitioners

Updated to 6 March 2014

This document has official status.

chapter I-8, r. 8

Regulation respecting the classes of specialization of the Ordre des infirmières et infirmiers du Québec for the activities referred to in section 36.1 of the Nurses Act to be engaged in

Nurses Act

(chapter I-8, ss. 3 and 14, par. f).

Professional Code

(chapter C-26, ss. 93, pars. c and c.1 and 94.1).

DIVISION I GENERAL PROVISIONS AND DEFINITIONS

1. The purpose of this Regulation is to regulate the classes of specialization to which members of the Ordre des infirmières et infirmiers du Québec must belong to engage in activities referred to in section 36.1 of the Nurses Act (chapter I-8). It sets out other terms and conditions for the issue, by the board of directors of the Ordre des infirmières et infirmiers, of specialist’s certificates,.

Its purpose is also to regulate the issue of training cards to specialized nurse practitioner students or attestations of practice to specialized nurse practitioner candidates, and to determine the professional activities they may engage in under certain terms and conditions.

O.C. 997-2005, s. 1; O.C. 79-2014, s. 1.

2. In this Regulation,

(1)  “specialized nurse practitioner student” means a nurse:

(a)  who is registered in a graduate-level training program leading to a degree granting access to a specialist’s certificate issued by the Order;

(b)  who is required to take training for the purpose of obtaining equivalence in accordance with the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2);

(1.1)  “specialized nurse practitioner candidate” means a nurse who is eligible to sit the specialty examination corresponding to the specialty concerned, as set out in Division III;

(2)  (paragraph revoked).

The costs payable under this Regulation are those prescribed by the board of directors of the Order, pursuant to paragraph 8 of section 86.0.1 of the Professional Code (chapter C-26).

O.C. 997-2005; O.C. 669-2007, s. 1; O.C. 79-2014, s. 2.

3. The classes of nursing specialization for the activities referred to in section 36.1 of the Nurses Act (chapter I-8) to be engaged in are as follows:

(1)  nurse practitioner specializing in neonatology;

(2)  nurse practitioner specializing in nephrology;

(3)  nurse practitioner specializing in cardiology;

(4)  nurse practitioner specializing in primary care.

O.C. 997-2005, s. 3; O.C. 669-2007, s. 2.

4. A specialist’s certificate related to one of the classes of specialization set out in section 3 shall be issued to a nurse who meets the following conditions:

(1)  she holds a diploma recognized by government regulation, pursuant to the first paragraph of section 184 of the Professional Code (chapter C-26), granting access to a specialist’s certificate issued by the Order, or has been recognized as possessing equivalence, as set out in Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2);

(2)  if specializing in neonatology, a training certificate in neonatal resuscitation issued by the Canadian Paediatric Society;

(3)  she passes the specialty examination corresponding to the speciality concerned, as set out in Division III;

(4)  (paragraph revoked);

(5)  (paragraph revoked).

O.C. 997-2005, s. 4; O.C. 79-2014, s. 3.

DIVISION II TRAINING CARDS AND ATTESTATIONS OF PRACTICE

O.C. 997-2005, Div. II; O.C. 79-2014, s. 4.

5. Specialized nurse practitioner students who hold a training card and specialized nurse practitioner candidates who hold an attestation of practice may perform professional acts contemplated in Division II of the Regulation respecting the activities contemplated in section 31 of the Medical Act which may be engaged in by classes of persons other than physicians (chapter M-9, r. 13), provided that she complies with the terms and conditions set out therein.

O.C. 997-2005, s. 5; O.C. 669-2007, s. 3; O.C. 79-2014, s. 5.

§ 1 . — Training cards

O.C. 79-2014, s. 6.

6. A training card shall be issued by the secretary of the Order to a specialized nurse practitioner student who meets the following conditions:

(1)  she is registered in a graduate-level training program leading to a diploma granting access to a specialist’s certificate issued by the Order or has been assigned a training site required for the purpose of obtaining equivalence pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2), among those in the list drawn up by the program review subcommittee in accordance with the Regulation respecting the committees on training of the Ordre des infirmières et infirmiers du Québec (chapter I-8, r. 11);

(2)  she pays the required fee for the purpose of obtaining a training card;

(3)  if specializing in neonatology, she holds an attestation of training as set out in subparagraph 2 of section 4.

O.C. 997-2005, s. 6; O.C. 669-2007, ss. 4, 17 and 18; O.C. 79-2014, s. 7.

7. The training card shall indicate the name of the specialized nurse practitioner student and, as applicable, the educational institution where she is enrolled or the site where she is serving her clinical training period.

The card is valid for a period of 12 months and is renewable. It expires on the date when the specialized nurse practitioner student is no longer enrolled in the graduate-level training program leading to a degree granting access to a specialist’s certificate issued by the Order, or has completed the clinical training period for the purpose of obtaining equivalence pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2).

O.C. 997-2005, s. 7; O.C. 79-2014, s. 8.

§ 2 . — Attestation of practice

O.C. 79-2014, s. 9.

7.1. An attestation of practice shall be issued by the secretary of the Order to a specialized nurse practitioner candidate who:

(1)  holds a diploma recognized by government regulation, pursuant to the first paragraph of section 184 of the Professional Code (chapter C-26), granting access to a specialist’s certificate issued by the Order, or has been recognized as possessing equivalence, pursuant to the “Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers” (chapter I-8, r. 15.2);

(2)  if specializing in neonatology, holds the training certificate as set out in paragraph (2) of section 4;

(3)  must provide the Order with an attestation, issued by an institution, that it has retained her services;

(4)  pays the required fee for the purpose of obtaining an attestation of practice.

O.C. 79-2014, s. 9; I.N. 2014-04-01.

7.2. The attestation of practice shall indicate the name of the specialized nurse practitioner candidate, the class of specialty in question and the name of the institution that has retained her services.

The attestation is valid for a period of 12 months and is renewable. It expires on the date when the specialized nurse practitioner candidate is no longer eligible to sit the specialty examination, in accordance with Division III.

O.C. 79-2014, s. 9.

DIVISION III SPECIALTY EXAMINATION

§ 1 . — Eligibility

8. Nurses who meet the conditions set out in paragraphs 1 and 2 of section 4 shall be eligible to sit the specialty examination.

O.C. 997-2005, s. 8.

9. Nurses eligible to sit the specialty examination must sit the first session of the professional examination following the date on which they obtain their diploma or the date on which they are granted diploma or training equivalence, pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2).

If the nurse fails an examination, she shall sit the examination at the session following the session in which she failed.

O.C. 997-2005, s. 9; O.C. 669-2007, s. 5; O.C. 79-2014, s. 10.

9.1. The obligation provided in the first paragraph of section 9 does not apply to a nurse who has been recognized as possessing equivalence pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers fewer than 90 days preceding the date on which the specialty examination is held.

This nurse must sit the examination session following the one for which she would have had to register pursuant to the first paragraph of section 9.

O.C. 79-2014, s. 10.

9.2. The obligation provided in the first or second paragraph of section 9 or the one provided in the second paragraph of section 9.1 does not apply to a nurse who demonstrates to the Order that she did not sit the examination within the time period allowed because of a health problem, childbirth, the death of her father, mother, child or spouse, or unavoidable circumstances.

This nurse must sit the session of the examination following the date on which her incapacity ends.

O.C. 79-2014, s. 10.

9.3. Nurses eligible to sit the specialty examination must pass it within 3 years from the first examination session following the date on which they obtain their diploma or the date on which they are granted diploma or training equivalence pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers (chapter I-8, r. 15.2).

However, a person who demonstrates to the Order that she did not pass the examination within the time period allowed because of a health problem, childbirth, the death of her father, mother, child or spouse, or unavoidable circumstances shall have an additional time period determined by the Order’s board of directors. This period may not exceed 4 years from the first examination session following the date on which she obtained her diploma or the date of the decision by the Order granting her diploma equivalence or training equivalence pursuant to the Règlement sur les normes d’équivalence de diplôme ou de la formation aux fins de la délivrance d’un certificat de spécialiste de l’Ordre des infirmières et infirmiers du Québec pour l’exercice des activités visées à l’article 36.1 de la Loi sur les infirmières et les infirmiers.

O.C. 79-2014, s. 10.

9.4. For the application of section 9.2 and the second paragraph of section 9.3, a nurse who cannot sit the examination because of a health problem, childbirth or a death must provide the Order with a medical certificate, a birth certificate or a death certificate.

O.C. 79-2014, s. 10.

§ 2 . — Specialty Examination

10. The specialty examination shall cover the theoretical and clinical aspects of the specialty concerned. In particular, it shall assess, in various clinical situations, the assimilation and application of knowledge and skills acquired by the nurse, for the purpose of determining if she is able to practice independently as a specialized nurse practitioner in the specialty concerned.

O.C. 997-2005, s. 10.

11. For each specialty, an examination committee shall be formed by the Order’s board of directors. At least one member of the committee must be a physician.

O.C. 997-2005, s. 11; O.C. 79-2014, s. 11; I.N. 2014-04-01.

12. The examination committee shall determine the orientations related to the development of the content of the specialty examination, approve the content of the specialty examination before each examination session, administer the examination and determine whether or not a nurse has passed the specialty examination.

O.C. 997-2005, s. 12.

13. Examination sessions shall be held at least once per year, on the date and at the time and location determined by the board of directors of the Order.

O.C. 997-2005, s. 13.

14. To sit the specialty examination, a nurse must register at least 2 months prior to the date set for the examination session and pay the required fees.

O.C. 997-2005, s. 14.

15. A nurse may sit the specialty examination in French or English.

O.C. 997-2005, s. 15.

16. The board of directors of the Order shall send the nurse her examination results in writing.

O.C. 997-2005, s. 16.

17. Registration under false pretenses, fraud, plagiarism, participation in fraud or plagiarism or attempted fraud or plagiarism with respect to a specialty examination shall result in failure of the specialty examination, by decision of the board of directors of the Order. Within 15 days of its decision, the board of directors must notify the nurse of this decision in writing.

A nurse who fails the specialty examination for one of the reasons set out in the first paragraph may request a review of the decision rendered by the board of directors of the Order, provided that she files a written request with the Order secretary within 30 days of receipt of such decision.

At its first regular meeting following the date on which the request for review was received, the board of directors of the Order must examine this request. It must, before rendering a decision, allow the nurse to submit her comments at this meeting.

A nurse who wishes to attend the meeting in order to be heard must notify the secretary of the Order at least 5 days before the scheduled meeting date. The nurse may, however, submit her comments in writing to the secretary at any time before the scheduled meeting date.

The decision of the board of directors of the Order shall be final and must be sent to the nurse by registered mail within 30 days following the date of the meeting.

O.C. 997-2005, s. 17.

18. A nurse who fails the specialty examination may resit the examination twice.

The provisions of sections 10 to 17 regarding the specialty examination shall apply to the supplemental examination.

O.C. 997-2005, s. 18; O.C. 79-2014, s. 12.

§ 3 . — Request for review

19. A nurse who fails the specialty examination may request a review of the examination committee’s decision by the review committee if she believes that the cause of her failure involved a factor related to the examination procedure.

She must submit this request within 30 days following the date on which the examination results were received, and pay the required fees.

O.C. 997-2005, s. 19.

20. The review committee shall be composed of 3 members appointed by the board of directors of the Order.

O.C. 997-2005, s. 20; O.C. 79-2014, s. 13.

21. Review committee decisions shall be rendered by a majority of members.

O.C. 997-2005, s. 21.

22. Within 30 days of receipt of the request for review, the review committee may render one or several of the following decisions:

(1)  refuse the request for review;

(2)  cancel the nurse’s specialty examination and authorize her to sit a new specialty examination, at no additional cost, on a date set by the secretary of the Order, which will not be considered a supplemental examination within the meaning of section 18, and, as required, recommend that the composition of the examination committee for that examination be changed.

The board of directors of the Order shall notify the nurse, in writing, of the review committee’s decision, and this decision shall be final.

O.C. 997-2005, s. 22.

DIVISION IV

(Revoked)

O.C. 997-2005, Div. IV; O.C. 79-2014, s. 14.

§§ 1.  — 

(Revoked)

O.C. 997-2005, Ssd. 1; O.C. 79-2014, s. 14.

23. (Revoked).

O.C. 997-2005, s. 23; O.C. 669-2007, s. 6; O.C. 79-2014, s. 14.

23.1. (Revoked).

O.C. 669-2007, s. 7; O.C. 79-2014, s. 14.

24. (Revoked).

O.C. 997-2005, s. 24; O.C. 669-2007, s. 8; O.C. 79-2014, s. 14.

§ 2 . —

(Revoked)

D. 997-2005, Sd. 2; O.C. 79-2014, s. 14.

25. (Revoked).

O.C. 997-2005, s. 25; O.C. 669-2007, s. 9; O.C. 79-2014, s. 14.

26. (Revoked).

O.C. 997-2005, s. 26; O.C. 669-2007, s. 10; O.C. 79-2014, s. 14.

§ 3 . —

(Revoked)

D. 997-2005, Sd. 3; O.C. 79-2014, s. 14.

27. (Revoked).

O.C. 997-2005, s. 27; O.C. 79-2014, s. 14.

28. (Revoked).

O.C. 997-2005, s. 28; O.C. 669-2007, s. 11; O.C. 79-2014, s. 14.

29. (Revoked).

O.C. 997-2005, s. 29; O.C. 669-2007, s. 12; O.C. 79-2014, s. 14.

30. (Revoked).

O.C. 997-2005, s. 30; O.C. 669-2007, s. 13; O.C. 79-2014, s. 14.

31. (Revoked).

O.C. 997-2005, s. 31; O.C. 669-2007, s. 14; O.C. 79-2014, s. 14.

31.1. (Revoked).

O.C. 669-2007, s. 15; O.C. 79-2014, s. 14.

32. (Omitted).

O.C. 997-2005, s. 32.

SCHEDULE I

(Revoked)

O.C. 997-2005; O.C. 669-2007, s. 16; O.C. 79-2014, s. 15.

REFERENCES

O.C. 997-2005, 2005 G.O. 2, 4816

O.C. 669-2007, 2007 G.O. 2, 2449

S.Q. 2008, c. 11, s. 212

O.C. 79-2014, 2014 G.O. 2, 396