Coronavirus (COVID-19) Updates
The College of Registered Nurses of Manitoba is closely monitoring developments in the novel (new) coronavirus (COVID-19) outbreak to ensure that appropriate measures and supports are in place for registered nurses, employers, and the public. The College is actively engaged with provincial health officials on this issue, and will keep RNs informed of any regulatory matters that may arise.
Effective April 1, 2020:
Expedited temporary registration process to enable enhanced service provision during COVID-19 pandemic
The College of Registered Nurses of Manitoba (the College) has worked with colleagues in government and has received a ministerial order allowing the College to expedite registration of those who meet registration requirements as outlined in the application.
The College is waiving the application and registration fees for this process, and the Government of Manitoba is covering the cost of professional liability protection.
Click here to access the application form
COVID-19 Workforce Recruitment
Shared Health Manitoba is issuing an urgent call for health care workers, including Registered Nurses to help support our community's response to the pandemic. Visit https://sharedhealthmb.ca/covid19/providers/jobs/ for a list of current opportunities.
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- Ministerial order authorizing performance of reserved act (nasopharyngeal swabbing) (October 14, 2020)
The Minister of Health, Seniors and Active Living has issued an order under section 7 of The Regulated Health Professions Act authorizing additional health care workers to perform the reserved act related to nasopharyngeal swab collection in support of COVID-19 testing under certain conditions. Please read the complete Ministerial Order for more information.
Health care providers authorised through this order may perform nasopharyngeal swab collection as an assignment when supported by their employer. As a member of the health care team, RNs and RN(NP)s may take on roles, such as educator or supervisor, when working in collaboration with other providers to support COVID-19 testing.
Practice expectations related to collaborative care and assignment to unregulated care providers can be found in the following documents:
- Prescribing and Dispensing of Drugs to Treat COVID-19 - Oral Dexamethasone (June 24, 2020)
Recently, the results of a clinical trial involving dexamethasone for the treatment of COVID-19 in severely ill patients have been announced in the media. As a result, prescribers may encounter patients in the community seeking dexamethasone for personal use, as many healthcare professionals encountered with hydroxychloroquine. The College is urging registrants' continued diligence in supporting clients with evidence-informed care. Please read this joint communication from the College of Registered Nurses of Manitoba, College of Pharmacists of Manitoba and College of Physicians and Surgeons of Manitoba.
- Phase One Resumption of Therapeutic or Health Care Businesses (May 1, 2020)
As part of the Province of Manitoba’s Restoring Safe Services plan, on May 4th therapeutic or health care businesses may resume providing their services as long as they can meet the following guidelines:
- Staff, patients or people attending with patients must use the self-screening tool before booking an appointment. https://sharedhealthmb.ca/covid19/screening-tool/
- Employees must stay home when ill with COVID-19 symptoms.
- Staff are given information about physical distancing.
- Entry into the business, including lines, are regulated to prevent congestion.
- Businesses must post external signs indicating COVID-19 physical distancing protocols, along with floor markings where service is provided or lines form.
- Businesses must maintain a single point of entry.
- Patients and people who may attend with patients are screened by telephone before an appointment is booked and are not given an appointment if they have COVID-19 symptoms.
- People identified as symptomatic should be instructed to call Health Links - Info Santé.
- Waiting room management strategies must be in place. Strategies should include waiting in car if possible, and physical distancing for those in waiting room. No more than 10 people may gather in common areas.
- Hand sanitizer is available at the entrance/exit for patient and staff use.
- Patients and people attending with patients must sanitize hands upon entry to facility.
- Work/service areas are sanitized after each patient.
- Washrooms have frequent sanitization and a regime for business sanitization is in place.
- Magazine racks and toys are removed and play areas in waiting rooms are closed.
- Patients may wear masks when receiving services, where possible.
- Cashless or no-contact payment should be used to the greatest extent possible.
In addition to these guidelines the College of Registered Nurses recommends registrants check the provincial COVID-19 resources for health-care providers and staff webpage frequently to ensure they are following provincial recommendations. As a reminder informed consent to receive services includes providing the client with information about the risks, benefits and alternatives for services- this discussion should be inclusive of the risk for COVID -19 transmission. If you have questions about meeting practice expectations during this temporary measure, please contact practice @crnm.mb.ca
- Ensuring Safe Access to M3P Prescriptions for Patients During COVID-19 Outbreak (April 17, 2020)
The College of Physicians and Surgeons of Manitoba (CPSM), College of Registered Nurses of Manitoba (CRNM) and the College of Pharmacists of Manitoba (CPhM) have received several inquiries regarding measures to ensure safe patient access to Manitoba Prescribing Practices Program (M3P) drugs during the COVID-19 outbreak. Several registrants have also voiced their concern about maintaining safe prescribing practices while implementing social distancing where possible.
Inquiries have also been received from prescribers regarding the appropriateness of virtual and phone visits for patients who require a M3P prescription.
In response to these inquiries, the CPSM, CRNM and CPhM are providing the following guidance when it comes to drugs that usually require an M3P form.
Click here to acces the resource document and form templates
- May 6, 2020 CNPE writing cancelled (April 8, 2020)
As a result of the impact of the COVID-19 global pandemic, the May 6, 2020, writing of the Canadian Nurse Practitioner Examination (CNPE) has been cancelled. At this time, we expect that the October 14th date will continue as planned. Anticipating an increase in the number of candidates writing the October 14th CNPE, Canadian nursing regulatory bodies are working with the examination provider to be prepared.
Candidates who applied for the May 6th examination will receive communication from their regulatory body on the process to write on October 14, 2020.
We thank all nurses for their professional dedication during this challenging time.
- Updated Guidance on Narcotic and Controlled Drug Prescriptions for Personal Care Home Residents (April 7, 2020)
Effective immediately, verbal orders from physicians and RN(NP)s for narcotics and controlled drugs that fall under the Health Canada Controlled Drugs and Substances Act (CDSA) may be accepted by pharmacists for residents of a personal care home (PCH) only. This exemption does NOT apply to patients who are not a resident of a personal care home at the time the verbal order is given.This temporary exemption shall remain in effect during the COVID-19 pandemic and may not extend beyond September 30, 2020. Click here to learn more.
- Prescribing and Dispensing of Drugs to Treat COVID-19 (March 26, 2020)
There has been significant mention in both in the media and on the internet on the use of certain medications in the treatment of COVID-19 patients despite a lack of evidence. The College is urging registrants' continued diligence in supporting clients with evidence-informed care. Some Manitoba pharmacies are now faced with shortages of certain medications for patients with conditions such as lupus or rheumatoid arthritis. Please read this joint communication from the College of Registered Nurses of Manitoba, College of Pharmacists of Manitoba and College of Physicians and Surgeons of Manitoba.
The College offices are closed to visitors until further notice, and as of Friday, April 3, all staff will be working remotely. This is to ensure the health and safety of our team and to adhere to public health guidelines. We remain open for business by phone and email. Please keep the following in mind when contacting the College:
- Our staff will be available by phone at 204-774-3477 (or toll-free at 1-800-665-2027) and by email at email@example.com between 8:30 AM and 4:30 PM.
- Our staff directory including direct phone numbers and email contacts is available here.
- We are not be accepting physical documents at this time. Documents can be submitted electronically via email to the appropriate contact/department.
Although our staff are working remotely, we anticipate our core functions will continue with some modifications:
- All College committees will meet virtually – please contact your staff liaison for more information.
- If you are from an external organization and have a meeting booked at the College, please check with your meeting organizer
About the novel coronavirus
On December 31, 2019 an outbreak of COVID-19 was detected in Wuhan, China. Canada identified its first confirmed case in Ontario in January 2020. On March 11, 2020, the World Health Organization declared the global outbreak of COVID-19 a pandemic.
Symptoms range from mild (fever, cough, runny nose, sore throat) to severe (shortness of breath, breathing difficulties), and may take up to 14 days to appear.
There are important steps individuals and registered nurses can take to protect themselves, or take appropriate action if they suspect they have been exposed to the virus. Please see the links below for additional information:
For the public
- Health Links – Info-Santé – A provincial telephone health information line available to all Manitobans that is staffed by bilingual registered nurses 24/7, 365 days of the year.
- Manitoba Public Health – Coronavirus information for the public, COVID-19 Screening Tool
- Public Health Agency of Canada – Coronavirus information, FAQs and resources
- World Health Organization – Advice for the public
For registered nurses
- College of Registered Nurses of Manitoba – Duty to Provide Care, Telepractice, Practice Resources, Guidance in Telepractice
Shared Health Manitoba – Provincial coronavirus resources for health care providers
- Public Health Agency of Canada – Information for Health Professionals
- Canadian Nurses' Assocation - Code of Ethics: Ethical considerations for nurses in a pandemic