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. If you are currently registered but not currently working, or you have recently obtained temporary registration for pandemic service provision and seeking to be deployed into the workforce, please visit the Shared Health website for a list of current opportunities.
Effective December 3, 2020
Temporary Pandemic Registration Process for Qualified Internationally Educated Nurses
In light of the current public health emergency, and challenges accessing language testing due to pandemic restrictions, the College has worked with our partners in government and in the health system to obtain a ministerial order authorizing the College to temporarily waive or modify registration requirements for internationally educated applicants meeting specific criteria.
Public Statements by Registered Nurses
The COVID-19 pandemic has put unprecedented strain on our health system, and registered nurses have been at the forefront of that response for over a year. As public health measures continue to evolve and be required to mitigate the spread and impacts of the virus, it is essential that all RNs consider their professional responsibilities when making public statements on this important topic.
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- Ministerial order regarding vaccine eligibility verification (March 3, 2021)
An order has been issued under The Emergency Measures Act to establish a procedure to verify that persons who receive the COVID-19 vaccine met the applicable eligibility criteria to be vaccinated against COVID-19, including eligibility criteria applying to health professionals. Please read the complete Ministerial Order for more information.
Because health professionals hold positions of leadership and trust within the health system and the community, it is critical that health professionals provide accurate information when accessing the vaccine. Providing inaccurate or misleading information or encouraging others to do so in order to obtain faster access to the vaccine is not consistent with holding a position of trust.
Registered nurses are expected to practise in accordance with the standards, practice expectations, practice directions, and Code of Ethics. This includes expectations to demonstrate professional behaviours and act as a role model with regard to observing public health measures that contribute to public safety, including vaccine eligibility.
As outlined in the order, any reports of such conduct that are brought to the College’s attention may be subject to further investigation or steps to ensure accountability. This Order takes effect on March 3, 2021, and ends on April 15, 2021, unless sooner revoked.
> Current vaccine eligibility criteria
- Ministerial order authorizing performance of reserved act (Administering Vaccine by Injection) (December 11, 2020)
The Minister of Health, Seniors and Active Living has issued an order under section 7 of The Regulated Health Professions Act (RHPA) authorizing additional health care workers to perform the reserved act related to administering vaccine by injection in response to COVID-19 under certain conditions. Please read the complete Ministerial Order for more information.
Health care workers authorised by this order must meet a number of conditions to perform the reserved act including being supervised by a member of a regulated health profession who is authorised to perform the reserved act by regulation under the RHPA or by a profession-specific act listed in schedule 2 of the RHPA.
As registered nurses (RNs) are authorised to perform the reserved act by regulation under the RHPA, RNs may be asked to supervise other health care providers assigned to perform this reserved act by their employer. More information about RN responsibilities related to assignment can be found in the Practice Direction: Assignment and Delegation to Unregulated Care Providers.
- 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.
- Critical level (Red) on the #RestartMB Pandemic Response System impact on services provided by Registered Nurses and Registered Nurse (Nurse Practitioners)
Effective 12:01 a.m. on Thursday, Nov. 12 the province of Manitoba moved to the Critical level (red) on the #RestartMB Pandemic Response System. Specific critical (red) level restrictions can be found here. Although current Orders under The Public Health Act do not restrict the services of health professionals, it is expected that Registered Nurses and Registered Nurse (Nurse Practitioner)s assess the risks and benefits of the services they provide during this time period to determine the criticality (urgency) of the service for the particular client. Services that can be rescheduled or cancelled without negative health outcomes are not considered critical (urgent) and steps should be taken to consider rescheduling or ceasing these services for the duration of the Orders under The Public Health Act in keeping with the #RestartMB Pandemic Response System.
Any registered nursing service that can be provided virtually in compliance with all practice expectations may continue to be provided. Guidance on Telepractice can be found here.
The College of Registered Nurses of Manitoba continues to recommend 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 firstname.lastname@example.org
- 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, Assignment and Delegation to Unregulated Care Providers
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