Employer Toolkit

Resources to Promote a Positive and Informed Practice Environment

Whether you are starting out in a new management role or looking for information after many years in leadership, the resources in this section are designed to help educate and inform.

One of the ways the College supports quality nursing practice is through practice consultation services. Employers are welcome to use this service when they have questions about RN practice. Click here for more information on our practice and standards consultation services.

Find out more about nursing education programs in Manitoba 

Find out more about RN scope of practice

Nursing Titles

Graduate Nurse - GN
A GN is a graduate of an entry-level (beginner) nursing program. Once they successfully complete the program, they are eligible to apply for the GN register as a means of practising while they are waiting to write or obtain results from the NCLEX-RN. This designation entitles them to work in registered nurse positions with some limitations. GNs cannot be left in charge (nurse-in-charge) and they cannot work alone without an RN being readily available.

Registered Nurse – RN
RN is a professional designation that refers to someone who is on the RN register. This designation signifies that an individual has completed an approved nursing education program, has passed an approved exam and has met all of the College’s requirements for registration. Only an individual on the practicing registered nurse register can use the title registered nurse or the abbreviation RN.

Graduate Nurse Practitioner - RN(GNP)
An RN(GNP) is an RN who has completed advanced education (or has substantially equivalent education and experience) and is waiting to write an approved exam demonstrating extended practice competencies, or has written an approved exam and is awaiting results. This designation entitles them to work in nurse practitioner positions with some limitations. Employers who hire RN(GNP)s must sign the employer agreement portion of the RN(GNP) application indicating they support the RN(GNP)'s practice and mentor relationship. This component must be submitted to the College before the RN(GNP) application can be considered. Find more information here.

Registered Nurse, Extended Practice - RN(EP) or RN(NP)
Note: in Manitoba, the terms RN(EP) and RN(NP) are used interchangeably.
An RN on the extended practice register is an RN who has completed graduate level (masters) education in a program that focused on NP practice. It means that the RN has passed a national advanced practice exam. In addition to the health-care services an RN provides, an RN(NP) can independently prescribe medications, order, receive and manage the results of screening and diagnostic tests, and perform minor surgical and invasive procedures.

RN(NP)s declare the client population they work with and this is a result of the focus of their educational program (e.g. pediatrics only, adults only or all ages).

RN and RN(NP) Responsibilities

Entry-level competencies describe what is expected of entry-level RNs in order to provide safe, competent and ethical nursing care in a variety of practice settings. The competencies are used in the approval of nursing education programs leading to initial registration as an RN. The competencies also serve as a guide to curriculum development in entry level (undergraduate) nursing programs and inform the public and employers of the practice expectations of entry-level RNs.

View the Standards of Practice for Registered Nurses and the Standards of Practice for Registered Nurses on the Extended Practice Register for more information.

Employer Responsibilities

Under the Registered Nurses Act, the registration status of an individual RN is public information. Employers have a responsibility under the Act to verify that the RNs they employ are properly registered with the College. Verification of registration must be renewed annually.

As an employer, if you terminate or suspend an RN for professional incompetence or misconduct, you must report this to the College.

Visit the Conduct & Reporting page for more information

Your Role in Quality Documentation

Documentation is a vital part of registered nursing practice and the basic principles of documentation have not changed over the years. Whether on paper or electronically, quality documentation is part of meeting our standards of practice.

Here are some ways that you can help RNs improve their quality of documentation:

Education

  • Educate support staff on the importance of documentation.
  • Provide education on quality documentation practices.

Policy

  • Advocate for documentation that is multidisciplinary.
  • Avoid duplicate documentation systems.
    • Advocate for point-of-care charting, such as flow sheets, medication administration records, etc.
  • Create policy to support documentation practices. Ask registered nursing staff to contribute by informing policy. Policy should include:
    • who documents and how they are identified
    • what to include and exclude
    • when to document
    • where to document (ex. flow sheets)
    • how to document (ex. when using SOAP notes or other formats)
    • occurrence reporting and documentation of situations of risk

Work Environment

  • Be alert and responsive to statements implying that a registered nurse is not working hard when he/she is taking a moment to chart for a client.
  • Advocate for user-friendly systems which place the focus on client safety.
  • Provide a culture where documentation is a respected part of nursing practice.
  • Offer appropriate space for registered nurses to think and document.
  • Include nursing staff in chart reviews/audits to increase awareness of gaps in documentation.
  • Provide secure locations for storing paper charts when not in use by staff.
  • Engage in risk management strategies for reducing privacy breaches (e.g. long-term storage and destruction of paper or electronic health records).

Practice & Standards Consultants

Telephone: 204-774-3477 ext. 301
Toll-free: 1-800-665-2027 ext. 301 (Manitoba only)
Fax: 204-775-6052
practice@crnm.mb.ca