Practice Guidelines

Practice guidelines are intended to complement the Code of Ethics and Standards of Psychiatric Nursing Practice and any legislation or other resources that guide professional practice. These allow RPNs to understand their responsibilities and how to make safe and ethical decisions in their practice based on sound, professional judgment.

Access to Prescribed Medications

We recognize the importance and necessity of interprofessional collaboration to support safe client care in situations where supplying medications is necessary. When these expectations cannot be met, all health-care professionals are responsible for resolving the practice issue as a team.

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Administration of Controlled Substances

The Federal Government has made some changes to the regulations that allow nurses to administer controlled substances. The three nursing Colleges, along with the Colleges of Pharmacists and Physicians and Surgeons have collaborated to provide ongoing updates with respect to the recently implemented federal exemptions. All RPNs are encouraged to examine how this might impact their practice.

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Assignment & Delegation

The College of Registered Psychiatric Nurses of Manitoba (CRPNM) is pleased to release a new practice direction titled Assignment and Delegation to Unregulated Care Providers. This Practice Direction was created in collaboration with the College of Licensed Practical Nurses of Manitoba (CLPNM) and the College of Registered Nurses of Manitoba (CRNM). The practice expectations outlined in this practice direction are consistent with the practice directions of the same title published by the other two nursing Colleges.

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Boundaries

The core of psychiatric nursing practice is the therapeutic relationship between the client and the RPN. Establishing and maintaining this professional relationship is the responsibility of the RPN, not of the client, and every act or behaviour of the RPN must benefit the client (CRPNM, 1999).

Download the Practice Direction: Professional Boundaries in Psychiatric Nursing

Documentation

The intent of this practice direction is to set standards for RPNs regarding documentation principles in the context of current theory, practices and best available evidence. This document is intended to complement the Code of Ethics and the Standards of Psychiatric Nursing Practice and any legislation and other resources that help to guide professional practice.

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Independent Practice

If you are self-employed, or are exploring self-employment/independent practice, you must familiarize yourself with the Guidelines for Registered Psychiatric Nurses in Independent Practice.  The 2017 Guidelines for Registered Psychiatric Nurses in Independent Practice replaces all previous versions of this document.

Please contact the CRPNM if you wish to discuss the contents of this document and how the guidelines might apply to your self-employed situation.

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RPNs who are self-employed are required to hold a minimum of $2,000,000 professional malpractice/liability coverage.

The CRPNM requires that all RPNs who are self-employed provide a copy of the certificate of professional liability insurance on an annual basis.

Please contact the CRPNM if you require further information about purchasing professional malpractice/liability insurance.

Registered Psychiatric Nurses who are in independent practice must be familiar with the Guidelines for Independent Practice and the requirements for documentation and record keeping. RPNs in independent practice who are planning on relocating, closing or taking a leave practice from their practice must ensure a plan to notify their clients and for the storage and/or disposal of health records.

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Interprofessional Collaborative Care

Collaborative care in health care occurs when multiple providers from different professions provide comprehensive services by working with clients , their support networks, care providers and communities to deliver the highest quality of care across all settings. This practice direction was developed by ten regulatory health colleges to ensure the partnership between a client and a team of health care providers is a participatory, collaborative and coordinated approach to shared decision-making around health and social issues.

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Medical Assistance in Dying Learning Resources

The College of Licensed Practical Nurses of Manitoba (CLPNM), the College of Registered Nurses of Manitoba (CRNM) and the College of Registered Psychiatric Nurses of Manitoba (CRPNM) are pleased to release new guidelines for LPNs, RNs and RPNs for nursing care related to Medical Assistance in Dying (MAID). With the expert guidance of the Medical Assistance in Dying Nursing Advisory Committee, these comprehensive guidelines are set to replace the older documents released by the three nursing colleges on Medical Assistance in Dying.

Click here to read the updated guideline

The medical assistance in dying nursing advisory group is made up of members from all three nursing colleges in Manitoba: the College of Registered Nurses of Manitoba (CRNM), the College of Licensed Practical Nurses of Manitoba (CLPNM) and the College of Registered Psychiatric Nurses of Manitoba (CRPNM). This group works together to inform and develop education supports for nursing practice related to medical assistance in dying.

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Medical Cannabis

The Colleges of Licensed Practical Nurses of Manitoba (CLPNM), Registered Nurses of Manitoba (CRNM) and Registered Psychiatric Nurses of Manitoba (CRPNM) are pleased to release guidelines to help Manitoba nurses understand their professional and legal responsibilities in the administration of medical cannabis.

This document contains information that is known and available at the time of publication. As more information becomes known, the nursing regulators will communicate additional guidance to Manitoba nurses.

This document has been updated to to include directions for those working in Personal Care Homes.

Please find the updated copy here

Social Media

This document addresses specific issues surrounding social media, social networking and professional conduct both in your practice setting and your personal life.

Click here to download the document.

College of Registered Psychiatric Nurses of Manitoba

1854 Portage Ave. Winnipeg, Manitoba, Canada, R3J 0G9

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