Graduate Practical Nurse (GPN)
A nurse is required to possess a current certificate of registration prior to commencing employment as an LPN/GPN. A current certificate of registration indicates that a nurse has met the minimum requirement(s) to deliver safe, competent and ethical care and as such, nurses may not engage in any portion of the employer’s orientation process (observation, clinical, classroom or self-study) without a current certificate of registration to practise as an LPN or GPN. Nurses and employers should be aware that third-party liability insurance coverage applies only to LPNs/GPNs with a current certificate of registration.
A graduate practical nurse is a person who;
- Has successfully completed a Prince Edward Island practical nursing program or a program outside of Prince Edward Island that the Council considers substantially equivalent to the program offered provincially.
- Is covered by professional liability insurance
- Has paid the applicable examination fee and applied to take the Canadian Practical Nurse Registration Examination (CPNRE) or is awaiting the results of the CPNRE.
- Has secured a GPN certificate of registration
A Graduate Practical Nurse is expected to meet the entry to practice competencies as described by the CLPNPEI. A GPN is also expected to be familiar with and practice within the framework of the Regulated Health Professions Act(RHPA), Licensed Practical Nurse Regulations, Standards of Practice and Code of Ethics. While GPNs work under the supervision of a Licensed Practical Nurse, it is understood that this supervision may not be direct, one on one supervision for every nursing function in every nursing environment. The supervising LPN must be physically available to assist the GPN with nursing duties, provide guidance, mentorship and support as necessary. As the GPN becomes more confident and comfortable in his or her new role, it is understood that the GPN’s level of autonomy will also increase.
It is the GPN’s responsibility to understand that;
- some practice areas may not be acceptable for employment, as supervision would not be available
- some employment settings will have policies in place that restrict GPNs from performing some nursing duties, and
- they must not assume a charge role in their employment setting, unless in collaboration and co-assigned with appropriate mentor.
SCOPE OF PRACTICE STATEMENT
1. A GPN must be supervised in practicing practical nursing by a licensed practical nurse registered and in good standing with the CLPNPEI.
Practical nursing is defined as the application of particular knowledge and skills and judgment in providing practical nursing services to another person, including;
(a) assessing the person,
(b) collaborating in the development of a nursing plan of care,
(c) implementing a nursing plan of care
(d) evaluating the person on an ongoing basis for purposes including promoting health, preventing illness or providing palliative or rehabilitative care
2. A GPN is authorized to perform the following reserved activities only if they are competent and directed by a registered nurse, nurse practitioner, medical practitioner or dentist who is authorized by an enactment to practice in the province.
(a) performing a procedure on tissue below the dermis or below the surface of a mucous membrane in the provision of wound care;
(b) administering a substance by injection, inhalation, mechanical ventilation, irrigation, topical means or enteral or parenteral instillation;
(c) putting an instrument, hand or finger
(i) beyond the external ear canal,
(ii) beyond the point in the nasal passages where they normally narrow,
(iii) beyond the larynx,
(iv) beyond the opening of the urethra,
(v) beyond the labia majora,
(vi) beyond the anal verge, or
(vii) into an artificial opening into the body.
3. May administer all prescribed medication within the Scope of Practice and organization policies provided they are competent (possess the necessary knowledge, skill and judgment).
The graduate practical nurse may use the following designations;
- Graduate practical nurse
Duration and Expiration
The GPN certificate of registration is short term, will not exceed one year. Once expired, a GPN certificate of registration may not be renewed. A GPN must obtain the established pass mark on the CPNRE in not more than three attempts.
Upon successful completion, the GPN is eligible for a certificate of registration in the general registry for LPNs.
Requirement for Employment
A current CLPNPEI LPN/GPN certificate of registration is required to practice practical nursing in all employment settings. Employers and nurses share the accountability to ensure all employees hold a current LPN/GPN certificate of registration before the commencement of employment. Includes employer orientation EVEN if client care is not expected.
To Apply for a Certificate of Registration on the Graduate Practical Nurse Register, the applicant must:
- Successfully complete an approved practical nursing education program in Prince Edward Island.
- Apply to write the Canadian Practical Nurse Registration Examination (CPNRE).
- Submit a Criminal Record Check and Vulnerable Sector Check issued within the previous 90 days.
- Provide proof of identity and legal name.
- Complete the required application documentation. Application link below.
- Proof of entitlement to work in Canada.
- Pay the required fees.
*The CLPNPEI requires that all applicants confirm English language proficiency. If your first language is not English, you are required to successfully demonstrate English language proficiency.
- Applicants must be free from any cognitive, physical, psychological or emotional conditions, or a dependence on alcohol or drugs that impairs their ability to practice nursing.
- Applicants must not possess a record of conviction under the Criminal Code (Canada), the Controlled Drugs and Substances Act (Canada), the Food and Drugs Act (Canada) or any criminal or penal statute of a jurisdiction outside of Canada, that makes it desirable in the public interest that the applicant not practice practical nursing.
All nurses entering the profession must understand and uphold the professional and legal obligations of being a practical nurse in Prince Edward Island. The transition period from GPN to LPN allows a graduate practical nurse time to build upon their foundational knowledge and skills, as well as build confidence while receiving support from all members of the professional team.
Please contact the CLPNPEI for further information.