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Incorporating Restricted Activities: What nurses need to know


In the ever-evolving landscape of healthcare, the role of primary care nurses in Alberta has become increasingly pivotal. As primary healthcare continues to demand expanded support from the nursing scope of practice, incorporating restricted activities has emerged as a key solution. While the idea of incorporating restricted activities might seem intimidating, it's worth noting that many Primary Care Nurses across the province are already actively involved in restricted activities such as cervical screening. But that's just the beginning. With the right training and authorization, Primary Care Nurses can extend their services to include activities like pessary changes, local anesthetic infiltration, punch or shave biopsies, and much more. How do we know this? They are APCNA members, just like you. The Alberta Primary Care Nurses Association (APCNA) plays a crucial role in empowering these nurses and enabling them to provide comprehensive care.


Let's demystify the process of incorporating restricted activities. Here's a step-by-step guide for primary care nurses:

  • Understanding Scope: Primary Care Nurses must first ensure that the restricted activity they wish to incorporate is permitted by their regulatory association and suitable for their practice environment. Sometimes written approval may be required.

  • Team Collaboration: Collaborate with your medical home teams to evaluate the feasibility of effectively incorporating the restricted activity into your practice. Ensure there is a need and discuss patient flow.

  • Seek Approval and Support: Seek approval and educational support from your employer. Does your employer need a sample policy for this to get started? Ask us for one.

  • Specialized Education and Training: To gain the necessary skills and knowledge, complete additional education and/or training specific to your chosen skill. These should align with the standards set by the College of Registered Nurses of Alberta (CRNA) or the College of Licensed Practical Nurses of Alberta (CLPNA). If advanced certificates or training programs are unavailable, the APCNA can recommend suitable educational programs.

  • Maintain Certifications: Keep your certifications valid and up-to-date, as required by CRNA or CLPNA.

  • Commit to Ongoing Development: Engage in continuous professional development activities to enhance your knowledge, skills, and competencies related to your restricted activity skills.

As of now, there are no regulated guidelines specific to the role of primary care nursing in Alberta. However, the APCNA remains dedicated to serving its members and the patients of Alberta. The association provides valuable guidance, mentorship, and educational resources to advance the nursing profession and ensure that primary care nurses can deliver the highest quality of care.


We invite you to join the conversation and share your insights:

  • What specific challenges do primary care nurses in Alberta face when incorporating restricted activities into their practice, and how can the APCNA address these challenges?

Let's work together to empower primary care nurses and enhance the quality of healthcare services across Alberta.


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