Steps to Becoming an RN (EP) or NP in Manitoba

Get your Graduate Degree in Manitoba
Pass the Required Examinations in Manitoba
Apply for Registration in Manitoba
Maintaining Your Registration in Manitoba

The College of Registered Nurses of Manitoba regulates advanced practice nursing in the province. It recognizes two advanced practice nursing titles: Registered Nurse (Extended Practice) [RN (EP)] and Nurse Practitioner (NP).

Manitoba Job Statistics

  • 2011 average salary for general practitioners / family physicians in Manitoba: $150,445
  • January 2007, RNs and Extended Practice Nurses are identified as being in “high demand” (ER and ICU)
  • January 2007, Registered Psychiatric Nurses are identified as being in “high demand”

All applicants for advanced practice nursing roles in Manitoba must first hold a Registered Nurse (RN) license in the province.

  • If you are a student in a nursing program in Manitoba or another Canadian province and about to complete your studies, follow these instructions to apply for RN licensure in Manitoba.
  • If you have ever been licensed as an RN in a province other than Manitoba, follow these instructions.
  • If you completed nursing training in another country, follow these instructions to become a licensed RN in Manitoba.
  • If you were formerly licensed as a Manitoba RN and wish to reinstate that license, follow these instructions.

Once you have obtained your Manitoba RN license, proceed with these steps to become an advanced practice nurse in the province:


 

Step 1. Get Your Graduate Degree

You must be a graduate of an advanced practice nursing program before you may pursue registration as an RN (EP) or NP in Manitoba.

Qualified Graduate Programs

The graduate nursing program you choose must meet Manitoba’s educational requirements for advanced practice nursing. The College of Registered Nurses of Manitoba has approved the following program in the province for RNs who wish to work in extended practice:

  • Advanced Graduate Diploma – Advanced Nursing Practice – Athabasca University, 1 University Drive, Athabasca, AB T9S 3A3–( you must first hold a master’s degree in nursing from the University of Manitoba before enrolling in this program)

The College of Registered Nurses of Manitoba has approved these NP educational programs for RNs who wish to work as NPs in the province:

  • Master of Nursing Program: Advanced Nursing Practice Stream – Athabasca University, 1 University Drive, Athabasca, AB T9S 3A3
  • Master of Nursing Specialty: Nurse Practitioner Program-Dalhousie University– 1459 Oxford St., Halifax, NS B3H 4R2
  • Primary Health Care Nurse Practitioner Program – (Council of Ontario University Programs in Nursing (COUPN))
  • Master of Nursing Nurse Practitioner Program – University of Alberta, 11405 87 Avenue, Edmonton, AB T6G 1C9
  • Master of Science of Nursing: Family Nurse Practitioner Program-University of British Columbia, T201-2211 Wesbrook Mall
    Vancouver, BC
  • Master of Nursing in Advanced Nursing Practice-University of Calgary, 2500 University Dr. NW, Calgary, AB T2N 1N4
  • Master of Nursing program (Nurse Practitioner major)- University of Manitoba, 500 University Centre, Winnipeg, MB R3T 2N2
  • Master of Nursing: Nurse Practitioner Program-University of New Brunswick, P.O. Box 4400, Fredericton NB  E3B 5A3
  • Master of Nursing Science: Family Nurse Practitioner Program-University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9
  • Combined Master of Science in Nursing/Primary Health Care Nurse Practitioner Certificate Program-University of Ottawa, 115 Séraphin Marion St., Ottawa, ONK1N 6N5
  • Master of Nursing: Primary Health Care Nurse Practitioner-University of Saskatchewan, 107 Wiggins Road , Saskatoon, SK S7N 5E5
  • Post Master’s Nurse Practitioner Diploma-University of Toronto, 155 College Street, Suite 130, Toronto, ONM5T 1P8
  • Master of Nursing: Nurse Practitioner Program-University of Victoria, PO Box 1700 STN CSC, Victoria, BC V8W 2Y2

If you are a graduate of an advanced nursing program outside of Canada, complete the International Qualifications Assessment Service (IQAS) Application Form and Assessment Release Form and send it to IQAS for a basic assessment of your credentials. IQAS will mail your assessments directly to the College of Registered Nurses of Manitoba. Indicate on the form that you are applying for registration on the extended practice register. Mail it and accompanying documentation and fees to: International Qualifications Assessment Service (IQAS), 9th Floor, 108 Street Building, 9942-108 Street, Edmonton, Alberta, Canada T5K 2J5.

Course Requirements

The College of Registered Nurses of Manitoba does not state specific courses that must be taken in order to register on the extended practice register in the province. However, following the Standards of Practice for RNs on the Extended Practice Register (which also includes nurse practitioners), one can assume that knowledge of and familiarity with the following skills and topics are vital to your future success as an RN (EP) or NP in Manitoba:

  • Collaboration and consultation with other providers
  • Advanced pharmacology
  • Ordering screening and diagnostic tests
  • Performing minor surgical/invasive procedures

Prescriptive Authority

All RN (EP) s and NPs in Manitoba have prescriptive authority under the Standards of Practice. Drugs that you prescribe must be relevant to your area of practice and client population served. Advanced pharmacology coursework that you take in your advanced practice nursing program is intended to help prepare you for this responsibility.

Specialization for NPs

The College of Registered Nurses of Manitoba allows for specialization within the RN (EP) or NP role. Areas in which you may concentrate studies include emergency care, acute care, pediatric, neonatal, long-term care, primary care, rural/remote care, adult/elderly care, all ages, and community care.


Step 2. Pass the Required Examinations

The College of Registered Nurses of Manitoba has approved five examinations for those who wish to be listed on the RN extended practice register. Additionally, you must be able to prove that you are fluent in either English or French.

Language Tests

If you meet any of the following requirements, you do not have to take a Language Test:

  • You declare that English or French is your primary language
  • You are currently registered or have been registered in the past two years as an RN in another Canadian jurisdiction
  • You have recently successfully completed a course of study that establishes you are fluent in reading, speaking and writing of English or French

If you do not meet these requirements, you must take one of the following tests to establish your fluency in English or French:

Extended Practice/Nurse Practitioner Exams

The College of Registered Nurses of Manitoba insists that you pass one of the following exams to be listed on the province’s extended practice register. The exam that you choose is up to you, based upon your career goals and needs:

  • Canadian Nurse Practitioner Examination (CNPE) – consists of 190 to 220 multiple-choice questions, takes four hours, and tests these 42 Competencies. Administered in May and October. Total cost for exam = $1316.58.
  • American Nurses Credentialing Centre (ANCC) Family Nurse Practitioner Exam– Administered in May and October Total cost for exam = $866.25
  • American Nurses Credentialing Centre (ANCC) Pediatric Nurse Practitioner Exam– Administered in May and October Total cost for exam = $866.25
  • American Nurses Credentialing Centre (ANCC) Adult Nurse Practitioner Exam– Administered in May and October Total cost for exam = $866.25
  • National Certification Corporation (NCC) Neonatal Nurse Practitioner Examination -Click here for information on the exam format. Contact CRNM (see below) for costs, test locations and registration information.

When you submit your application for the extended practice register, there will be a portion of the application where you can register to take the intended examination (for the CNPE and ANCC exams only). To register to take the NCC exam, contact the College of Registered Nurses of Manitoba for information at 800-665-2027 or 204-774-3477.


Step 3. Apply for Registration

Complete the Application for Registration on the Extended Practice Register in order to become registered as an RN (EP) or NP in Manitoba. Return it with an application fee of $52, payable to CRNM (plus any examination fees required).

Along with the necessary fees and complete application, be sure to:

  • Complete the top part of the Request for Verification of Registration form (included within application packet) and submit the form to the jurisdiction in which you are registered as an advanced practice nurse (if any). That jurisdiction must complete the form and return it to CRNM.
  • Obtain original transcripts from your advanced practice nursing education and submit to CRNM with your application.
  • If you are a graduate from an advanced nursing program outside of Canada, submit the International Qualifications Assessment Service (IQAS) Application Form and Assessment Release Form to IQAS for a basic assessment of your credentials. Mail this form, documentation and necessary fees to International Qualifications Assessment Service (IQAS), 9th Floor, 108 Street Building, 9942-108 Street, Edmonton, Alberta, Canada T5K 2J5.  IQAS will mail your assessments directly to the College of Registered Nurses of Manitoba. Indicate on the form that you are applying for registration on the extended practice register.
  • If you took a Language Test, include a copy of your test results and arrange to have official results sent directly from the testing company to CRNM.
  • Attach photo proof of identification, such as a copy of your passport, identification card, driver’s license or government-issued photo ID
  • If you have never been registered as an NP or RN (EP) in Canada, you must register to take the appropriate examination. If you have already passed an exam, contact CRNM at 800-665-2027 or 204-774-3477.
  • If you did not graduate from an approved advanced nursing education program, you must apply for an Acquired Learning Assessment. This consists of completing a Prior Learning Assessment (PLA) questionnaire, as well as undergoing a Clinical Competence Assessment (CCA). The PLA costs $2100, and the CCA costs $2520 to complete. To begin this process, contact CRNM Registration Services at 800-665-2027 or 204-774-3477.

Mail the completed application, supporting documentation and fees to CRNM, 8890 Pembina Highway, Winnipeg, MB R3M 2M8.

Once your application has been processed, the CRNM will contact you with examination information, including dates, times and locations.

When you are listed on the registry, you (and potential clients and employers) can verify your information online at the CRNM Nurse Check.


Step 4. Maintaining Your Registration

Once you are listed on the RN (EP) register in Manitoba, you must complete Continuing Competence Requirements annually to maintain that registration. This includes:

  • Completing a self-assessment each year. Here you will identify one strength and one area in which you need improvement for each standard and competency. You must link the weak area with your self-development plan.
  • Completing a self-development plan each year. This must include:
    • Identifying one (or more) goals for self-development based on your self-assessment,
    • Documenting learning activities in which you have participated
    • Evaluating the impact of these learning activities on your nursing practice
  • Complete Peer Case Reviews. Identify and discuss three cases that you have managed. This must include case histories, case management, best practices and participants’ feedback and incorporate both the Standards of Practice for RNs on the EP register and Competencies for the RN (EP) Register.
  • Complete Quality of Care Evaluations. This can be done by either completing Client Quality of Care Evaluations or Reflection on Quality of Care Evaluations:
    • Client Quality of Care Evaluations
      • Requesting client feedback
      • Taking action in response to client feedback
      • Reporting actions you have taken
    • Reflection on Quality of Care Evaluations
      • Reflecting on your practice
      • Documenting examples of client interactions

Attain at least 1800 total RN (EP)/NP practice hours over the past 3 years or 600 hours in the past year.

Forms to assist you in completing and reporting the Continuing Competence Requirements may be found in this packet. You must maintain your Continuing Competence Requirement documentation for at least five years in case of random audit.

If you wish to change the patient population with which you practice, you must submit an application to change form to Registration Services, College of Registered Nurses of Manitoba, 890 Pembina Highway, Winnipeg, MB R3M 2M8 or fax it to (204) 775-7117.

Advanced Practice Registered Nurse Associations in Manitoba

These organizations help to support advanced practice registered nurses working in Manitoba:


Manitoba Nurse Practitioner Salary

According to Statistics Canada, during 2010, nurse practitioners in Winnipeg, Manitoba earned an average hourly wage of $34.10, which came to $70,928 yearly on average. Practitioners in the top ten percent earned substantially more at $46.20 per hour. Their annual average was $96,096, which was about $25,000 higher than the baseline average in the province.

Occupational Classification
Number of Professionals
Average Income
Nurse Supervisors and RNs
6000
$60118
Head Nurses and Supervisors
195
$66337
Registered Nurses
5795
$59906
General Practitioners and Family Physicians
865
$150445

Employment and salary data included in these tables was produced by Census Canada in 2006 and originally published by Statistics Canada in 2008. To provide comprehensive information for comparative purposes, the data includes all Statistics Canada Occupational Classifications in which advanced practice nurses were identified.

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