Registered Nurses (Certified)

Registered nurses with certified practice (RN(C)) are authorized to independently refer eligible beneficiaries of the Medical Services Plan (MSP) for selected medically necessary laboratory tests approved as within scope by the College of Registered Nurses of BC (CRNBC). The menu of laboratory tests is restricted to those tests that are included in the CRNBC approved Decision Support Tools (DSTs) for certified practice categories.

A registrant of the College of Registered Nurses of British Columbia who is authorized to use the title “nurse” or “registered nurse”, and has successfully completed a certification program as described in the Nurses (Registered) and Nurse Practitioners Regulation may apply for a MSP practitioner number and request to be enrolled as a referring health care practitioner, subject to requirements set out in the Medical and Health Care Services Regulation, Section 45.

The RN(C) referral program improves patient care in British Columbia and facilitates registered nurses with certified practice to work to their full scope of practice. This program is of particular benefit to patients in communities who do not have an attendant physician or nurse practitioner, but who do have access to nursing care provided by an RN(C).

RN(C)s whose certified practice activities are associated with inpatients - patients who are admitted to an emergency room, a hospital, or a diagnostic and treatment centre do not need to enrol for an MSP practitioner number. 

The RN(C) program is targeted to those RN(C)s currently registered with the CRNBC who are certified in one or more of three practice areas: Remote Nursing, Reproductive Health - Contraceptive Management, and Reproductive Health - Sexually Transmitted Infections and whose clinical practice is associated with outpatients. The Registered Nurses (Certified) Laboratory Services Referral Schedule is approved by the minister and is restricted to those tests that are included in the College of Registered Nurses of BC (CRNBC) approved Decision Support Tools (DSTs) for certified practice categories. 

​Standards for ordering laboratory services are set out in the CRNBC Scope of Practice For Registered Nurses:Standards, Limits and Conditions (PDF, 835KB) related to the scope of practice of RN(C)s. RN(C)s may also refer for other non-fee-for-service laboratory services within their scope of practice.