Fair Registration Practices Report

Nurses (2015)

The answers seen below were submitted to the OFC by the regulated professions.

This Fair Registration Practices Report was produced as required by:

  • the Fair Access to Regulated Professions and Compulsory Trades Act (FARPACTA) s. 20 and 23(1), for regulated professions named in Schedule 1 of FARPACTA
  • the Health Professions Procedural Code set out in Schedule 2 of the Regulated Health Professions Act (RHPA) s. 22.7 (1) and 22.9(1), for health colleges.

Index

  1. Qualitative Information
  2. Quantitative Information
  3. Submission

1. Qualitative Information

a) Requirements for registration, including acceptable alternatives
i. Describe any improvements / changes implemented in the last year.

The following are improvements to the ways in which an applicant can meet certain registration requirements:

  • Language proficiency requirement - Expanded the ways in which an applicant can meet language proficiency to include proof of registration as a nurse in another Canadian province or territory within the past two years.  See: http://www.cno.org/en/become-a-nurse/registration-requirements/language-proficiency/.
  • Citizenship, Permanent Residency or Authorization to Practise Nursing requirement - Expanded the way in which an applicant can meet this requirement to include acceptance of a study permit authorizing the practice of nursing in Ontario and accepting evidence of implied status for those applicants who are seeking to extend/renew a work permit where it has expired.  See: http://www.cno.org/en/become-a-nurse/registration-requirements/citizenship/

 

 

ii. Describe the impact of the improvements / changes on applicants.

The improvements provided acceptable alternatives for applicants to meet the language proficiency and the citizenship requirements. For example: with respect to the citizenship requirement, applicants, whose permit has expired, are now not required to wait until they get a new work permit, as long as they can provide evidence of having applied for a new work permit.  This enhances timelines for processing the application and accessing the nursing profression.

iii. Describe the impact of the improvements / changes on your organization.

The improvements enhanced staff's ability, on behalf of the Executive Director, to make the determination that an applicant has met  the requirements for registration in a transparent, objective, impartial and fair manner.

b) Assessment of qualifications
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

c) Provision of timely decisions, responses, and reasons
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

d) Fees
i. Describe any improvements / changes implemented in the last year.

Changes to fees in 2015 include:

  • The fee for an evaluation completed at Touchstone Institute was changed from $200 to $400 for evaluations completed after October 31, 2015. The fee was increased by Touchstone to continue the process of becoming self-sufficient.   
  • Fees for candidates who attempt the required examination to become registered as an RPN, other than the Jurisprudence examination, changed from $240 to $255 for examinations completed in 2015. The fee was increased due to a higher cost for purchasing the exam from Assessment Strategies Inc.
ii. Describe the impact of the improvements / changes on applicants.

This change impacts new applicants for an evaluation at Touchstone Institute and RPN applicants who attempt the required examination.  

iii. Describe the impact of the improvements / changes on your organization.

The changes to the College's fees are based on a cost recovery principle.

e) Timelines
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

f) Policies, procedures and/or processes, including by-laws
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

g) Resources for applicants
i. Describe any improvements / changes implemented in the last year.
  • The College enhanced information for applicants available on the website for the following registration requirements: 
    • Nursing education: 
      • provided more details in the FAQ: Internationally Educated Nurses Competency Assessment Program (IENCAP), including how the IENCAP is used as part of the College’s evaluation (http://www.cno.org/en/become-a-nurse/registration-requirements/education/faq-iencap/)
      • included additional information in the FAQ: Competency Assessment Supplement (CAS), including information about how to write the CAS and citing sources and plagiarism (http://www.cno.org/en/become-a-nurse/registration-requirements/education/faq-competency-assessment-supplement/)
    • Registration examination:
      • provided more details on registration exams and processes, including information about repeated attempts, review by the Registration Committee, and extenuating circumstances (http://cno.org/en/become-a-nurse/registration-requirements/registration-examination/)
      • included additonal information and resources about the NCLEX-RN examination administered by the National Council of State Boards of Nursing (NCSBN) for applicants preparing to meet the examination requirement for registration (http://www.cno.org/en/become-a-nurse/entry-to-practice-examinations/nclex-rn/)
    • Language proficiency:
      • provided updated information on an alternate way to meet the language proficiency requirement, and included visuals on the process (http://cno.org/en/become-a-nurse/registration-requirements/language-proficiency/)
  • Updated Timeline information on the web to specifically outline that written correspondence will be acknowledged within 10 business days (http://www.cno.org/en/become-a-nurse/new-applicants1/outside-canada/timelines-translations/)

ii. Describe the impact of the improvements / changes on applicants.

The improvements increased transparency of information available to applicants on the College's website.

iii. Describe the impact of the improvements / changes on your organization.

The improvements enabled the College to communicate more effectively with applicants.

h) Review or appeal processes
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

i) Access to applicant records
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

j) Training and resources for registration staff, Council, and committee members
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

k) Mutual recognition agreements
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

l) Other (include as many items as applicable)
i. Describe any improvements / changes implemented in the last year.

On March 7 2013, the Council of the College approved the National Council Licensure Examination for Registered Nurses (NCLEX-RN) as the examination for registration as a Registered Nurse (RN) in the General Class as of January 1, 2015.  As of January 1, 2015, the Canadian Registered Nurse Examination was no longer available to RN applicants. The first day the NCLEX-RN examination was offered in Canada was January 5, 2015.

 

 

ii. Describe the impact of the improvements / changes on applicants.

The NCLEX-RN is more accessible to applicants. This includes year-round access to the examination, access to test centres across Canada, and issuance of examination results in a more timely manner, within 1-2 business days.

iii. Describe the impact of the improvements / changes on your organization.

As Ontario’s nursing regulator, we are accountable for ensuring that registration is granted to only those who demonstrate the nursing knowledge to provide safe care. We regularly review processes for assessing this knowledge in order to determine the most accessible, fair, and efficient approaches. The NCLEX-RN met the College's requirement for being a valid and reliable examination and it leverages advances in technology to enhance efficiency in the examination administration processes.

 

Describe any registration-related improvements/changes to your enabling legislation and/or regulations in the last year

No changes this year

BACK TO INDEX


2. Quantitative Information

a) Languages
Indicate the languages in which application information materials were available in the reporting year.
Language Yes/No
English Yes
French Yes
Other (please specify)
Additional comments:
 
b) Gender of applicants
Indicate the number of applicants in each category as applicable.
Gender Number of Applicants
Male 1346
Female 8987
None of the above 0
Additional comments:
 
c) Gender of members
Indicate the number of members in each category as applicable. Select the option that best corresponds to the terminology used by your organization.
Gender Number of Members
Male 12464
Female 158800
None of the above 0
Additional comments:
 
d) Jurisdiction where applicants obtained their initial education
Indicate the number of applicants by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
8542 602 79
India
578
Philippines
351
Iran
28
Jamaica
25
U.K.
18
Nigeria
13
Nepal
11
Pakistan
10
France
8
Australia
8
Ukraine
4
Jordan
4
Lebanon
3
Ireland
3
China
3
Brazil
2
S Arabia
2
Greece
2
Algeria
2
Belgium
2
Antigua And Barbuda
2
Bangladesh
2
Korea
2
Rwanda
1
United Arab Emirates
1
Singapore
1
Cameroon
1
Finland
1
Kenya
1
Scotland
1
Bulgaria
1
Uganda
1
Ghana
1
Zambia
1
Colombia
1
Russia
1
New Zealand
1
Egypt
1
Grenada
1
Serbia
1
Norway
1
S. Africa
1
Haiti
1
Israel
1
Palestinian Territory, Occupied
1
Italy
1
Iceland
1
Zimbabwe
1
Congo
1
CÙte D'ivoire
1
Total
1110
0
10333

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
e) Jurisdiction where applicants who became registered members obtained their initial education
Indicate the number of applicants who became registered members in the reporting year by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
7235 440 68
India
868
Philippines
457
Pakistan
26
Iran
23
China
21
Jamaica
20
Jordan
19
U.K.
14
Nigeria
12
Israel
10
Korea
8
Kenya
7
Nepal
7
Ukraine
7
Australia
4
Romania
4
United Arab Emirates
4
Guyana
3
S. Africa
3
Cameroon
3
Brazil
3
Colombia
3
Lebanon
3
Taiwan, Province Of China
2
Peru
2
Cuba
2
Bulgaria
2
Ethiopia
2
Sri Lanka
2
Mauritania
2
Haiti
1
Malta
1
Uganda
1
France
1
Saint Lucia
1
Zaire
1
Algeria
1
Ghana
1
Iraq
1
Ireland
1
Russia
1
Hong Kong
1
Greece
1
Egypt
1
Swaziland
1
Italy
1
Thailand
1
Eritrea
1
Latvia
1
Portugal
1
Malaysia
1
Puerto Rico
1
Iceland
1
Zimbabwe
1
Moldova, Republic Of
1
Myanmar
1
Total
1569
0
9312

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
f) Jurisdiction where members were initially trained
Indicate the total number of registered members by jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
143180 8670 1541
Philippines
5746
India
3641
U.K.
1712
Poland
594
Hong Kong
549
China
475
Iran
428
Russia
416
Jamaica
410
Macedonia, The Former Yugoslav Republic Of
337
Romania
302
Israel
283
Pakistan
219
Nigeria
203
Korea
200
Australia
123
Lebanon
113
Germany
96
Guyana
93
S. Africa
93
Ghana
86
Trinidad
78
Sri Lanka
72
Czech Republic
69
Ukraine
65
Ireland
64
Jordan
60
Netherlands
55
Colombia
52
Ethiopia
47
Kenya
46
Haiti
44
Hungary
44
New Zealand
40
Taiwan, Province Of China
39
Japan
38
Peru
34
Nepal
30
Brazil
28
Zimbabwe
27
Bulgaria
26
France
26
Singapore
25
United Arab Emirates
22
Italy
21
Finland
20
Belgium
20
Sweden
19
Barbados
18
Switzerland
17
Cuba
15
Albania
15
Serbia
14
Saint Vincent And The Grenadines
14
Uganda
14
Chile
14
Malaysia
14
Portugal
13
Rwanda
13
Thailand
13
Norway
11
Turkey
11
Grenada
11
Uruguay
10
Cameroon
9
Austria
9
Mauritania
9
Egypt
9
Zambia
9
Bosnia And Herzegovina
8
Moldova, Republic Of
8
Malta
7
Congo
7
Tanzania, United Republic Of
7
Greece
7
Uzbekistan
7
Denmark
7
Belarus
7
Mexico
7
Croatia
6
Burundi
6
El Salvador
6
Sierra Leone
6
Slovakia
6
Afghanistan
6
Venezuela
5
Somalia
5
Ecuador
5
Nicaragua
4
Saint Kitts And Nevis
4
Azerbaijan
4
Saint Lucia
4
Botswana
4
Argentina
4
Algeria
4
Iraq
4
Scotland
3
Antigua And Barbuda
3
Kazakhstan
3
Morocco
3
Fiji
3
Tunisia
3
Lithuania
3
Iceland
3
Latvia
3
Puerto Rico
2
Eritrea
2
Mongolia
2
Spain
2
Djibouti
2
Sudan
2
Georgia
2
Swaziland
2
Kuwait
2
Costa Rica
2
Tajikistan
2
Dominica
2
Panama
1
Zaire
1
Armenia
1
Bahamas
1
Liberia
1
CÙte D'ivoire
1
Kyrgyzstan
1
Macedonia, The Former Yugoslav Republic Of
1
Qatar
1
Bangladesh
1
Lesotho
1
Myanmar
1
Guatemala
1
S Arabia
1
Total
17712
161
171264

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
g) Applications processed
Indicate the number of applications your organization processed in the reporting year:
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
New applications received 8542 597 79 1115 0
10333
Applicants actively pursuing licensing (applicants who had some contact with your organization in the reporting year) 11492 1017 325 11985 0
24819
Inactive applicants (applicants who had no contact with your organization in the reporting year) 466 256 155 3577 0
4454
Applicants who met all requirements and were authorized to become members but did not become members 674 76 8 71 0
829
Applicants who became FULLY registered members 7235 440 68 1569 0
9312
Applicants who were authorized to receive an alternative class of licence3 but were not issued a licence 0 0 0 0 0
0
Applicants who were issued an alternative class of licence3 1451 14 0 2 0
1467

1 An alternative class of licence enables its holder to practice with limitations, but additional requirements must be met in order for the member to be fully licensed.

Additional comments:
 
h) Classes of certificate/license
Inidcate and provide a description of the classes of certificate/license offered by your organization.

You must specify and describe at least one class of certificate/license (on line a) in order for this step to be complete.

# Certification Description
a) General Class Description (a)

Most nurses registered with the College belong to the General Class. Both Registered Nurses and Registered Practical Nurses belong in this class.

b) Extended Class (Nurse Practitioners) Description (b)

The Extended Class is for RNs who have additional education and clinical experience that allows them to practise as Nurse Practitioners. Members in this class have an expanded scope of practice, with the authority to diagnose, prescribe medication, perform procedures, and order and interpret diagnostic tests.

c) Non-Practising Class Description (c)

The Non-Practising Class is for members who want to remain College members at times when they are not practising nursing in Ontario.

d) Temporary Class Description (d)

The Temporary Class is an option for applicants who have met all the registration requirements for the General Class except completing the registration exam. Applicants are not eligible if they have failed the exam on one occasion.  Members in this class are allowed to practise under defined terms and conditions. They can join the General Class after they pass the exam. Membership ceases at the earliest of the first failure on the exam, expiry of six months or becoming eligible for registration in the General Class.

e) Special Assignment Class Description (e)

The Special Assignment Class is a time-limited registration for nurses who have an appointment as an RN or RPN with an approved facility in Ontario. Members in this class can only practise within the scope of their appointment and only under defined terms and conditions.

f) Emergency Class Description (f)

The Emergency Assignment Class comes into force when the provincial government declares an emergency and asks the College to issue Emergency Assignment certificates of registration to qualified nurses.

Additional comments:
 
i) Reviews and appeals processed
State the number of reviews and appeals your organization processed in the reporting year (use only whole numbers; do not enter commas or decimals).
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
Applications that were subject to an internal review or that were referred to a statutory committee of your governing council, such as a Registration Committee 254 9 21 916 0
1200
Applicants who initiated an appeal of a registration decision 57 0 0 62 0
119
Appeals heard 20 0 1 19 0
40
Registration decisions changed following an appeal 1 0 0 0 0
1
Additional comments:
 
j) Paid staff
In the table below, enter the number of paid staff employed by your organization in the categories shown, on December 31 of the reporting year.

When providing information for each of the categories in this section, you may want to use decimals if you count your staff using half units. For example, one full-time employee and one part-time employee might be equivalent to 1.5 employees.

You can enter decimals to the tenths position only. For example, you can enter 1.5 or 7.5 but not 1.55 or 7.52.

Category Staff
Total staff employed by the regulatory body 196
Staff involved in appeals process 4
Staff involved in registration process 38
Additional comments:
 

BACK TO INDEX


3. Submission

Submission
I hereby certify that:
Name of individual with authority to sign on behalf of the organization:
Anne Coghlan
Title:
Executive Director and CEO
Date:
2016/02/26

BACK TO INDEX