Standards of Practice and Conduct

Manitoba’s Practical Nursing Profession Has New Standards!

New Standards of Practice and Conduct took effect on December 1, 2021. The Standards were updated with input from members of the profession, employers, educators, and many others.

The CLPNM is grateful to the 760 Manitoba LPNs who took the time to respond to our survey on the new proposed standards earlier this year. The feedback we received helped us to refine the standards and reinforced that the updated standards will:

  • establish reasonable expectations for conduct and practice,
  • contribute to safe, ethical and competent care, and
  • help to maintain public confidence and trust in your profession.

Review the Standards of Practice and Conduct, 2021, here. 

About the New Standards

What are the Standards of Practice and Conduct?

The Standards are authoritative statements that define professional expectations for practical nurses in Manitoba. The primary purpose of the Standards is to direct safe, ethical, and clinically competent practical nursing practice and professional conduct. The existence of professional standards is one of the ways in which a regulated profession is distinguished from an unregulated occupation.

The Standards provide the benchmark against which practical nurses are measured. They describe what members of the public can expect from practical nurses in our province. In this way, the Standards establish the foundation for a relationship of trust between the public and the members of the profession.  Members of the public can have confidence in the care they receive from an LPN because they know LPN practice is subject to professional standards.

What do the Standards cover?

The Standards are organized into seven categories.

  • Professional Accountability
  • Competent Practice
  • Therapeutic Relationships
  • Client-Centred Practice
  • Collaborative Care
  • Client Records and Documentation
  • Leadership

Many Standards could fit into more than one category.  As an example, Standard 42. Provide relevant and timely information to clients and other members of the health care team, appears under the heading of V. Collaborative Care. It is not repeated in other categories, to avoid duplication, but readers will note that it also supports client-centred care (Category IV) and the therapeutic relationship (Catetory III). Effective communication is also a competency, contributing to competent practice (Category II), and is an example of respectful conduct, contributing to professional accountability (Category I). As this example shows, all of the Standards must be reviewed and understood in context with one another.

Why were the Standards updated?

The Standards have been updated to:

  • respond to changes in the practice of the profession as well as changes in public expectations,
  • enhance transparency for practical nurses, by describing more clearly the conduct expected of all members of the profession, and
  • address several requirements, specified by Manitoba Health and Seniors Care, that must be met for the profession to transition to The Regulated Health Professions Act.
What's new or different in the revised Standards?

The 2021 Standards include more clearly-defined professional expectations for practical nurses. For example, the new Standards include more explicit statements on topics such as:

  • addressing racism and discrimination
  • contributing to culturally safe practice environments
  • evidence-informed practice
  • reflective practice
  • maintaining competence related to the technology that is used in the practice environment
  • maintaining professional boundaries
  • conflict management
  • protecting clients from harm
  • cooperating with the CLPNM, as the professional regulator
  • conduct that builds trust in the profession

These topics were addressed in the 2004 Standards, but in more general terms. The 2021 Standards make these professional expectations more clear, and therefore, are more transparent for CLPNM registrants.

Who do the Standards apply to?

The Standards apply to all CLPNM registrants, including Licensed Practical Nurses (LPNs), Graduate Practical Nurses (GPNs), and Student Practical Nurses (SPNs). SPNs are introduced to the Standards over the course of their entry-to-practice practical nursing programs. The Standards are applicable to all practical nurses in all settings in which they practise in Manitoba, including clinical practice, research, education, and administration.

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