Professional Practice in Ontario for Registered Practical Nurses
  I: Administrative Information   II: Course Details   III: Topical Outline(s)  Printable Version
Section I: Administrative Information
  Total hours: 42.0
Credit Value: 3.0
Credit Value Notes: N/A
Effective: Spring/Summer 2021
Prerequisites: N/A
Corequisites: N/A
Equivalents: N/A
Pre/Co/Equiv Notes: N/A

Program(s): RPN Safe Practice Completion
Program Coordinator(s): N/A
Course Leader or Contact: N/A
Version: 20210517_00
Status: Approved (APPR)

Section I Notes: Access to course materials and assignments will be available on Sheridan's Learning and Teaching Environment (SLATE). Students will need reliable access to a computer and the internet.

Section II: Course Details

Detailed Description
This course examines the professional practice of Registered Practical Nurses (RPNs) in Ontario with the emphasis of study based on the Standards and Guidelines set by the nursing regulatory body, as well as key healthcare legislation. Students explore the concepts of practice in the context of public protection such as the nurse-client therapeutic relationship, misconduct, privacy and confidentiality, consent, diversity and culturally sensitive care. Conflict resolution and leadership theory and practices are analyzed, and students explore the requirements for independent, consultative and collaborative practice in the contexts of individual, family, regional, and global health perspectives. The application of theoretical and evidence-based practice underscores all learning and guides students in the creation of quality assurance and professional development goals.

Program Context

RPN Safe Practice Completion Program Coordinator(s): N/A
This is a required course for successful completion of RPN Safe Practice Completion.

Course Critical Performance and Learning Outcomes

  Critical Performance:
By the end of this course, students will have demonstrated the ability to apply knowledge of the expectations and accountabilities for nursing practice that underscore the profession's commitment to public protection.
Learning Outcomes:

To achieve the critical performance, students will have demonstrated the ability to:

  1. Explain the role of the College of Nurses of Ontario (CNO) and other professional nursing organizations and non-nursing legislation in the regulation and promotion of professional nursing practice.
  2. Describe the requirements of quality assurance and continued competence and develop a learning plan based on self-reflection, peer feedback, and theory and evidence from nursing, human and social sciences.
  3. Analyze CNO standards and guidelines, including relevant legislation, that set expectations for nursing practice across all nursing categories, roles, and healthcare settings.
  4. Explore the importance of standards and guidelines that support nurses to provide safe, competent and ethical nursing care.
  5. Apply the legislation regarding consent to complex and variable client situations to ensure client autonomy, to respect diversity and to protect human rights.
  6. Explore various nursing leadership theories and elements of healthy workplaces that foster inter-professional practice and quality practice environments.
  7. Utilize critical thinking and conflict management skills to contribute to quality practice and address clinical and organizational challenges.
  8. Recognize the different types of client abuse and identify accountabilities for prevention, responding and reporting to both the regulatory body and authorities.

Evaluation Plan
Students demonstrate their learning in the following ways:

 Written Assignment - Part A15.0%
 Written Assignment - Part B15.0%
 Group Presentation30.0%
 Final Exam40.0%

Evaluation Notes and Academic Missed Work Procedure:
Test and Assignment Protocol To encourage behaviours that will help students to be successful in the workplace and to ensure that students receive credit for their individual work, the following rules apply to every course offered within the division. 1. Students are responsible for being aware of test dates and times, as well as due dates and any special instructions for submitting assignments and projects, as supplied to the class by the Faculty. 2. Students must write all tests at the specified times. Missed tests are awarded a mark of zero. If an extension or make-up opportunity is approved by the Faculty, the mark of zero may be revised. 3. Students must complete all the assigned quizzes and in-class activities by the scheduled due date. Missed quizzes and exams are awarded a mark of zero. 4. Students must complete every quiz as an individual effort, unless the Faculty specifies otherwise. 5. Since there may be instances of grade appeal or questions regarding the timely completion of quizzes and/or extent of individual effort, etc., students are strongly advised to keep, and make available to their Faculty, if requested, a copy of all working notes until the course grade has been finalized. 6. Please note, students who miss academic work due to disability must follow the academic missed work procedures outlined by Accessible Learning which may be different than those indicated above.

Provincial Context
The course meets the following Ministry of Colleges and Universities requirements:


Essential Employability Skills
Essential Employability Skills emphasized in the course:

  • Communication Skills - Communicate clearly, concisely and correctly in the written, spoken, visual form that fulfills the purpose and meets the needs of the audience.
  • Critical Thinking & Problem Solving Skills - Use a variety of thinking skills to anticipate and solve problems.
  • Information Management Skills - Analyze, evaluate, and apply relevant information from a variety of sources.
  • Interpersonal Skills - Show respect for the diverse opinions, values, belief systems, and contributions of others.
  • Numeracy - Execute mathematical operations accurately.
  • Personal Skills - Manage the use of time and other resources to complete projects.

Prior Learning Assessment and Recognition
PLAR Contact (if course is PLAR-eligible) - Office of the Registrar

  • Not Eligible for PLAR

Section III: Topical Outline
Some details of this outline may change as a result of circumstances such as weather cancellations, College and student activities, and class timetabling.
Instruction Mode: In-class & Online Instruction
Professor: Multiple Professors
RequiredOtherCollege of Nurses of Ontario Standards and Guidelines
RequiredOtherRegistered Nurses Association of Ontario Best Practice Guidelines
RequiredTextbookCanadian fundamentals of nursing, Potter, P. A., Perry, A.G., Stockert, P.A., & Hall, A.M., Elsevier Canada, 6th Canadian Edition, 2019, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.

Applicable student group(s): This course is restricted to students with CNO Letter of Assessment and/or Program Coordinator's approval.
Course Details:

Module 1: Introduction 

  • Role of regulatory body (CNO) and professional organizations
  • Introduction to CNO standards and guidelines
  • Quality assurance and Continued Competence
  • Reflective Practice and Learning Plan

Module 2: CNO Professional Standards and Code of Conduct

  • CNO Professional standards
  • CNO Code of conduct
  • Ethical practice
  • Case study application

Module 3: Therapeutic Nurse-Client relationship 

  • Therapeutic Nurse-client relationship
  • Communication strategies
  • Relational practice and mutuality
  • Case study application

(Written Assignment – Part A 15%)

Module 4: Privacy and Confidentiality

  • Privacy and confidentiality
  • Issues pertaining to breach of confidentiality
  • Case study application

Module 5: Consent 

  • Consent
  • Client autonomy
  • Respect for diversity and human rights
  • Authorizing mechanisms
  • Directives
  • Case study application

Module 6: Fitness to Practice and Misconduct

  • Fitness to Practice
  • Professional Misconduct
  • Mandatory Reporting
  • Case study application

Module 7: Abuse and Neglect 

  • Types of Abuse
  • Neglect
  • Prevention and responding/reporting
  • Nursing accountabilities
  • Case Study application

(Written Assignment – Part B 15%) 

Module 8:  Nursing Leadership Theory

  • Critical thinking in nursing practice
  • Nursing leadership theory
  • Case study application

Module 9: Nursing Leadership Praxis 

  • Leading self
  • Working with unregulated care providers
  • Client-nurse-environment framework
  • Case study application

Module 10: Nursing Leadership for Current and Complex Issues 

  • Technology in healthcare
  • Pandemic planning
  • Other current issues
  • Case study application

(Group Presentation 30%) 

Module 11: Healthy Workplaces 

  • Quality practice environments
  • Elements of a healthy workplace
  • Inter-professional practice
  • Case study application

Module 12: Conflict Resolution for Clinical and Organizational Challenges

  • Conflict prevention and resolution
  • De-escalation techniques
  • CNO standard: Procedures and authority
  • Refusing assignments
  • Discontinuing nursing service
  • Case study application

(Final Exam 40%)


Sheridan Policies

All Sheridan policies can be viewed on the Sheridan policy website.

Academic Integrity: The principle of academic integrity requires that all work submitted for evaluation and course credit be the original, unassisted work of the student. Cheating or plagiarism including borrowing, copying, purchasing or collaborating on work, except for group projects arranged and approved by the professor, or otherwise submitting work that is not the student's own, violates this principle and will not be tolerated. Students who have any questions regarding whether or not specific circumstances involve a breach of academic integrity are advised to review the Academic Integrity Policy and procedure and/or discuss them with the professor.

Copyright: A majority of the course lectures and materials provided in class and posted in SLATE are protected by copyright. Use of these materials must comply with the Acceptable Use Policy, Use of Copyright Protected Work Policy and Student Code of Conduct. Students may use, copy and share these materials for learning and/or research purposes provided that the use complies with fair dealing or an exception in the Copyright Act. Permission from the rights holder would be necessary otherwise. Please note that it is prohibited to reproduce and/or post a work that is not your own on third-party commercial websites including but not limited to Course Hero or OneNote. It is also prohibited to reproduce and/or post a work that is not your own or your own work with the intent to assist others in cheating on third-party commercial websites including but not limited to Course Hero or OneNote.

Intellectual Property: Sheridan's Intellectual Property Policy generally applies such that students own their own work. Please be advised that students working with external research and/or industry collaborators may be asked to sign agreements that waive or modify their IP rights. Please refer to Sheridan's IP Policy and Procedure.

Respectful Behaviour: Sheridan is committed to provide a learning environment that supports academic achievement by respecting the dignity, self-esteem and fair treatment of every person engaged in the learning process. Behaviour which is inconsistent with this principle will not be tolerated. Details of Sheridan's policy on Harassment and Discrimination, Academic Integrity and other academic policies are available on the Sheridan policy website.

Accessible Learning: Accessible Learning coordinates academic accommodations for students with disabilities. For more information or to register, please see the Accessible Learning website (Statement added September 2016)

Course Outline Changes: The information contained in this Course Outline including but not limited to faculty and program information and course description is subject to change without notice. Any changes to course curriculum and/or assessment shall adhere to approved Sheridan protocol. Nothing in this Course Outline should be viewed as a representation, offer and/or warranty. Students are responsible for reading the Important Notice and Disclaimer which applies to Programs and Courses.

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