Nurse practitioners: the time limit of 30 days to see a doctor is abolished

Infirmières praticiennes: le délai de 30 jours pour voir un médecin est aboli

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The nurse practitioners specialty (IPS) master of science in nursing and medical science to make some interventions (monitoring of pregnancy, treatment of chronic diseases, palliative care).

By the adoption of a regulation allowing officially to the nurse practitioners specialty (IPS) of diagnoses, the prescribed period of 30 days for a patient to consult a doctor will be now abolished.

The College of physicians made the announcement in a note sent to all its members and made public on Monday by the end of the day.

Since 2007, an IPS could identify a common condition and initiate a treatment. The patient should, however, consult a doctor within 30 days to confirm everything and get a real diagnosis.

If this time limit is now abolished, the IPS are not allowed to make a diagnosis and will have to wait until “the Regulations on nurse practitioners specialty is changed to” held to clarify the Ordre des infirmières et infirmiers du Québec (OIIQ) on Tuesday to avoid any confusion.

“This means that after receiving a patient in the first line for one of these diseases, the IPS will no longer be required referral to a physician within a period of 30 days. The IPS must, however, ensure to discuss with her doctor partner on the level of priority relates to the diagnosis, ” adds the OIIQ in a note sent to its members.

Christine Laliberté, the president of the Association of nurse practitioners specialized in Quebec (AIPSQ), welcomes “first step ahead” of the College. “It is a good thing because we often had to struggle to meet this short deadline. This is not always easy to get an appointment so quickly with a doctor “.

More time

On the side of doctors, remove this requirement in time will now release time to see other patients.

For the College, this first measure is also a way to formalize the resolution adopted last Friday, according to which ” all the nurse practitioners specialty (IPS), and not only those in the front line, will [soon] diagnosing a health problem common in connection with their specialty [as well as] the six chronic diseases : diabetes, high blood pressure, high cholesterol, asthma, chronic obstructive pulmonary disease, and hypothyroidism “.

“At this time it is a question of vocabulary. We are not going to penalize a nurse practitioner who has used the word “diagnosis” with the patient so that in a few months she will be able to officially do so. The important thing is for the patient to be taken care of, ” says the Duty of the media officer of the College of physicians, Caroline Langis.

Proposed regulations

In fact, a change in the regulation of the practice of IPS is required before they can make a diagnosis.

The College of physicians intends to propose a draft regulation, developed jointly with the Ordre des infirmières et infirmiers du Québec — at the next board of directors on 26 April next. It will then be forwarded to the Office of the professions before being approved by the government of Quebec.

“It’s going to take a few months, but we can expect that it will go quickly since it is still a willingness ministerial act quickly in this case,” believes Christine Laliberté of the AIPSQ, estimating that by the beginning of the summer, the IPS will be able to officially diagnose.


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