In theory there is, Mr. Jeneroux.
If we look at the advice coming, say, from the World Health Organization and then the Public Health Agency of Canada, it's quite consistent. The advice has been very, very helpful. The challenge we have is when you filter it down through however many lenses—at the regional health authority level, the employer, the organizational level, the level of the manager within an organization—that seems to be where things fall apart a little bit. It's not unusual in a federation, in a profession with multiple regulated categories and lots of people influencing it.
In theory, yes, I think it's pretty clear. Our advice has not really changed. I can tell you from my own experience in a neurosurgical intensive care unit, that if I go to do a procedure, the nurse and the doctor are educated in terms of knowing what is needed for that procedure. We expect employers, governments and everyone to have the materials there. You get what you need for that procedure and you use your clinical judgment. We think nurses are quite capable of making those decisions.
What we have been concerned about in some cases is the interpretation of what seems like a fairly straightforward “if this, then that”. Part of it is that with 430,000 nurses, 13 jurisdictions and hundreds of employers, it gets a little bit mired.