The role of the RN in long term care is critical to ensuring safe, competent, compassionate, and ethical care. A growing body of evidence demonstrates a relationship between nursing care and patient outcomes, such as functional status, symptom control, falls, pressure ulcers, and self care (Doran, 2011). RNs are authorized to practice autonomously, regardless of the complexity of care or predictability of outcome. The RN is a diversified worker and the one most linked to holistic and non-fragmented care (Canadian Nurses Association, 2003 and 2007). Further, RNs are self-regulated health care professionals who work autonomously and in collaboration with others. RNs enable individuals, families, groups, communities and populations to achieve their optimal level of health. RNs coordinate health care, deliver direct services and support clients in their self -care decisions and actions in situations of health, illness, injury and disability and in all stages of life. RNs contribute to the health care system through their work in direct practice, education, administration, research and policy in a wide array of settings