The intent of this guide is to support RNs and NPs to attain and maintain the necessary knowledge and skills required in telenursing in order to provide safe, competent, compassionate and ethical care. [...] According to the Registered Nurses Act, s. 21[a]) “A member in the Province who is engaged in practice by electronic means to clients outside of the province is deemed to be practising the profession in the Province”. [...] A. In general, the competencies required in telenursing practice mirror the competencies required of all registered nurses (e.g., clinical competence and assessment skills in the nurses’ area of practice; an understanding of the scope of service being provided). [...] According to Standards Professional Boundaries and the Nurse- of Practice for Registered Nurses, the RN is accountable for the Client Relationship: Keeping it Safe and development and maintenance of this relationship3. [...] Given this, it is the responsibility of the practising RN to ensure that her/his employer has put policies and mechanisms in place to address potential client concerns about the practice of registered nurses and support clients access to information related to licensing.