Scope of Practice Flashcards
What are the three health services that nurses can provide?
- health care for the promotion, maintenance, and restoration of health
- prevention, treatment, and palliation of illness and injury
- MAiD
What are the three components that fall under “2. prevention, treatment and palliation of illness and injury’?
- assess health status
- planning/implementing/evaluating interventions
- coordinating health services
There are two times when nurses can act outside their scope of practice. what are the two exceptions?
- situation that involves imminent risk of death
- formal delegation
Who enforces standards, limits, and conditions?
BCCNM (under authority from the health act)
What is a standard?
minimum level of performance
What is a limit?
things nurses cannot do
what is a condition?
circumstances where exceptions are made
What are the four levels of controls on nursing practice?
- individual competence
- organizational policy
- BCCNM
- government legislation
What are the two extra levels of control on nursing student practice?
- term specific scope
- BCIT policy
What are the three categories of nursing practice? (when describing scope)
- general
- certified
- nurse practitioner
What is general practice?
- you can move from novice to expert without any extra training
- everything within autonomous scope + client-specific orders (non certified practice)
What is “Nurse and Nurse Practitioner’s Regulation”
- what three things does it lay out for nurses?
provincial legislation that lays out three things for nurses:
1. reserved titles
2. scope of practice
3. restricted activities
What titles can BCCNM registrants use?
- nurse
- registered nurse
- licensed graduate nurse
What is a restricted activity?
an activity that the regulation decided can pose risk to the patient. so the activity is restricted to certain health professionals only
What are the two key principles that uphold safe and ethical nursing care?
- scope of practice reflects the reality of nursing practice
- clear accountability and responsibility among health professionals is fundamental
Who made the “two key principles that uphold safe and ethical nursing care?”
BCCNM (supported and clarified by the Health professions Act)
What are the standards to acting within autonomous scope?
- RN is accountable and responsible for the decision they make
- RN has to ensure that the activity is within autonomous scope, and adheres to all the controls, and they are able to perform the task safely
- RN has to be competent to make decisions about the client, manage risks, potential outcomes
- collaborate with other healthcare team members
who are the listed health professionals?
- physician
- NP
- certified practice RNs
- dentist
- midwife
- naturopath
- pharmacist
- podiatrist
Who are the non-listed health professionals (purple people)?
- wound clinicians
- RNs who don’t have certified practice
- registered psych nurses
- dieticians
What is the definition of scope of practice?
activities that RNs are educated and authorized to perform
What is the difference between a grandparented nurse and a retired nurse?
- grandparented: got their license before the BSc was required and got to keep their licence
- retired: no longer in practice
What are three UNrestricted activities that have additional limits/conditions on them?
- cardiac stress testing
- financial incapability assessment
- incapability assessment for care facility admission
- all require further education
What are the 5 certified practice nursing programs?
- contraceptive management
- STI clinic
- remote practice
- RN first call
- opioid use disorder
what are the section 6 activities?
Diagnosis
Wound care
Intravenous
Inhalation
Instillation and injection
Assessing clients and treating conditions
Managing labour
Hazardous forms of energy
Ordering the application of energy
Medications
Therapeutic diets
