Scope of Practice for Regisers Nurses

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Scope of Practice
for REGISTERED NURSES
S TA N D A R DS LIMITS CO N D I T I O N S

Scope of Practice
FOR REGISTERED NURSES

Scope of Practice for Registered Nurses
This document contains information about scope of practice* for registered nurses (includes licensed graduate nurses) and nurse practitioners in British Columbia. It also includes important information for registered nurses related to scope of practice that is established by the College of Registered Nurses of British Columbia (CRNBC). The scope of practice for registered nurses and nurse practitioners in British Columbia is set out in the Nurses (Registered) and Nurse Practitioners Regulation under the Health Professions Act. Additional scope of practice information is included in CRNBC’s Bylaws and Standards of Practice. The purpose of this document is to: • Explain the Regulation and those parts of the Health Professions Act that have an impact on scope of practice for registered nurses • Set out CRNBC standards, limits and conditions related to scope of practice • Explain the restricted activities for registered nurses that are outlined in the Regulation • Explain delegation as it applies under the Health Professions Act and CRNBC Standards of Practice. Information in this document is subject to change as CRNBC policy is revised or legislation is amended. CRNBC registrants will be notified of changes. Revised April 2010 Revised July 2010

*

Terms defined in the Glossary (Appendix 4) are highlighted in bold type in this document the first time they appear.

C R N B C STA N DA R DS O F P R A C T I CE

CRNBC is responsible under the Health Professions Act for setting standards of practice for its registrants. CRNBC Standards include: • Professional Standards • Practice Standards • Scope of Practice Standards, Limits and Conditions These can be found on the CRNBC website www.crnbc.ca

© Copyright College of Registered Nurses of British Columbia/July 2010 2855 Arbutus Street, Vancouver BC V6J 3Y8 Tel 604.736.7331 or 1.800.565.6505 www.crnbc.ca Pub. No. 433

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College of Registered Nurses of British Columbia

Scope of Practice
FOR REGISTERED NURSES

Contents
Part 1: The Basis for Scope of Practice What the Regulation Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Reserved Titles Scope of Practice Restricted Activities Standards, Limits and Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Controls on Nursing Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Two Key Principles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 How Practice is Described in the Regulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 General Practice Certified Practice Nurse Practitioner Practice Practice Activities and Regulatory Requirements Part 2: Activities that are Not Restricted Examples of Nursing Activities that are Not Restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Limits and Conditions on Activities that are Not Restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Cardiac Stress Testing Emergency Contraception Acting Without an Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 CRNBC Standards for Acting Without an Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Working With Others . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Part 3: Restricted Activities for Registered Nurses Section 6: Restricted Activities that Do Not Require An Order. . . . . . . . . . . . . . . . . . . . . . . . . . 12 Diagnosis Wound Care...
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