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Limits and conditions on activities that are not restricted

Part 3: Activities that are not restricted

​Non-Restricted Activities

BCCNM Limits and Conditions​

Applying a restraint​​

LPNs a​pply restraints when an order from an authorized health professional is in place.


Taking an electrocardiogram

LPNs take el​ectrocardiograms (ECGs):

  1. After successful​ly completing additional education
  2. When a health car​e professional authorized to read the ECG is immediately available

​LP​Ns are not responsible for reading or interpreting ECG results.


Caring for a client​ on telemetry

LPNs work in a team nursing approach to provide care for clients on telemetry:

  1. With stable or predictable states of health

  2. ​After successfully completing additional education

​LPNs are not responsible for monitoring or interpreting telemetry readings.


Changing a ​chest tube dressing

LPNs chang​e chest tube dressings:

  1. For clients with stab​le or predictable states of health

  2. After successfully completing additional education

  3. By fol​lowing decision support tools


Changing a dressing on a central venous line​

LPNs do not change dressings on central venous access devices or central venous lines.

Also see hemodialysis for exceptions


Measuring a vis​​ible central venous line

LPNs measure a visible central venous line on clients with stable or pred​ictable states of health.

Also see hemodialysis for exceptions


Performing Hum​​an Immunodeficiency Virus Point of Care Testing

LPNs perform Human Immunodeficiency Virus  (HIV) point of care testing (POCT):

  1. After successfully completing additional education

  2. By following established organizational processes and procedures for HIV POCT

  3. When​ an authorized health professional is available for consultation and referral


Performing skin and wound care above the dermis​

LPNs who make a nursing d​iagnosis and treat reddened skin, skin tears and wounds above the dermis, without an order, follow decision support tools.


Preparing and giving an​​ unscheduled drug

​LPNs compound, dispense and administer naloxone with​out an order, when used to treat an opioid overdose emergency.​

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We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​