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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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Vancouver, BC  V6C 1S4

​Toll-free 1.866.880.7101 (within Canada only) ​

With great respect, we acknowledge that BCCNM’s office is located on the unceded territories of the hən̓q̓əmin̓əm̓ speaking peoples – xʷməθkʷəy̓əm (Musqueam), and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples - Sḵwx̱wú7mesh Úxwumixw (Squamish Nation) whose historical relationships with the land continue to this day.​