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Nurse Practitioners: Consultation and Referral

Practice standard for nurse practitioners

​​Introduction

This practice standard outlines the expectations for nurse practitioners when consulting with or making referrals to other health care professionals to support client care.

Standards​​

​1.

​Nurse practitioners are accountable for the care they provide and the decisions that they make when sharing client care with other health care professionals.

​2.
​Nurse practitioners consult with or make a referral to other health care professionals when:​
​a.
​They encounter client care needs beyond the scope of practice for nurse practitioners or their individual competence, and/or
​b.

​Client care would benefit​​ from the expertise of other health care professionals.

​3.

Nurse practitioners make referral ​​decisions in collaboration with the client.​​ ​

​4.
​When consulting with or making a referral to another health care professional, nurse practitioners:
​a.
​Present the reason for and the level of urgency of the consultation or referral,

​b.
​Describe the level of involvement requested,

​c.
Provide relevant client health information,​

​d.
​Confirm the health care professional's ongoing level of involvement with the client, and

​e.

​Document the request for an​​d outcome of the consultation or referral in the client's health record.

5.
When providing consultations to or receiving referrals from other health care professionals, nurse practitioners:​

a.​ ​Confirm the reason for and level of urgency of the request,

​b.
​Confirm the level of involvement requested,

​c.
​Ensure that they have access to relevant client health information,

​d.
​Notify the health care professional if they are unable to provide a consultation or receive a referral,

​e.
​Confirm their ongoing level of involvement with the client, and

​f.
​Document the request for and outcome of the consultation or re​​ferral.​

​Gloss​​ary

Client: individual receiving nursing care or services from a nurse.

Competence: integration and application of knowledge, skills and judgment required for safe and appropriate performance in an individual's practice.

Revisio​​n history​​​

Approved by board: March 1, 2026 | Bylaw in-force​: April 1, 2026

​Effective April 1, 2026, this ethics standard, and any amendments to it, is made a bylaw under the authority of the Health Professions and Occupations Act, B.C.​​​​​

​​​Need help or support?​

For further guidance on understanding and applying the standards of practice, contact our team by completing the Standards Support intake form.​

900 – 200 Granville St
Vancouver, BC  V6C 1S4
Canada

info@bccnm​.ca
604.742.6200​
​Toll-free 1.866.880.7101 (within Canada only) ​


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