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Introduction

Regulatory supervision is the process that NPs follow to authorize nurse practitioner students to perform restricted activities. Restricted activities NPs are authorized to carry out are listed in Section 9(1) of the Nurses (Registered) and Nurse Practitioners Regulation and include activities such as diagnosing diseases and disorders, ordering diagnostic tests and prescribing.

The regulatory supervision process consists of four components:

  • knowing the NP student's competence
  • authorizing the activities the NP student may perform
  • setting the conditions for the student to perform the activities
  • managing risks to the client

Standards

1.

Nurse practitioners providing regulatory supervision for a nurse practitioner student performing a restricted activity listed in Section 9(1) of the Nurses (Registered) and Nurse Practitioners Regulation follow this process:

 

a.

Determine that the student has the competence to perform the restricted activity.

 

b.

Make a decision to authorize the restricted activity, considering at a minimum:

 

 

i.

the student’s stream of practice and level of experience

 

 

ii.

the client’s health condition, needs and consent

 

 

iii.

the restricted activity to be performed (task factors)

 

 

iv.

the practice setting (changing circumstances, institutional/employer policy) 

 

c.

Establish with the student, the conditions under which the restricted activity may be performed, including:

 

 

i.

reviewing the student’s assessments of clients’ health, differential diagnoses and/or diagnosis

 

 

ii.

reviewing/discussing recommendations and treatments/interventions made or to be made

 

 

iii.

signing all prescriptions and diagnostic tests

 

 

iv.

being on site or readily available to consult and/or collaborate to protect the interests of the client

 

d.

Act to manage risks to the client. Anticipate and manage potential and actual risks which originate from the activities of the nurse practitioner student being supervised. This includes, but is not limited to, reviewing and revising supervision decisions to ensure client interests are protected.

2.

Nurse practitioners only agree to supervise the performance of those restricted activities that are within their own individual competence.

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Each BCCNM designation has its own set of Standards of Practice.

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